Jin L E, Wang M, Yang S-T, Yang Y, Galvin V C, Lightbourne T C, Ottenheimer D, Zhong Q, Stein J, Raja A, Paspalas C D, Arnsten A F T
Department of Neuroscience, Yale School of Medicine, Yale University, New Haven, CT, USA.
Mol Psychiatry. 2017 Nov;22(11):1615-1625. doi: 10.1038/mp.2016.129. Epub 2016 Aug 9.
Cognitive deficits in psychiatric and age-related disorders generally involve dysfunction of the dorsolateral prefrontal cortex (dlPFC), but there are few treatments for these debilitating symptoms. Group II metabotropic glutamate receptors (mGluR2/3), which couple to Gi/Go, have been a focus of therapeutics based on rodent research, where mGluR2/3 have been shown to reduce axonal glutamate release and increase glial glutamate uptake. However, this strategy has had mixed results in patients, and understanding mGluR2/3 mechanisms in primates will help guide therapeutic interventions. The current study examined mGluR2/3 localization and actions in the primate dlPFC layer III circuits underlying working memory, where the persistent firing of 'Delay cells' is mediated by N-methyl-d-aspartate receptors and weakened by cAMP-PKA-potassium channel signaling in dendritic spines. Immunoelectron microscopy identified postsynaptic mGluR2/3 in the spines, in addition to the traditional presynaptic and astrocytic locations. In vivo iontophoretic application of the mGluR2/3 agonists (2R, 4R)-APDC or LY379268 onto dlPFC Delay cells produced an inverted-U effect on working memory representation, with enhanced neuronal firing following low doses of mGluR2/3 agonists. The enhancing effects were reversed by an mGluR2/3 antagonist or by activating cAMP signaling, consistent with mGluR2/3 inhibiting postsynaptic cAMP signaling in spines. Systemic administration of these agonists to monkeys performing a working memory task also produced an inverted-U dose-response, where low doses improved performance but higher doses, similar to clinical trials, had mixed effects. Our data suggest that low doses of mGluR2/3 stimulation may have therapeutic effects through unexpected postsynaptic actions in dlPFC, strengthening synaptic connections and improving cognitive function.
精神疾病和与年龄相关的疾病中的认知缺陷通常涉及背外侧前额叶皮层(dlPFC)功能障碍,但针对这些使人衰弱的症状的治疗方法却很少。与Gi/Go偶联的II型代谢型谷氨酸受体(mGluR2/3)一直是基于啮齿动物研究的治疗焦点,在啮齿动物研究中,mGluR2/3已被证明可减少轴突谷氨酸释放并增加胶质细胞对谷氨酸的摄取。然而,这一策略在患者中取得的效果参差不齐,了解灵长类动物中mGluR2/3的机制将有助于指导治疗干预。当前的研究检查了mGluR2/3在灵长类动物dlPFC第III层回路中与工作记忆相关的定位和作用,其中“延迟细胞”的持续放电由N-甲基-D-天冬氨酸受体介导,并在树突棘中被cAMP-PKA-钾通道信号减弱。免疫电子显微镜除了在传统的突触前和星形细胞位置外,还在树突棘中鉴定出了突触后mGluR2/3。在体内将mGluR2/3激动剂(2R,4R)-APDC或LY379268离子导入dlPFC延迟细胞,对工作记忆表征产生倒U形效应,低剂量的mGluR2/3激动剂会增强神经元放电。mGluR2/3拮抗剂或激活cAMP信号可逆转这种增强作用,这与mGluR2/3抑制树突棘中的突触后cAMP信号一致。对执行工作记忆任务的猴子全身给药这些激动剂也产生了倒U形剂量反应,低剂量可改善表现,但高剂量(类似于临床试验)的效果参差不齐。我们的数据表明,低剂量的mGluR2/3刺激可能通过dlPFC中意外的突触后作用产生治疗效果,增强突触连接并改善认知功能。