Not all animals exposed to 30 mg/kg of poly(I:C) at E12.5 produce offspring with consistent behavioral abnormalities8,31. Though both 30 mg/kg and 40 mg/kg of poly(I:C) reliably produce sickness behaviors in dams, including decreased activity levels, hypothermic responses, and weight loss, and also cause significant elevations in IL-6, only a subset of litters exposed to MIA will go on to develop behavioral abnormalities in domains similar to those observed in human psychiatric and NDDs (Figure 3A-C)8. A lower dose of 20 mg/kg of poly(I:C) also induces sickness behavior and weight loss, but in contrast to higher doses it does not consistently produce IL-6 responses high enough in magnitude to induce behavioral aberrations in offspring even though the IL-6 responses are elevated well above those from dams injected with saline (Figure 3D)8.

Figure 3. Different doses of poly(I:C) lead to differential effects in dams. (A) Dams exposed to 20 mg/kg, 30 mg/kg, or 40 mg/kg of poly(I:C) experienced decreased activity in a subjective scale (one-way ANOVA; P < 0.0001). (B) Dams exposed only to 30 mg/kg of poly(I:C) showed significantly altered temperature in the form of a hypothermic response (one-way ANOVA; F3,35 = 4.289, P < 0.05). (C) Both 30 mg/kg of poly(I:C) and 40 mg/kg of poly(I:C) induced significant weight loss (one-way ANOVA; F7,187 = 26.93, P < 0.0001) and (D) showed elevated IL-6 levels above the threshold required to induce behavioral alterations (one-way ANOVA; F3,35 = 25.54, P < 0.0001). (E) Baseline immunoreactivity in isogenic female C57BL/6J animals is highly variable, and categorizing females BIR into low, medium, and high groups allows researchers to predict which offspring are most likely to be susceptible to the impact of MIA. Bars represent mean ± SEM. This figure has been modified from Estes et al.8. Please click here to view a larger version of this figure.
Unexpectedly, virgin female C57BL/6 mice exhibit quite variable baseline immunoreactivity (BIR) to a low dose of poly(I:C) (5 mg/kg of poly(I:C)) before pregnancy even though they are isogenic, and this variability is not associated with weight (Figure 3E, Supplementary Figure 1)8. Dams injected with 5 mg/kg of poly(I:C) before pregnancy whose IL-6 responses are in the middle 50% (medium BIR dams) produce adult male offspring with alterations in STAT3, MEF2, and tyrosine hydroxylase protein levels in P0 striatal tissue (Figure 4C-E)8. Male offspring of medium BIR dams exposed to 30 mg/kg of poly(I:C) also exhibit decreased synapse density, and elevated major histocompatibility complex I (MHCI) in dissociated neuronal culture (Figure 4A,B)8. Dams injected with 5 mg/kg of poly(I:C) before pregnancy whose IL-6 responses are in the middle 50% (medium BIR dams) reliably produce adult male offspring with elevated repetitive behaviors and decreased exploratory behavior when exposed to 30 mg/kg of poly(I:C) at E12.5 (Figure 5A-F)8.
Conversely, mice from the high BIR group (with IL-6 levels in the top 25% when exposed to 5 mg/kg of poly(I:C) before pregnancy) reliably produce offspring with no repetitive behavior changes following MIA. However, male offspring of these high BIR dams do exhibit elevated exploratory behavior following MIA (Figure 5D)8. Together, these results indicate that MIA can cause differential outcomes in offspring, depending on the dam's BIR8.

Figure 4. An intermediate dose of poly(I:C) and BIR lead to the greatest outcomes in MIA models. (A) Cortical neurons from offspring exposed to mid-gestational maternal immune activation showed significantly increased MHCI presentation only when dams were given 30 mg/kg of poly(I:C) (one-way ANOVA; F3,19 = 5.156, P < 0.01). (B) In contrast, all dosages (20 mg/kg, 30 mg/kg, and 40 mg/kg) resulted in significantly decreased synapse density in dissociated neuronal culture (one-way ANOVA; F3,43 = 11.01, P < 0.0001). (C-E) P0 striatal western blots show elevated STAT3, MEF2A, and TH, only in animals whose mothers had medium BIRs and were exposed to 30 mg/kg of poly(I:C) (One-way ANOVA; MEF2A: F3,24 = 3.968, P < 0.05; STAT3: F3,24 = 6.401, P < 0.01; TH: F3,24 = 3.668, P < 0.05). Bars represent mean ± SEM. This figure has been modified from Estes et al.8. Please click here to view a larger version of this figure.
Susceptible animals in the medium BIR 30 mg/kg and high BIR 30 mg/kg groups can not only be compared to controls, but also to resilient animals. Injection of medium BIR dams with an even higher dose of 40 mg/kg of poly(I:C) produces offspring with no significant alterations in behavior identified using the assays employed to date (Figure 5A-F)8. This suggests an inverted U relationship between immune activation and susceptibility to MIA.

Figure 5. Male offspring from dams exposed to an intermediate dose of poly(I:C) exhibit the greatest alterations in behavior. (A-F) Male offspring from dams exposed to 30 mg/kg of poly(I:C) (Nested one-way ANOVA; F3,27 = 8.775; Low: P = 0.0427; Medium: P = 0.0062; High: (P = 0.9568) but not 20 mg/kg or 40 mg/kg of poly(I:C) show alterations in repetitive grooming and exploratory rearing behavior. Additionally, animals in the 30 mg/kg poly(I:C) treatment group show disparate forms of susceptibility, and male offspring of medium BIR mothers show increased repetitive behavior and decreased exploration, while male offspring of high BIR mothers show no alteration in repetitive behavior, but had increased exploratory behavior (A,D; Nested one-way ANOVA; F3,15 = 9.407, Low: P = 0.4910; Medium: P < 0.001; High: P = 0.0117). Offspring exposed to 20 mg/kg of poly(I:C) did not appear to meet the threshold of immune activation required to alter neuronal development since they showed no alterations in the behaviors tested, while offspring exposed to 40 mg/kg of poly(I:C) were also mostly resilient to its effects (B,C,E,F). Bars represent mean ± SEM. This figure has been modified from Estes et al.8. Please click here to view a larger version of this figure.
Supplementary Figure 1. Baseline immunoreactivity is not correlated with animal weight. Virgin female mice exhibit a large range of IL-6 responses to 5 mg/kg of Poly(I:C) injected before pregnancy in a weight-independent manner, R2 = 0.0086, P = 0.9. Please click here to download this File.