Neural Mechanisms Linking Behavioral Dysregulation in Substance Abuse, Psychopathology and Stress

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Neural Mechanisms Linking Behavioral Dysregulation in Substance Abuse, Psychopathology and Stress Anthony A. Grace, Ph.D. Departments of Neuroscience, Psychiatry and Psychology University of Pittsburgh

Stress, Anxiety, and its consequences Stress is a part of our everyday lives. But the impact of stress can have very different effects: -Stress can lead to anxiety, that provides motivation and helps us to avoid reckless or dangerous activities -However, when stress is experienced in excess, either in terms of intensity or duration, it can have deleterious consequences -Depending on the individual, stress can lead to major psychiatric disorders, including drug abuse, post-traumatic stress disorder, depression, or suicide -Stress is also a precipitating factor in disorders such as schizophrenia We have found that stress can have very different effects on the dopamine system that correlate with its effects on activation or depression of responses

Stress can be defined in a number of ways depending on the experiment A stressor can be noxious, it can be physiological, and it can be psychological, with each type of stressor affecting the system in common or unique ways. How does a simple single noxious stimulus affect single dopamine neurons?

Single Footshock Stimuli Produce Excitation and Inhibition of DA Neuron Firing Depending on Location Medial VTA Lateral VTA In contrast, neurochemical studies show that stressors increase DA release in postsynaptic targets However, this may be related to the type of DA neuron recording performed

VTA Population Activity Spontaneously active DA neuron Population Activity Firing Rate Firing Pattern silent DA neuron

In Contrast to Single Stimuli, Repeated Footshock Induces a Transient Increase in DA Neuron Population Activity Selectively in the Medial VTA This is consistent with neurochemical studies of DA release in response to footshock What other stress-related systems that affect DA neurons are affected by footshock?

15 10 5 Footshock Stimulation Activates Ventral Hippocampal Neurons 0-60 -40-20 0 20 40 60 ti Stimulation of the Basolateral Amygdala Also Drives Ventral Hippocampal Neuron Firing 1 firing rate (Hz) Locus Coeruleus Stimulation Activates Ventral Hippocampal Firing 40 35 30 25 20 15 10 5 0-1 -0.5 0 0.5 1 1.5 2 time (s) 0.5 0 voltage (mv) -0.5 The Ventral Hippocampus exerts unique effects on DA neuron activity -1 0 20 40 time (ms)

Activation of the hippocampal-nac pathway increases DA neuron population activity, but does not affect burst firing Hippocampus Dentate Gyrus CA1 CA3 CA2 CA3 CA2 NMDA Subiculum + KYN Nucleus Accumbens (GABA) # DA cells/track (population activity) 2.5 2.0 1.5 1.0 0.5 0.0 PPTg + VTA VP (GABA) reduced GABA input % spikes in bursts 40 30 20 10 0 5 Firing rate (Hz) 4 3 DA neuron population activity no effect bursting activity 2 1 0 Veh vsub NMDA + NAc Kyn

Inactivation of the Ventral Subiculum Prevents Repeated Footshock-Induced Activation of VTA DA Neuron Firing

Activating Stressor Hippocampus Hippocampal hyperactivity would silent allow more DA DA neuron neurons inhibited to be by available GABAergic for behavioral input from activation VP (+) N. Accumbens (-) Ventral Pallidum (GABA) VP inactivation Modulation of DA neuron population activity affects phasic DA neuron responses

DA Neuron Firing Pattern Irregular Firing 10.00 100.00 Burst Firing 10.00 100.00

Activation of the pedunculopontine nucleus increases DA neuron burst firing, but does not affect population activity 2.0 Pedunculopontine nucleus # DA cells/track (population activity) 1.0 0.0 bicc Increased excitatory input Glu/ACh + VTA Selective increase in DA neuron BURST FIRING % spikes in bursts Firing rate (Hz) 40 30 20 10 0 5 4 3 2 1 0 Veh PPTg bicc

Regulation of Phasic DA Neuron Activity Spontaneously active DA neuron (disinhibited) silent DA neuron inhibited by GABAergic input from VP PPTg (Glutamate) NMDA only affects depolarized, spontaneously firing DA neurons

Model: By setting the baseline tonic discharge of dopamine neurons, the hippocampal subiculum (via the accumbens-ventral pallidum) controls the number of dopamine neurons that can be phasically activated by the PPTg Therefore, the PPTg provides the signal, and the ventral subiculum is the gain or the level of amplification of this signal The ventral subiculum of the hippocampus plays a role in context-dependent processing, which sets the type of response that is appropriate with the current context or setting The gain is a property of the context, and can be varied depending on the characteristics of the environment

