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General and Comparative Endocrinology 257 (2018) 264–271

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General and Comparative Endocrinology


journal homepage: www.elsevier.com/locate/ygcen

Research paper

The clandestine organs of the endocrine system


Natàlia Garcia-Reyero
Environmental Laboratory, US Army Engineer Research & Development Center, Vicksburg, MS 39180, United States

a r t i c l e i n f o a b s t r a c t

Article history: This review analyzes what could be regarded as the ‘‘clandestine organs” of the endocrine system: the gut
Received 16 January 2017 microbiome, the immune system, and the stress system. The immune system is very closely related to the
Revised 13 August 2017 endocrine system, with many intertwined processes and signals. Many researchers now consider the
Accepted 15 August 2017
microbiome as an ‘organ’ that affects the organism at many different levels. While stress is certainly
Available online 16 August 2017
not an organ, it affects so many processes, including endocrine-related processes, that the stress response
system deserved a special section in this review. Understanding the connections, effects, and feedback
Keywords:
mechanisms between the different ‘‘clandestine organs” and the endocrine system will provide us with
Endocrine system
Neuroendocrine system
a better understanding of how an organism functions, as well as reinforce the idea that there are no inde-
Immune system pendent organs or systems, but a complex, interacting network of molecules, cells, tissues, signaling
Microbiome pathways, and mechanisms that constitute an individual.
Stress Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creative-
commons.org/licenses/by-nc-nd/4.0/).

1. Introduction activity is rapidly regulated to adapt to stress and maximize


chances of survival (Tsigos et al., 2016).
The endocrine system consists of numerous glands throughout The idea that the microbiome, particularly the gut microbiome,
the body that produce and secrete hormones in order to regulate serves as a virtual endocrine organ has been suggested by several
many physiological processes. The interconnections between the researchers (Clarke et al., 2014; Evans et al., 2013). The concept
endocrine system and the nervous system are considered the neu- arises from the fact that the microbiome can produce and regulate
roendocrine system. In this review, both the endocrine and neu- multiple compounds that reach and influence distal organs and
roendocrine systems are considered as a ‘large’ endocrine system. systems, such as the nervous, endocrine, and immune system.
It has been long accepted that there is a bidirectional communica- The microbiome has also been described as a key regulator of
tion between the endocrine and the immune system. Hormones stress, further supporting the idea that it is not only a virtual endo-
and neuropeptides have been shown to influence the immune sys- crine system, but a major ‘virtual’ organ that could even be consid-
tem in healthy and diseased individuals, and cells within the ner- ered a system in the organism, with many connections, functions,
vous and endocrine system contain receptors for cytokines and and influences at different levels (Evans et al., 2013; Rea et al.,
growth factors (reviewed in (Taub, 2008)). During times of stress, 2016).
communication between the immune, neuroendocrine, and endo- In this review we explore the interconnectivity between the
crine system is vital for overcoming the stress and maintaining endocrine and neuroendocrine systems, the immune system, the
homestasis. In fact, these interactions are so interwoven that some microbiome, and the stress response.
researchers argue that the endocrine and immune system should
be considered one and the same (Schreck and Maule, 2001). 2. The stress system
Stress response is a necessary mechanism to overcome chal-
lenges and restore homeostasis. Nevertheless, during non- Stress is part of everyday life and plays a key role on how organ-
stressful conditions a low level of stress hormones is necessary isms perform necessary life functions, such as reproduction. The
to maintain normal functions such as growth, immune response, term was originally proposed by Hans Selye and defined as ‘‘the
development or learning. The stress system is very tightly con- non-specific response of the body to any demand” (Selye, 1950,
nected with all the endocrine axes, including the reproductive, 1936). Other definitions have appeared since then. For instance,
growth, and thyroid axis, in order to ensure that the endocrine stress was defined by Schreck as the ‘‘physiological cascade of
events that occurs when the organism is attempting to resist death
or reestablish homeostatic norms in the face of insult” (Moberg
E-mail address: natalia.g.vinas@erdc.dren.mil and Mench, 2000; Schreck, 2010). The stress response involves a

http://dx.doi.org/10.1016/j.ygcen.2017.08.017
0016-6480/Published by Elsevier Inc.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
N. Garcia-Reyero / General and Comparative Endocrinology 257 (2018) 264–271 265

