Increasing Endocannabinoid Tone Alters Anxiety-Like and Stress Coping Behaviour in Female Rats Prenatally Exposed to Valproic Acid
Physiology, School of Medicine, National University of Ireland Galway, H91 W5P7 Galway, Ireland; aoifethorn@gmail.com (A.M.T.); r.humphrey1@nuigalway.ie (R.M.H.)
Galway Neuroscience Centre, National University of Ireland Galway, H91 W5P7 Galway, Ireland; david.finn@nuigalway.ie
Centre for Pain Research, National University of Ireland Galway, H91 W5P7 Galway, Ireland
Pharmacology and Therapeutics, School of Medicine, National University of Ireland Galway, H91 W5P7 Galway, Ireland; danny.kerr@nuigalway.ie
Abstract
Given the sex differences evident in the prevalence of autism, there is an increased awareness of the importance of including females in autism research to determine sexual dimorphism and sex-specific treatments. Cannabinoids and endocannabinoid modulators have been proposed as potential novel treatments for autism-related symptoms; however, few studies to date have examined if these pharmacological agents elicit sex-specific effects. The aim of the present study was to use the valproic acid (VPA) model of autism to compare the behavioural responses of male and female rats and examine the effects of increasing endocannabinoid tone on the behavioural responses of VPA-exposed female rats. These data revealed that VPA-exposed male, but not female, rats exhibit reduced social responding in the three-chamber and olfactory habituation/dishabituation (OHD) test during adolescence. In comparison, VPA-exposed female, but not male, adolescent rats exhibited anxiety-like behaviour in the elevated plus maze (EPM) and open field test (OFT). In VPA-exposed female rats, increasing 2-AG levels augmented anxiety-like behaviour in the EPM and OFT, while increasing AEA levels reduced stress coping behaviour in the swim stress test. These data highlight sexual dimorphic behaviours in the VPA model and indicate that enhancing endocannabinoid levels may exacerbate negative affective behaviour in VPA-exposed females. Thus, considerations should be paid to the possible sex-specific effects of cannabinoids for the treatment of symptoms associated with autism.
Untitled section
Keywords: autism, VPA, sex differences, social behaviour, anandamide, 2-AG, FAAH, MGL
Article notes
Untitled section
Received 2021 Jun 1; Accepted 2021 Jun 15; Collection date 2021 Jun.
1. Introduction
Autism is a complex neurodevelopmental disorder characterised by two core symptoms—persistent deficits in social communication and interaction, and restricted, repetitive patterns of behaviours, interests or activities [1]. In addition to the core symptoms, autism is also associated with anxiety, irritability, GI disturbances and altered pain [2,3]. Autism is diagnosed three to four times more commonly in males than females [4,5]. However, increasing data suggests that the core symptoms of social deficits and restricted behaviours are more severe in males, which may account for the higher frequency of diagnosis [6,7]. Thus, examining these sex differences in animal models of autism is paramount to improving diagnosis and identifying appropriate sex-specific treatments. Animal models can provide important information in this regard. Valproic acid (VPA) is a widely prescribed and efficacious anti-epileptic and mood stabilizer. However, VPA is also a potent teratogen, associated with high incidences of birth defects and increased risk of developing autism in the offspring [8,9,10]. This clinical observation has led to the development of the VPA rodent model of autism, a widely used and clinically relevant rodent model displaying both behavioural and neurochemical changes observed in autism [9,11]. While much of the research conducted in this model has examined effects in males, only a few studies have directly compared effects in males vs. females. Deficits in social motivation are evident from a very early age in the nest-seeking test in VPA-exposed male [12,13,14,15,16] and female [16,17] rats. Deficits in social play behaviour, sociability and social novelty preference in male adolescent rats prenatally exposed to VPA has been a consistent finding in the model [14,15,18,19,20,21,22,23]. However, conflicting data have been reported for female rats, with some studies reporting social play deficits [12,24] and one with no change [25]. Similarly, several studies reported no deficits in the three-chamber test in VPA-exposed female rodents [12,26,27,28], while others have reported a deficit in sociability in VPA-exposed adolescent female rats [16,29] and once in adult rats [30]. Anxiety is the most common comorbid disorder associated with autism [31,32]. Anxiety-like behaviours have been reported in the VPA model in several paradigms including the elevated plus maze (EPM) and the open field test (OFT) [12,14,15,20,22,33], with the majority of these studies in male rodents. Increased anxiety-like behaviour has also been demonstrated in VPA-exposed female adult [24,34] and adolescent [24] rodents. Given that the majority of studies have examined male and female rodents separately, it is difficult to draw firm conclusions on the effect of sex on behavioural responding in the VPA model.
The endocannabinoid system (ECS) is a key mediator and modulator of social and anxiety behaviour. Sex-specific effects of cannabinoid modulators have been reported in several conditions including anxiety and nociception [35,36,37]. Increasing clinical and preclinical evidence have implicated a key role for the ECS in the pathophysiology and treatment of symptoms associated with autism (for reviews, see [38,39,40]). Alterations in the ECS have been described in the VPA model including altered levels of the endocannabinoids anandamide (AEA) and 2-arachidonoylglycerol (2-AG) [41,42], altered mRNA and protein expression of components of the ECS [15,21,41,42] and changes in cannabinoid 1 (CB)1 receptor activation [12,15]. Only one paper to date has examined the effects in a sex-specific manner, demonstrating enhanced activation of CB1 in the prefrontal cortex (PFC) of VPA-exposed female, but not male, rats compared to saline-exposed counterparts [12]. Furthermore, VPA-exposed male, but not female, rats exhibited increased CB1 receptor activation in the dorsal striatum and reduced activation in the amygdala and hippocampus compared to saline-exposed rats [12,15]. Increasing AEA and 2-AG tone following the inhibition of the endocannabinoid-catabolising enzymes, fatty acid amide hydrolase (FAAH) and monoacylglycerol lipase (MGL), respectively, has proven effective at reversing several of the behavioural anomalies in VPA-exposed male rats including social impairments and anxiety- and stress-like behaviours [12,20,27,42]. Only two studies have examined the effects of enhancing AEA tone on behavioural responding of VPA-exposed females, demonstrating that FAAH inhibition attenuated the VPA-induced deficits in the DSI test during adolescence and repetitive-like behaviours during adulthood [12] but did not alter sociability in the three-chamber test, thermal nociception in the hotplate test (HPT) or repetitive behaviours during adolescence [27]. Despite the volume of studies that have investigated behavioural responding in the VPA model, there are very few that have directly examined a full range of behaviours in both male and female rats. Furthermore, while acute FAAH and MGL inhibition have been shown to reverse behavioural alterations in VPA-exposed male rats, there is a paucity of knowledge on whether this can be extended to VPA-exposed female rats. Therefore, the present study aimed to examine the effect of prenatal exposure to VPA on a range of behavioural changes in both male and female rats and the effect of acute FAAH and MGL inhibition on nociceptive and negative affective behaviours in VPA-exposed female rats.
