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N E W S A N D V I E W S The Suprachiasmatic Nucleus Gets Split: Why Does Cortisol Respond But Not ACTH? William C. Engeland and J. Marina Yoder Department of Neuroscience, Graduate Program in Neuroscience, University of Minnesota, Minneapolis, Minnesota 55455 n mammals, circadian timing is dependent on a pacemaker or clock located in the suprachiasmatic nucleus (SCN) of the hypothalamus (1). The clock is reset daily by environmental lighting transmitted to the SCN from the retina via the retinohypothalamic pathway (2). This mechanism guarantees that daily rhythms in behavior and physiology including hypothalamic-pituitary-adrenal (HPA) activity are coordinated with the daily light-dark cycle. The HPA axis is characterized by a prominent circadian rhythm that is essential for providing circulating glucocorticoids to support metabolic, cardiovascular, and neuronal processes at the onset of daily activity periods. Circadian rhythms in adrenal corticosterone are driven by in-phase rhythms in plasma ACTH and in adrenal sensitivity to ACTH (3). Adrenal sensitivity is modulated by splanchnic neural activity (4, 5). Taken together, these findings have led to the hypothesis that rhythms in adrenal secretion of glucocorticoids are regulated by not only pituitary ACTH but also sympathetic adrenal innervation (6, 7). In the present issue of Endocrinology, Lilley et al. (8) provide novel results supporting the existence of pathways from the SCN that could subserve dual regulation of glucocorticoid rhythmicity. In this study, Syrian golden hamsters were induced to split rhythms of locomotor activity by exposure to constant light. As shown previously, the split rhythm is manifested as two bouts of locomotor activity separated by approximately 12 h (9, 10). The episodes of locomotion are thought to result from the activity of two coupled circadian oscillators cycling in antiphase (⬃12 h out of phase) corresponding to the left and right SCN nuclei (10). By collecting serial blood samples at 1-h intervals throughout a 24-h period in awake hamsters, the I study by Lilley et al. (8) showed a clear difference in cortisol rhythms between split and unsplit animals. Whereas unsplit control hamsters showed a single peak of cortisol that preceded a single period of locomotor activity, the split hamsters showed two peaks of cortisol separated by approximately 12 h that were associated temporally with the split rhythm in locomotion. This unique observation is consistent with the hypothesis that dual SCN oscillators are capable of controlling glucocorticoid secretion. Nonetheless, these data do not answer the major question: are there pathways from the SCN that sustain glucocorticoid rhythmicity by activating both HPA and sympathoadrenal systems? To address this issue, the investigators completed another experiment to examine whether peaks in plasma cortisol are associated temporally with peaks in ACTH. To overcome the technical hurdle of obtaining a sufficient sample volume to measure ACTH without activating a hypovolemia-induced stress response, samples were collected at 3-h intervals, a sampling frequency still sufficient to characterize rhythmicity. Results showed that in unsplit control hamsters, a single peak in plasma ACTH was associated with the peak in plasma cortisol. The unexpected finding, however, was that split hamsters showing two peaks in cortisol showed no peaks in plasma ACTH. This finding supports the hypothesis that an extra-ACTH mechanism is responsible for regulating cortisol secretion in the split hamster. The investigators propose that sympathoadrenal control of glucocorticoid secretion is the extra-ACTH mechanism [Fig. 3 (8)]. Although experimental results are not presented, there is compelling evidence to support this conjecture. The adrenal cortex receives sympathetic in- ISSN Print 0013-7227 ISSN Online 1945-7170 Printed in U.S.A. Copyright © 2012 by The Endocrine Society doi: 10.1210/en.2011-2082 Received December 6, 2011. Accepted December 8, 2011. Abbreviations: HPA, Hypothalamic-pituitary-adrenal; PVN, paraventricular nucleus; SCN, suprachiasmatic nucleus. For article see page 732 546 endo.endojournals.org Endocrinology, February 2012, 153(2):546 –548 Endocrinology, February 2012, 153(2):546 –548 nervation either directly or via connections with the adjacent adrenal medulla (11), and stimulation of the splanchnic nerve increases glucocorticoid secretion (12, 13). Use of the split hamster represents an excellent model for assessing the functional relevance of sympathetic neural input to the adrenal on glucocorticoid rhythmicity. Experiments that have been successful in rats including assessing adrenal sensitivity to ACTH (5), and testing responses to adrenal denervation (4, 5, 14) would be instructive in examining whether adrenal sympathetic activity in hamsters is the requisite extra-ACTH mechanism. It is likely that results from these or similar experiments will be forthcoming. As indicated by Lilley et al. (8), entrainment of glucocorticoid rhythms by the SCN requires synchronization of an adrenal clock