Karen R Mifsud

Dr. Karen R Mifsud


Research Focus & Metrics

Academic Career Length

16Years (2011-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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21 September 2016 in Proceedings of the National Academy of Sciences
Verified
Journal Article
Open access
PDF file
KMKaren R Mifsud
Karen R Mifsud
JRJohannes M.H.M. Reul
Johannes M.H.M. Reul
A stressful event results in secretion of glucocorticoid hormones, which bind to mineralocorticoid receptors (MRs) and glucocorticoid receptors (GRs) in the hippocampus to regulate cognitive and affective responses to the challenge. MRs are already highly occupied by low glucocorticoid levels under baseline conditions, whereas GRs only become substantially occupied by stress- or circadian-driven glucocorticoid levels. Currently, however, the binding of MRs and GRs to glucocorticoid-responsive elements (GREs) within hippocampal glucocorticoid target genes under such physiological conditions in vivo is unknown. We found that forced swim (FS) stress evoked increased hippocampal RNA expression levels of the glucocorticoid-responsive genes FK506-binding protein 5 (Fkbp5), Period 1 (Per1), and serum- and glucocorticoid-inducible kinase 1 (Sgk1). Chromatin immunoprecipitation (ChIP) analysis showed that this stressor caused substantial gene-dependent increases in GR binding and surprisingly, also MR binding to GREs within these genes. Different acute challenges, including novelty, restraint, and FS stress, produced distinct glucocorticoid responses but resulted in largely similar MR and GR binding to GREs. Sequential and tandem ChIP analyses showed that, after FS stress, MRs and GRs bind concomitantly to the same GRE sites within Fkbp5 and Per1 but not Sgk1. Thus, after stress, MRs and GRs seem to bind to GREs as homo- and/or heterodimers in a gene-dependent manner. MR binding to GREs at baseline seems to be restricted, whereas after stress, GR binding may facilitate cobinding of MR. This study reveals that the interaction of MRs and GRs with GREs within the genome constitutes an additional level of complexity in hippocampal glucocorticoid action beyond expectancies based on ligand–receptor interactions.

4 April 2018 in Stress
Verified
Journal Article
Open access
KMKaren R Mifsud
Karen R Mifsud
JRJohannes M.H.M. Reul
Johannes M.H.M. Reul
Successful coping with stressful events involves adaptive and cognitive processes in the brain that make the individual more resilient to similar stressors in the future. Stressful events result in the secretion of glucocorticoids (GCs) from the adrenal glands into the blood stream. Early work proved instrumental for developing the concept that these hormones act in the brain to coordinate physiological and behavioral responses to stress through binding to two different GC-binding receptors. Once activated these receptors translocate to the nucleus where they act on target genes to facilitate (or sometimes inhibit) transcription. There are two types of receptors in the brain, the mineralocorticoid receptor (MR), and glucocorticoid receptor (GR). This review summarizes recent work which provides new insights regarding the genomic action of these receptors, both under baseline conditions and following exposure to acute stress. This work is discussed alongside the extensive studies undertaken in this field previously and new, and exciting “big data” studies which have generated a wealth of relevant data. The consequence of these new insights will challenge existing assumptions about the role of MRs and GRs and pave the way for the implementation of novel and improved methodologies to identify the role these corticosteroid receptors have in stress-related behavioral adaptation.