2. Results
2.2. Prenatal VPA Exposure Induces Anxiety-Like Behaviour in Female, But Not Male, Adolescent Rats
Anxiety-like behaviour was assessed in the EPM and OFT during adolescence. In the EPM, analysis of the time spent in the open arms revealed a sex effect (F(1,44) = 6.27, p = 0.016) and post hoc analysis demonstrated that female saline-, but not VPA-, exposed rats spent significantly more time in the open arms of the EPM when compared to the male counterparts (Figure 2a). Analysis of the number of entries into the open arms revealed an effect of sex (F(1,44) = 17.55, p < 0.001) and VPA × sex interaction (F(1,44) = 4.39, p = 0.042). Post hoc analysis demonstrated that female saline-exposed rats entered the open arms more frequently than male counterparts, an effect reduced by prenatal VPA exposure (Figure 2b).
In the OFT, analysis of the time spent in the inner zone of the arena revealed effects of VPA (F(1,44) = 5.05, p = 0.03), sex (F(1,44) = 4.66, p = 0.036), and VPA × sex interaction (F(1,44) = 6.06, p = 0.018). Post hoc analysis revealed that female saline-exposed rats spent more time in the inner zone compared to male counterparts. Furthermore, VPA-exposed female rats spent significantly less time in the inner zone compared to the saline-exposed counterparts, indicating VPA-exposed female rats exhibited anxiety-like behaviour (Figure 2c). The number of entries into the inner zone was unaltered by prenatal VPA exposure or sex (Figure 2d), indicating that the effects are unlikely to be due to changes in locomotor activity. Analysis of rearing revealed a significant sex effect (F(1,44) = 5.46, p = 0.024) and post hoc analysis found that female saline-exposed rats reared significantly more compared to male counterparts (male-saline: 26 + 5 s vs. female-saline: 44 + 7 s, p < 0.05), an effect not significantly different between male and female VPA-exposed animals. Grooming behaviour was not significantly altered by prenatal VPA exposure or sex.
Analysis of the unified anxiety score revealed a significant effect of sex (F(1,44) = 12.85, p = 0.001) and VPA × sex interaction (F(1,44) = 4.09, p = 0.049). Post hoc analysis revealed that saline-exposed female rats had a significantly lower unified anxiety score compared to male counterparts, an effect not observed in VPA-exposed female rats (Figure 2e).
2.3. Prenatal VPA Exposure Does Not Alter Locomotor Activity or Novel Object Recognition in Female or Male Adolescent Rats
In order to determine if changes in social- or anxiety-related behaviour may be confounded by alterations in locomotor activity or recognition memory, these behaviours were also examined. Locomotor activity was not altered by sex or prenatal VPA exposure (Figure 2f). In the novel object recognition (NOR) test, analysis of the time spent interacting with the novel and two familiar objects revealed a significant effect of object (F(2,129) = 61.58, p < 0.001) [three-way ANOVA]. Post hoc analysis revealed that all animals spent significantly more time interacting with the novel object vs. objects 1 and 2, thus indicating an intact recognition memory in all animals (Figure 2g). There was no significant effect of prenatal VPA exposure or sex on the time spent interacting with the novel object.
2.4. Enhancing 2-AG and AEA Levels Alters Anxiety-Like and Stress Coping Behaviour in VPA-Exposed Female Rats, Respectively
Previous data have indicated that enhancing AEA and 2-AG tone by inhibiting FAAH and MGL, respectively, attenuates social impairments in male rats prenatally exposed to VPA [12,15,20,27,42]. The data herein demonstrate that female rats prenatally exposed to VPA do not exhibit social impairments but rather anxiety-like behaviour. Thus, the effect of enhancing AEA and 2-AG tone following FAAH or MGL inhibition on anxiety-like behavioural responding in VPA-exposed female rats was examined. Animals were first exposed to the hot plate test (HPT) as the published data have shown that VPA-exposed female rats exhibit thermal hypoalgesia [24]. Neither PF3845 nor MJN110 altered the latency to lick the hind paws in the HPT (F(2,33) = 2.87, p = 0.071) [one-way ANOVA] (Figure 3a).
Analysis of time spent in the open arms of the EPM revealed a significant drug treatment effect (F(2,33) = 5.73, p = 0.007). Post hoc testing demonstrated that MJN110, but not PF3845, reduced the time spent in the open arms (Figure 3b). MJN110 or PF3845 did not alter the number of entries into the open arms (Figure 3c). In the OFT, locomotor activity was unaltered by drug treatment (Figure 3d). Analysis of the time and number of entries into the inner zone revealed significant drug treatment effects [time: (F(2,32) = 6.74, p = 0.004); frequency: (F(2,32) = 4.39, p = 0.021)]. Further post hoc analysis revealed that MJN110 reduces the time spent and number of entries of VPA-exposed females into the inner zone, thus inducing anxiogenic-like responses in these animals (Figure 3e,f).
In order to examine effects on stress coping behaviour, the animals were subsequently exposed to a swim stress and analysis of the time spent immobile revealed a significant drug treatment effect (F(2,33) = 3.46, p = 0.043). Post hoc analysis revealed that PF3845 increased the time spent immobile in VPA-exposed rats over the 15 min trial (Figure 3g). Temporal analysis over 5 min time bins revealed a significant effect of drug treatment on the 0- to 5-min and 10- to 15-min time bins [0–5: (F(2,30) = 6.73, p = 0.004); 10–15: (F(2,33) = 3.52, p = 0.041)]. Post hoc testing showed MJN110 reduced the time spent immobile in the first 5 min, while PF3845 increased the immobility time in the 10- to 15-min time bin (Figure 3h).
Mass spectrometry analysis confirmed that systemic administration of PF3845 increased cortical AEA levels (F(2,32) = 314.52, p < 0.001), while MJN110 increased cortical 2-AG levels (F(2,32) = 158.89, p < 0.001) (Figure 3i,j).
3. Discussion
Autism is three to four times more prevalent in males than females [4,5]. Females with autism often demonstrate better social and communication skills and less severe patterns of repetitive and restrictive behaviours compared to male counterparts [6,7,47]. The present study demonstrated that systemic administration of VPA to pregnant Sprague–Dawley rats induces sex-specific autism-related behaviours in the offspring. Specifically, VPA-exposed adolescent male rats exhibited reduced social responding while VPA-exposed female rats exhibited a deficit in social motivation as neonates and an anxiety-like phenotype during adolescence. These effects were not confounded by changes in olfaction, locomotor activity or recognition memory. Furthermore, enhancing the levels of 2-AG enhances anxiety-related behaviour but increases stress coping behaviour in a time-dependent manner, while enhancing AEA levels reduces stress coping behaviour in VPA-exposed female rats. Overall, these data demonstrate sex-specific effects of prenatal VPA exposure on behavioural responding during the neonatal and adolescent period and indicate that enhancing endocannabinoid tone enhances anxiety and stress-like behaviour or stress in VPA-exposed female rats. Thus, unlike in males, where enhancing endocannabinoid tone elicits beneficial effects on autistic-like behaviours, in females, enhancing the 2-AG tone of this system may exacerbate anxiety-like behaviour. These data suggest sex-dependent effects of endocannabinoid modulators on behavioural symptoms associated with autism, which may have important implications for the use of such pharmacological modulators in this cohort of individuals.
