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Abstract
Mood instability, a subjective emotional state defined as rapid mood oscillations of up and down, is a symptom that occurs in several psychiatric disorders, particularly major depressive disorder and bipolar disorder. Heat shock protein A12A (HSPA12A) shows decreased expression in the brains of schizophrenia patients. However, the causal effects of HSPA12A in any psychiatric disorders are completely unknown. To investigate whether HSPA12A affects mood stability, Hspa12a-knockout mice (Hspa12a−/−) and wild-type (WT) littermates were subjected to tests of open field, forced swimming, elevated plus maze, and sucrose preference. Cerebral lactate levels were measured in cerebrospinal fluid (CSF). Adult hippocampal neurogenesis (AHN) was assessed by BrdU labeling. We found that acute mood stress increased hippocampal HSPA12A expression and CSF lactate levels in mice. However, Hspa12a−/− mice exhibited behaviors of mood instability (anhedonia, lower locomotor activity, antidepression, and anxiety), which were accompanied by impaired AHN, decreased CSF lactate levels, and downregulated hippocampal glycolytic enzyme expression. By contrast, HSPA12A overexpression increased lactate production and glycolytic enzyme expression of primary hippocampal neurons. Intriguingly, lactate administration alleviated the mood instability and AHN impairment in Hspa12a−/− mice. Further analyses revealed that HSPA12A was necessary for sustaining cerebral lactate homeostasis, which could be mediated by inhibiting GSK3β in hippocampal neurons, to maintain AHN and mood stabilization. Taken together, HSPA12A is defined as a novel regulator of mood stability and exerts therapeutic potential for mood disorder. Our findings establish a framework for determining mood disorder and AHN relevance of cerebral lactate homeostasis.
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1 First Affiliated Hospital of Nanjing Medical University, Department of Anesthesiology, Nanjing, China (GRID:grid.412676.0) (ISNI:0000 0004 1799 0784); the First Affiliated Hospital of Nanjing Medical University, Department of Geriatrics, Jiangsu Provincial Key Laboratory of Geriatrics, Nanjing, China (GRID:grid.412676.0) (ISNI:0000 0004 1799 0784)
2 First Affiliated Hospital of Nanjing Medical University, Department of Anesthesiology, Nanjing, China (GRID:grid.412676.0) (ISNI:0000 0004 1799 0784)
3 the First Affiliated Hospital of Nanjing Medical University, Department of Geriatrics, Jiangsu Provincial Key Laboratory of Geriatrics, Nanjing, China (GRID:grid.412676.0) (ISNI:0000 0004 1799 0784)
4 Nanjing Medical University, Key Laboratory of Targeted Intervention of Cardiovascular Disease, Collaborative Innovation Center for Cardiovascular Disease Translational Medicine, Nanjing, China (GRID:grid.89957.3a) (ISNI:0000 0000 9255 8984)
5 East Tennessee State University, Departments of Surgery, Johnson City, USA (GRID:grid.255381.8) (ISNI:0000 0001 2180 1673)
6 the First Affiliated Hospital of Nanjing Medical University, Department of Geriatrics, Jiangsu Provincial Key Laboratory of Geriatrics, Nanjing, China (GRID:grid.412676.0) (ISNI:0000 0004 1799 0784); Nanjing Medical University, Key Laboratory of Targeted Intervention of Cardiovascular Disease, Collaborative Innovation Center for Cardiovascular Disease Translational Medicine, Nanjing, China (GRID:grid.89957.3a) (ISNI:0000 0000 9255 8984)