set of integrated cascades in the nervous, endocrine, and immune bug (Euschistus heros) hormetically increased their sexual fitness
system (Fink, 2016). It consists of three main stages: alarm, resis- after insecticidal stress in early adulthood (Haddi et al., 2016). Sim-
tance, and either compensation or exhaustion (death) (Schreck, ilarly, Ayyanath and colleagues (Ayyanath et al., 2013) observed a
2010). The amplitude of stress responses depends not only on hormetic response in the form of increased reproduction in the
the severity and duration of the stressor but also on other variables green peach aphid (Myzus persicae). Hormetic responses have been
such as genetic background of the organism, the environment, observed across a wide range of stressors and organisms (Calabrese
prior experiences, epigenome, ontogenetic stage, and sex (Barton and Baldwin, 2001), and are thought to be an overcompensation to
et al., 1985; Lee et al., 2010; Momoda et al., 2007; Schreck and alteration in homeostasis. However, the concept is somehow con-
Tort, 2016). Moreover, individuals within a population can differ troversial and the reports are often inconsistent. For instance, a
considerably in their response to stress (Ellis et al., 2012). hot event increased female lifespan and the length of the oviposi-
The endocrinology of stress, particularly in fish, has been tion period but decreased the male net reproductive value in the
reviewed by others (Pankhurst, 2011; Schreck et al., 2016). Fig. 1 oriental fruit moth Grapholita molesta. Interestingly, both male
shows a summary of observed effects of stress on fish reproduction and female stress reduced egg hatch (Liang et al., 2014). Some of
and the potential mechanisms involved (adapted from (Pankhurst, these hormetic effects can also vary within generations. While
2016)). Stress generally has an inhibitory effect on reproductive exposure of Daphnia magna to sublethal concentrations of chlor-
performance, although in certain conditions it can also have stim- pyrifos negatively affected reproduction in the exposed generation,
ulatory effects. The inhibitory effects include suppression of gona- it led to a significant increase in the number of offspring in the sec-
dal development, inhibition of ovulation and spawning, and ond generation (Zalizniak and Nugegoda, 2006). Understanding the
production of smaller eggs and larvae in fish. Other effects on the threshold between hormetic and adverse effects, as well as the
endocrine system include suppression of hypothalamic, pituitary potential accumulation of stress effects on the organism leading
and gonadal steroid hormones (Pankhurst, 2016). to adverse outcomes even after apparently beneficial hormetic
Stress has also been linked to increased reproductive perfor- effects, certainly warrants further investigation.
mance, particularly through hormetic effects. For example, expo- The delayed effect of stress on organisms and across multiple
sure of the water flea Daphnia magna to low levels of several generations is a fascinating subject getting increasing attention.
compounds, including the energetic compound trinitrotoluene or Some of the early observations on delayed stress effects led to
serotonin reuptake inhibitors, resulted in enhanced growth and the ‘‘thrifty phenotype hypothesis”, which linked poor nutrition
reproduction (Campos et al., 2012; Stanley et al., 2013). Another in early life to permanent changes in glucose-insulin metabolism,
example of improved reproduction was published by Haddi and including insulin resistance, type 2 diabetes, and metabolic syn-
colleagues suggesting that males of the Neotropical brown stink drome (de Oliveira et al., 2016; Hales and Barker, 2001; Vaag

Fig. 1. A summary of the hypothalamic-pituitary-gonadal axis in fish including a summary of stress effects on its different compartments. Upward arrows indicate
stimulatory effects and downward arrows indicate inhibitory effects. Text in compartments indicates suspected mechanisms of action. 11-KT: 11-ketotestosterone; 17,20bP:
17,20b-dihydroxy-4-pregnen-3-one; ACTH: adrenocorticotrophic hormone; CRF: corticotropin releasing factor; cyp19b1: aromatase b1; DA: dopamine; E2: estradiol; FSH:
follicle stimulating hormone; GnRH: gonadotropin releasing hormone; GR: glucocorticoid receptor; HSD: hydroxysteroid dehydrogenase; LH: luteinizing hormone; StAR:
steridogenic acute regulatory protein; T: testosterone; Vtg: vitellogenin; ZP: zona pellucida proteins. Adapted from Pankhurst (2016).
266 N. Garcia-Reyero / General and Comparative Endocrinology 257 (2018) 264–271