The present study demonstrated that VPA-exposed rats exhibit social deficits in multiple paradigms. For example, VPA-exposed female, but not male, neonatal pups (PND 13) exhibited reduced nest seeking behaviour. VPA-exposed female pups have previously been shown to exhibit a social motivation deficit in the nest-seeking test [17]. The lack of effects in VPA-exposed male neonates in this study may be accounted for by different strains (Sprague–Dawley vs. Wistar) and different ages at testing (PND 13 vs. PND 9) [14,15,16]. Thus, we cannot rule out that VPA-exposed male neonatal pups may have exhibited a deficit in social motivation at a time other than that tested in the current study. During adolescence, VPA-exposed male rats exhibited a deficit in sociability/social motivation in the three-chamber test. This is in line with several other studies, including those from our own laboratory, showing VPA induced a decrease in sociability in male adolescent rats [19,27,41]. Prenatal VPA exposure did not alter social novelty preference responding, similar to two studies that demonstrated that VPA-exposed male rats exhibited a deficit in sociability but a normal social novelty preference [29,48]. However, it should be noted that other studies have shown that prenatal exposure to VPA induces a deficit in social novelty preference/social cognition in male adolescent rats [22,23,49], indicating that the effects on social novelty preference are variable and reflect subtle changes in experimental design. Data from the OHD test provided further support for social impairments in VPA-exposed male rats. These data mirror the three-chamber sociability data as VPA-exposed male rats spent less time sniffing the novel social scent (same sex) compared to saline counterparts. This is similar to studies which demonstrated that VPA-exposed male mice spent less time sniffing the social odour during its first presentation [50] and rats spent less time sniffing urine compared to the control group [46,51]. Taken together, VPA results in sexual dimorphisms in the motivation to socially interact with the same sex, an effect dependent on olfaction rather than the presence of the animal. These data confirm that VPA does not alter olfaction as all animals are capable of distinguishing novel odours. In line with the numerous published reports [12,14,15], data from our laboratory have confirmed that when examined as the first behavioural test, male rats prenatally exposed to VPA (500 mg/kg) spent less time engaged in DSI (unpublished). However, in this current study, no significant differences were evident in the DSI test, although a trend for a reduction was noted in the first minute of the test in VPA-exposed male rats. This was surprising but may be explained by the battery of tests the animals underwent prior to the DSI, the repeated handling, and that they were singly housed for 11 days, when maximal pinning behaviour has been reported after isolation for 24 h [52]. When data from the three-chamber, OHD and DSI tests are combined to give a single unified social score, a significant reduction in sociability is evident in VPA-exposed male, but not female, adolescent rats, further supporting sex-specific effects of VPA on social responding. The data herein also confirmed that the VPA-induced social impairments are independent of changes in locomotor activity, olfaction or short-term recognition memory and thus VPA appears to selectively alter the social network of male rodents [12,16,53].
VPA-exposed female Wistar rats have been reported to demonstrate social deficits in an age-dependent manner, exhibiting normal social behaviour as juveniles in the nest-seeking test and as adults in the three-chamber test, but reduced social play as adolescents in the DSI test [12]. In comparison, the data in the current study demonstrate that prenatal exposure to VPA did not induce social deficits in female adolescent rats in the three-chamber, OHD or DSI test. Similarly, the published studies from our own laboratory and others have reported no change in sociability in VPA-exposed female rats during the three-chamber [12,27,28] and DSI test [25]. It should also be noted that female rats engaged in less social motivational/investigative behaviour compared to the male counterparts, a finding in line with previous data [54]. Thus, due to the low level of social interactive behaviour of female rats in the three-chamber paradigm, it may not be possible to reveal further decreases in social responding in female rats under the current experimental conditions. Similar effects were observed in the OHD test as no differences were detected between saline- and VPA-exposed female rats but saline-exposed female rats had a lower duration of time spent sniffing compared to male counterparts. A recent study reported VPA-exposed female adolescent rats exhibited normal social play behaviour but reduced USVs during the DSI test [25]. Thus, although female VPA-exposed rats may not exhibit a social motivational deficit, they may exhibit a social communication deficit that could be revealed by assessing USVs.
In contrast to the lack of effects on social responding, VPA-exposed female adolescent rats exhibited anxiety-like behaviour in the EPM and OFT. This is similar to previous studies that reported an anxiety-like phenotype in VPA-exposed female rodents during adolescence [24] and adulthood [24,34,55]. It is somewhat surprising that VPA-exposed male rats did not also exhibit an anxiety-related phenotype given the wealth of previous studies demonstrating anxiety-related behaviour [12,15,20,22,23,24,49,56]. Differences between studies may be accounted for by different species and strains used, testing in a single instance or as part of a battery of tests, or developmental age. However, under the current experimental conditions, prenatal VPA exposure is associated with an anxiety-related phenotype in female, but not male, adolescent rats.
Acute FAAH inhibition reverses social impairments, cognitive deficits, repetitive- and anxiety-like behaviours and increases stress coping behaviours in VPA-exposed male adolescent rats [12,15,20,27], while acute MGL inhibition rescues social deficits and repetitive-like behaviours [42] (Figure 4). Only two studies have examined the effect of FAAH inhibitors in VPA-exposed female rats, which was shown to reverse the decreased response to play solicitation in the DSI test during adolescence and repetitive-like behaviours during adulthood [12] but did not alter nociceptive, repetitive-like or social behaviour in the three-chamber test during adolescence [27]. To our knowledge, this is the first study to examine enhancing endocannabinoid tone on negative affective behaviours in VPA-exposed female rats. These data show that enhancing AEA levels did not alter anxiety-like behaviour in the EPM or OFT but reduced the stress coping ability in the FST in VPA-exposed female rats. This is in contrast to the published literature which demonstrated that acute FAAH inhibition reduced anxiety-like behaviour in the EPM and increased stress coping behaviour in the FST in VPA-exposed male adolescent rats [15,20] (Figure 4). Discrepancies are likely due to differences in endocannabinoid tone and signalling between VPA-exposed male and female rats. Sex differences have been reported in the activation of CB1 receptors in the PFC, dorsal striatum, amygdala and hippocampus which may contribute to these differential responses [12]. The aforementioned studies, which examined FAAH inhibition in VPA-exposed male rats, did not measure AEA levels; it is possible that the increases in the female rats were greater than that in male rats and therefore resulted in the activation of TPRV1 instead of CB1, which would lead to anxiogenic, not anxiolytic, effects [57]. It is important to note that the increase in immobility in the swim stress test is unlikely to be due to locomotor suppression as neither drug altered the distance moved. Thus, the effects are specific for stress coping behaviour.
