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Research ArticleResearch Article: New Research, Cognition and Behavior

Perinatal Morphine Exposure Leads to Sex-Dependent Executive Function Deficits and Microglial Changes in Mice

Brittany L. Smith, Tess A. Guzman, Alexander H. Brendle, Collin J. Laaker, Alexis Ford, Adam R. Hiltz, Junfang Zhao, Kenneth D. R. Setchell and Teresa M. Reyes
eNeuro 10 October 2022, 9 (5) ENEURO.0238-22.2022; DOI: https://doi.org/10.1523/ENEURO.0238-22.2022
Brittany L. Smith
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
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Tess A. Guzman
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
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Alexander H. Brendle
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
2College of Nursing, University of Cincinnati, Cincinnati, Ohio 45221
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Collin J. Laaker
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
3Neuroscience Training Program, University of Wisconsin-Madison, Madison, Wisconsin 53705
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Alexis Ford
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
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Adam R. Hiltz
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
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Junfang Zhao
4Clinical Mass Spectrometry Laboratory, Division of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3026
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Kenneth D. R. Setchell
4Clinical Mass Spectrometry Laboratory, Division of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3026
5Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267
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Teresa M. Reyes
1Department of Pharmacology & Systems Physiology, University of Cincinnati, Cincinnati, Ohio 45267
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Figures

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  • Figure 1.
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    Figure 1.

    Experimental timeline. Perinatal morphine treatment to mouse dams (MO, 10 mg/kg, s.c.) versus SAL began 7 d before breeding [gestational day 7 (GD-7), start of the study], continued through birth and lactation until offspring were weaned on P21. Maternal plasma was collected on P22 for LC-MS/MS, 20 h after the final MO injection. One cohort of mouse offspring was used for P21 gene expression. A second behaviorally naive cohort was used for immunohistochemistry at 23 weeks (w) of age. The third cohort underwent testing for three-chambered social interaction, sucrose/high-fat diet preference, and operant testing (FR1; PR, progressive ratio), and brains were used for gene expression at 22 weeks. Finally, a smaller separate cohort of dams were injected at GD14–GD18, and maternal plasma, placentas, and fetal brains were collected at 1 and 4 h after MO injection for LC-MS/MS. Refer to Extended Data Figure 1-1 for sample sizes, and Extended Data Figures 1-2, 1-3, 1-4 for gene expression targets. Refer to Extended Data Figures 1-5, 1-6, 1-7 for additional birthing and offspring outcomes.

  • Figure 2.
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    Figure 2.

    Social behavior and basic operant performance. A, B, Perinatal MO increased social preference (MO: *p < 0.05 main effect of MO vs SAL via two-way ANOVA; A) but did not affect social novelty (B). C, D, Male MO offspring had delayed learning of FR1 (MO: *p < 0.05 vs SAL via Log rank survival analysis; C), but not females (D). E, F, Male MO offspring had reduced break point in progressive ratio (PR; *p < 0.05 vs SAL via t test; E), but not females (F). Refer to Extended Data Figure 2-1 for high-fat and sucrose preference test results.

  • Figure 3.
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    Figure 3.

    5CSRTT. A–D, Male MO offspring had reduced accuracy (A), increased percentage of omissions (B), reduced number of premature responses (C), and no change in the total number of trials (D) in the initial training phase with a 16 s stimulus before reaching criterion (MO: *p < 0.05 main effect of MO vs SAL via two-way repeated-measures ANOVA). E–H, Female MO offspring had no change in accuracy (E) or omissions (F), but had an increase in premature responses (G) and total number of trials (H) during 16 s stimulus training (MO: *p < 0.05 main effect of MO vs SAL via two-way repeated-measures ANOVA). I–K, Upon successfully passing criterion at the 16, 8, and 4 s stimulus lengths, male MO offspring had reduced accuracy (I), no change in omissions (J), and reduced premature responses (K; MO: *p < 0.05 main effect of MO vs SAL via two-way repeated-measures ANOVA). L, In the final titrated version of the 5CSRTT, male MO offspring had reduced premature responses (*p < 0.05 vs SAL, via t test).

  • Figure 4.
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    Figure 4.

    Behavioral correlations. A, B, Male (A) and female (B) correlation plots with circles denoting significant p-values (larger circle size showing smaller p-value) and the color of the circle showing the Pearson r value. C, D, Male (C) and female (D) linear regression plots depicting the correlation between premature and correct responses, further divided by MO versus SAL (*p < 0.05 via Pearson correlation). FR1 crit, Days to reach FR1 criterion; PRbp, break point in progressive ratio; ACC16s, average percentage accuracy (ACC) across initial 5CSRTT training with 16 s stimulus (16 s); PREMAT16s, average premature responses (16 s); OMIT16s, average percentage omissions (16 s); TRIALS16s, average trials (16s); CORRECT16s, average number of correct trials (16 s); SocPref, percentage preference for mouse versus empty cup in three-chamber social interaction test; SocNovel, percentage preference for novel versus familiar mouse in three-chamber social interaction test.