et al., 2012). Epigenetic mechanisms were believed to be involved divergent and evolutionary distant models such as molluscs, crus-
in those metabolic dysfunctions (Keating and El-Osta, 2015). taceans, insects, and mammals (Kemenade et al., 2017; Malagoli
Another example of delayed stress effects can be found in Wang’s et al., 2015). Fig. 2 depicts the endocrine and neuroendocrine inter-
studies on honey bees (Apis mellifera). Starvation stress during lar- actions with the immune system and the microbiome. Those inter-
val development on the honey bee caused adult bees to become actions include the fact that the hypothalamic-pituitary-adrenal
more resilient to starvation. They were also characterized by (HPA, or interrenal in fish, HPI) axis is involved in suppressing the
reduced ovary size, elevated glycogen stores, and juvenile hormone inflammatory/immune response, as both innate and adaptive
levels, and decreased sugar sensitivity. Interestingly, adult bees immunity are modulated by glucocorticoids (Charmandari et al.,
that experienced larval starvation were able to shift to other fuels 2004; Chrousos, 2009). The main anti-inflammatory effects of glu-
faster and maintain stable blood sugar levels during starvation, but cocorticoids involve changes in leukocyte function, decreased cyto-
without changing metabolic rates or blood sugar levels under nor- kine production, and inhibition of pro-inflammatory signaling
mal conditions (Wang et al., 2016a,b). In mammals, it is now sus- pathways (Charmandari et al., 2004; Chrousos, 2000; Munck
pected that prenatal stress disrupts the normal surge of et al., 1984; Tsigos et al., 2016). In fact, glucocorticoids also exert
testosterone in the developing male, while the associations differ potent anti-inflammatory effects by repressing proinflammatory
by species in females (reviewed in (Barrett and Swan, 2015)). In genes. They bind to the glucocorticoid receptor (GR) allowing it to
rodents, prenatal stress feminizes male newborns by shortening interact with transcription factors such as NF-kb that activates
the distance between anus and genitalia. As adults, they also pre- many proinflammatory genes (Ghosh et al., 1998). The GR inhibits
sent lower testosterone levels and fewer neurons expressing the transcriptional activation activity of NF-jb by binding to the
androgen receptor in some areas of the brain (Pallares et al., promoter region of target genes (Webster and Cidlowski, 1999).
2013; Fink, 2016). In humans, studies have shown that prenatal In a similar manner, estrogens can also exert anti-inflammatory
stress does not affect the anogenital distance in males, but mas- effects by binding to estrogen receptors (ER) that will consequently
culinizes it (i.e. increases distance) in females, as well as increases repress expression of multiple NFjb-driven cytokines (An et al.,
testosterone levels in adolescent females. Furthermore, prenatal 1999; Heldring et al., 2007). There is also cross-talk between the
exposure to stressful life events has been associated with mas- ER and the GR, which has been shown for proinflammatory genes
culinized reproductive tract development and more aggressive such as IL-6, IL-8, TNFa, and activator protein 1 (Ap1) (Cvoro
play in adolescent females (Barrett and Swan, 2015; Fink, 2016). et al., 2017; Karmakar et al., 2013). Furthermore, GR can be
Stress can also play a role in hierarchical dominance and even recruited to previously inaccessible chromatin regions after ER-
sex change. For example, it is believed that psycho-social con- chromatin remodeling and co-activator interaction that will ulti-
straints (such as aggressive interactions), population density and mately modulate ER-regulated gene transcription (Bolt et al., 2013).
growth rate may play a role in sex change in fish from the protog- Endocrine hormones can also interact with the immune system.
ynous genus Thalosoma (Robertson, 1972; Ross, 1987). A case of dif- Estrogens can bind to nuclear ERs, but they can also bind to the cell
ferential stress effects on hierarchical dominance can be found in surface G-protein coupled receptor GPER1/GPR30 (Thomas et al.,
baboons. Observations in baboons showed that testosterone levels 2005) which is widely distributed in neural, ovarian, prostate, hep-
responded differently after a stressful stimulus depending on their atic, and lymphoid tissues of mammals (Kemenade et al., 2017).
rank in the hierarchy. Testosterone increased in dominant males Both ERa and b are detected in the lymphoid organs, macrophages,
and remained elevated for about an hour, whereas it decreased in B and T lymphocytes, NK cells, and dendritic cells in mammals
subordinated males immediately after the initial increase, arguably (Mao et al., 2005). The immune-modulatory actions of estrogens
due to higher basal levels of glucocorticoids in subordinated males in mammals has been well documented (Kemenade et al., 2017).
compared to the dominant ones (Sapolsky, 1990). Nuclear ERs have been detected in lymphoid tissues and leuko-
Recently, genetic susceptibility is being explored as an extra cytes of several fish species (Iwanowicz et al., 2014; Massart
layer of complexity to understand the effects of stress (Fink, et al., 2014; Pinto et al., 2012; Szwejser et al., 2017) and GPER1
2016). Caspi and colleagues (Caspi et al., 2002) suggested that a has been reported on seabream granulocytes (Cabas et al., 2013).
polymorphism in the monoamine oxidase A gene influenced vul- For an in depth review of the immunomodulatory actions of the
nerability to environmental stress in humans, which was linked HPG axis hormones see (Segner et al., 2017).
to aggressive behavior (Gallardo-Pujol et al., 2013). Post- Just like the endocrine system can regulate the immune system,
traumatic stress disorder (PTSD), a disorder that develops in some the immune system also regulates the endocrine system. It has
people after a traumatic event, has also been linked to genetic sus- been suggested that through this bidirectional communication
ceptibility. Gillespie and coauthors described a sex-dependent the organism should be able to redirect energy resources during
robust association between PTSD and a functional polymorphism infection or stress away from endocrine functions in order to over-
in the steroid 5a-reductase type 2 (SRD5A2) gene, previously come the stressor, infection, or disease. For instance, cytokines can
shown to lead to altered levels of steroid metabolism (Gillespie affect the HPG axis (Turnbull and Rivier, 1999). Interleukin 1 and
et al., 2013). An earlier report of a polymorphism, a SNP in a puta- TNFa have been shown to inhibit the release of GnRH from the
tive estrogen response element in the gene coding for the PAC1 hypothalamus and modulate FSH and LH release (Watanobe and
receptor, predicted PTSD diagnosis and symptoms only in females Hayakawa, 2003). Other immune system molecules such as thymic
(Ressler et al., 2011). peptides affect the HPG axis by stimulating GnRH secretion from
Taken together, all this information just begins to unravel the the hypothalamus and gonadotropin from the pituitary of female
complex network of physiological, genetic, epigenetic, and other rats (Bodey, 2007).
mechanisms governing stress responses and reveals exciting areas Stress certainly affects the immune system as well. Pathogens
of research that would further improve our understanding of can be considered as stress sources that affect the immune system
stress. and can also affect reproduction (Schreck, 2010). Bonnet and col-
leagues proposed that pathogen-induced activation of the immune
system prior to ovulation could increase TNFa-mediated apoptosis
3. The immune system in trout ovary, advance ovulation, and result in egg quality
decrease after observing that TNFa decreased cell viability, stimu-
There is a clear interaction between the (neuro) endocrine and lated T production, and affected pathways involved in ovulatory
the immune system (Ashley and Demas, 2017), even in highly processes in trout (Bonnet et al., 2008).
N. Garcia-Reyero / General and Comparative Endocrinology 257 (2018) 264–271 267