In contrast to the lack of effect of FAAH inhibition, the present data demonstrate that increasing 2-AG tone augments anxiety-like behaviour of VPA-exposed females in the EPM and OFT. To our knowledge, this is the first study to examine the effect of MGL inhibition on these behaviours in VPA-exposed rodents. MGL inhibitors have been demonstrated to elicit anxiolytic effects [58,59]; however, these effects are only evident when the animal is subjected to stress or under high aversive conditions and the majority of published work was carried out in male adult rodents. Interestingly, MGL inhibition increased stress coping behaviour in the FST during the first 5-min time bin. The mechanism underlying these time-dependent effects remain to be determined. It should also be noted that neither FAAH nor MGL inhibition altered thermal nociceptive responding in VPA-exposed female rats. While this is in line with previous studies demonstrating a lack of effect of FAAH inhibition on hypoalgesia on the hotplate test in VPA-exposed female (and male) rats [27], to our knowledge, this is the first study to examine the effects of MGL on thermal nociception in VPA-exposed rodents (Figure 4). Taken together, FAAH and MGL inhibitors attenuate autism-related symptoms in VPA-exposed male rats; however, they may exacerbate negative affective behaviours in VPA-exposed female rats.
In conclusion, these data demonstrate that VPA induces social impairments in a sex- and age-specific manner. VPA-exposed male, but not female, adolescent rats exhibit social deficits while VPA-exposed female, but not male, adolescent rats exhibit anxiety-like behaviour. Increasing the AEA and 2-AG levels enhanced stress coping behaviour and anxiety-like behaviour, respectively, in VPA-exposed female rats, indicating that while these drugs may be beneficial in VPA-exposed male rats, they do not attenuate negative affective behaviours in VPA-exposed female rats.
4. Materials and Methods
4.1. Animals and Prenatal Administration of Valproic Acid
Male and female Sprague–Dawley rats (200 to 340 g; Charles River Laboratories, Harlow, UK) arrived into the facility, were group-housed and allowed one week of acclimatization prior to being paired for mating. The presence of spermatozoa in vaginal smears as determined by microscopy indicated the first day of gestation (GD 0.5), after which pregnant female rats were singly housed. Housing conditions were maintained at constant temperature (20 to 24 °C) and humidity (40 to 50%) under standard lighting conditions (12:12 h light–dark cycle, lights on from 07.00 to 19.00 h). Food and water were available ad libitum. On GD 12.5 female rats received a single subcutaneous (s.c.) injection of sodium valproate (VPA) (Sigma, Dublin, Ireland) (500 mg/kg) or sterile saline (0.89% NaCl) vehicle in an injection volume of 2 mL/kg. Females raised their own litters and pups were weaned on PND 21. Reproductive data (number of dams, gestational weight gain and length) and offspring developmental data (number of pups born and weaned, pup’s weight, eye opening and number of tail kinks in VPA-exposed litters) were recorded and revealed no significant difference between saline- and VPA-treated dams or -exposed litters (see Supplementary Table S1). VPA-exposed litters exhibit tail kinks in 50% of offspring (males: 54%; females: 46%). One to two pups per litter were used for the experiments. Experimental procedures were carried out under approval from the Animal Care and Research Ethics Committee at NUI Galway, under license from the Health Products Regulatory Authority and in compliance with the ARRIVE guidelines and the European Communities Council directive 2010/63/EU.
4.2. Experimental Design
Experiment 1: Behavioural characterisation of male and female rats prenatally exposed to VPA. One cohort of saline- and VPA-exposed male and female pups underwent the nest-seeking test at PND 13 (experiment 1a), while another cohort underwent a battery of behavioural tests during adolescence beginning on PND 36–39 and continuing for 10 days (experiment 1b) (Figure 5). The sequence of testing remained constant. Animals were singly housed 24 h before the three-chamber test; two days later, they underwent the OHD test; four days later, they underwent the EPM, immediately followed by the OFT. The following day, they were habituated to the open field arena and the locomotor activity was examined, and 24 h later, they underwent the NOR test. DSI was carried out two days following NOR in pairs of the same treatment group.
Experiment 2: The effect of FAAH or MGL inhibition on nociceptive and affective responding in females rats prenatally exposed to VPA was examined. VPA-exposed female adolescent rats (PND 33–43) were randomly assigned to one of three treatment groups: vehicle (n = 12), the FAAH inhibitor PF3845 (n = 12) or MGL inhibitor MJN110 (n = 12). Animals were singly housed 24 h before testing. The FAAH inhibitor PF3845 (N-3-Pyridinyl-4-[[3-[[5-(trifluoromethyl)-2-pyridinyl]oxy]phenyl]methyl]-1-piperidinecarboxamide) (10 mg/kg; NIMH drug synthesis programme US), the MGL inhibitor MJN110 (4-[bis(4-chlorophenyl)methyl]-1-piperazinecarboxylic acid, 2,5-dioxo-1-pyrrolidinyl ester) (5 mg/kg; gifted by Dr Ben Cravatt, Scripps Institute, La Jolla, CA, USA) or vehicle (ethanol: cremophor: saline; 1:1:18) were administered i.p. in an injection volume of 2 mL/kg and animals were returned to their home cage for 2 h. The dose and time of drugs were chosen on the basis of previous published work [27,60,61,62]. The animals underwent behavioural testing in the following order: HPT, EPM, OFT and the FST. The animals were returned to their home cage for 10 min, after which time they were euthanised by decapitation, the brain removed and snap frozen on dry ice and stored at −80 °C until analysis for endocannabinoid levels (Figure 5).
4.3. Behaviour
All behavioural testing was carried out during the light phase between 8.00 and 16.00 h. All behavioural analysis was carried out by an experimenter blinded to group identity.
4.3.1. Nest Seeking
On PND 13, a male and female pup from each litter was randomly selected and separated from their dam and placed into a clean home cage which was lightly covered with fresh bedding and placed on a heating pad. The test was carried out as previously described, with slight modifications [13]. One corner of the home cage contained dirty bedding from their home cage and the other corner contained clean bedding. The pup was placed in the centre of the far side of the cage and the latency to reach the home bedding was recorded. A cut-off point of 120 s was set.
4.3.2. Three-Chamber Test
The animal was placed into a novel arena composed of three communicating compartments separated by Perspex walls with central openings allowing access to all chambers and behavioural testing was carried out as previously described [19,27,41,63]. Following a 10-min habituation to the test arena, the animals were briefly confined to the central compartment while an unfamiliar rat (animal) was introduced to one chamber under a small wire cage and an empty wire cage (object) was introduced to the other chamber (sociability phase). The test animal was allowed to explore the arena for 10 min. Subsequently, the test animal was briefly confined again, a novel unfamiliar rat was introduced under the empty wire cage and the animal was allowed to explore for a further 10 min (social novelty preference phase). Behaviour was recorded and evaluated with the aid of EthoVision XT 11.5 software (Noldus, Wageningen, The Netherlands). The behaviours assessed included the time interacting with the animal in the sociability phase, time interacting with the novel animal in the social novelty preference phase, distance moved, rearing and grooming.
