Ade Kristen K, Wan Yehong, Hamann Harold C, O'Hare Justin K, Guo Weirui, Quian Anna, Kumar Sunil, Bhagat Srishti, Rodriguiz Ramona M, Wetsel William C, Conn P Jeffrey, Dzirasa Kafui, Huber Kimberly M, Calakos Nicole
Departments of Neurology, Duke University Medical Center, Durham, North Carolina; Neurobiology, Duke University Medical Center, Durham, North Carolina.
Department of Neuroscience, University of Texas Southwestern Medical Center, Dallas, Texas.
Biol Psychiatry. 2016 Oct 1;80(7):522-33. doi: 10.1016/j.biopsych.2016.04.023. Epub 2016 May 13.
Development of treatments for obsessive-compulsive disorder (OCD) is hampered by a lack of mechanistic understanding about this prevalent neuropsychiatric condition. Although circuit changes such as elevated frontostriatal activity are linked to OCD, the underlying molecular signaling that drives OCD-related behaviors remains largely unknown. Here, we examine the significance of type 5 metabotropic glutamate receptors (mGluR5s) for behavioral and circuit abnormalities relevant to OCD.
Sapap3 knockout (KO) mice treated acutely with an mGluR5 antagonist were evaluated for OCD-relevant phenotypes of self-grooming, anxiety-like behaviors, and increased striatal activity. The role of mGluR5 in the striatal circuit abnormalities of Sapap3 KO mice was further explored using two-photon calcium imaging to monitor striatal output from the direct and indirect pathways. A contribution of constitutive signaling to increased striatal mGluR5 activity in Sapap3 KO mice was investigated using pharmacologic and biochemical approaches. Finally, sufficiency of mGluR5 to drive OCD-like behavior in wild-type mice was tested by potentiating mGluR5 with a positive allosteric modulator.
Excessive mGluR5 signaling underlies OCD-like behaviors and striatal circuit abnormalities in Sapap3 KO mice. Accordingly, enhancing mGluR5 activity acutely recapitulates these behavioral phenotypes in wild-type mice. In Sapap3 KO mice, elevated mGluR5 signaling is associated with constitutively active receptors and increased and imbalanced striatal output that is acutely corrected by antagonizing striatal mGluR5.
These findings demonstrate a causal role for increased mGluR5 signaling in driving striatal output abnormalities and behaviors with relevance to OCD and show the tractability of acute mGluR5 inhibition to remedy circuit and behavioral abnormalities.
强迫症(OCD)治疗方法的发展因对这种常见神经精神疾病缺乏机制理解而受阻。尽管诸如额纹状体活动增强等神经回路变化与强迫症有关,但驱动强迫症相关行为的潜在分子信号仍 largely 未知。在此,我们研究了 5 型代谢型谷氨酸受体(mGluR5s)对于与强迫症相关的行为和神经回路异常的重要性。
对急性用 mGluR5 拮抗剂处理的 Sapap3 基因敲除(KO)小鼠进行自我梳理、焦虑样行为和纹状体活动增加等与强迫症相关表型的评估。使用双光子钙成像监测直接和间接通路的纹状体输出,进一步探索 mGluR5 在 Sapap3 KO 小鼠纹状体回路异常中的作用。使用药理学和生物化学方法研究组成性信号对 Sapap3 KO 小鼠纹状体 mGluR5 活性增加的贡献。最后,通过用正变构调节剂增强 mGluR5 来测试 mGluR5 在野生型小鼠中驱动强迫症样行为的充分性。
mGluR5 信号过度是 Sapap3 KO 小鼠中强迫症样行为和纹状体回路异常的基础。因此,急性增强 mGluR5 活性在野生型小鼠中重现了这些行为表型。在 Sapap3 KO 小鼠中,mGluR5 信号升高与组成性激活的受体以及增加且失衡的纹状体输出相关,通过拮抗纹状体 mGluR5 可急性纠正这种情况。
这些发现证明了 mGluR5 信号增加在驱动与强迫症相关的纹状体输出异常和行为中起因果作用,并表明急性 mGluR5 抑制对纠正回路和行为异常具有可操作性。