Fig. 2. Endocrine and neuroendocrine interaction with the immune system and the microbiome. Hormone and neuropeptide systems including sex hormones (estrogen,
testosterone, GnRH), stress hormones (corticosteroids ACTH), pituitary hormones (GH, prolactin), metabolic hormones (leptin, ghrelin), and opioids (such as endorphins) have
been shown to influence immune function. Immune cells express cell surface receptors for these hormones and peptides allowing responses to ligands. At the same time, cells
within the neuronal and endocrine systems can express receptors to immune-derived cytokines, and growth factors. The microbiome also interacts in a bidirectional manner
with the endocrine, neuroendocrine, and immune systems. Adapted from Taub (2008).

Similarly to pathogens, parasites can also be considered stres- instance, the catecholamine family has been found not only in
sors that might affect the endocrine system. Ramsay and col- mammals but also in bacteria, fish, plants, and insects (Ea et al.,
leagues showed that Pseudoloma neurophilia, a common disease 2000; Guerrero et al., 1990; Kulma and Szopa, 2007; Pitman, 1971).
in zebrafish, can be associated with reduced weight and fecundity Microbiota has been linked to behavior and development. It has
(Ramsay et al., 2009a). Interestingly, this same parasite has also been shown to modulate behavioral and physiological abnormali-
been shown to affect behavior in zebrafish (Spagnoli et al., 2015). ties associated with neurodevelopmental disorders, including aut-
Furthermore, stress has been shown to exacerbate parasite infec- ism (Hsiao et al., 2013). It is also known that gut bacterial
tion in zebrafish, further confirming the tight connections among colonization has a role in the maturation of the immune and the
the nervous, endocrine, and immune systems and stress (Ramsay endocrine systems since birth (Clarke et al., 2014; Elahi et al.,
et al., 2009a, b). 2013). Interestingly, the commensal bacteria can produce and
secrete hormones (Evans et al., 2013). The cross-talk between
microbiota and host hormones has been reviewed by (Neuman
4. The microbiome et al., 2015).
There are many examples of bacteria affected by sex hormones.
Lyte and Ernst first described the relationship between the Bacteroides melaningenicus can take up estradiol and progesterone
microbiome and endocrinology after observing that stress- to enhance its growth, and changes in the expression of ERb have
induced neuroendocrine hormones could influence bacterial been linked to changes in gut microbiota composition (Kornman
growth (Lyte and Ernst, 1992). Lyte later defined the term microbial and Loesche, 1982; Menon et al., 2013). The interaction is bi-
endocrinology as the study of the ability of microorganisms to both directional, as several types of bacteria have been implicated in
produce and recognize neurochemicals that originate either within steroid secretion or modification (Ridlon et al., 2013). Gut micro-
the microorganisms themselves or within the host they inhabit. biome may also play a significant role in estrogen metabolism, as
The goal of microbial endocrinology is to understand the role of suggested by data showing that antibiotic administration modified
microbiota in host behavior and the ability of the host to influence estrogen metabolism in humans (Adlercreutz et al., 1984). Another
the microbiota through neuroendocrine-based mechanisms (Lyte, example showed that changes in gut microbiome were capable of
2004; Lyte and Cryan, 2014). The presence of neuroendocrine hor- modulating zebrafish (Danio rerio) lipid processing by inducing
mones that have the same exact structure in bacteria and higher down-regulation of genes involved in cholesterol and triglycerides
organisms has been recognized for decades (Lyte, 2015). For metabolism, decreasing cholesterol and triglyceride content, and
268 N. Garcia-Reyero / General and Comparative Endocrinology 257 (2018) 264–271