  • Figure 5.
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    Figure 5.

    Postnatal day 21 and adult offspring gene expression (qPCR). A–F, In the mPFC at P21, MO offspring had increased expression of ITGAM (CR3/CD11b; A), MYD88 (B), DLG4 (PSD-95; C), COMT (D), PNOC (E), and DNMT3A (F) (A-F, MO: *p < 0.05 drug main effect, two-way ANOVA). G, In the AMG, MO offspring had reduced SLC17A7 (VGluT1) expression (MO: *p < 0.05 drug main effect, two-way ANOVA). H, In the VTA, male MO had reduced TLR4 expression compares to male SAL (#p < 0.05 drug × sex interaction, *p < 0.05 vs male SAL, two-way ANOVA). I, J, In the adult AMG, male MO offspring had increased expression of IL-1β (I) and NTS (J). *p < 0.05 versus male SAL, t test. Refer to Extended Data Figure 5-1 for effects of sex at P21.

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    Figure 6.

    Adult Iba1 and CD68 immunohistochemistry. A–C, Anatomical description of the m-mPFC (A), c-mPFC (B), and MeA (C). D, E, In 20× m-mPFC images, female MO offspring had increased Iba1 (D) and CD68 (E) integrated density normalized to cell count. F, In 20× MeA images, male MO offspring had reduced CD68 integrated density normalized to cell count. G, In 40× m-mPFC images, female MO offspring had increased Iba1 integrated density within the cell body. H, I, In 40× PFC images, male MO offspring had reduced Iba1 (H) and reduced CD68 integrated densities (I) within the cell body in the m-mPFC and c-mPFC, respectively. *p < 0.05 versus SAL, t test. Extended Data Figure 6-1 shows male m-mPFC values, and Extended Data Figure 6-2 shows representative immunohistochemical images.

  • Figure 7.
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    Figure 7.

    Postnatal day 21 mPFC exploratory RNA-seq. A, B, Male (A) and female (B) differentially expressed gene lists based on MO versus SAL comparison yielding unadjusted p < 0.05 and log2FoldChange >1.2 or less than −1.2. a–f, Genes highlighted in yellow depict contributions to significantly enriched pathways, annotated by functions. Hierarchical clustering gene × drug group dendrograms were computed with the Spearman rank-based similarity measure.

Tables

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    Table 1

    Statistical table

    ResultData structureType of testPower: 95% CI, MO vs SAL
    aNormal distributionTwo-way ANOVA−0.9729 to 1.565
    bNormal distributionTwo-way ANOVA12.37–57.91
    cNormal distributiont test−42.15 to −2.805
    dNormal distributionTwo-way ANOVA−13.95 to −1.238
    eSurvival analysisLog-rank (Mantel–Cox)0.8219–4.835
    fNormal distributiont test−16.25 to −3.751
    gNormal distributionOne-way ANOVA0.8553–20.70
    hNormal distributionOne-way ANOVA−8.720 to −2.726
    iNormal distributionOne-way ANOVA2.081–8.610
    jNormal distributionOne-way ANOVA−11.40 to −1.271
    kNormal distributionOne-way ANOVA−22.71 to −3.676
    lNormal distributionOne-way ANOVA0.1384–8.060
    mNormal distributionOne-way ANOVA2.606–7.030
    nNormal distributiont test−5.397 to −0.7243
    oNormal distributionLinear RegressionSlope 95% CI: 0.2513–2.790
    pNormal distributionLinear RegressionSlope 95% CI: 0.3514–1.937
    qNormal distributionLinear RegressionSlope 95% CI: −0.189 to 0.891
    rNormal distributionLinear RegressionSlope 95% CI: 0.0744–1.204
    sNormal distributionTwo-way ANOVA−0.3064 to −0.07172
    tNormal distributionTwo-way ANOVA−0.1778 to −0.002775
    uNormal distributionTwo-way ANOVA−0.2946 to −0.01059
    vNormal distributionTwo-way ANOVA−0.1942 to −0.03028
    wNormal distributionTwo-way ANOVA−0.3187 to −0.05020
    xNormal distributionTwo-way ANOVA−0.3454 to −0.04435
    yNormal distributionTwo-way ANOVA0.002719–0.2159
    zNormal distributionTwo-way ANOVA0.06831–0.3622
    aaNon-normalMann Whitney U test0.04579–1.417
    abNon-normalMann Whitney U test0.06866–0.5624
    acNormal distributiont test10,716–8,233,887
    adNormal distributiont test478,164–3,712,384
    aeNormal distributiont test0.6423–9.446
    afNormal distributiont test−17.07 to −2.215
    agNormal distributiont test−14.15 to −4.105
    ahNormal distributiont test−4,454,906 to −331,789
    • The Result column indicates superscript letters for each statistical result presented in this section.

