Abstract

Cystic fibrosis (CF) patients experience heightened levels of anxiety and depression. Stress from dealing with chronic disease and rigorous treatment regimens certainly are primary contributors to these outcomes. We previously have demonstrated that microtubule alterations in CF are linked to a number of CF phenotypes including growth regulation and inflammatory responses to airway bacterial challenge. Deletion of histone deactelyase 6 (HDAC6), a cytosolic deacetylase that regulates tubulin acetylation, in CF mice restores growth and inflammatory phenotypes to wild type (WT) profiles. In this study, the hypothesis that Hdac6 depletion in CF mice would impact behaviors since Hda6 inhibition has been previously reported to have anti-depressive properties. Data demonstrate that CF mice exhibit reduced activity and reduced open arm time in an elevated plus maze test which can be consistent with anxiety-like behavior. CF mice also exhibit depression-like behaviors compared to WT mice in an age dependent manner. By eight weeks of age, CF mice exhibit significantly more immobile time in the tail-suspension test, however, Hdac6 depletion reverses the depressive phenotype. These data demonstrate that loss of CFTR function may predispose patients to experience depression and that this behavior is Hdac6 dependent.

Highlights

  • Cystic fibrosis (CF) patients experience heightened levels of anxiety and depression

  • Examining the importance of histone deactelyase 6 (HDAC6) in vivo in a CF context, we demonstrated that depletion of Hdac[6] expression from a CF mouse model increased CF mouse linear growth, increased weight gain, and restored the ability to store f­at[22]

  • We have demonstrated previously as a characterization of this mouse model that acetylated tubulin levels were increased in the mouse nasal epithelium of CF/Hdac6 knockout (HDA) mice compared to CF ­controls[22]

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Summary

Introduction

Cystic fibrosis (CF) patients experience heightened levels of anxiety and depression. By eight weeks of age, CF mice exhibit significantly more immobile time in the tail-suspension test, Hdac[6] depletion reverses the depressive phenotype. These data demonstrate that loss of CFTR function may predispose patients to experience depression and that this behavior is Hdac[6] dependent. Loss of function of the cystic fibrosis transmembrane conductance regulator (CFTR) chloride channel causes varied physiological malfunctions including chronic lung ­inflammation[1], CF-related ­diabetes[2], impaired growth and ­weight[3,4] and obstructive bowel ­disease[5] all contributing to a disease that is difficult to manage. We have shown slower microtubule reformation rates, as well as decreased acetylated microtubule levels in CF cells and Scientific Reports | (2020) 10:16278

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