increasing fatty acid levels, resulting in elevated larval growth Smith et al., 2007). The absence of microbiota dramatically altered
(Falcinelli et al., 2015). Furthermore, probiotic administration dur- locomotor and anxiety-related behavior and affected acute stressor
ing zebrafish development led to better reproductive performance response in zebrafish. Interestingly, treatment with the probiotic
(Carnevali et al., 2013). There are other examples of microbiota Lactobacillus plantarum was enough to attenuate anxiety-related
potentially affecting reproduction. Using gnotobiotic mosquitoes behavior in gnotobiotic zebrafish (Davis et al., 2016). Other work
(Aedes atropalpus and Aedes aegypti), Coon and colleagues showed with germ-free organisms demonstrated a link between micro-
that gut bacteria species differentially affected normal develop- biota and anxiety-like behavior in rat and mice (Crumeyrolle-
ment and egg production (Coon et al., 2016). Similarly, another Arias et al., 2014; Neufeld et al., 2011).
study explored how microbiome influenced food choice behavior The microbiome can also affect the immune system. Kanther
and reproduction in the fruit fly Drosophila melanogaster, rescuing and colleagues showed how the presence of microbiota in gnotobi-
the decreased reproduction induced by essential amino acid depra- otic zebrafish resulted in increased neutrophil number and altered
vation (Leitão-Gonçalves et al., 2017). neutrophil localization and migratory behaviors, which led to
Recently, the microbiota has emerged as a key player in the con- increased recruitment of neutrophils to injury (Kanther et al.,
trol of the gut-brain axis in regulating stress-related responses 2014). In another study, changes in zebrafish microbiome compo-
(reviewed in (Foster et al., 2017)). Nevertheless, the precise signal- sition were associated with parasite stage of development and bur-
ing and feedback mechanisms remain to be completely elucidated. den, demonstrating that parasite infection can result in rapid and
A clear relationship between stress and microbiome was found by temporally dynamic disruption of the zebrafish gut microbiome
Stothart and colleagues, who explored the linkage between stress (Gaulke et al., 2016). Microbial colonization in zebrafish has also
and oral microbiome on the red squirrel, and showed a correlation been shown to induce dynamic temporal and spatial patterns of
between decreased bacterial diversity and higher stress levels NF-jb activation in the zebrafish digestive tract (Kanther et al.,
(Stothart et al., 2016). Gnotobiotic organisms have been used to 2011). Gioacchini and colleagues showed that a probiotic mix acti-
understand the interactions of the microbiome with the organisms, vated the endocannabinoid system in zebrafish, highlighting its
including effects on behavior and stress. Fig. 3 depicts some of the potential to regulate immune cell function and providing clear evi-
areas significantly impacted by the absence of normal microbiome dence of the involvement of microbiota changes on the zebrafish
in rodents and zebrafish (Davis et al., 2016; Evans et al., 2013; immune system (Gioacchini et al., 2017).

Fig. 3. schematic representation of areas significantly impacted by the absence of normal microbiome in rodent and zebrafish. Adapted from Smith et al. (2007).
N. Garcia-Reyero / General and Comparative Endocrinology 257 (2018) 264–271 269

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