Shinichi Iwasaki1, Koki Inoue. 1. Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Abstract
Traumatic and stressful events during childhood are associated with the development of eating disorders. We conducted an animal study to test if association stress in childhood affects ingestive behavior later in life by using female rats that have an adjusted estrous cycle. First, electrical impedance of the vagina was conducted to test estrous cycle adjustment. Second, the effects of 6 h per day maternal separation from birth to weaning, which models a psychologically stressful experience in childhood, was used to test feeding behavior during an ovarian cycle in female adult rats with matched estrous cycles. Food and water intake in maternal separated and non-separated rats was measured in each estrous phase. Non-separated rats showed periodical changes, but maternal separated rats showed no significant changes in food and water intake during an estrous cycle. An opposing tendency for food and water intake was seen between maternal separated and non-separated rats. These observations suggest that electrical impedance of the vagina showed the highest value in the estrous phase of rats housed in a reversed light-dark cycle, and maternal separation was found to disturb changes in feeding behavior during the estrous cycle.
Traumatic and stressful events during childhood are associated with the development of eating disorders. We conducted an animal study to test if association stress in childhood affects ingestive behavior later in life by using female rats that have an adjusted estrous cycle. First, electrical impedance of the vagina was conducted to test estrous cycle adjustment. Second, the effects of 6 h per day maternal separation from birth to weaning, which models a psychologically stressful experience in childhood, was used to test feeding behavior during an ovarian cycle in female adult rats with matched estrous cycles. Food and water intake in maternal separated and non-separated rats was measured in each estrous phase. Non-separated rats showed periodical changes, but maternal separated rats showed no significant changes in food and water intake during an estrous cycle. An opposing tendency for food and water intake was seen between maternal separated and non-separated rats. These observations suggest that electrical impedance of the vagina showed the highest value in the estrous phase of rats housed in a reversed light-dark cycle, and maternal separation was found to disturb changes in feeding behavior during the estrous cycle.
Eating disorders are characterized by abnormal eating habits that may involve insufficient
or excessive food intake to the detriment of an individual’s physical and emotional health.
It is unclear what causes eating disorders. Many patients with eating disorders,
particularly those with bulimia nervosa have reported that they were abused in childhood
[15, 40,
47, 48,
55]. Herzog [24] reported that many bulimia nervosapatients had broken families, as their
parents either lived apart, or were divorced, or were bereaved. Kinzl et
al. [31] reported that bulimia nervosapatients had an adverse family background. Gupta et al. [20, 21] reported
that touch deprivation during the early childhood years played a role in body image
pathologies and was also seen in eating disorderpatients. These results suggest that
traumatic or stressful events in childhood may contribute to the development of eating
disorders. However, the role of childhood trauma in the development of eating disorders is
controversial [46]. A combination of biological,
psychological, and environmental issues is implicated in the cause of eating disorders.Studies on eating disorders and eating behaviors using animal models have been published
previously [22, 23, 26, 27, 49, 54]. However, the majority of these studies used male animals, and a few core
facts have been discovered from these experiments [4].
To clarify the underlying biology of eating disorders, one must also consider the use of
female animals. However, researchers prefer not to use female animals because their estrous
cycle can affect physiological, biological, and behavioral features, and may thus confound
the data. A comprehensive survey of articles published in representative neuroscience
journals revealed that the ratio of single-sex studies involving male versus female animals
is almost 6 to 1 [4]. Animal studies for some specific
fields of study would benefit from the use of female animals. Eating disorders have a large
sex difference, as about 90% of humanpatients with eating disorders are female [36]. If female animals, such as female rats are to be
used in experiments, then it is preferable that the female rats have synchronized estrous
cycles. The estrous cycle is characterized by cyclical changes in the uterus, ovaries, and
vaginal mucosa, and also results in changes in behavior and hormone levels [37, 44]. The rat
estrous cycle consists of a 4- to 5-day cycle of estrous, metestrous, diestrous, and
proestrous phases [32]. To determine the estrous
cycle stage, vaginal smear and histological analyses have been used. However, invasive and
stressful methods, such as taking a vaginal smear may induce stress or pseudopregnancy, thus
a simple and quick method is needed to study stress-induced problems. Correlation of the
electrical impedance of vaginal mucus (EIV) with the estrous cycle was reported in cattle
[9], rats [1,2,3,
51], and other animals [18, 39]. It is possible to
instantly measure impedance with a rat vaginal impedance instrument that can detect the
optimum day for mating [33, 34]. We attempted to determine the associations of EIV and vaginal smear
histological change.Many investigators have attempted to develop animal models of childhood stress. Postnatal
handling, early separation, and daily periodic maternal separation have been proposed as
methods that produce psychological stress with little physical stress [29, 30, 35, 41, 43]. Normal mother-infant interactions are critical for growth and
development in many mammalian species, and maternal separation is a profound stress that
affects physiological and behavioral functions in the offspring [29, 30, 35, 41, 43]. We conducted a study to elucidate association stress in childhood
with ingestive behavior in later life by using female rats with an adjusted estrous cycle.
