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Escitalopram alters tryptophan metabolism, plasma lipopolysaccharide, and the inferred functional potential of the gut microbiome in deer mice showing compulsive-like rigidity

Published online by Cambridge University Press:  03 April 2025

Larissa Karsten
Affiliation:
Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
Brian H. Harvey
Affiliation:
Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health and Neuroscience Institute, University of Cape Town, Cape Town, South Africa IMPACT Strategic Research Centre, School of Medicine, Barwon Health, Deakin University, Geelong, Australia
Dan J. Stein
Affiliation:
SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health and Neuroscience Institute, University of Cape Town, Cape Town, South Africa
Benjamín Valderrama
Affiliation:
APC Microbiome Ireland, University College Cork, Cork, Ireland Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland
Thomaz F.S. Bastiaanssen
Affiliation:
APC Microbiome Ireland, University College Cork, Cork, Ireland Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland
Gerard Clarke
Affiliation:
APC Microbiome Ireland, University College Cork, Cork, Ireland Department of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland
John F. Cryan
Affiliation:
APC Microbiome Ireland, University College Cork, Cork, Ireland Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland
Rencia van der Sluis
Affiliation:
Biomedical and Molecular Metabolism Research (BioMMet), North-West University, Potchefstroom, South Africa
Heather Jaspan
Affiliation:
Department of Pathology, University of Cape Town, Cape Town, South Africa Institute of Infectious Disease and Molecular Medicine (IDM), University of Cape Town, Cape Town, South Africa Seattle Children’s Research Institute, Seattle, WA, USA Departments of Pediatrics and Global Health, University of Washington, Seattle, WA, USA
Anna-Ursula Happel
Affiliation:
Department of Pathology, University of Cape Town, Cape Town, South Africa Institute of Infectious Disease and Molecular Medicine (IDM), University of Cape Town, Cape Town, South Africa
De Wet Wolmarans*
Affiliation:
Centre of Excellence for Pharmaceutical Sciences, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
*
Corresponding author: De Wet Wolmarans; Email: Dewet.Wolmarans@nwu.ac.za
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Abstract

Objective:

Compulsive-like rigidity may be associated with hyposerotonergia and increased kynurenine (KYN) pathway activity. Conversion of tryptophan (TRP) to KYN, which may contribute to hyposerotonergia, is bolstered by inflammation and could be related to altered gut microbiota composition. Here, we studied these mechanisms in a naturalistic animal model of compulsive-like behavioural rigidity, that is, large nest building (LNB) in deer mice (Peromyscus sp.).

Methods:

Twenty-four (24) normal nest building (NNB) and 24 LNB mice (both sexes) were chronically administered either escitalopram (a selective serotonin reuptake inhibitor; 50 mg/kg/day) or a control solution, with nesting behaviour analysed before and after intervention. After endpoint euthanising, frontal cortices and striata were analysed for TRP and its metabolites, plasma for microbiota-derived lipopolysaccharide (LPS) and its binding protein (lipopolysaccharide binding protein), and stool samples for microbial DNA.

Results:

LNB, but not NNB, decreased after escitalopram exposure. At baseline, LNB was associated with reduced frontal cortical TRP concentrations and hyposerotonergia that was unrelated to altered KYN pathway activity. In LNB mice, escitalopram significantly increased frontal-cortical and striatal TRP without altering serotonin concentrations. Treated LNB, compared to untreated LNB and treated NNB mice, had significantly reduced plasma LPS as well as a microbiome showing a decreased inferred potential to synthesise short-chain fatty acids and degrade TRP.

Conclusions:

These findings support the role of altered serotonergic mechanisms, inflammatory processes, and gut microbiome involvement in compulsive-like behavioural rigidity. Our results also highlight the importance of gut-brain crosstalk mechanisms at the level of TRP metabolism in the spontaneous development of such behaviour.

Information

Type
Original Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Scandinavian College of Neuropsychopharmacology
Figure 0

Figure 1. Differences in frontal-cortical and striatal tryptophan (TRP), serotonin (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) concentrations. Data analysed by means of 2-way ANOVA followed by Bonferroni’s multiple comparisons. Cohen’s d effect sizes as indicated: 0.8 < d < 1.3 < dd < 2 < ddd. ANOVA statistics represented in Table 1A–C. Data represented as mean ± 95% CI. (A) Frontal-cortical TRP, **p = 0.0015, dd = 1.59; *p = 0.0146, d = 1.2; (B) striatal TRP, ***p = 0.0001, dd = 1.46, **p = 0.0024, dd = 1.84; (C) frontal-cortical 5-HT, **p = 0.0099, d = 1.16; **p = 0.0044, dd = 1.54; (D) striatal 5-HT; (E) frontal-cortical 5-HIAA, **p = 0.0042, d = 1.24; ***p<0.0001, d = 2.04; (F) striatal 5-HIAA. NNB, normal nest building; LNB, large nest building.

