Depression-Associated Negr1 Gene-Deficiency Induces Alterations in the Monoaminergic Neurotransmission Enhancing Time-Dependent Sensitization to Amphetamine in Male Mice

In GWAS studies, the neural adhesion molecule encoding the neuronal growth regulator 1 (NEGR1) gene has been consistently linked with both depression and obesity. Although the linkage between NEGR1 and depression is the strongest, evidence also suggests the involvement of NEGR1 in a wide spectrum of psychiatric conditions. Here we show the expression of NEGR1 both in tyrosine- and tryptophan hydroxylase-positive cells. Negr1−/− mice show a time-dependent increase in behavioral sensitization to amphetamine associated with increased dopamine release in both the dorsal and ventral striatum. Upregulation of transcripts encoding dopamine and serotonin transporters and higher levels of several monoamines and their metabolites was evident in distinct brain areas of Negr1−/− mice. Chronic (23 days) escitalopram-induced reduction of serotonin and dopamine turnover is enhanced in Negr1−/− mice, and escitalopram rescued reduced weight of hippocampi in Negr1−/− mice. The current study is the first to show alterations in the brain monoaminergic systems in Negr1-deficient mice, suggesting that monoaminergic neural circuits contribute to both depressive and obesity-related phenotypes linked to the human NEGR1 gene.


Introduction
The 1p31.1 locus in the human genome, encoding the neuronal growth regulator 1 (NEGR1) gene, has been recently identified as one of the most significant risk loci for both depression [1][2][3][4][5] and obesity [6][7][8]. Transcriptome and protein analysis suggest increased expression of NEGR1 in depression patients; an increased level of NEGR1 has been reported in the brain, namely in the dorsolateral prefrontal cortex (DLPFC) and in the hypothalamic area [5] of patients with major depressive disorder (MDD) in comparison with healthy controls. Additional data from MDD patients suggest that the functional impact of NEGR1 might involve systemic regulation, as significant upregulation of NEGR1 has been shown in the cerebrospinal fluid [9] and peripheral blood of MDD patients [10,11].
In the major studies that have recently linked NEGR1 with depression, the diagnosis has been specified as MDD (major depressive disorder) [1,2,5], broad depression [3], and unipolar depression [4]. Although the linkage between NEGR1 and depression is the strongest, evidence also suggests the involvement of NEGR1 in a wide spectrum of psychiatric conditions [12]. The levels of NEGR1 protein and transcripts are elevated in the post-mortem prefrontal cortex (PFC) [13] and DLPFC [14] of schizophrenic patients. NEGR1 has also been shown to be associated with intelligence [15], dyslexia [16], and autism spectrum disorders (ASD) [17,18]. In addition, a microdeletion in the NEGR1 gene was described in two siblings who presented cognitive disabilities, attention deficit hyperactivity disorder (ADHD), speech problems, and one of them also had features of autism [19].
NEGR1 is a member of the IgLON superfamily of cell adhesion molecules (CAMs), which also include limbic system-associated membrane protein (Lsamp), neurotrimin (Ntm), and opioid-binding protein/cell adhesion molecules such as (Opcml) and IgLON5 [20]. IgLONs dimerize homophilically and heterophilically to shape synaptic connections and neural circuits by spanning cellular junctions (in trans) and/or at the same side of a junction (in cis) [20]. NEGR1 has been shown to interact with other IgLONs, such as NTM, through the first Ig domain [21]. Direct interaction between another IgLON, LSAMP, and NEGR1 has been shown in protein microarray experiments [22] and also confirmed in the mouse brain [23]. IgLONs act synergistically, each forming the context for the work of the other in the regulation of neural circuit formation, which manifests both at the level of neuronal morphology and behavior [20,24]. Therefore, NEGR1, together with other IgLONs, plays an important role in cell-to-cell adhesion and neurite outgrowth and synaptogenesis [25][26][27]. NEGR1 is reported to localize to the postsynaptic sites of dendritic and somatic synapses and is highly expressed in the cerebral cortex, hippocampus, and cerebellum during postnatal development [28].
Homozygous deletion of the Negr1 gene in mice (Negr1 −/− ) induces no robust changes in sensory and motor development but causes impairment in social behavior and reversal learning deficits compared to WT littermates [27,29]. Negr1 −/− mice also displayed neuroanatomical alterations, such as enlargement of ventricles and a decrease in the volume of the whole brain, including the corpus callosum, hippocampus, and globus-pallidus. In addition, a decreased number of parvalbumin-positive inhibitory interneurons was evident in Negr1 −/− hippocampi [27]. In independently created Negr1 −/− mice, it has been shown that Negr1 deficiency results in alterations in adult neurogenesis and hippocampal dentate gyrus (DG) synaptic transmission and leads to anxiety-and depression-like behaviors [30]. Szczurkowska et al. showed that the downregulation of Negr1 in mice impairs neuronal migration and proper development of the somatosensory cortex resulting in behavioral phenotypes related to ASD [31]. We have also shown that Negr1 −/− mice eat smaller amounts of food both in case of standard and high-fat diets, which may be related to alterations in their metabolic profiles [32], but it is not clear if these mice have alterations in the motivational/reward system which may also explain reduced food intake. Again, the data from mice supports the strong associations of the NEGR1 gene with both psychiatric and obesity-related phenotypes in human studies.
The monoamine hypothesis of depression states that dysfunction in the monoamine neurotransmitter system is the cause of the symptoms of depression. Although accumulating evidence also suggests the involvement of other pathways, monoamines still play a crucial role in mood disorders and are the main targets of antidepressant drugs that are currently available [33]. The expression of Negr1 has been shown in both dopaminergic and serotonergic nuclei and pathways. Negr1 is expressed in the whole fasciculus retroflexus, which serves as a molecular scaffold for dopaminergic axons that grow from the midbrain toward the habenula. Furthermore, the interaction partner of NEGR1, LSAMP, has been shown to mediate the guidance of the dopaminergic axons to the habenula [34]. High Negr1 expression has been detected specifically in the islands of Calleja [27] which receive dense dopaminergic projections from the ventral tegmental area (VTA) and the substantia nigra [35]. The modest signal of Negr1 and Lsamp was detected in the serotonergic neurons in the dorsal raphe of macaques. In another study, Negr1 was identified as a differentially expressed gene across molecularly defined serotonergic neuron subtypes; the expression of Negr1 was highest in the medial raphe, especially the ventral areas of the medial raphe (clusters R2 and R3), and was lowest in the dorsal raphe [36].
The expression of Negr1 has been shown to be altered after the administration of several antidepressants that target monoaminergic neurotransmission. Chronic treatment with one of the most commonly used antidepressants, venlafaxine, a serotonin-norepinephrine reuptake inhibitor, has been shown to increase Negr1 expression in the cerebral cortex in rats [37]. Carboni et al., however, showed a decrease of Negr1 transcripts after the administration of selective serotonin reuptake inhibitors escitalopram in the hypothalamus and fluoxetine in the hippocampus in rodent models [38]. Moreover, tricyclic antidepressant nortriptyline downregulates Negr1 in hippocampal primary neurons. Another study showed increased NEGR1 levels in human cell lines, which are treated with clozapine, which binds to both dopaminergic and serotonergic receptors, suggesting NEGR1 is a target of antipsychotic drugs [39].
Alterations in serotonergic neurotransmission, namely increased serotonin turnover, has been repeatedly described in Lsamp-deficient mice [40,41], which might be the explanation for the decreased anxiety and social deviations in these mice [42,43]. Decreased sensitivity to the stimulating locomotor effect of amphetamine has been described in mice deficient for Lsamp [39] and also in mice deficient for Ntm [44], further supporting the hypothesis of altered reactivity in the monoaminergic, especially dopaminergic neurotransmission, in mice deficient for IgLONs. Monoamines are also important regulators of reward and motivational processes. As mentioned above, feeding behavior is altered in Negr1deficient mice. Characterization of monoaminergic neurotransmission in Negr1-deficient mice could clarify the mechanisms behind this observation.
The aim of this study was to assess the effects of deletion of Negr1 on the monoaminergic circuitry as one of the mechanisms through which NEGR1 could be involved in the pathogenesis of depression and possibly in the pathogenesis of obesity.