1 January 2015 in Neurobiology of Stress
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Journal Article
Open access
JRJohannes M.H.M. Reul
Johannes M.H.M. Reul
ACAndrew Collins
Andrew Collins
RSRichard S. Saliba
Richard S. Saliba
KMKaren R Mifsud
Karen R Mifsud
SCSylvia D. Carter
Sylvia D. Carter
ALAstrid C.E. Linthorst
Astrid C.E. Linthorst
Glucocorticoid hormones play a pivotal role in the response to stressful challenges. The surge in glucocorticoid hormone secretion after stress needs to be tightly controlled with characteristics like peak height, curvature and duration depending on the nature and severity of the challenge. This is important as chronic hyper- or hypo-responses are detrimental to health due to increasing the risk for developing a stress-related mental disorder. Proper glucocorticoid responses to stress are critical for adaptation. Therefore, the tight control of baseline and stress-evoked glucocorticoid secretion are important constituents of an organism's resilience. Here, we address a number of mechanisms that illustrate the multitude and complexity of measures safeguarding the control of glucocorticoid function. These mechanisms include the control of mineralocorticoid (MR) and glucocorticoid receptor (GR) occupancy and concentration, the dynamic control of free glucocorticoid hormone availability by corticosteroid-binding globulin (CBG), and the control exerted by glucocorticoids at the signaling, epigenetic and genomic level on gene transcriptional responses to stress. We review the beneficial effects of regular exercise on HPA axis and sleep physiology, and cognitive and anxiety-related behavior. Furthermore, we describe that, possibly through changes in the GABAergic system, exercise reduces the impact of stress on a signaling pathway specifically in the dentate gyrus that is strongly implicated in the behavioral response to that stressor. These observations underline the impact of life style on stress resilience. Finally, we address how single nucleotide polymorphisms (SNPs) affecting glucocorticoid action can compromise stress resilience, which becomes most apparent under conditions of childhood abuse.

12 April 2016 in Proceedings of the National Academy of Sciences
Verified
Journal Article
Open access
PDF file
ESEmily A. Saunderson
Emily A. Saunderson
HSHelen Spiers
Helen Spiers
KMKaren R Mifsud
Karen R Mifsud
MGMaria Gutierrez-Mecinas
Maria Gutierrez-Mecinas
ATAlexandra F. Trollope
Alexandra F. Trollope
JRJohannes M.H.M. Reul
Johannes M.H.M. Reul
Significance: Appropriate behavioral responses to psychologically stressful events are important for maintaining mental health and well-being. The consolidation of these behavioral responses critically depends on the induction of the immediate-early gene products FBJ murine osteosarcoma viral oncogene homolog (c-Fos) and early growth response protein 1 (Egr-1) in dentate gyrus neurons. In this report, we found that an intricate balance between DNA methylation, DNA demethylation, and availability of the methyl donor S -adenosyl methionine governs the induction of these genes as well as the behavioral responses after stress. These findings provide insights into the epigenetic control of gene expression underlying stress-induced behavioral adaptation.

1 October 2011 in Brain, Behavior, and Immunity
Verified
Journal Article
Open access
KMKaren R Mifsud
Karen R Mifsud
MGMaría Gutièrrez-Mecinas
María Gutièrrez-Mecinas
ATAlexandra F. Trollope
Alexandra F. Trollope
ACAndrew Collins
Andrew Collins
ESEmily A. Saunderson
Emily A. Saunderson
JRJohannes M.H.M. Reul
Johannes M.H.M. Reul
Epigenetic mechanisms are processes at the level of the chromatin that control the expression of genes but their role in neuro-immuno-endocrine communication is poorly understood. This review focuses on epigenetic modifications induced by a range of stressors, both physical and psychological, and examines how these variations can affect the biological activity of cells. It is clear that epigenetic modifications are critical in explaining how environmental factors, which have no effect on the DNA sequence, can have such profound, long-lasting influences on both physiology and behavior. A signaling pathway involving activation of MEK-ERK1/2, MSK1, and Elk-1 signaling molecules has been identified in the hippocampus which results in the phospho-acetylation of histone H3 and modification of gene expression including up-regulation of immediate early genes such as c-Fos. This pathway can be induced by a range of challenging experiences including forced swimming, Morris water maze learning, fear conditioning and exposure to the radial maze. Glucocorticoid (GC) hormones, released as part of the stress response and acting via glucocorticoid receptors (GRs), enhance signaling through the ERK1/2/MSK1-Elk-1 pathway and thereby increase the impact on epigenetic and gene expression mechanisms. The role of synergetic interactions between these pathways in adaptive responses to stress and learning and memory paradigms is discussed, in addition we speculate on their potential role in immune function.

1 January 2012 in Experimental Neurology
Verified
Journal Article
Closed access
ATAlexandra F. Trollope
Alexandra F. Trollope
MGMaría Gutièrrez-Mecinas
María Gutièrrez-Mecinas
KMKaren R Mifsud
Karen R Mifsud
ACAndrew Collins
Andrew Collins
ESEmily A. Saunderson
Emily A. Saunderson
JRJohannes M.H.M. Reul
Johannes M.H.M. Reul