The circadian clock and mood-related behavior

Over many years evidence accumulated that circadian rhythms are related to psychiatric disorders.1-3 However, a mechanistic relationship between the circadian clock and mood related behaviors remained enigmatic. Now, we have reported that monoamine oxidase A (MAOA), a mitochondrial enzyme degrading catecholamines including dopamine, is regulated by components of the circadian clock .4 Interestingly, this regulation is variable depending on cell type, indicating the presence of cell type specific factors modulating BMAL1/NPAS2 or BMAL1/CLOCK dependent transcription. In the mesolimbic dopaminergic reward circuit, including the ventral tegmental area (VTA) and the ventral striatum/nucleus accumbens (NAc) we found a positive influence of Period 2 (PER2) on transcriptional activation of Maoa using mice mutant in the Per2 gene. These animals show less Maoa mRNA expression and MAO activity compared to wild type littermates. This is probably the reason for the observed increase in dopamine levels in the striatum of Per2 mutant mice what leads to alteration in despair-based behavioral tests. These results suggest that clock components can influence dopamine metabolism and mood-related behaviors. Addendum to: Hampp G, Ripperger JA, Houben T, Schmutz I, Blex C, Perreau-Lenz S, Brunk I, Spanagel R, Ahnert-Hilger G, Meijer JH, Albrecht U. Regulation of monoamine oxidase a by circadian-clock components implies clock influence on mood. Curr Biol 2008;18:678-83.

Over many years evidence accumulated that circadian rhythms are related to psychiatric disorders. 1-3 However, a mechanistic relationship between the circadian clock and mood related behaviors remained enigmatic. Now, we have reported that monoamine oxidase A (MAOA), a mitochondrial enzyme degrading catecholamines including dopamine, is regulated by components of the circadian clock. 4 Interestingly, this regulation is variable depending on cell type, indicating the presence of cell type specific factors modulating BMAL1/NPAS2 or BMAL1/CLOCK dependent transcription. In the mesolimbic dopaminergic reward circuit, including the ventral tegmental area (VTA) and the ventral striatum/nucleus accumbens (NAc) we found a positive influence of PERIOD 2 (PER2) on transcriptional activation of Maoa using mice mutant in the Per2 gene. These animals show less Maoa mRNA expression and MAO activity compared to wild type littermates. This is probably the reason for the observed increase in dopamine levels in the striatum of Per2 mutant mice what leads to alteration in despairbased behavioral tests. These results suggest that clock components can influence dopamine metabolism and mood-related behaviors.
The mammalian circadian clock influences a multitude of physiological processes such as cardiovascular activity, sleep and wakefulness, metabolism and brain function just to name a few. An optimal timing of diverse biochemical processes will not only separate incompatible chemical reactions from each other but also allowS targeted use of energy. Therefore, it is evident that a correctly synchronized circadian clock that is in tune with the environment brings about advantages for an individual to optimally perform in a competitive habitat. 5 Correct synchronization of the circadian clock is mainly mediated by light hitting the retina that is directly connected via the retinohypothalamic tract to the suprachiasmatic nuclei (SCN) harboring the main clock in the brain. 6 Light administered in the dark phase activates the clock genes Per1 and Per2, which leads to phase advances or delays, respectively. [7][8][9] Alternatively, limited food can act as a synchronizing signal and override light input. 10 These input signals to the clock adapt its phase and lead to an orchestrated physiology that is synchronized with natural events and hence, the organism is optimally prepared for interactions with the environment.
Given the importance of light and food for clock synchronization, changes in life-style, affecting the two afore mentioned parameters, will alter the phase relationship between the internal circadian clock and external geophysical time. Ultimately, this will lead to chronic de-synchronization of the body's physiology leading to depression and obesity, which are observed with increasing frequency in the population of industrialized countries. To find explanations for this mysterious increase in mood-related disorders, we set out to investigate mice with a dysfunctional circadian clock hoping to relate the clock mechanism to mood-related behaviors.
Our study 4 points to a direct involvement of circadian clock components in the transcriptional regulation of monoamine oxidase A. We find that especially dopamine is affected in the mesolimbic dopaminergic system which is important in regulating reward in response to drugs and food. In support of this are our previous findings that mice mutant in the clock component Per2 show altered responses to cocaine, 11 increased alcohol consumption 12 and lack of food anticipation. 13 Reports from other laboratories also indicate involvement of another clock component, the gene Clock, in the development of obesity 14 and the expression of a mania-like phenotype as observed in patients with bipolar disorder. 15 Taken together, it appears that circadian clock components affect reward-related behaviors such as feeding and consumption of drugs of abuse.
Recent findings indicate that feeding signals and drugs of abuse share neurobiological mechanisms that act in the midbrain where dopamine is a major neurotransmitter (reviewed in ref. 16). In particular leptin appears to reduce the firing rate of dopaminergic neurons 17 indicating that leptin exerts a direct influence on dopamine neurons via leptin receptors in the VTA. 18 Interestingly, leptin-deficient mice show reduced levels of dopamine in the NAc and leptin treatment increases the synthesis and activity of tyrosine hydroxylase (TH), the rate-limiting enzyme in dopamine synthesis. 18 Therefore it seems conceivable that leptin, which is increased in Clock mutant mice 14 leads to elevated TH activity and dopamine in the VTA observed in these animals. 19 Altered leptin levels, however, seem not to be the cause of the elevated dopamine levels detected in the striatum of Per2 mutant animals. 4 TH protein levels are not altered in the NAc of these animals (Fig. 1A). Furthermore, protein phosphatase 2A (PP2A) that de-phosphorylates and thereby holds TH enzyme in a reduced/inactive state 20 is slightly increased in the striatum (Fig. 1B). Hence, possible elevated leptin levels would be compensated by increase in PP2A activity leading to TH activity levels that are comparable between wild type and Per2 mutant mice (Fig. 1C). The difference observed between the two genotypes is in the phase of the fluctuation and not in the total levels of TH activity. Therefore, the increased amount of dopamine seen in Per2 mutant animals seems to be mainly caused by the clock via transcriptional regulation of Maoa and unlikely to be an indirect effect via leptin.
Based on our findings 4 and the fact that PER2 interacts with glycogen synthase kinase-3β (GSK-3β), 21 we propose the following model. PER2 phosphorylation by GSK-3β favors accumulation of PER2 in the nucleus. There it enhances the NPAS2/BMAL1mediated transcription of Maoa and more enzyme is generated that ends up in the inner mitochondrial membrane. MAOA degrades dopamine producing 3,4-dihydroxyacetaldehyde, peroxide and ammonia. Increased levels of PER2 might therefore lead to less dopamine and a more depressed mood state. 22,23 The mood stabilizer lithium inhibits the action of GSK-3β 24 and less PER2 is phosphorylated. 21 As a consequence PER2 becomes less abundant in the nucleus what leads to less MAOA production. As a consequence dopamine will rise and mood status will improve. This might be a potential mechanism explaining the beneficial effects of lithium on mood (Fig. 2). Future studies will show whether this model indeed reflects the actions of lithium. Another important question is how light plays into our model (Fig. 2). Does light affect phosphorylation status of PER2? How is light information that reaches the SCN transmitted to other brain areas such as the mesolimbic dopaminergic system? Does this involve modulation of phosphorylated PER2? The answers to these questions will contribute to the understanding how the known effects of light and lithium on mood are manifested and why the circadian clock might be involved in their actions.