Animals
Male wild-type (WT) mice and their homozygous Negr1-deficient littermates (Negr1 −/− ), generated and described previously in Lee et al. (2012) were used in the F2 background ((129S5/SvEvBrd × C57BL/6N) × (129S5/SvEvBrd × C57BL/6N)) in the present study [45]. Mice were group-housed in standard laboratory cages measuring 42.5 (L) × 26.6 (W) × 15.5 (H) cm, 10 animals per cage in the animal colony at 22 ± 1 • C, under a 12:12 h light/dark cycle (lights off at 19:00 h). A 2 cm layer of aspen bedding (Tapvei, Paekna, Estonia) and 0.5 L of aspen nesting material (Tapvei) were used in each cage and changed every week. Water and food pellets (R70, Lactamin AB, Kimstad, Sweden) were available ad libitum. Breeding and the maintenance of the mice were performed at the animal facility of the Institute of Biomedicine and Translational Medicine, University of Tartu, Estonia. All behavioral experiments were conducted between 8 a.m. and 5 p.m. Prior to experiment. each cohort of mice was in group housing conditions. During the experiment, cohort I mice went in single cages 6 days before the experiment and stayed there for the rest of the experiment. Mice were single-caged before the experiment since chronic administration of amphetamine increases fighting in mice [46]. The rest of the cohorts were in group housing conditions throughout all the experiments. The use of mice was conducted in accordance with the regulations and guidelines approved by the Laboratory Animal Center at the Institute of Biomedicine and Translational Medicine, University of Tartu, Estonia. All animal procedures were conducted in accordance with the European Communities Directive (2010/63/EU) with a permit (No. 150, 27 September 2019) from the Estonian National Board of Animal Experiments. Amphetamine and escitalopram were used as pharmacological agents to challenge monoaminergic neurotransmission in Negr1-deficient mice. Behavioral profiles were assessed together with monoamine and gene expression levels of related enzymes.

Acute and Chronic Amphetamine Treatment
For the estimation of the treatment of acute and chronic amphetamine (cohort I), two subgroups of 5 months old mice were used: cohort Ia for the estimation of the dose-response curve and cohort Ib for the chronic amphetamine administration. A schematic overview of the cohorts of mice and tests/measurements performed can be found in Figure 1. All Negr1-deficient mice and their age-matched WT littermates were randomly assigned to groups (n = 10 per group). In the dose-response (acute administration) group (Ia), mice received a single dose of d-amphetamine in two different dosages: 3 mg/kg and 6 mg/kg or saline (Supplementary Figure S1). In the chronic amphetamine experiment (cohort Ib), all mice were tested in the open field test (I testing) two weeks prior to the amphetamine injections in order to detect their baseline motor/exploratory activity. Thereafter, cohort Ib mice received an i.p. injection of saline or 3 mg/kg amphetamine for 10 days, followed by a daily open field test 30 min after injection. The 3 mg/kg dose of amphetamine for repeated injection-induced behavioral sensitization has been shown to be sufficient in our earlier studies [47,48], still, the results were analyzed daily to make sure that there is no need to make corrections (decrease or increase) in the dose. Amphetamine (Sigma-Aldrich, St. Louis, MO, USA) was freshly prepared in a sterile, pyrogen-free, 0.9% solution of sodium chloride (B. Braun, Melsungen, Germany). In this experiment, we used the D-isomer of amphetamine (d-amphetamine) because l-amphetamine is a weaker agonist of the dopamine system. All drugs were injected intraperitoneally (i.p.) at a volume of 10 mL/kg 30 min before testing.  Figure S1) and cohort Ib for the chronic amphetamine administration. An open field test for baseline activity of cohort Ib mice was performed 7 days before the administration of amphetamine. Cohort II was used for the estimation of the treatment of chronic escitalopram and cohort III was used for baseline measurement of gene expression and IHC stainings.

Escitalopram Treatment
All Negr1 −/− mice were age-matched with littermates and were tested at 2-3 months of age. Negr1 −/− and WT mice were randomly divided into groups that received an i.p. injection of either saline (B. Braun) or 10 mg/kg of selective serotonin reuptake inhibitor escitalopram (Sigma-Aldrich, Burlington, MA, USA) at a volume of 10 mL/kg for 23 consecutive days. The dosage of escitalopram was chosen based on Bregin et al. [41]. Mice were injected every day at 9 a.m. and allocated as follows: 13 mice in Negr1 −/− and 15 mice in WT escitalopram groups; in the saline groups, there were 13 mice in both WT and Negr1 −/− groups. Escitalopram (Sigma-Aldrich) was freshly prepared in a sterile pyrogen-free 0.9% solution of sodium chloride (B. Braun). Body weight was measured weekly for 8 weeks before administration of escitalopram and on days 1, 3,5,7,9,11,13,15,17,19, and 21 during the period of injections. Behavioral changes were evaluated in the elevated plus maze (day 16), open field test (half of the mice on day 19 and the other half of the mice on day 20) and tail suspension (day 22) tests ( Figure 1).

Elevated plus Maze
The elevated plus maze apparatus consisted of two opposite open (17.5 × 5 cm) arms without sidewalls and two enclosed arms of the same size with 14 cm high sidewalls and an end wall. The apparatus was elevated to a height of 30 cm and placed in a room with a light intensity of 100 lx in open arms. Testing began by placing the animal on the central platform of the maze, facing an open arm. After each mouse, the floor of the testing apparatus was cleaned with 70% ethanol and dried thoroughly. A Standard 5 min test duration was employed, and all the sessions were video recorded. An arm entry was counted only when all four limbs were within a given arm.