4.3.3. Olfactory Habituation/Dishabituation Test
The animal was first acclimatised to the home cage for 5 min with a dry cotton bud in the cage and the test was carried out as previously described [50]. Cotton buds which had been soaked overnight in a scent were then introduced into the home cage and the animal’s approach was recorded over a 2-min period. Subsequently, the cotton bud was changed quickly so that each odour was presented three times. Four scents were used in this test—water, lemon, same sex bedding, opposite sex bedding. Time spent (s) sniffing the cotton bud was scored with the aid of EthoVision XT 11.5 to evaluate olfactory habituation and dishabituation. A discrimination index was calculated as (time sniffing same sex/(time sniffing same sex + time sniffing lemon) × 100).
4.3.5. Elevated Plus Maze
The animal was placed in the centre of the EPM facing an open arm as previously described [41,64]. The animal was allowed to explore the open (90 lux) and closed (30 lux) arms freely for 5 min. The time spent in open arms (s) and the number of entries into open arms (no.) were recorded and analysed with the aid of EthoVision XT 11.5 software.
4.3.6. Open Field Test
The animal was placed in the centre of the brightly lit (200 to 230 lux) novel open field arena (diameter 75 cm), as previously described [41,64]. The animal was allowed to explore freely, and distance moved (cm), time spent (s) in the inner zone (diameter 50 cm) of the arena and the number of entries into the inner zone were analysed with the aid of EthoVision XT 11.5 software.
4.3.7. Novel Object Recognition
The animal was placed in the centre of the open field under dimmer lighting conditions (30 lux) and locomotor activity was recorded for 10 min. On the subsequent day, the animal was placed into the same arena, which now contained three identical objects. The animal was allowed to explore for 3 min and then returned to its home cage for 2 min. This process was repeated, and during the second 2 min break, one of the objects was switched to a novel object that was different in size and shape to the original object, and the animal was placed back into the arena for a further 3 min. Time spent (s) exploring each of the three objects during the trials were recorded and analysed with the aid of EthoVision XT 11.5 software.
4.3.8. Hot Plate Test
The animal was placed on the hot plate and thermal nociception was measured as previously described [27,41]. The time elapsed (i.e., latency to respond (s)) between the placement of the animal on the surface of the hot plate and when the animal first licked either of its hind paws was recorded, with a cut-off time of 40 s to avoid tissue damage.
4.3.9. Forced Swim Stress
The animal was placed in a glass cylinder (height: 45 cm, diameter: 20 cm) containing 30 cm of 22 to 23 °C water under 30 lux lighting conditions for a 15 min period. Duration of time spent (s) immobile was recorded and analysed with the aid of EthoVision XT 11.5 software.
4.4. Unified Behavioural Scoring
The unified behavioural score was introduced with the aim of maximising the use of all the data generated while minimizing statistical error [65]. It is particularly useful when animals have undergone a battery of behavioural testing. In this current study, we calculated two scores—social and anxiety. The method to calculate the unified behavioural score was applied as previously described [65].
A social score was calculated from behaviour in the sociability and social novelty preference phases of the three-chamber test, the OHD test and the DSI; an anxiety score was calculated from behaviour in the EPM and OFT. Outcome measures for each test were normalised by dividing the individual measure by the maximum measure in the study group to obtain a measure score between 0 and 1. The outcomes were assigned as either positive or negative factors such that a positive factor increases as sociability/anxiety increases (e.g., time interacting with animal) and a negative factor decreases as sociability/anxiety decreases (e.g., time interacting with object). Negative factors were subsequently inverted, and individual test scores were calculated as the average of all outcome measures associated with that test. The scores for each test were averaged to generate a single unified score for each behavioural trait for each rat.
4.5. Quantification of Endocannabinoid Concentrations Using Liquid Chromatography–Tandem Mass Spectrometry
The quantitation of endocannabinoids (AEA and 2-AG) in the brain tissue was carried out as previously described [61]. In brief, prefrontal cortical samples were sonicated in 400 μL 100% acetonitrile containing deuterated internal standards (0.014 nmol AEA-d8, 0.264 nmol 2-AG-d8), centrifuged at 14,000× g for 15 min and the supernatant was collected. Samples were then separated on a Zorbax® C18 column (50 × 2.1 mm internal diameter, 1.8 µm particle size) by reversed-phase gradient elution, initially with a mobile phase of 65% acetonitrile with 0.1% formic acid, which was ramped linearly up to 100% acetonitrile with 0.1% formic acid over 7 min and held at this for a further 5 min (flow rate 200 µL/min). Under these conditions, AEA and 2-AG were eluted at the following retention times: 3.5 and 4.7 min, respectively. Analyte detection was carried out in electrospray-positive ionization and multiple reaction monitoring mode on an Agilent 1100 HPLC system coupled to a triple quadrupole 6460 mass spectrometer (Agilent Technologies Ltd., Cork, Ireland). Quantification of each analyte was performed using Masshunter Quantitative Analysis Software (Aligent Technologies, Cheshire, UK). The limits of detection for analyte quantifications were as follows; 1.3 pmol/g and 12.1 pmol/g for AEA and 2-AG, respectively.
4.6. Statistical Analysis
SPSS (IBM, New York, NY, USA) statistical package was used to analyse all the data. Normality and homogeneity of variance were assessed using Shapiro–Wilk and Levene’s test, respectively. Normality and homogeneity were assumed when p > 0.05. Where appropriate, when comparing the means of two unrelated groups, parametric data were analysed using Student’s unpaired t-test. One-way ANOVA was used to compare the means of more than two groups while assessing one factor (i.e., drug treatment), two-way ANOVA was used while assessing two factors (i.e., VPA and sex) and three-way was employed while assessing three factors (i.e., VPA, sex and object). Post hoc analysis was performed using Duncan’s post hoc test where appropriate. Data were considered significant when p < 0.05. All graphs representing data were made using GraphPad Prism 8.0 and data were expressed as mean + SEM.
Acknowledgments
The authors would like to thank Edel Hughes for technical assistance and Benjamin Cravatt for supplying the MJN110 for use in this study.
Abbreviations
2-AG: 2-Arachidonoylglycerol; AEA: anandamide; CB1: cannabinoid receptor 1; DSI: direct social interaction; EPM: elevated plus maze; FAAH: fatty acid amide hydrolase; ECS: endocannabinoid system; fatty acid amide hydrolase; FST: forced swim test; GD: gestational day; HPT: hot plate test; MGL: monoacylglycerol lipase; NOR: novel object recognition; OFT: open field test; PND: postnatal day; PFC: prefrontal cortex; VPA: valproic acid.
