Xu M, Li L, Pittenger C
Department of Psychiatry, Yale University, New Haven, CT, United States.
Department of Psychiatry, Yale University, New Haven, CT, United States; Department of Psychology, Yale University, New Haven, CT, United States; Child Study Center, Yale University, New Haven, CT, United States; Interdepartmental Neuroscience Program, Yale University, New Haven, CT, United States.
Neuroscience. 2016 Jun 2;324:321-9. doi: 10.1016/j.neuroscience.2016.02.074. Epub 2016 Mar 8.
Tic disorders, including Tourette syndrome (TS), are thought to involve pathology of cortico-basal ganglia loops, but their pathology is not well understood. Post-mortem studies have shown a reduced number of several populations of striatal interneurons, including the parvalbumin-expressing fast-spiking interneurons (FSIs), in individuals with severe, refractory TS. We tested the causal role of this interneuronal deficit by recapitulating it in an otherwise normal adult mouse using a combination transgenic-viral cell ablation approach. FSIs were reduced bilaterally by ∼40%, paralleling the deficit found post-mortem. This did not produce spontaneous stereotypies or tic-like movements, but there was increased stereotypic grooming after acute stress in two validated paradigms. Stereotypy after amphetamine, in contrast, was not elevated. FSI ablation also led to increased anxiety-like behavior in the elevated plus maze, but not to alterations in motor learning on the rotorod or to alterations in prepulse inhibition, a measure of sensorimotor gating. These findings indicate that a striatal FSI deficit can produce stress-triggered repetitive movements and anxiety. These repetitive movements may recapitulate aspects of the pathophysiology of tic disorders.
抽动障碍,包括图雷特综合征(TS),被认为涉及皮质 - 基底神经节环路的病理变化,但其病理机制尚未完全明确。尸检研究表明,患有严重难治性TS的个体中,包括表达小白蛋白的快速放电中间神经元(FSIs)在内的几种纹状体中间神经元群体数量减少。我们通过使用转基因 - 病毒细胞消融方法在原本正常的成年小鼠中重现这种中间神经元缺陷,来测试其因果作用。双侧FSIs减少了约40%,与尸检中发现的缺陷情况相似。这并未产生自发的刻板动作或抽动样运动,但在两种经过验证的范式中,急性应激后刻板修饰行为增加。相比之下,苯丙胺诱导后的刻板行为并未增加。FSIs消融还导致高架十字迷宫中焦虑样行为增加,但对转棒试验中的运动学习或对感觉运动门控指标的前脉冲抑制没有影响。这些发现表明,纹状体FSIs缺陷可导致应激触发的重复运动和焦虑。这些重复运动可能概括了抽动障碍病理生理学的某些方面。