Open Field Test
Locomotor activity of individual mice was measured with the illumination level of 450 lx for 30 min in soundproof photoelectric motility boxes (44.8 × 44.8 × 45 cm) connected to a computer (TSE, Technical & Scientific Equipment GmbH, Berlin, Germany). The floor of the testing apparatus was cleaned with 70% ethanol and dried thoroughly after each mouse. The system automatically registered the movement of the animal: the distance traveled, the number of rearings, corner visits, time spent, and distance covered in the central part of the box.

Tail Suspension Test
Mice were suspended for 6 min from the edge of a shelf 60 cm above a tabletop by adhesive tape, placed approximately 1 cm from the tip of the tail. The duration of immobility, the number of immobility episodes (an episode defined as hanging passively and being motionless for at least 3 s), and the number of short immobility episodes lasting 1-2 s were scored during the last 4 min from the recorded videos by an observer blind to the genotype.

Measurement of Monoamines
Immediately after the last behavioral test, all mice were decapitated. Brains were dissected into five parts and frozen in liquid nitrogen. Dorsal striatum (caudate putamen), ventral striatum (including nucleus accumbens and olfactory tubercle), hippocampus, and frontal cortex were dissected from the brains of all mice; from the brains of mice receiving chronic amphetamine (cohort Ib), ventral tegmental area, was dissected and from the mice receiving chronic escitalopram (cohort II), the raphe nuclei (including both dorsal and median groups of the raphe nuclei) were dissected. The brain dissection was performed according to the coordinates presented in the mouse brain atlas [49]. Monoamine measurements from the striatum were done differently compared to raphe nuclei and hippocampi. Monoamines-serotonin (5-HT), noradrenaline (NA) and dopamine (DA)-and their metabolites-5-hydroxyindoleacetic acid (5-HIAA), normetanephrine (NMN), 3,4-dihydroxyphenylacetic acid (DOPAC), homovanillic acid (HVA), and 3-methoxytyramine (3-MT)-were assayed by high-performance liquid chromatography (HPLC) with electrochemical detection. Monoamines and their metabolites were measured from the ventral and dorsal striatum (VSTR and DSTR) tissues of the mice from the chronic amphetamine experiment.
Monoamine quantification in raphe nuclei and hippocampi was carried out by liquid chromatography mass spectrometry. Briefly, the samples were weighed and transferred into 50 µL PBS. Fifty µl internal standard [ 2 H 3 ]leucine, [ 13 C 6 ]tyrosine, [ 2 H 5 ]phenylalanine (Cambridge Isotope Laboratories, Tewksbury, MA, USA), and 0.9-2.0 mm stainless steel beads (Next Advance, Troy, NY, USA) were added. Homogenization was achieved within 2 min in a bullet blender (Next Advance). Thereafter, 400 µL of ice-cold methanol (resulting the final concentration of 80% methanol) was added and the samples were left to stand at −20 • C for 20 min. After centrifugation for 10 min at 21,000× g, two 200 µL aliquots were taken from the supernatant and dried under a stream of nitrogen. The first aliquot was treated with 50 µL phenylisothiocyanate in water and pyridine (v/v/v 50/320/635) for 40 min at 40 • C. The second aliquot was treated with 100 µL 200 mM 2nitrophenylhydrazine and 20 µL 120 mM 1(3-dimethylaminopropyl)-N-ethylcarbodiimide for 1 h at room temperature. After subsequent drying under nitrogen, the samples were resolved in 100 µL 5 mM ammonium acetate in methanol. Ten µl was injected into Acquity Premier 1.7 µm CSH Phenyl-Hexyl 2.1 × 100 mm column in Waters Acquity UPLC H-class-Xevo TQ-XS mass spectrometer (Waters, Milford MA, USA). The gradient was composed of solvent A: H 2 O with 0.2% formic acid and solvent B: acetonitrile with 0.2% formic acid. Starting from 85% solvent A for 0.5 min the gradient rose to 50% B in 1 min and to 90% B in the next 0.5 min. The total run time was 4.5 min with a flow rate 0.5 mL/min. The phenylisothiocyanate derivatives were analyzed in positive ionization multiple reaction monitoring modes with the following quantification ion pairs: 5-HT 312/160, NA 287/135, DA 289/137, NMN 301/166, 5-HIAA 192/146 and 3-MT 303/94. Nitrophenylhydrazine derivatives were quantified in negative ionization mode with the following ion pair signals: DOPAC 302/137, HVA 316/146.

Immunohistochemistry
To specify the location of NEGR1 in the monoaminergic pathways, anti-NEGR1 immunostaining was performed along with co-immunostainings specific for tyrosine hydroxylase and tryptophan hydroxylase. Fluorescent immunohistochemistry was performed on floating 30 µm thick coronal sections collected after every 300 µm into phosphate-buffered saline (PBS). Incubations were performed with gentle rocking and at room temperature unless mentioned otherwise. After washing with PBS for 10 min, sections were permeabilized with 0.25% Triton X-100 (Naxo, Tartu Subsequently, sections were rinsed with PBS for 5 min, mounted in Fluoromount mounting medium (Sigma Aldrich), and covered with a 0.17 mm coverslip (Deltalab, Barcelona, Spain). The specificity of the immunohistochemistry was determined by incubations without the primary antibodies. Fluorescent images were obtained with the Olympus FV1200MPE (Olympus, Hamburg, Germany) laser scanning confocal microscope and Leica Aperio VERSA Brightfield, Fluorescence and FISH Digital Scanner.
The fluorescent intensity of dopamine transporter (DAT) immunostaining in the striatum was quantified using the Positive pixel count 2004-08-11 algorithm of Aperio Image Scope [v12.4.3.5008]. The image of the striatal surface was divided into DSTR containing caudate-putamen and VSTR consisting of nucleus accumbens and olfactory tubercle, according to the Scalable Brain Atlas [50]. Isosurface was created separately from both the parts of the striatum and was used to make quantitative measurements on area and surface fluorescent intensity.

