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A study led by Massachusetts General Hospital (MGH) investigators has identified a critical role for a protein called Kruppel-like factor 9 (Klf9) in the brain’s response to stress, that has implications for protecting against the effects of stress in conditions such as major depression and post-traumatic stress disorder.

In a paper published in Cell Reports, the team describes finding that by blocking the effects of Klf9 before, but not during or after the induction of stress, protected the mice from the detrimental effects of stress on brain-cell structures called dendritic spines, and on the animals’ subsequent behavior.

“We have identified a stress-responsive transcription factor, Klf9, levels of which in the hippocampus mediate the detrimental effects of chronic stress on neuronal connectivity and fear responses,” Amar Sahay, of the MGH Center for Regenerative Medicine and Department of Psychiatry, said. “Our colleagues at Columbia University Medical Center, led by Dr. Maura Boldrini, also found this factor to be elevated in the hippocampus of women with major depressive disorder who had been exposed to serious stressful events.” 

Traumatic, stressful events trigger the release of stress hormones, including steroids called glucocorticoids, which is a sustained release that alters the structure of the hippocampus, known as the brain structure where memories are encoded.

These alterations that have been seen in the brains of individuals with PTSD, have been shown to impair the brain’s processing of stressful memories, potentially generating fearful responses to innocuous stimuli.

Among hippocampal alterations are changes in the number and structure of dendritic spines, that are small protrusions from neurons that receive signals from adjacent cells and transmit them through the neuron. Little has been known about the stress-responsive transcription factors that regulate dendritic spine remodeling. 

Previous studies have indicated that acute stress induces Klf9 expression, and the factor is known to be elevated in a hippocampal structure called the dentate gyrus of individuals with major depression.

To investigate the potential role of Klf9 in the stress-induced remodeling of dendritic spines and the fear response, the investigators developed a genetically engineered strain of mice where Klf9 expression in the hippocampus can be silenced.

While their experiments showed that Klf9 expression was increased in the hippocampus and adjacent structures by acute stress, which was induced by physically restraining mice for several hours, that elevation did not continue when stress became chronic after the restraint protocol was repeated for 10 days. 

In animals in where Klf9 was not silenced, two stress-induction protocols had different effects on males and females. Daily treatment with the glucocorticoid corticosterone for five weeks altered the fear response in males, leading them to generalize fearful memories into situations different from those where they had learned to expect an unpleasant sensation, but this did not occur in females.

The chronic restraint protocol increased fearful responses in females, but not in males. Silencing of Klf9 expression prior to either stress protocol blocked both of those sex-specific responses to chronic stress, and also prevented the enlargement of dendritic spines that were observed in stress-exposed Klf9-expressing mice, both males and females.

However, Klf9 silencing after the initial, gender-specific stress protocol did not prevent altered fear responses after stress-induction was repeated in either males or females. 

Previous studies of hippocampal tissues from patients with major depression had found elevated Klf9 expression, but had not investigated the possible impact of sex, depression treatment and recent events.

The Columbia team, led by Boldrini, analyzed tissues from 12 individuals with untreated major depression who had died suddenly (10 by suicide), and had also experienced serious, stressful events soon before their deaths. Klf9 expression was increased in the dentate gyrus of women, but not men, and the amount of increase depended on the severity of the recent stressful event. 

“Although it is known that women are more prone to major depression and PTSD, little is known about the molecular bases of sex differences underlying vulnerability and resilience to stress and stress-related psychopathologies,” Sahay said. “Our study begins to illuminate the role of Klf9-dependent modulation of neural circuitry as one potential mechanism. A greater understanding of how Klf9 exerts these effects, which we hope to pursue, may identify treatment targets that confer resilience to stress for both women and men.” 

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