Food and water intake and estrous cycle were measured in maternal separated and
non-separated female rats in later life.
Materials and Methods
Animals
For experiment 1, thirteen 8-week-old female Wistar rats were used (Keari Co., Osaka,
Japan). All rats were housed in individual cages (22.0 × 21.0 × 30.0 cm) and maintained on
a reversed 12-h light-dark cycle (lights on at 20:00 h). Rats were given CE-2 chow (24.8%
crude protein, 4.4% crude fat, 3.5% crude fiber, 7.0% crude ash, 51.6% nitrogen-free
extract, 8.7% water; 345.2 cal/100 g: Clea Co. Tokyo, Japan) and water using an auto
water-supply system (Keari Co.)ad libitum. The animal room was maintained
under constant temperature (22 ± 2°C) and humidity (55%). For a 1-week acclimation period,
all rats were handled with the least amount of stress so as to not affect baseline
measurements. Acclimation day 8 was defined as the experimental day.For experiment 2, eight pregnant Wistar rats on gestation day 14 − 16 were used (Keari
Co.). They were housed individually in polycarbonate maternity cages (34.5 × 40.3 × 17.7
cm), and were maintained on a reversed 12-h light-dark cycle (as above). Dams were given
access to CE-2 chow and water ad libitum. The animal room was maintained
under constant temperature and humidity (as mentioned above). Prior to birth, the dams
were randomly divided into two groups: a maternal-separated (MS) group and a non-separated
(NS) group. The day of birth was designated as postnatal day 0 (PD 0). Within 12 h of
birth, the litters were culled to eight pups with equal numbers of male and female
animals, when possible. From PD 1 − 21, pups in the MS group were immediately removed from
their home cage at 09:00 h and were placed into another clean cage lined with a clean
paper towel on a heating pad (35°C). After 6 h (at 15:00 h), pups were returned quickly to
their home cages. During the same period, pups in the NS group were handled (rats were
picked up and then immediately returned to their home cage) twice a day at 09:00 and 15:00
h at the same time that the MS rats were moved, to control for the handling of the rats.
Except for the manipulation described above, all pups were left undisturbed for the first
3 weeks. Cage maintenance was not performed during this period. At PD 22, all pups were
weaned and dams were removed from the home cage. Only female pups were used after this.
All female pups in the MS group and NS group were divided into new cages. Pups of the same
group were housed two to four per cage. Until the age of 8 weeks, pups were given access
to CE-2 chow and water ad libitum and were left undisturbed, except for
regular cage maintenance. All rats reaching 8 weeks of age were housed in individual cages
(22.0 × 21.0 × 30.0 cm). Animals were acclimated to the experimental room and experimental
handling for 1 week. All rats were cared for in compliance with the Guidelines for Animal
Experimentation of Osaka City University.
Measurement of electrical impedance of the vagina
We wanted to determine the estrous phase in an adjusted estrous cycle using a method that
results in less stress to the female rats. EIV measurement was performed using Rat Vaginal
Impedance Checker MK-11 (Muromachi Kikai, Tokyo, Japan). This is a diagnostic instrument
that detects the mating phase [33, 34] by using impedance (similar to electric resistance)
of the vaginal mucosa. All impedance measurements were performed at 14:00 h (in the dark
phase). The impedance checker has a terminal with two electrodes. While holding the rat,
the terminal was inserted into the vagina to the external os. Within 5 s the impedance was
stabilized. The value of EIV was checked and recorded. After each measurement, the
terminal was cleaned with alcohol and saline.