Supplementary Materials
The following are available online, Table S1: The effect of prenatal VPA exposure on gestational and developmental milestones.
Funding
The authors would like to gratefully acknowledge funding received from the Hardiman Postgraduate Scholarship (A.M.T. and R.M.H.) and the College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Ireland.
Conflicts of Interest
The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
Footnotes
Footnote Group
References
Untitled section
References
- 1.American Psychiatric Assocation . Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Publishing; Arlington, VA, USA: 2013.
- 2.Failla M.D., Schwartz K.L., Chaganti S., Cutting L.E., Landman B.A., Cascio C.J. Using phecode analysis to characterize co-occurring medical conditions in autism spectrum disorder. Autism. 2021;25:800–811. doi: 10.1177/1362361320934561.
- 3.Simonoff E., Pickles A., Charman T., Chandler S., Loucas T., Baird G. Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. J. Am. Acad. Child Adolesc. Psychiatry. 2008;47:921–929. doi: 10.1097/CHI.0b013e318179964f.
- 4.Loomes R., Hull L., Mandy W.P.L. What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis. J. Am. Acad. Child Adolesc. Psychiatry. 2017;56:466–474. doi: 10.1016/j.jaac.2017.03.013.
- 5.Maenner M.J., Shaw K.A., Baio J., Patrick M., DiRienzo M., Christensen D.L., Wiggins L.D., Pettygrove S., Daniels J., Warren Z., et al. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years-Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR Surveill. Summ. 2020;69:1–12. doi: 10.15585/mmwr.ss6904a1.
- 6.Head A.M., McGillivray J.A., Stokes M.A. Gender differences in emotionality and sociability in children with autism spectrum disorders. Mol. Autism. 2014;5:19. doi: 10.1186/2040-2392-5-19.
- 7.Supekar K., Menon V. Sex differences in structural organization of motor systems and their dissociable links with repetitive/restricted behaviors in children with autism. Mol. Autism. 2015;6:50. doi: 10.1186/s13229-015-0042-z.
- 8.Roullet F.I., Lai J.K., Foster J.A. In utero exposure to valproic acid and autism--a current review of clinical and animal studies. Neurotoxicol. Teratol. 2013;36:47–56. doi: 10.1016/j.ntt.2013.01.004.
- 9.Tartaglione A.M., Schiavi S., Calamandrei G., Trezza V. Prenatal valproate in rodents as a tool to understand the neural underpinnings of social dysfunctions in autism spectrum disorder. Neuropharmacology. 2019;159:107477. doi: 10.1016/j.neuropharm.2018.12.024.
- 10.Christensen J., Gronborg T.K., Sorensen M.J., Schendel D., Parner E.T., Pedersen L.H., Vestergaard M. Prenatal valproate exposure and risk of autism spectrum disorders and childhood autism. JAMA. 2013;309:1696–1703. doi: 10.1001/jama.2013.2270.
- 11.Nicolini C., Fahnestock M. The valproic acid-induced rodent model of autism. Exp. Neurol. 2018;299:217–227. doi: 10.1016/j.expneurol.2017.04.017.
- 12.Melancia F., Schiavi S., Servadio M., Cartocci V., Campolongo P., Palmery M., Pallottini V., Trezza V. Sex-specific autistic endophenotypes induced by prenatal exposure to valproic acid involve anandamide signalling. Br. J. Pharmacol. 2018;175:3699–3712. doi: 10.1111/bph.14435.
- 13.Schneider T., Przewlocki R. Behavioral alterations in rats prenatally exposed to valproic acid: Animal model of autism. Neuropsychopharmacology. 2005;30:80–89. doi: 10.1038/sj.npp.1300518.
- 14.Servadio M., Manduca A., Melancia F., Leboffe L., Schiavi S., Campolongo P., Palmery M., Ascenzi P., di Masi A., Trezza V. Impaired repair of DNA damage is associated with autistic-like traits in rats prenatally exposed to valproic acid. Eur. Neuropsychopharmacol. 2018;28:85–96. doi: 10.1016/j.euroneuro.2017.11.014.
- 15.Servadio M., Melancia F., Manduca A., di Masi A., Schiavi S., Cartocci V., Pallottini V., Campolongo P., Ascenzi P., Trezza V. Targeting anandamide metabolism rescues core and associated autistic-like symptoms in rats prenatally exposed to valproic acid. Transl. Psychiatry. 2016;6:e902. doi: 10.1038/tp.2016.182.
- 16.Scheggi S., Guzzi F., Braccagni G., De Montis M.G., Parenti M., Gambarana C. Targeting PPARalpha in the rat valproic acid model of autism: Focus on social motivational impairment and sex-related differences. Mol. Autism. 2020;11:62. doi: 10.1186/s13229-020-00358-x.
- 17.Favre M.R., Barkat T.R., Lamendola D., Khazen G., Markram H., Markram K. General developmental health in the VPA-rat model of autism. Front. Behav. Neurosci. 2013;7:88. doi: 10.3389/fnbeh.2013.00088.
- 18.Schiavi S., Iezzi D., Manduca A., Leone S., Melancia F., Carbone C., Petrella M., Mannaioni G., Masi A., Trezza V. Reward-Related Behavioral, Neurochemical and Electrophysiological Changes in a Rat Model of Autism Based on Prenatal Exposure to Valproic Acid. Front. Cell. Neurosci. 2019;13:479. doi: 10.3389/fncel.2019.00479.
- 19.Hughes E.M., Calcagno P., Clarke M., Sanchez C., Smith K., Kelly J.P., Finn D.P., Roche M. Prenatal exposure to valproic acid reduces social responses and alters mRNA levels of opioid receptor and pre-pro-peptide in discrete brain regions of adolescent and adult male rats. Brain Res. 2020;1732:146675. doi: 10.1016/j.brainres.2020.146675.
- 20.Wu H.F., Lu T.Y., Chu M.C., Chen P.S., Lee C.W., Lin H.C. Targeting the inhibition of fatty acid amide hydrolase ameliorate the endocannabinoid-mediated synaptic dysfunction in a valproic acid-induced rat model of Autism. Neuropharmacology. 2019;162:107736. doi: 10.1016/j.neuropharm.2019.107736.
- 21.Zamberletti E., Gabaglio M., Woolley-Roberts M., Bingham S., Rubino T., Parolaro D. Cannabidivarin Treatment Ameliorates Autism-Like Behaviors and Restores Hippocampal Endocannabinoid System and Glia Alterations Induced by Prenatal Valproic Acid Exposure in Rats. Front. Cell. Neurosci. 2019;13:367. doi: 10.3389/fncel.2019.00367.
- 22.Kumar H., Sharma B. Minocycline ameliorates prenatal valproic acid induced autistic behaviour, biochemistry and blood brain barrier impairments in rats. Brain Res. 2016;1630:83–97. doi: 10.1016/j.brainres.2015.10.052.