RT-qPCR Analysis in Mouse Brain Areas
Gene expression was determined by two-step RT-qPCR (qPCR). Total RNA was extracted from each tissue sample by using Trizol reagent (Invitrogen) according to the manufacturer's protocol. First-strand cDNA was synthesized by using FIREScript RT cDNA Synthesis MIX with Oligo (dT) and Random primers (Solis BioDyne, Tartu, Estonia) according to the manufacturer's protocol.
In qPCR, 8 dopamine-related genes were studied, tyrosine hydroxylase (Th), dopamine receptor 1 (Drd1), dopamine receptor 2 (Drd2), dopamine receptor 5 (Drd5), dopamine transporter (Dat), catechol-O-methyltransferase (Comt), monoamine oxidase A (MaoA), and monoamine oxidase B (MaoB). Dopamine system-related primers used in the experiment have been previously described by Varul et al. [51]. Additionally, two serotonin systemrelated genes were studied: serotonin transporter (Slc6a4) and tryptophan hydroxylase (Tph2). As a housekeeper gene, beta-actin (ActB_mm_F ACCATGTACCCAGGCATTGC, ActB_mm_R AGCCACCGATCCACACAGAG) was used. Every reaction was made in four parallel replicates to minimize possible errors. All reactions were performed in a final volume of 10 µL, using 5 ng of cDNA. Real-time qPCR was performed using HOT FIREPol ® EvaGreen ® qPCR Supermix (Solis BioDyne). ABI Prism 7900HT Sequence Detection System with ABI Prism 7900 SDS 2.4.2 software (Applied Biosystems) was used for qPCR detection. qRT-PCR data in the Figures is presented on a linear scale, calculated as 2 −∆∆CT , where ∆CT is the difference in cycle threshold (CT) between the target genes and the housekeeper gene.

Statistical Analysis
Results are expressed as mean values ± SEM. The normal distribution of data was evaluated with the Shapiro-Wilk test. Results from qPCR and other data comparing two groups were assessed using Student's t-test or Mann-Whitney test for nonparametric data. Detailed information about the analysis (normality estimates, statistical test used and p-values) of RT-qPCR data, comparing only two groups (WT and Negr1 −/− ), can be found in Supplementary Tables S1-S5. Comparison of RT-qPCR data from chronic amphetamine experiment in the VTA, of the behavioral results from the escitalopram experiment, levels of monoamines and their metabolites, and body weight differences were performed using two-way ANOVA followed by a Bonferroni post hoc test (Supplementary Table S6). The body weight dynamics from day -10 to day -3 were analyzed using repeated measures twoway ANOVA (time x genotype) followed by the Bonferroni post hoc test. Behavioral data from the chronic amphetamine experiment was analyzed by repeated measures three-way ANOVA followed by a Tukey's post hoc test. All differences were considered statistically significant at p < 0.05. Statistical analysis was performed using GraphPad Prism 8 software.

Negr1 −/− Mice Display Higher Sensitivity to Amphetamine Compared to WT Mice
In the dose-response curve experiment, 6 mg/kg amphetamine-induced highly increased motor activity in both genotypes (Supplementary Figure S1A) and, therefore, the 6 mg/kg dose was considered to be too high for the chronic experiment, as the behavioral sensitization effect of amphetamine is well known [52]. Therefore, a chronic amphetamine experiment was performed by using a 3 mg/kg dose, which, if first time injected, induced only a tendency towards increased activity in batch 1a mice (Supplementary Figure S1A) but also statistically significant increase in the distance traveled in wt mice in bach 1b (p < 0.05, two-way ANOVA (Bonferroni post hoc test) (for more details, Supplementary Figure S1D and Figure legend). In order to assess the impact of amphetamine on behavior, Negr1 −/− and WT mice received 10 days of amphetamine in the dose of 3 mg/kg. The administration of amphetamine for 10 days induced significantly higher motor activity in Negr1 −/− mice compared to WT mice. In particular, amphetamine-treated Negr1 −/− mice had traveled, visited corners, and rotated more compared to WT mice, whereas the control (saline) groups for both genotypes did not show any differences in these activities ( Table S7).
Analyzing the AUC showed that amphetamine increased the traveled distance for both WT and Negr1 −/− mice (p < 0.0001; Figure 2D). Nevertheless, the traveled distance was longer in Negr1 −/− mice that received amphetamine compared to their WT littermates (p = 0.016; Figure 2D). A similar situation was also seen in the case of corner visits ( Figure 2B,E) and rotations ( Figure 2C,F): while both genotypes visited more corners as well as made more rotations (p < 0.001 for WTs and p < 0.0001 for Negr1 −/− mice), ( Figure 2E) upon chronic amphetamine administration. Besides that, in summary, the amphetamineinduced more corner visits (p = 0.012) and rotations (p = 0.032) in Negr1 −/− mice compared to their WT littermates.
The body weight of the mice was measured 10 days before amphetamine or saline injections (marked as day -10). Body weight dynamics prior to the amphetamine injection (day -10 until -3) showed significant genotype (F 1,38 = 9.17; p = 0.004) and genotype x time interaction effects (F 2, 76 = 5.97; p = 0.004). WT mice showed a slight decrease in body weight, whereas Negr1 −/− mice gained weight during the first week of measurements ( Figure 2G) at the time when handling due to daily weighing was the only interfering activity. According to Bonferroni's post hoc test on day -10 the difference between the body weight of the WT mice and Negr1 −/− mice was statistically significant (p = 0.001). On day -7, the baseline open field test was performed, and on day -6 all the mice were single housed. The difference in body weight was still statistically significant on day -6 (p = 0.018) but was not seen anymore on day -3. The change in body weight during the first week (days -10 vs. day -3) was also calculated ( Figure 2H). The average weight loss for WT mice was 0.27 g, and the average weight gain of Negr1 −/− mice was 0.69 g. Mann-Whitney test showed that weight change differences between WT and Negr1 −/− mice were statistically significant (p = 0.008). The weight from the beginning of the experiment to the end of the experiment (day -10 vs. day 10) was also calculated ( Figure 2I), but there were no statistically significant changes in the body weight change caused by amphetamine. There was, however, a significant genotype effect (F 1,36 = 11.62; p = 0.002) showing that Negr1 −/− mice lost less body weight than WT both upon saline and amphetamine injections. (I) Body weight change caused by chronic saline or amphetamine injections and behavioral testing (from day 1 until day 10). Data represents mean ± SEM, +-p < 0.01-the difference in treatment in WT mice, #-p < 0.05-the difference in treatment in Negr1 −/− mice (Tukey post hoc test, (A-C)); ++-p < 0.01-genotype effect, * p < 0.05, ** p < 0.01, *** p < 0.001, **** p < 0.0001 (Mann-Whitney, (D-F); Bonferroni post hoc test, (G-I)). AUC, area under curve.
If the data from saline groups were analyzed separately (Supplementary Figure S2), genotype differences were evident in the distance traveled in the center and rotations, as well as in the number of rearings in the open field test. The post hoc test showed no significant changes between Negr1 −/− and WT mice for individual days. For each mouse, the AUC was calculated, and the results analyzed using the Mann-Whitney U test showed that Negr1 −/− mice performed significantly fewer rearings compared to WT mice (p = 0.012). The AUC of distance traveled in the center of the box was significantly lower in Negr1 −/− mice (p = 0.035).