Vaginal smear
Vaginal smears were collected immediately after each EIV measurement. Vaginal smears were
taken using a cotton swab. Contents of the swab were placed onto a glass slide, dried, and
stained using a previously described method [38],
and then examined under a microscope. The samples were classified into the four stages:
proestrous, estrous, metestrous, and diestrous. Each type of epithelial cells and
leukocyte was counted.
Experiment 1: association between EIV and vaginal smear
A possible correlation was examined between EIV and vaginal smear from each female rat.
EIV and vaginal smear of 9-week-old female rats were examined during three separate
consecutive periods of 4 days (at least 12 days). Based on a previous study [28], 9 weeks of age was determined. We previously
observed that at 9 weeks of age maternal separation makes pups vulnerable, and likely to
affect behavior. The estrous cycle phase was determined by vaginal smear, and the mean EIV
in each phase was calculated. The highest EIV day was referred to as day EH, and the
estrous cycle phase was determined by vaginal smear.
Experiment 2: effect of maternal separation on food and water intake and estrous
cycle
At 9 weeks of age, MS and NSrats were given free access to food and water. EIV of each
rat was checked every day. The highest EIV day was defined as day EH, as mentioned in
Experiment 1. Consecutive 3 EH days were defined as days E2, E3, and E4. During each 24-h
time period, food and water consumption was measured between EH and E4.
Statistical analysis
All values are expressed as mean ± SEM. Correlation ratio and analysis of variance was
used to measure correlation between EIV and estrous phase. Analysis of variance was used
to compare the differences in food and water intake by the estrous cycle groups. The
Tukey–Kramer test was used as post-hoc analysis to compare differences within each group.
The Student’s t-test was used for comparison of food and water intake of
the MS group with those of the NS group. All statistical data were analyzed using the JMP
8 software package (SAS, Cary, NC, USA).
Results
Experiment 1
The results of the EIV experiment in each estrous phase determined by vaginal smear are
shown in Fig. 1. η2 (the square of correlation ratio: η) was 0.96, which showed high
correlation between EIV and the estrous cycle. There were significant changes in EIV in
each estrous period [F (3,48)=342.2, P<0.0001]. EIV in the first
estrous phase (8.0 ± 0.3 kΩ) was significantly elevated compared with EIV in the other
three phases (metestrous: 1.4 ± 0.1 kΩ, diestrous: 0.9 ± 0.0 kΩ, proestrous: 0.8 ± 0.1 kΩ;
P<0.0001). EIV in the metestrous was significantly higher than EIV
in diestrous and proestrous phases. The other two phases (diestrous and proestrous) were
not significantly different from each other.
Fig. 1.
Estrous cycle and vaginal impedance. Electric impedance of the vagina (EIV) for
each estrous phase (estrous, metestrous, diestrous, proestrous). * Denotes
statistical significance against other phase-specific EIV
(*P<0.05, **P<0.01)
Estrous cycle and vaginal impedance. Electric impedance of the vagina (EIV) for
each estrous phase (estrous, metestrous, diestrous, proestrous). * Denotes
statistical significance against other phase-specific EIV
(*P<0.05, **P<0.01)Cytological classification of vaginal smears on day EH is shown in Table 1. On day EH, 89.7% of rat vaginal smears presented as estrous phase.
Table 1.
Number of rats classified by vaginal smear in day EH
Classification
day EH
Estrous
26 (89.7%)
Metestrus
1 (3.4%)
Diestrus
0 (0.0%)
Proestrus
2 (6.9%)
Highest EIV (electrical impedance of the vagina) day was defined day EH in one
estrus cycle.
Highest EIV (electrical impedance of the vagina) day was defined day EH in one
estrus cycle.
Experiment 2
Body weight on day EH were 250.7 ± 10.3 g in MS group and 272.4 ± 9.6 g in NS group (mean
± SEM). There were no significant differences in the body weight between MS and NS
group.Daily food and water intake during one estrous cycle of MS and NSrats is shown in Fig. 2 (food intake) and Fig. 3 (water intake). NSrats exhibited decreased intake of food (F (3,28)=5.81) and
water, (F (3,28)=4.673) on day E4 (mainly proestrous phase in this study), demonstrating a
periodic change. However, MS rats showed no statistically significant changes in food and
water intakes during one estrous cycle.
Fig. 2.
Maternal separation and daily food consumption. Food consumption in each estrous
phase of maternal separated (MS, gray column) and non-separated (NS, white column)
female rats. Highest electric impedance of the vagina day was defined as day EH in
one estrous cycle, and the following 3 days as E2, E3, and E4. * Denotes statistical
significance in the same group (P<0.05), and # denotes
statistical significance between MS and NS in the same phase
(P<0.05)
Fig. 3.