- 23.Luhach K., Kulkarni G.T., Singh V.P., Sharma B. Attenuation of neurobehavioural abnormalities by papaverine in prenatal valproic acid rat model of ASD. Eur. J. Pharmacol. 2021;890:173663. doi: 10.1016/j.ejphar.2020.173663.
- 24.Edalatmanesh M.A., Nikfarjam H., Vafaee F., Moghadas M. Increased hippocampal cell density and enhanced spatial memory in the valproic acid rat model of autism. Brain Res. 2013;1526:15–25. doi: 10.1016/j.brainres.2013.06.024.
- 25.Gzielo K., Potasiewicz A., Holuj M., Litwa E., Popik P., Nikiforuk A. Valproic acid exposure impairs ultrasonic communication in infant, adolescent and adult rats. Eur. Neuropsychopharmacol. 2020;41:52–62. doi: 10.1016/j.euroneuro.2020.09.006.
- 26.Kazlauskas N., Seiffe A., Campolongo M., Zappala C., Depino A.M. Sex-specific effects of prenatal valproic acid exposure on sociability and neuroinflammation: Relevance for susceptibility and resilience in autism. Psychoneuroendocrinology. 2019;110:104441. doi: 10.1016/j.psyneuen.2019.104441.
- 27.Kerr D.M., Gilmartin A., Roche M. Pharmacological inhibition of fatty acid amide hydrolase attenuates social behavioural deficits in male rats prenatally exposed to valproic acid. Pharmacol. Res. 2016;113 Pt A:228–235. doi: 10.1016/j.phrs.2016.08.033.
- 28.Kim K.C., Kim P., Go H.S., Choi C.S., Park J.H., Kim H.J., Jeon S.J., Dela Pena I.C., Han S.H., Cheong J.H., et al. Male-specific alteration in excitatory post-synaptic development and social interaction in pre-natal valproic acid exposure model of autism spectrum disorder. J. Neurochem. 2013;124:832–843. doi: 10.1111/jnc.12147.
- 29.Dai Y.C., Zhang H.F., Schon M., Bockers T.M., Han S.P., Han J.S., Zhang R. Neonatal Oxytocin Treatment Ameliorates Autistic-Like Behaviors and Oxytocin Deficiency in Valproic Acid-Induced Rat Model of Autism. Front. Cell. Neurosci. 2018;12:355. doi: 10.3389/fncel.2018.00355.
- 30.Win-Shwe T.T., Nway N.C., Imai M., Lwin T.T., Mar O., Watanabe H. Social behavior, neuroimmune markers and glutamic acid decarboxylase levels in a rat model of valproic acid-induced autism. J. Toxicol. Sci. 2018;43:631–643. doi: 10.2131/jts.43.631.
- 31.Lai M.C., Lombardo M.V., Baron-Cohen S. Autism. Lancet. 2014;383:896–910. doi: 10.1016/S0140-6736(13)61539-1.
- 32.Vasa R.A., Mazurek M.O. An update on anxiety in youth with autism spectrum disorders. Curr. Opin. Psychiatry. 2015;28:83–90. doi: 10.1097/YCO.0000000000000133.
- 33.Mirza R., Sharma B. Benefits of Fenofibrate in prenatal valproic acid-induced autism spectrum disorder related phenotype in rats. Brain Res. Bull. 2019;147:36–46. doi: 10.1016/j.brainresbull.2019.02.003.
- 34.Kataoka S., Takuma K., Hara Y., Maeda Y., Ago Y., Matsuda T. Autism-like behaviours with transient histone hyperacetylation in mice treated prenatally with valproic acid. Int. J. Neuropsychopharmacol. 2013;16:91–103. doi: 10.1017/S1461145711001714.
- 35.Morena M., Nastase A.S., Santori A., Cravatt B.F., Shansky R.M., Hill M.N. Sex-dependent effects of endocannabinoid modulation of conditioned fear extinction in rats. Br. J. Pharmacol. 2021;178:983–996. doi: 10.1111/bph.15341.
- 36.Simone J.J., Baumbach J.L., McCormick C.M. Sex-specific effects of CB1 receptor antagonism and stress in adolescence on anxiety, corticosterone concentrations, and contextual fear in adulthood in rats. Int. J. Dev. Neurosci. 2018;69:119–131. doi: 10.1016/j.ijdevneu.2018.07.011.
- 37.Craft R.M., Wakley A.A., Tsutsui K.T., Laggart J.D. Sex differences in cannabinoid 1 vs. cannabinoid 2 receptor-selective antagonism of antinociception produced by delta9-tetrahydrocannabinol and CP55,940 in the rat. J. Pharmacol. Exp. Ther. 2012;340:787–800. doi: 10.1124/jpet.111.188540.
- 38.Fusar-Poli L., Cavone V., Tinacci S., Concas I., Petralia A., Signorelli M.S., Diaz-Caneja C.M., Aguglia E. Cannabinoids for People with ASD: A Systematic Review of Published and Ongoing Studies. Brain Sci. 2020;10:572. doi: 10.3390/brainsci10090572.
- 39.Pietropaolo S., Bellocchio L., Bouzon-Arnaiz I., Yee B.K. The role of the endocannabinoid system in autism spectrum disorders: Evidence from mouse studies. Prog. Mol. Biol. Transl. Sci. 2020;173:183–208. doi: 10.1016/bs.pmbts.2020.04.016.
- 40.Carbone E., Manduca A., Cacchione C., Vicari S., Trezza V. Healing autism spectrum disorder with cannabinoids: A neuroinflammatory story. Neurosci. Biobehav. Rev. 2021;121:128–143. doi: 10.1016/j.neubiorev.2020.12.009.
- 41.Kerr D.M., Downey L., Conboy M., Finn D.P., Roche M. Alterations in the endocannabinoid system in the rat valproic acid model of autism. Behav. Brain Res. 2013;249:124–132. doi: 10.1016/j.bbr.2013.04.043.
- 42.Zou M., Liu Y., Xie S., Wang L., Li D., Li L., Wang F., Zhang Y., Xia W., Sun C., et al. Alterations of the endocannabinoid system and its therapeutic potential in autism spectrum disorder. Open Biol. 2021;11:200306. doi: 10.1098/rsob.200306.
- 43.Moy S.S., Nadler J.J., Perez A., Barbaro R.P., Johns J.M., Magnuson T.R., Piven J., Crawley J.N. Sociability and preference for social novelty in five inbred strains: An approach to assess autistic-like behavior in mice. Genes Brain Behav. 2004;3:287–302. doi: 10.1111/j.1601-1848.2004.00076.x.
- 44.Yang M., Crawley J.N. Simple behavioral assessment of mouse olfaction. Curr. Protoc. Neurosci. 2009;48:8–24. doi: 10.1002/0471142301.ns0824s48.
- 45.Vanderschuren L.J., Achterberg E.J., Trezza V. The neurobiology of social play and its rewarding value in rats. Neurosci. Biobehav. Rev. 2016;70:86–105. doi: 10.1016/j.neubiorev.2016.07.025.