Chronic Administration of Amphetamine Increases the Level of Tyrosine Hydroxylase (TH) in VTA
To assess the level of dopamine system-related genes in VTA, qPCR was performed using both cohort I ( Figure 3A-D) and cohort III mice ( Figure 3I). There was a genotype × treatment interaction (F 1,34 = 8.3; p = 0.007) effect on the level of Th in the VTA. Post hoc tests showed that chronic amphetamine treatment significantly increased the level of Th only in WT mice (p = 0.027). The level of Th was significantly higher in the WT amphetamine group compared to the Negr1 −/− amphetamine group (p = 0.045) ( Figure 3B). Post hoc analysis confirmed no other significant changes in the level of dopamine system-related genes (Dat, Drd2, and Comt) between the groups in the VTA of cohort I mice ( Figure 3A,C,D). The detailed results of ANOVA have been shown in Supplementary Table S6. Mann-Whitney U Test or t-test (according to normality distribution) was used to compare WT and Negr1 −/− groups, statistical details can be found in Supplementary Table  S1. In the VTA, the level of Dat was significantly higher in Negr1 −/− mice (p = 0.011) ( Figure 3E). The levels of Th (p = 0.019) ( Figure 3F), MaoA (p = 0.009) ( Figure 3H), and MaoB (p = 0.005) ( Figure 3I) were also significantly higher in the VTA of Negr1 −/− mice compared to WT mice. There were no significant changes in the level of Drd2 in the VTA of cohort II mice ( Figure 3G).

Amphetamine Increases the Level of Dopamine in Dorsal Striatum (DSTR)
To identify the differences caused by chronic amphetamine administration between WT and Negr1 −/− two-way ANOVA (treatment (amphetamine or saline) × genotype (WT or Negr1 −/− )) and Bonferroni post hoc test was used. The level of dopamine and its metabolites were measured in DSTR (Supplementary Tables S2 and S8; Figure S3) and VSTR (Supplementary Table S9). In the DSTR, the level of DA was affected by the treatment (treatment: F 1,36 = 9.19; p = 0.005; Bonferroni's post hoc tests showed that chronic treatment with amphetamine significantly increased the level of DA in Negr1 −/− (p = 0.026) but not in control mice ( Figure 4A). Dopamine turnover (3-MT/DA) in the DSTR was affected by the genotype (F 1,36 = 5.30; p = 0.027) ( Figure 4B), post hoc test showed no statistically significant changes between the groups. Immunohistochemical DAT staining of DSTR and VSTR did not show any significant differences between WT and Negr1 −/− mice ( Figure 4C).  Table S9). In the VSTR, the levels of DA system-related genes Dat (p = 0.011) ( Figure 4H) and Comt (p = 0.014) ( Figure 4I) were significantly higher in Negr1 −/− mice compared to WT mice (Supplementary Table S3).
Amphetamine reduced the turnover of DA to DOPAC and DA to HVA (Supplementary Figure S3). In the dorsal striatum, the levels of DOPAC ( In the striatum of WT mice, NEGR1 antibody gave a signal in the vicinity of the dopaminergic projection area, which was marked with anti-tyrosine hydroxylase (TH)-the rate-limiting enzyme of dopamine production ( Figure 5A-C,A1-C1).

Chronic Amphetamine Administration Alters the Level of Monoamines in the Hippocampus and Chronic Escitalopram Treatment Causes Weight Difference in the Hippocampus
Hippocampi of the Negr1 −/− mice weigh less compared to WT hippocampi ( Figure 6C,D). Amphetamine had no effect on the hippocampal weights of either Negr1 −/− or WT mice ( Figure 6A,B). In the escitalopram treatment experiment, the weight of hippocampi was significantly affected by the genotype (F 1,51 = 7.38; p = 0.009), and there was a significant genotype x treatment interaction (F 1,51 = 5.06; p = 0.03). The post hoc test showed that hippocampi of the Negr1 −/− mice that received saline weighed less compared to WT saline group mice hippocampi (p = 0.006) and Negr1 −/− escitalopram group hippocampi weighed significantly more compared to Negr1 −/− saline group hippocampi (p = 0.03) ( Figure 6C). If the weight of hippocampi was divided by the body weight of mice, it was seen that the hippocampi/body weight relationship was affected by genotype × treatment interaction (F 1,51 = 8.01; p = 0.007). The post hoc test showed that this relationship was significantly higher in the Negr1 −/− escitalopram group compared to the Negr1 −/− saline group (p = 0.03) ( Figure 6D). On the other hand, chronic administration of either amphetamine or escitalopram does not have an effect on the body weight of mice ( Supplementary Figures S4 and S5).
The level of monoamines and their metabolites were measured in the hippocampi of mice receiving either chronic treatment of amphetamine (Supplementary Table S10) ( Figure 7A-H) or escitalopram (Supplementary Table S11) ( Figure 7I-P). In the case of chronic amphetamine administration, the level of tyrosine (Tyr) was affected by the treatment (F 1,34 = 7.78; p = 0.009). Bonferroni's post hoc test revealed that the level of tyrosine was significantly decreased by amphetamine in the Negr1 −/− group (p = 0.039) ( Figure 7A). The level of 3-MT was affected by the genotype (F 1,35 = 6.00; p = 0.019) ( Figure 7C) and the level of tyramine was affected by the genotype x treatment interaction (F 1,35 = 5.82; p = 0.021) ( Figure 7D), but post hoc test showed no significant changes in case of neither of them. The level of 5-HT was affected by the treatment (F 1,35 = 17.51; p < 0.001), the post hoc test showed that amphetamine increased the level of 5-HT in the WT mice group (p = 0.005) ( Figure 7E). There was a treatment effect (F 1,35 = 4.18; p = 0.049) on the level of 5-HIAA ( Figure 7F), the post hoc comparison did not indicate significant differences in Negr1 −/− or WT mice separately. The level of NA was affected by the genotype (F 1,35 = 4.36; p = 0.044) ( Figure 7G) and its metabolite NMN was affected by the treatment (F 1,33 = 19.44, p < 0.001), post hoc test showed that amphetamine increased the level of NMN of the WT mice (p = 0.002) ( Figure 7H).  Figure 7N) and NA (F 1,50 = 4.14; p = 0.047) ( Figure 7O) were affected by the genotype. The level of NMN was affected by both the treatment (F 1,50 = 4.57; p = 0.038) and genotype (F 1,50 = 10.55; p = 0.002); the post hoc test showed that the level of NMN was higher in the Negr1 −/− saline group compared to WT saline group (p = 0.023) ( Figure 7P).
The serotonin system-related genes were measured in the raphe using qPCR. Mann-Whitney U Test or t-test (according to normality distribution) was used to compare WT and Negr1 groups, statistical details can be found in Supplementary Table S4. (Figure 8K-N). In the raphe, the level of Slc6a4 was significantly higher in Negr1 −/− mice (p = 0.009) ( Figure 8K). There were no significant differences between Negr1 −/− and WT mice in the level of Tph2 (Figure 8L), MaoA ( Figure 8M), and MaoB ( Figure 8N). The levels of dopamine systemrelated genes were found to be unaltered in the frontal cortex (Supplementary Table S5). In the DSTR, the level of Dat showed a significant difference between Negr1 −/− mice compared to WT mice, p = 0.029; the details of statistical analysis and p-values can be found in Supplementary Table S2.
Triple immunohistochemical stainings of WT mice midbrain to pons area revealed expression of tyrosine hydroxylase (TH) and tryptophan hydroxylase (TPH), the rate limiting enzyme of serotonin production, throughout the dopaminergic and serotonergic neurons ( Figure 9A-E). Localization of NEGR1 is also observed in cells expressing TH in substantia nigra pars reticulata and TPH in dorsal, median raphe, indicating the involvement of NEGR1 in both dopaminergic as well as serotonergic neurotransmission ( Figure 9F-Q). The Supplementary Figure S4 presents specificity of Alexa 647 secondary antibody binding.