mechanism. Adrenal cells express rhythms in circadian clock genes (15), and an adrenal clock has been implicated in controlling glucocorticoid rhythmicity by gating adrenal sensitivity to ACTH (16). Split hamsters express adrenal clock genes asymmetrically with left and right adrenals, like SCN nuclei, oscillating in antiphase (17); these sided differences are consistent with regulation of the phase of the adrenal clock by a neural pathway. In conjunction with the results by Lilley et al. (8), it is reasonable to propose that lateralization of SCN activity is transmitted via sympathetic nerves to the adrenals, resulting in desynchronized left and right adrenal clocks that drive the split cortisol rhythm. However, it also is possible that sympathetic input is regulating cortisol rhythms independently of an adrenal clock mechanism. The capability of the adrenal clock to support glucocorticoid rhythms in vivo has been assessed using the MC2RAS-BMAL transgenic mouse, an adrenal cortex-specific clock gene knockdown (18). When wild-type rodents are placed in constant dark, eliminating SCN-dependent light entrainment, free-running adrenal corticosteroid rhythms are observed that parallel rhythms in clock gene expression (18, 19). In contrast, MC2R-AS-BMAL mice show no corticosteroid rhythm in constant dark, indicating that the adrenal cortical clock mediates the free-running corticosterone rhythm. However, when MC2R-AS-BMAL mice are entrained to a light-dark cycle, corticosterone rhythms persist despite the absence of an adrenal clock (18). These results indicate that glucocorticoid rhythms are generated in vivo both by adrenal clock-dependent and clock-independent mechanisms. Thus, it will be important to determine whether the extra-ACTH mechanism that controls cortisol secretion in split hamsters acts via the adrenal clock. In addition to examining peripheral control mechanisms, the split hamster could be informative in more clearly defining the hypothalamic circuits that underlie endo.endojournals.org 547 dual control of glucocorticoid rhythms. A previous study by de la Iglesia et al. (20) showed that lateralization of SCN activity drives sided differences in neuroendocrine output. Split female hamsters show two LH surges, one preceding each bout of locomotion (9). To determine the hypothalamic basis for the pituitary response, GnRH neuronal activation was monitored; hamsters showed parallel leftright asymmetry in Fos expression in the SCN and in preoptic area GnRH neurons, suggesting that each LH surge was mediated by sided SCN-preoptic pathways. A similar approach could be used to identify pathways from the SCN to the paraventricular nucleus (PVN) that control the split cortisol rhythm. It is of interest that split hamsters express sided differences in vasopressin-expressing SCN neurons (10) because these neurons have been implicated in controlling glucocorticoid rhythms in rats. Release of vasopressin by SCN neurons in the PVN is an important element of the hypothalamic circuit controlling corticosteroid secretion (21, 22). However, it remains unclear whether vasopressin or other SCN-derived neurotransmitters affect the HPA, the sympathoadrenal, or both systems (23). The PVN is comprised of different neuronal subpopulations, some projecting to the median eminence that release CRH to control ACTH and others projecting to the intermediolateral nucleus of the spinal cord to control sympathetic activity (24). This neuronal topography has been established for the hamster PVN (25, 26). In addition, hamsters with split rhythms show sided differences in the activation of subpopulations of PVN neurons (27). It would be of much interest to determine whether cortisol peaks are preceded by activation of CRH neurons, preautonomic neurons, or both. Although these experiments would be challenging, they would offer the opportunity to more clearly delineate the hypothalamic pathways from the SCN that underlie light-dark entrainment of glucocorticoid rhythms via HPA and sympathoadrenal axes. In observing that the split rhythm in cortisol occurs without an ACTH peak, the study by Lilley et al. (8) also addresses the important issue of why rhythmic ACTH is absent. It turns out that the bimodal pattern of cortisol release in split hamsters results in lower total daily cortisol. In secreting less cortisol, one would predict that reduced steroid negative feedback in split hamsters would result in increased secretion of ACTH. Instead, the absence of the ACTH peak is attributed to heightened negative feedback produced by the timing of cortisol exposure, two peaks separated by approximately 12 h compared with a single daily peak. Certainly there is a precedent for differential feedback sensitivity to corticosteroids across the day (28). In rats, corticosteroids are more effective in inhibiting ACTH at the nadir compared with the peak of the circa- 548 Engeland and Yoder Splitting the Cortisol Rhythm in Hamsters dian rhythm. It is possible that exposure to glucocorticoids at both phases of the rhythm would be more effective in suppressing ACTH secretion. 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