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Cover Page The handle http://hdl.handle.net/1887/22544 holds various files of this Leiden University dissertation Author: Speksnijder, Niels Title: Determinants of psychosis vulnerability : focus on MEF2 and glucocorticoid signaling Issue Date: 2013-11-28

Determinants of Psychosis Vulnerability Focus on MEF2 and Glucocorticoid Signaling Niels Speksnijder

Niels Speksnijder Determinants of psychosis vulnerability; focus on MEF2 and glucocorticoid signaling Thesis, Leiden University November 28, 2013 ISBN: 978 90 5335 761 3 Cover: design by Ridderprint BV, proefschriftdrukken.nl Print: Ridderprint BV, proefschriftdrukken.nl 2013 Niels Speksnijder No part of this thesis may be reproduced or transmitted in any form or by any means without written permission of the author

Determinants of Psychosis Vulnerability Focus on MEF2 and Glucocorticoid Signaling Proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties te verdedigen op donderdag 28 november 2013 klokke 13.45 door Niels Speksnijder geboren te Sliedrecht in 1982

Promotiecommissie Promotor: Co promotor: Prof. dr. E.R. de Kloet Dr. N.A. Datson Overige leden: Prof. dr. M. Danhof Prof. dr. J.M.A. van Gerven Prof. dr. A.M. van Hemert Prof. dr. G.J.M. Martens (Radboud University, Nijmegen) Prof. dr. L.J.M.J. Vanderschuren (Utrecht University, Utrecht) Dr. R. van der Veen The research described in this thesis was performed at the division of Medical Pharmacology, Leiden Academic Center for Drug Research (LACDR), Leiden University Medical Center (LUMC), Leiden, the Netherlands. This research was financially supported by Top Institute Pharma project nr # T5 209. Additional support was received from the Royal Netherlands Academy of Arts and Sciences (KNAW), the International Research Training Group funded by NWO (DN95 420) and MEERVOUD (836.06.010) funded by NWO. Printing of this dissertation was kindly supported by TI Pharma.

Table of contents Preface 7 Chapter 1 General Introduction 9 Chapter 2 Hippocampal CA1 region shows differential regulation of gene 39 expression in mice displaying extremes in behavioral sensitization to amphetamine: relevance for psychosis susceptibility? Chapter 3 Glucocorticoid Receptor and Myocyte Enhancer Factor 2 cooperate 69 to regulate the expression of c JUN in a neuronal context Chapter 4 Depolarization induced binding of MEF2 to the promoter region of 93 NR4A1 is prevented by GR activation Chapter 5 Hippocampal MEF2 phosphorylation is enhanced during induction of 111 sensitization Chapter 6 General Discussion 127 Addendum Summary 145 Samenvatting 149 Dankwoord 153 Curriculum Vitae 157 List of publications 159 5

6

Preface 7

PREFACE Schizophrenia is often inherited, but even in monozygotic twins one sibling can be more susceptible to schizophrenia than the other. This raises the question what the cause of this difference in susceptibility in genetically identical individuals might be. The objective of this thesis research was to identify novel susceptibility genes and pathways for psychosis in a psychostimulant mouse model which is considered a model for psychosis. Using genome wide micro array analysis of transcripts expressed in discrete laser dissected brain regions of mouse brain we found a large number of genes differentially expressed particularly in the hippocampal CA1, a region known to drive mesocortical dopaminergic activity which has a prominent role in the pathogenesis of schizophrenia. Profound differences were found in expression of target genes of Myocyte Enhancer Factor 2 (MEF2) and the Glucocorticoid Receptor (GR), suggesting that this gene network is involved in sensitivity to amphetamine. In primary hippocampal neuronal cultures knockdown of MEF2 not only reduced the expression of its target gene c Jun, but also abolished its regulation by GR. Moreover, activation of MEF2 by depolarization of these neurons was found to be attenuated by glucocorticoids suggesting a complex mutual feedback regulation of the two transcription factors. Finally, in vivo in the mouse MEF2 and GR appeared to be active in the induction rather than in the expression phase of amphetamine sensitization. Taking our data together, the findings suggest that in the hippocampus the effect of stress, via glucocorticoid activation of GR, can modulate the role of MEF2 target genes in induction of behavioral sensitization. This finding points to the hippocampus as an exciting target for further studies on the role of MEF2 and GR in the precipitation of psychosis susceptibility. 8