NEGR1 Expression in Monoaminergic Brain Circuits
In human GWAS studies, the neural adhesion molecule encoding the NEGR1 gene has been linked to both depression and obesity [1,3,6,7]. Altered monoaminergic neurotransmission has also been linked to both obesity [53,54] and depression [33], and these conditions have been associated with neural pathways that are guided and maintained in the presence of NEGR1 protein. The expression of Negr1 has been shown in both dopaminergic nuclei and projection areas such as substantia nigra pars compacta, VTA, islands of Calleja in the VSTR [27] and in the fasciculus retroflexus, which serves as a molecular scaffold for dopaminergic axons that grow from the midbrain towards the habenula [34]. Additionally, Negr1 has been identified as a differentially expressed gene across 5-HT neuron subtypes, whereas the expression of Negr1 was highest in the median raphe [36].
The current study is the first to explore the brain monoaminergic system in NEGR1deficient mice to gain novel insights into whether these neural circuits could be responsible for the link between NEGR1 polymorphisms and phenotypes of depression and obesity. We challenged the monoaminergic neurotransmission of mice lacking Negr1 and their WT littermates with a chronic injection of either amphetamine or escitalopram. The behavior of these mice was tested, and brain monoamines and gene expression were measured from the brain consequently. In our earlier studies, we have shown by using in situ hybridization that compared to other brain areas, the mRNA expression of Negr1 is sparse in the striatal areas, especially in the DSTR of adult mice [55]. To estimate NEGR1 protein expression and impact on the dopaminergic signaling in the striatal area, we performed NEGR1 and tyrosine hydroxylase co-staining in the striatal area ( Figure 5). We found that Negr1 in the striatum is highly expressed in the fibers and moderately on cell bodies where Negr1 also shows co-localization with tyrosine hydroxylase, indicating that Negr1 is expressed in the same cells where dopamine is synthesized. The staining indicates that at least some amount of the NEGR1 protein in the striatum is not synthesized on the cell bodies in the striatum but is expressed on the axon bundles projecting through it. The more specific identification of these bundles remains to be clarified in future studies.
Next, we also studied the potential expression of NEGR1 in the region from the midbrain to pons by using triple immunostainings for tryptophan hydroxylase, tyrosine hydroxylase, and NEGR1 (Figure 9. Additionally, to the striatum, we found co-expression of tyrosine hydroxylase and NEGR1 also in the VTA/substantia nigra region. Our findings of more prevalent NEGR1 expression in the median raphe compared to the dorsal raphe are in line with the findings from Okaty et al. [36]. In the median raphe, NEGR1 is present in both the tyrosine hydroxylase and tryptophan hydroxylase-positive cells, whereas, in the dorsal raphe, the expression of NEGR1 is minor. In conclusion, we show that NEGR1 protein is present in both dopaminergic and serotonergic pathways; in the tyrosine hydroxylasepositive cells in both striatum and midbrain, and in the raphe where NEGR1 is mostly present in the median raphe. Considering our current knowledge about the function of NEGR1 in the nervous system [56], we propose that NEGR1 plays a role in the organization of protein networks at the monoaminergic synaptic cleft and/or in the regulation of motility and assembly of synaptic vesicles.

Increased Behavioral Sensitization to Amphetamine and Upregulation of Dat Transcript in Negr1 −/− Mice
In the current study, 10-day administration of amphetamine-induced significantly higher motor and stereotypic activity in Negr1 −/− mice compared to WT mice, indicating a higher sensitivity to amphetamine. It has been shown earlier that time-dependent changes in behavioral sensitization to amphetamine are associated with time-dependent changes in amphetamine-stimulated DA release in the striatum [57]. In our current study, significantly increased DA levels after 10-day administration of amphetamine were evident in the dorsal striatum in Negr1 −/− mice. However, the DA metabolite 3-MT was elevated in the ventral striatum in Negr1 −/− mice, indicating that DA release was increased there as well. Increased levels of Comt transcript in the ventral striatum is further supporting higher dopamine release along with higher DA turnover in the ventral striatum in Negr1 −/− mice. The difference that we see between the dorsal and ventral striatum could indicate the differential effect of amphetamine on dopamine release and uptake in the dorsal and ventral striatum [58,59].
Transcripts encoding proteins regulating dopaminergic neurotransmission were mostly significantly increased in the striatum and VTA area of Negr1 −/− mice. Namely, dopamine transporter (Dat) transcripts were significantly upregulated both in the VTA and ventral striatum in Negr1 −/− mice. Transcripts encoding tyrosine hydroxylase, MaoA and MaoB were upregulated in the VTA, whereas Comt was upregulated in the ventral striatum ( Figures 3 and 4). DAT plays a central role in the regulation of dopaminergic signaling; DAT overexpressing transgenic mice demonstrates markedly increased locomotor responses to amphetamine compared with WT animals [60]. Likewise, reduced DAT expression has been shown to diminish amphetamine's locomotor stimulatory effects [61]. Furthermore, similarly to our current finding in the ventral striatum in Negr1 −/− mice, an increase in the amount of DA released by amphetamine has been shown in the DAT overexpressing mice [60].
Our previous studies have shown that deletion of other IgLONs, both Lsamp and Ntm, which are closely related NEGR1 homologs, are causing reduced sensitivity for acute amphetamine administration in mice [24,40]. Moreover, this phenotype is basically the only overlapping phenotype in mice deficient for either Lsamp or Ntm and the insensitivity for amphetamine is magnified in Lsamp −/− Ntm −/− double mutant mice. Indeed, in the current study, we could not see clear genotype differences in amphetamine treatment groups; however, our data indicate a tendency toward reduced sensitivity in the case of acute administration of amphetamine. Therefore, members of the IgLON family of neural adhesion molecules could be collectively responsible for the fine-tuning of neural circuits involved in both acute and chronic responses to amphetamine.