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    Table 2

    Morphine concentrations measured by tandem mass spectrometry

    TissueTime (h)Total morphine ± SE
    Maternal plasma (n = 2)12825.5 ± 35.0 (ng/ml)
    Placenta (n = 7)12704.6 ± 99.4 (ng/g)
    Fetal brain (n = 7)11267.2 ± 45.4 (ng/g)
    Maternal plasma (n = 3)4521.7 ± 73.6 (ng/ml)
    Placenta (n = 11)4415.4 ± 10.4 (ng/g)
    Fetal brain (n = 11)4434.0 ± 11.2 (ng/g)
    Maternal plasma (n = 2)20<2 ng/ml
    • Total morphine detected at 1, 4, and 20 h after maternal injection in maternal plasma. Tissue levels in placenta and fetal brain samples were measured at 1 and 4 h only.

Extended Data

  • Figures
  • Tables
  • Figure 1-1

    End point, variables measured, offspring sample size, and litter representation for each outcome assessed. Download Figure 1-1, DOCX file.

  • Figure 1-2

    Gene expression targets for P21 mPFC, AMG, VTA, and NAc. The + and – symbols indicate included (+) or omitted (–) targets for adult operant PFC. The ^ and ᵒ symbols indicate included (^) or omitted (ᵒ) targets for adult operant AMG. Download Figure 1-2, DOCX file.

  • Figure 1-3

    Targets added for the adult operant mPFC gene expression analysis. The ^ and ᵒ symbols indicate included (^) or omitted (ᵒ) targets for adult operant AMG. Download Figure 1-3, DOCX file.

  • Figure 1-4

    Targets added for the adult operant AMG gene expression analysis. Download Figure 1-4, DOCX file.

  • Figure 1-5

    Maternal and birth characteristics. A, B, Maternal MO treatment did not alter gestational weight (A) or pup birth weight (B). C, Assessed during the first postnatal week, MO injection acutely reduced time spent in the nest at 1 h, but this was recovered by 4 h (#p < 0.05, drug × time interaction; MO: *p < 0.05 main effect of drug; *p < 0.05 MO vs SAL at 1 h, two-way repeated-measures ANOVA). D, On postnatal day 2, MO dams returned their pups faster on average than SAL dams (*p < 0.05 vs SAL, t test). Download Figure 1-5, TIF file.

  • Figure 1-6

    Values for maternal and birthing outcomes that did not reach statistical significance (mean ± SEM) or median (range). Download Figure 1-6, DOCX file.

  • Figure 1-7

    Values for offspring body weight (mean ± SEM). Download Figure 1-7, DOCX file.

  • Figure 2-1

    High-fat and sucrose preference tests. A, B, There were no group differences in high-fat (A) or sucrose preference (B) tests. Download Figure 2-1, TIF file.

  • Figure 5-1

    P21 fold change values by group (mean ± SEM) for observed sex differences in gene expression. Download Figure 5-1, DOCX file.

  • Figure 6-1

    Male m-mPFC values for Iba1 and CD68 reported as the mean ± SEM. Download Figure 6-1, DOCX file.

  • Figure 6-2

    Representative images for CD68/Iba1 immunohistochemistry. A–D, Representative m-mPFC Iba1/CD68 40× images of female SAL (A) and female MO (B) depict increased Iba1 in female MO offspring; male SAL (C) and male MO (D) depict reduced Iba1 in male MO offspring. Representative c-mPFC CD68 40× images of male SAL (L) and male MO (O) depict reduced CD68 in male MO offspring. Download Figure 6-2, TIF file.

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Perinatal Morphine Exposure Leads to Sex-Dependent Executive Function Deficits and Microglial Changes in Mice
Brittany L. Smith, Tess A. Guzman, Alexander H. Brendle, Collin J. Laaker, Alexis Ford, Adam R. Hiltz, Junfang Zhao, Kenneth D. R. Setchell, Teresa M. Reyes
eNeuro 10 October 2022, 9 (5) ENEURO.0238-22.2022; DOI: 10.1523/ENEURO.0238-22.2022

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Perinatal Morphine Exposure Leads to Sex-Dependent Executive Function Deficits and Microglial Changes in Mice
Brittany L. Smith, Tess A. Guzman, Alexander H. Brendle, Collin J. Laaker, Alexis Ford, Adam R. Hiltz, Junfang Zhao, Kenneth D. R. Setchell, Teresa M. Reyes
eNeuro 10 October 2022, 9 (5) ENEURO.0238-22.2022; DOI: 10.1523/ENEURO.0238-22.2022
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Keywords

  • amygdala
  • executive function
  • Microglia
  • prefrontal cortex
  • prenatal opioid
  • social behavior

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