Gain Spontaneously active DA neuron (disinhibited) Signal silent DA neuron inhibited by GABAergic input from VP Hippocampus Subiculum (indirect via Nac-VP) PPTg (Glutamate)

Therefore repeated noxious stimuli increase the amplitude of phasic DA responses by increasing DA neuron population activity Psychological stressors, particularly when severe, can also increase DA system responsivity via sensitization Such stressors play a prominent role in drug abuse and across psychiatric disorders

Two Hours of Restraint Stress Increases Tonic DA Neuron Firing to Baseline 10.0 2.5 Ave FR (Hz) 7.5 5.0 2.5 Cells/Track 2.0 1.5 1.0 0.5 0.0 Control * 2 hour restraint Ave % Burst Firing 0.0 50 40 30 20 10 Control 2 hour restraint 0 Control 2 hour restraint

vsub Inactivation by TTX Restores Tonic DA Neuron Firing 10.0 Cells/Track 2.5 * 2.0 1.5 1.0 0.5 0.0 SAL 2 hours restraint Ave FR (Hz) Ave % Burst Firing 7.5 5.0 2.5 0.0 50 40 30 20 10 SAL 2 hours restraint 0 SAL 2 hours restraint

vsub Inactivation by TTX Reverses Stress-Induced Sensitization to Amphetamine percent change from AMPH 600 400 200 0 0 30 60 90 120 150 Time (min) CTRL Acute Restraint (AR) percent change from AMPH 600 400 200 0 0 30 60 90 120 150 Time (min) AR AR + TTX

Cells/Track Repeated Amphetamine Treatment, like Restraint Stress, Increases Tonic DA Neuron Firing 2.5 2.0 1.5 1.0 0.5 0.0 Control * Acute * Chronic Cells/Track 2.5 * 2.0 1.5 1.0 0.5 0.0 SAL AMPH Distance (cm) 7000 6000 5000 4000 3000 2000 1000 TTX in vsub reverses Amphet sensitization 0 0 20 40 60 80 100 120 Time (mins) * * * * * * dpbs TTX Amphetamine sensitization is also context-dependent, and cross-sensitizes with stress via the same neuronal substrates

Benign Context: Behaviorally Salient Stimulus Pedunculopontine Tegmentum DA Ventral Subiculum

Restraint- or Amphetamine-induced Activation: Behaviorally Salient Stimulus Pedunculopontine Tegmentum DA Ventral Subiculum

Acute or repeated restraint stress as well as amphetamine sensitization therefore increases DA neuron responsivity by causing a hippocampal-dependent activation of DA neuron firing. This activation could be related to stress disorders such as drug abuse and PTSD, in which the system is oriented towards increased response to stimuli In contrast, following an acute stressor there is often an opposite effect induced; one of sustained attenuation of DA neuron activity

Effects of Chronic Cold Stress on VTA DA Neuron Activity 1.2 # active cells per track 1.0 0.8 0.6 0.4 0.2 0.0 controls cold-exposed firing rate (Hz) 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 controls cold-exposed % spikes in bursts 45 40 35 30 25 20 15 10 5 0 controls cold-exposed

Chronic Cold Stress decreases DA neuron population activity primarily in reward-related medial VTA

Chronic Cold Stress Decreases Behavioral Response to Amphetamine Tot mov distance (cm) 1200 CTRL CCE 1000 800 600 400 200 0 0 30 60 90 120 Time (min)

Chronic Cold Stress- Induced Attenuation: Behaviorally Salient Stimulus Pedunculopontine Tegmentum Ventral Subiculum

Conclusions and Hypothesis: These studies suggest that stress can affect DA transmission and behavior via distinct mechanisms: Stressors that are behaviorally activating tend to increase DA neuron drive in a context-dependent manner, whereas those associated with depressed conditions attenuate DA neuron drive. The population activity, or number of dopamine neurons firing, we propose reflects the responsivity of the DA system to external stimuli.

Ali Charara Pauline Belujon Pierangelo Cifelli Deanne Buffalari Chun-hui Chang Cynthia Correll Yijuan Du Samuel Ewing Stan Floresco Krysta Fox Mehdi Ghajarnia Kathryn Gill Yukiori Goto David Harden Jeffrey Hollerman Hank Jedema David Jentsch Antonieta Lavin Steve Laviolette Acknowledgements Dan Lodge Witek Lipski Michael Mana Holly Moore Eric Nisenbaum Patricio O Donnell Shao-Pii Onn Vince McGinty Michele Pucak Meera Ramsooksing Heather Rose J. Amiel Rosenkranz Thibault Sesia Ian Smith Judy Thompson Chris Todd Ornella Valenti Anthony West Collaborators: Margarita Behrens, UCSD James Cook, UWM Susan Sesack, Univ. Pitt. Linda Rinaman, Univ. Pitt