Altered Molecular Reactivity to the Amphetamine in the Brains of Negr1 −/− Mice
The robust effect of amphetamine was similar in the striatum in both Negr1 −/− mice and their WT controls. Amphetamine reduced the turnover of dopamine to DOPAC and dopamine to HVA at a similar rate. Higher amphetamine-induced dopamine levels in the dorsal striatum and higher 3-MT levels in the ventral striatum were induced by amphetamine only in the Negr1 −/− mice. Increased DAT and tyrosine hydroxylase in the midbrain after amphetamine have been described earlier in wild-type animals [62,63], likewise, in the current study, amphetamine induced an increase in tyrosine hydroxylase and a trend towards increased levels of Dat, Comt, and Drd2 in WT mice in the VTA. In Negr1 −/− mice, on the contrary, these transcripts showed a trend towards amphetamine-induced reduction, indicating altered molecular reactivity to amphetamine in the brains of Negr1 −/− mice. Similarly, in the hippocampi of WT mice, amphetamine significantly increased the levels of serotonin and normetanephrine and induced a tendency for an increase of several monoamines, including dopamine. In Negr1 −/− mice, the amphetamine-induced changes in the monoamine profile were quite different in the hippocampus, while the only significant effect of amphetamine was reduced levels of tyrosine ( Figure 7). We also explored the effect of acute and chronic amphetamine on the NEGR1 transcript in various brain areas; however, the downregulation of Negr1 transcript induced by chronic amphetamine was present only in the frontal cortex and only in 129Sv mice (Supplementary Figure S5).
The baseline levels of DA itself were not found to be altered in the brain areas of Negr1 −/− mice, however, several significant alterations in several brain areas of the Negr1 −/− mice suggest increased turnover of dopamine but also of serotonin. Increased turnover of DA to 3-MT was evident in both the dorsal and ventral striatum. Interestingly, serotonin metabolite 5-HIAA was increased only in the ventral striatum of Negr1 −/− mice. Although amphetamine suppressed 5-HIAA in both genotypes, the 5-HIAA still remained higher in Negr1 −/− mice. The upregulation or the tendency for upregulation of monoamines and their metabolites in saline-injected Negr1 −/− mice was most evident in the hippocampal area. The results from mice receiving saline chronically from the amphetamine study and escitalopram study could be regarded as replicates (Figure 6), and they indicate genotype differences between knockout and control groups in two distinct age groups; the age of mice at the end of escitalopram study was 3 months and the age of mice in the end of amphetamine study was 5 months. Significantly higher levels in Negr1 −/− mice compared to WT could be detected for tyrosine, 3-MT, tyramine, 5-HT, 5-HIAA, noradrenaline, and normetanephrine.
The stronger behavioral effect of amphetamine in Negr1 −/− mice could have also been modulated by the trace amine-associated receptor 1 (TAAR1), which has been shown to serve as a direct intracellular target for amphetamines in dopaminergic neurons [64]. TAAR1 is stimulated by amphetamine, but also by a variety of trace amines and monoamines, which are upregulated in the brains of Negr1 −/− mice, such as tyramine and 3-MT. The increased levels of endogenous agonists could have an impact on the sensitivity of TAAR1, which could, in turn, influence the effects of amphetamine.
Taken together, while the robust effect of amphetamine in the reduction of dopamine turnover in the striatum was similar in both genotypes, there were significant alterations in response to amphetamine in the brains of Negr1 −/− mice which indicated higher tone of dopaminergic neurotransmission in the dorsal striatum but blunted the response of dopamine system-related gene expression in the midbrain.

Negr1 −/− Mice Display Reduced Sensitivity to Experimental Manipulations and Show Less Activity during Chronic Injections/Testing
In the chronic amphetamine study, the genotype differences appeared already prior to injections, as an open field test for baseline activity (7 days before injections started) and a consequent housing in single cages induced the expected decrease in the body weight of WT mice, whereas the body weight of Negr1 −/− mice stayed stable or even increased slightly during the same time period (Figure 2) resulting in the disappearance of the previously significant body weight difference between genotypes (Supplementary Figure S6). This indicates that Negr1 −/− mice could be less sensitive to the single-housing stress similar to the phenotype we have previously described in Lsam −/− mice [43]. In the baseline open field test, Negr1 −/− mice spent significantly more time in the center of the field, indicating higher exploratory activity and reduced anxiety (the results of this experiment have been published in [27]. During the course of daily chronic injections, housing in single cages, and testing, however, saline-receiving Negr1 −/− mice became less active in most of the behavioral parameters that were measured, including total distance traveled and distance in the center ( Figure 2). Interestingly, Negr1 −/− mice performed significantly less rearings both during baseline testing [27] and during the course of chronic testing/saline injections in the current study. Previous studies have found that damage to the hippocampus impairs rearing due to failures in spatial memory, where novelty detection is impaired [65]. The hypothesis that reduced rearing in Negr1 −/− mice could be the expression of impaired hippocampal morphology is supported by accumulating data on the reduced size of the hippocampus in Negr1 −/− mice and numerous molecular and cellular alterations in the hippocampi of Negr1 −/− mice [24,27,30].  Figures S7 and S8). However, we found that escitalopram could rescue the significantly smaller volumes of hippocampi that Negr1 −/− mice have compared to WT, the phenotype that we have also demonstrated earlier [27]. This result is intriguing, especially as it has been shown earlier that depression-related changes in the hippocampal volume could be prevented by antidepressant treatment [66]. Still, several other studies indicate that hippocampal atrophy persists despite treatment of depression and long-term remission [67]. Interestingly, NEGR1 has been shown to be involved in neurogenesis [21,25,30]. However, it has to be noted that the hippocampal tissue weight, which could be comparable to MRI-based volumetric measures, cannot reflect subtle changes within different layers of the hippocampus (or dorsal vs. ventral region). Therefore, the change in the weight/volume of the hippocampus is more likely to reflect dendritic arborization and not neurogenesis, that only takes place in sub-layers of the dentate gyrus [68].
It is questionable if Negr1 −/− mice represent an appropriate model for depression despite the strong link of the human NEGR1 gene with depression phenotypes in accumulating studies because higher levels of NEGR1 have been described in the tissues and body fluids of depressed patients. However, it is likely that NEGR1 is regulating pathways that are linked with depression and, therefore, its role in the reactivity to escitalopram deserves further studies.
Nevertheless, we found clear genotype-specific alterations in biochemical reactions to escitalopram which were evident in the raphe nuclei but not in the hippocampus. Escitalopram induced a decrease in serotonin turnover in both genotypes, but this effect was highly significant only in the raphe of Negr1 −/− mice. Furthermore, escitalopram induced a robust decrease in dopamine turnover only in Negr1 −/− mice; this effect was amplified by the increased baseline turnover of dopamine (DOPAC/DA) in the Negr1 −/− raphe compared to WT. In fact, the significant treatment effect suggests that escitalopram induced the elevation of serotonin in the raphe of both genotypes, but the significant elevation of dopamine was induced only in the raphe of wild-type mice, suggesting that alterations in the dopamine system could affect the serotonergic neurotransmission in Negr1 −/− raphe. Interestingly, we have previously found that similarly to Negr1 −/− mice, escitalopraminduced reduction of 5-HT turnover is enhanced in the raphe of Lsamp −/− mice [41], indicating overlapping functions of these homologous proteins. In Negr1 −/− mice, however, we could not see increased 5-HT turnover, which was evident in various brain areas in Lsamp −/− mice. At the same time, we detected dopamine-related changes in the raphe of Negr1 −/− mice that were not seen previously in Lsamp −/− mice suggesting distinct functions of these proteins in specific monoaminergic pathways. Accumulating evidence suggests that the serotonergic system has an impact on the activity of dopaminergic neurons in the striatum [69], thus, the altered interplay of dopamine and serotonin might also be responsible for the altered sensitivity to amphetamine in Negr1 −/− mice, possibly indicated by the increased serotonin metabolite 5-HIAA in the ventral striatum of Negr1 −/− mice.