Maternal separation and daily water consumption. Water consumption in each estrous
phase of maternal separated (MS, gray column) and non-separated (NS, white column)
female rats. Highest electric impedance of the vagina day was defined as day EH in
one estrous cycle, and the following 3 days as E2, E3, and E4. * Denotes statistical
significance in the same group (P<0.05), # denotes statistical
significance between MS and NS in the same phase (P<0.05).
Maternal separation and daily food consumption. Food consumption in each estrous
phase of maternal separated (MS, gray column) and non-separated (NS, white column)
female rats. Highest electric impedance of the vagina day was defined as day EH in
one estrous cycle, and the following 3 days as E2, E3, and E4. * Denotes statistical
significance in the same group (P<0.05), and # denotes
statistical significance between MS and NS in the same phase
(P<0.05)Maternal separation and daily water consumption. Water consumption in each estrous
phase of maternal separated (MS, gray column) and non-separated (NS, white column)
female rats. Highest electric impedance of the vagina day was defined as day EH in
one estrous cycle, and the following 3 days as E2, E3, and E4. * Denotes statistical
significance in the same group (P<0.05), # denotes statistical
significance between MS and NS in the same phase (P<0.05).MS rats tended to take less food than NSrats, and the difference was statistically
significant on day EH (mainly estrous phase; P<0.05). In contrast, MS
rats drank more water than NSrats, and the difference reached statistical significance on
day EH (P<0.01), E2 (mainly metestrus phase;
P<0.05), and E3 (mainly diestrus phase; P<0.05).
MS and NSrats had opposite tendencies regarding food and water intake.All rats in MS group had 4-day estrous cycle by the elevation of EIV on day E5 again
confirmed.
Discussion
In this study, we tried to determine the estrous cycle stage of female rats to investigate
the relationship between eating disorder and stress. Measurement of vaginal electrical
impedance was used for this purpose. Experiment 1 showed the highest EIV (day EH) mainly in
the estrous phase. In our study, the association between vaginal impedance and vaginal smear
differed from previous reports [1,2,3, 9, 33, 34]. Taradach reported that the peak EIV corresponded to
the end of the proestrous phase [51]. This difference
may have been due to the experimental conditions. The time of EIV measurement between their
study and our study was similar (14:00 − 16:00 h). In previous EIV studies, rats were
maintained on regular light-dark cycles, but we maintained the rats on a reversed light-dark
cycle in this study. The rats were manipulated for the stress study in their activity phase,
which is their nocturnal phase, to avoid manipulation during their sleep. A 12-h separation
between regular and reversed light-dark cycles made this phase difference which matched the
highest EIV. Therefore we may have measured the declination phase of EIV. 89.7% of rats
showed consistent association of EIV with their vaginal smear, measurement of vaginal
impedance matched the estrous cycles in a reversed light-dark cycle. Therefore, we can
define the highest EIV as the estrous phase in the dark cycle.Based on the vaginal impedance study, the effects of estrous cycle on food and water intake
were examined in MS and NSrats with estrous cycles matched by EIV measurement. MS rats
showed stable food and water intake in the estrous cycle. NSrats showed decreased food and
water intake on day E4 (this day matched the proestrous phase), while no significant changes
in the other phases were observed. Our results showed that maternal separation changes
feeding behavior in the estrous cycle later in life.It is now widely accepted that the ovarian hormone estradiol plays an important role in the
normal control of food intake in a variety of species [5, 6]. The ability of estradiol to influence
food intake is best characterized in the female rat. Female rats show cyclic changes in
eating during their estrous cycle, with reduced food intake occurring during the night of
proestrus, following the rise of estradiol secretion that begins during diestrus and
continuing into the afternoon of proestrus [5, 8, 53]. However, in
our study, MS rats did not show this decrease in food intake. The pre-ovulatory increase in
plasma estradiol concentration is associated with a transient decrease in food intake during
estrus in cycling rats [10,11,12,13]. The phasic decrease in food intake during estrus is believed to be
mediated by the pre-ovulatory increase in plasma estradiol concentration, and is attributed
to the delayed action of estrogens peaking during the proestrus stage [13, 14, 19]. Experiments examining the effects of ovariectomy and hormone
replacement have provided direct evidence that estradiol is the hormone responsible for
changes in feeding behavior seen during the ovarian cycle [5, 12, 13, 19, 25, 52, 56]. The decrease in food intake that occurs during proestrus is accomplished by a
decrease in meal size without a compensatory increase in meal frequency [5, 19]. Estrogen
has been proposed to act directly and indirectly through orexigenic peptides such as
ghrelin, or anorexigenic neuropeptides such as leptin [7, 45]. Fungfuang et al.