Figure 1

Figure 2. Differences in kynurenine (KYN), kynurenic acid (KYNA), and quinolinic (QA) concentrations. Data analysed by means of 2-way ANOVA followed by Bonferroni’s multiple comparisons. Cohen’s d effect sizes as indicated: 0.8 < d < 1.3 < dd < 2 < ddd. ANOVA statistics represented in Table 1D–F. Data represented as mean ± 95% CI. (A) Frontal-cortical KYN, d = 0.85; d = 0.93; (B) striatal KYN, ***p = 0.0002, dd = 1.85, *p = 0.0177, d = 1.13; (C) frontal-cortical KYNA, d = 0.97; d = 0.84; (D) striatal KYNA, *p = 0.0275, d = 1.06; (E) frontal-cortical QA, *p = 0.0493, d = 1.3; *p = 0.0463, d = 0.85; (F) striatal QA, *p = 0.0275, d = 1.28. NNB, normal nest building; LNB, large nest building.

Figure 2

Figure 3. Differences in kynurenine/tryptophan (KYN/TRP), serotonin/tryptophan (5-HT/TRP) and 5-hydroxyindoleacetic acid/serotonin (5-HIAA/5-HT) ratios. Data analysed by means of 2-way ANOVA followed by Bonferroni’s multiple comparisons. Cohen’s d effect sizes as indicated: 0.8 < d < 1.3 < dd < 2 < ddd. ANOVA statistics represented in Table 2A–C. Data represented as mean ± 95% CI. (A) Frontal-cortical KYN/TRP; (B) striatal KYN/TRP; (C) frontal-cortical 5-HT/TRP, d = 1.28; *p = 0.0438, d = 0.81; (D) striatal 5-HT/TRP, ***p = 0.0002, dd = 1.61, d = 0.83; (E) frontal-cortical 5-HIAA/5-HT, **p = 0.0067, dd = 1.62; (F) striatal 5-HIAA/5-HT. NNB, normal nest building; LNB, large nest building.

Figure 3

Figure 4. Differences in kynurenic acid/kynurenine (KYNA/KYN), quinolinic acid/kynurenine (QA/KYN) and quinolinic acid/kynurenic acid (QA/KYNA) ratios. Data analysed by means of 2-way ANOVA followed up with Bonferroni’s multiple comparisons. Cohen’s d effect sizes as indicated: 0.8 < d <1.3 < d d <2 < ddd. ANOVA statistics represented in Table 2D–F. Data represented as mean ± 95% CI. (A) Frontal-cortical KYNA/KYN, d = 0.86, d = 0.81; (B) striatal KYNA/KYN; (C) frontal-cortical QA/KYN; (D) striatal QA/KYN, d = 98, d = 0.86; (E) frontal-cortical QA/KYNA; (F) striatal QA/KYNA. NNB, normal nest building; LNB, large nest building.

Figure 4

Figure 5. Differences in plasma lipopolysaccharide (LPS) and lipopolysaccharide binding protein (LBP) concentrations. Data analysed by means of 2-way ANOVA followed up with Bonferroni’s multiple comparisons. Cohen’s d effect sizes as indicated: 0.8 < d <1.3 < d d <2 < ddd. ANOVA statistics represented in Table 3A. Data represented as mean ± 95% CI. (A) LPS concentrations, ***p = 0.0005, dd = 1.97, ***p = 0.0005, dd = 1.99; (B) LBP concentrations, d = 0.88, *p = 0.022, d = 0.89. NNB, normal nest building; LNB, large nest building.

Figure 5

Figure 6. The taxonomic composition of the deer mice gut microbiome is stable in response to escitalopram exposure regardless of host basal nest building behaviour. (A) Alpha diversity of the gut microbial communities as reflected by Chao1, Shannon entropy, and Simpson’s index. (B) PCA of 16S data computed as Aitchison distance (Euclidean distances between samples with CLR-transformed abundances). (C) Stacked bar plot showing the taxonomic composition of the bacterial communities at the level of genus. NNB mice exposed to water are depicted in light blue, NNB mice exposed to escitalopram are depicted in dark blue, LNB mice exposed to water are depicted in light green, and LNB mice exposed to escitalopram are depicted in dark green. NNB: normal nest building; LNB: large nest building.

Figure 6

Figure 7. Effect of escitalopram on the inferred potential of the gut microbiome to metabolise neuroactive compounds depends on the basal nest building behaviour of the host. Left panel: standardised (Z-score) abundance of the inferred gut–brain modules (GBMs) for each condition. A higher intensity of purple depicts a lower inferred abundance of the relevant modules, whereas a higher intensity of red depicts a higher inferred abundance. Right panel: effect size (beta) estimate of the GLM for each factor applied in the formula. Positive values (yellow) indicate higher predicted genetic potential and negative values (blue) indicate the opposite for gut-brain communication per factor of the GLM. Data based on nest building behaviour (‘N.B.B’ column), escitalopram treatment (‘Esc50’ column), and their interaction (’INT’ column). Stars represent statistical significance after Benjamini–Hochberg correction (FDR; p < 0.05 and q < 0.2).

Figure 7

Table 1. Descriptive statistics of frontal-cortical and striatal TRP, serotonin (5-HT), 5-HIAA, KYN, KYNA, and QA concentrations

Figure 8

Table 2. Descriptive statistics of frontal-cortical and striatal KYN/TRP, 5-HT/TRP, 5-HIAA/5-HT, KYNA/KYN, QA/KYN, and QA/KYNA ratios

Figure 9

Table 3. Descriptive statistics of plasma LPS and LBP concentrations

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