Negr1 Deficiency-Induced Alterations in the Monoaminergic Neurotransmission Could Explain Links of NEGR1 with Both Depression and Obesity Phenotypes
Imbalance of monoaminergic neurotransmission in the brain areas, such as mesolimbic pathways [33], raphe [70], and hippocampus have been shown to underlie depressive conditions. Here we show that Negr1 −/− mice display a time-dependent increase in behavioral sensitization to amphetamine associated with changes in amphetamine-stimulated DA release in the ventral and dorsal striatum, indicating altered reactivity of mesolimbic pathways lacking NEGR1 protein. Mesolimbic pathways underlying reward processing were our special interest as dysfunctional reward processing that has been described both in depressive patients [71,72], and obese subjects [73] could be a shared mechanism underlying both obesity and depression. Anhedonia, one of the core symptoms of depression, has been linked to dysfunctions in the reward system and, in particular, the dopamine system [74]. We have previously shown that Negr1 −/− mice eat less palatable high-fat food, both if the food consumption was measured for a longer period of time and also during the first 24 h of novel high-fat food exposure [32]. Reduced intake of palatable food in a longer time period is more likely linked with altered metabolic homeostasis in the Negr1 −/− mice; reduced intake of high-fat food during the first 24 h could be a sign of altered reward processing, which, however, needs further research. Serotonergic signaling contributes to the regulation of both homeostatic and hedonic feeding. The hedonic circuitry reduces reward-related food consumption [75]. Increased serotonin levels found in the hippocampus of Negr1 −/− mice may contribute to the reduced standard food intake we have previously observed in Negr1 −/− mice [32] which in turn may explain the lower baseline body weight also observed in the current study. We also showed that Negr1 −/− mice are less sensitive to stress/injection-induced weight loss, which could reflect the impact of Negr1 on the body mass index in both mice and humans.

Conclusions
We show that NEGR1 is expressed in both tyrosine-and tryptophan hydroxylasepositive cells and that Negr1 −/− mice show altered reactivity to the substances that are targeting monoaminergic neurotransmission. The current study is the first to show alterations in the brain monoaminergic system in mice deficient in Negr1. We suggest that these neural circuits could underlay both depressive and obesity-related phenotypes that have been strongly linked with the NEGR1 gene in human studies.

Limitations of the Study
Due to technical reasons, the monoamines from dorsal and ventral striatal areas have been measured by using different apparatus and protocols compared to the monoamines measured from hippocampi and raphe. Another limitation of the study was the usage of only male mice. As we have shown in our previous paper [32] that male and female Negr1 −/− mice show somewhat different metabolic profiles, female mice need to be included in future studies. Heterozygous mice should also be included to specify the gene dose effects in altered phenotypes. Some of the neurodevelopmental and chemical alterations in constitutive knockout mice may not be reversible or may need higher doses/duration of drug treatment. Additionally, important behavioral tests for depressive behavior, such as forced swim tests and glucose preference tests, have not been used in the current study and must be included in future studies focusing on depressive phenotypes in rodents. Studying the monoamine-related biochemistry and pharmacological reactions of mice lacking NEGR1 is only one option for understanding the role of NEGR1 in depression. Accumulating evidence suggests that elevated levels of NEGR1 could be linked with pathological conditions such as obesity and depression, therefore, in future studies, mice with NEGR1 overexpression would serve as a better mouse model for understanding the role of NEGR1 in the pathogenesis of depression and obesity.
Supplementary Materials: The following supporting information can be downloaded at: https: //www.mdpi.com/article/10.3390/brainsci12121696/s1, Figure S1. Amphetamine dose curve and chronic amphetamine experiment; Figure S2. Effects of daily saline injections on activity of Negr1−/− and WT mice; Figure S3. Effects of chronic administration of amphetamine to the levels of dopamine metabolites DOPAC and HVA in the striatal area; Figure S4. Epifluorescent images from immunohistochemical staining of WT mouse hippocampal coronal sections; Figure S5. Expression of Negr1 in the ventral striatum was lower in 129Sv mice compared to Bl6 mice; Figure S6. Effects of chronic administration of amphetamine (3 mg/kg) on the body weight of mice; Figure S7. Effects of chronic administration of escitalopram (10 mg/kg) on the body weight of mice; Figure S8. Escitalopram had no effect on the behavior of the mice; Table S1. The expression level of dopamine system related genes in the VTA; Table S2. The level of dopamine system related genes in the dorsal striatum; Table S3. The expression level of dopamine system related genes in the ventral striatum; Table S4. The level of serotonin system related genes in the raphe; Table S5. The level of dopamine system related genes in the frontal cortex; Table S6. The level of monoamines and their metabolites in VTA of amphetamine experiment mice; Table S7. Values (Mean ± SEM) and statistical parameters for the behavioral analysis of chronic amphetamine experiment; Table S8. The level of monoamines and their metabolites in the dorsal striatum of amphetamine experiment mice; Table S9. The level of monoamines and their metabolites in the ventral striatum of amphetamine experiment mice; Table S10. The level of monoamines and their metabolites in the hippocampus of amphetamine experiment mice; Table S11. The level of monoamines and their metabolites in the hippocampus of escitalopram experiment mice; Table S12. The level of monoamines and their metabolites in the raphe of escitalopram experiment mice; Table S13. Values (Mean ± SEM) and statistical parameters for chronic escitalopram experiment behavioral analysis.