reported that there was a significant increase in a serum leptin concentration and leptin
mRNA expression in adipose tissue during the proestrous period compared with the diestrous
period by using female Wistar-Imamichi rats aged 8–10 weeks [16]. And they also reported seven-weeks-old female Wistar-Imamichi ovariectomized
rats, which were given 17β-estradiol benzoate showed higher serum leptin concentration and
leptin mRNA expression than control rats [17]. It is
suggested that anorexigenic agents such as leptin mediates the estrogen anorexigenic effect.
Therefore, the history of maternal separation may impede the estrogen-leptin pathway or the
activity of leptin.On the other hands, MS rats drank more water than NSrats on the day EH, E1, and E2, and MS
rats didn’t show estrous cyclic changes of water drinking. There was a separation food
intake from water drinking affected by maternal separation. Food intake and water drinking
are traditionally seen as contemporaneous behaviors. However there are studies examined the
independence of food intake and water drinking. Zorilla et al. examined of
the intervals of water drinking during 24 h, ad libitum periods, and under
these conditions, significant amounts of water are consumed independent of food intake
[58]. Ghrelin administration, while stimulating
food intake, inhibits angiotensin II–induced drinking, as well as drinking in response to
hyperosmolar challenge [42]. Obestatin was originally
identified as a posttranslational product of the ghrelin preprohromone [57]. Pretreatment with a selective obestatin antiserum
resulted in a highly significant increase in water drinking in ad libitum
fed and watered rats [50]. Food intake was also
elevated in the antiserum-treated animals, although that increase failed to reach
statistical significance. Based on these findings, one plausible explanation for this
separation food intake from water drinking in our results is the effects of maternal
separation on some agents inhibit water drinking independently or to be concomitant with
food intake. Further studies are needed to clarify them.Inoue et al. reported that female rats become hyperphagic after a
time-restricted feeding schedule, and this rebound hyperphagia was further enhanced with
additional psychological stress of space restriction [26, 27]. Furthermore, we found that female
rats at 6 − 9 weeks of age with a history of maternal separation consumed a normal amount of
food under standard feeding conditions, but consumed more food in rebound hyperphagia after
a 2-h time-restricted scheduled feeding for 6 days [28]. This suggests that maternal separation disrupts responses to chronic hunger
stress. Taken together, the results of this study indicate that maternal separation affects
not only vulnerability of the estrous cycle itself, but ingestive behavior is affected by
the estrous cycle. Results of this study indicate that maternal separation disturbs some
functions of estradiol-linked feeding behavior. However, it is unclear which functions of
estradiol are inhibited by maternal separation. To determine this association between
maternal separation and eating behavior, further investigations are needed regarding meal
size, estradiol concentration, administration of estradiol, ovarian histology, orexigenic
and anorexigenic agents such as leptin, ghrelin, and obestatin.This study has some limitations. Maternal separation, which is an integral stress, involves
not only physical stress owing to lack of tactile stimulation, feeding restriction, and loss
of protection, but also involves psychological stress. Therefore, it is unclear which aspect
of maternal separation stress affects feeding behavior. Furthermore, because we used rats at
9 weeks of age, the effect of aging is unknown. And we avoided the stressful procedure,
which is like collecting blood, in the experiment 2. However we should measure hormone
levels, concentrations of orexigenic and anorexigenic agents and ovarian histology to
determine the association between maternal separation and eating behavior, as mentioned
above. Further investigation about ages and hormone levels is needed.
Conclusions
Vaginal electrical impedance showed the highest value in the estrous phase of rats housed
in the reversed light-dark cycle. This method of measurement was quick, and useful for
stress study in female rats. Using this technique, we found that maternal separation
disturbs feeding behavior during the estrous cycle. This disturbance may be one way in which
female-specific ingestive behavior may develop.
Conflict of Interest
The authors declare no conflict of interest associated with this manuscript.