- 46.Du L., Zhao G., Duan Z., Li F. Behavioral improvements in a valproic acid rat model of autism following vitamin D supplementation. Psychiatry Res. 2017;253:28–32. doi: 10.1016/j.psychres.2017.03.003.
- 47.Lai M.C., Lombardo M.V., Pasco G., Ruigrok A.N., Wheelwright S.J., Sadek S.A., Chakrabarti B., Consortium M.A., Baron-Cohen S. A behavioral comparison of male and female adults with high functioning autism spectrum conditions. PLoS ONE. 2011;6:e20835. doi: 10.1371/journal.pone.0020835.
- 48.Wu J., Dai Y.C., Lan X.Y., Zhang H.F., Bai S.Z., Hu Y., Han S.P., Han J.S., Zhang R. Postnatal AVP treatments prevent social deficit in adolescence of valproic acid-induced rat autism model. Peptides. 2021;137:170493. doi: 10.1016/j.peptides.2021.170493.
- 49.Mirza R., Sharma B. Beneficial effects of pioglitazone, a selective peroxisome proliferator-activated receptor-gamma agonist in prenatal valproic acid-induced behavioral and biochemical autistic like features in Wistar rats. Int. J. Dev. Neurosci. 2019;76:6–16. doi: 10.1016/j.ijdevneu.2019.05.006.
- 50.Campolongo M., Kazlauskas N., Falasco G., Urrutia L., Salgueiro N., Hocht C., Depino A.M. Sociability deficits after prenatal exposure to valproic acid are rescued by early social enrichment. Mol. Autism. 2018;9:36. doi: 10.1186/s13229-018-0221-9.
- 51.Wang J., Zheng B., Zhou D., Xing J., Li H., Li J., Zhang Z., Zhang B., Li P. Supplementation of Diet With Different n-3/n-6 PUFA Ratios Ameliorates Autistic Behavior, Reduces Serotonin, and Improves Intestinal Barrier Impairments in a Valproic Acid Rat Model of Autism. Front. Psychiatry. 2020;11:552345. doi: 10.3389/fpsyt.2020.552345.
- 52.Niesink R.J., Van Ree J.M. Involvement of opioid and dopaminergic systems in isolation-induced pinning and social grooming of young rats. Neuropharmacology. 1989;28:411–418. doi: 10.1016/0028-3908(89)90038-5.
- 53.Banerjee A., Engineer C.T., Sauls B.L., Morales A.A., Kilgard M.P., Ploski J.E. Abnormal emotional learning in a rat model of autism exposed to valproic acid in utero. Front. Behav. Neurosci. 2014;8:387. doi: 10.3389/fnbeh.2014.00387.
- 54.Schneider T., Roman A., Basta-Kaim A., Kubera M., Budziszewska B., Schneider K., Przewlocki R. Gender-specific behavioral and immunological alterations in an animal model of autism induced by prenatal exposure to valproic acid. Psychoneuroendocrinology. 2008;33:728–740. doi: 10.1016/j.psyneuen.2008.02.011.
- 55.Olexova L., Stefanik P., Krskova L. Increased anxiety-like behaviour and altered GABAergic system in the amygdala and cerebellum of VPA rats—An animal model of autism. Neurosci. Lett. 2016;629:9–14. doi: 10.1016/j.neulet.2016.06.035.
- 56.Lin H.C., Gean P.W., Wang C.C., Chan Y.H., Chen P.S. The amygdala excitatory/inhibitory balance in a valproate-induced rat autism model. PLoS ONE. 2013;8:e55248. doi: 10.1371/journal.pone.0055248.
- 57.Rubino T., Realini N., Castiglioni C., Guidali C., Vigano D., Marras E., Petrosino S., Perletti G., Maccarrone M., Di Marzo V., et al. Role in anxiety behavior of the endocannabinoid system in the prefrontal cortex. Cereb. Cortex. 2008;18:1292–1301. doi: 10.1093/cercor/bhm161.
- 58.Bedse G., Bluett R.J., Patrick T.A., Romness N.K., Gaulden A.D., Kingsley P.J., Plath N., Marnett L.J., Patel S. Therapeutic endocannabinoid augmentation for mood and anxiety disorders: Comparative profiling of FAAH, MAGL and dual inhibitors. Transl. Psychiatry. 2018;8:92. doi: 10.1038/s41398-018-0141-7.
- 59.Sciolino N.R., Zhou W., Hohmann A.G. Enhancement of endocannabinoid signaling with JZL184, an inhibitor of the 2-arachidonoylglycerol hydrolyzing enzyme monoacylglycerol lipase, produces anxiolytic effects under conditions of high environmental aversiveness in rats. Pharmacol. Res. 2011;64:226–234. doi: 10.1016/j.phrs.2011.04.010.
- 60.Henry R.J., Kerr D.M., Flannery L.E., Killilea M., Hughes E.M., Corcoran L., Finn D.P., Roche M. Pharmacological inhibition of FAAH modulates TLR-induced neuroinflammation, but not sickness behaviour: An effect partially mediated by central TRPV1. Brain Behav. Immun. 2017;62:318–331. doi: 10.1016/j.bbi.2017.02.016.
- 61.Flannery L.E., Henry R.J., Kerr D.M., Finn D.P., Roche M. FAAH, but not MAGL, inhibition modulates acute TLR3-induced neuroimmune signaling in the rat, independent of sex. J. Neurosci. Res. 2017;96:989–1001. doi: 10.1002/jnr.24120.
- 62.Ignatowska-Jankowska B., Wilkerson J.L., Mustafa M., Abdullah R., Niphakis M., Wiley J.L., Cravatt B.F., Lichtman A.H. Selective monoacylglycerol lipase inhibitors: Antinociceptive versus cannabimimetic effects in mice. J. Pharmacol. Exp. Ther. 2015;353:424–432. doi: 10.1124/jpet.114.222315.
- 63.Hughes E.M., Thornton A.M., Kerr D.M., Smith K., Sanchez C., Kelly J.P., Finn D.P., Roche M. Kappa Opioid Receptor-mediated Modulation of Social Responding in Adolescent Rats and in Rats Prenatally Exposed to Valproic Acid. Neuroscience. 2020;444:9–18. doi: 10.1016/j.neuroscience.2020.07.055.
- 64.Flannery L.E., Kerr D.M., Finn D.P., Roche M. FAAH inhibition attenuates TLR3-mediated hyperthermia, nociceptive- and anxiety-like behaviour in female rats. Behav. Brain Res. 2018;353:11–20. doi: 10.1016/j.bbr.2018.06.030.
- 65.Harrison D.J., Creeth H.D.J., Tyson H.R., Boque-Sastre R., Isles A.R., Palme R., Touma C., John R.M. Unified Behavioral Scoring for Preclinical Models. Front. Neurosci. 2020;14:313. doi: 10.3389/fnins.2020.00313.