Department of Psychiatry, McLean Hospital, Harvard Medical School, Belmont, Massachusetts 02478 and.
Lurie Center for Autism, Massachusetts General Hospital, Harvard Medical School, Lexington, Massachusetts 02421.
J Neurosci. 2018 Mar 28;38(13):3358-3372. doi: 10.1523/JNEUROSCI.3642-17.2018. Epub 2018 Feb 28.
Inflammatory processes may be involved in the pathophysiology of neuropsychiatric illnesses including autism spectrum disorder (ASD). Evidence from studies in rodents indicates that immune activation during early development can produce core features of ASD (social interaction deficits, dysregulation of communication, increases in stereotyped behaviors, and anxiety), although the neural mechanisms of these effects are not thoroughly understood. We treated timed-pregnant mice with polyinosinic:polycytidylic acid (Poly I:C), which simulates a viral infection, or vehicle on gestational day 12.5 to produce maternal immune activation (MIA). Male offspring received either vehicle or lipopolysaccharide, which simulates a bacterial infection, on postnatal day 9 to produce postnatal immune activation (PIA). We then used optogenetics to address the possibility that early developmental immune activation causes persistent alterations in the flow of signals within the mPFC to basolateral amygdala (BLA) pathway, a circuit implicated in ASD. We found that our MIA regimen produced increases in synaptic strength in glutamatergic projections from the mPFC to the BLA. In contrast, our PIA regimen produced decreases in feedforward GABAergic inhibitory postsynaptic responses resulting from activation of local circuit interneurons in the BLA by mPFC-originating fibers. Both effects were seen together when the regimens were combined. Changes in the balance between excitation and inhibition were differentially translated into the modified spike output of BLA neurons. Our findings raise the possibility that prenatal and postnatal immune activation may affect different cellular targets within brain circuits that regulate some of the core behavioral signs of conditions such as ASD. Immune system activation during prenatal and early postnatal development may contribute to the development of autism spectrum disorder (ASD). Combining optogenetic approaches and behavioral assays that reflect core features of ASD (anxiety, decreased social interactions), we uncovered mechanisms by which the ASD-associated behavioral impairments induced by immune activation could be mediated at the level of interactions within brain circuits implicated in control of emotion and motivation (mPFC and BLA, specifically). Here, we present evidence that prenatal and postnatal immune activation can have different cellular targets in the brain, providing support to the notion that the etiology of ASD may be linked to the excitation/inhibition imbalance in the brain affecting the signal flow within relevant behavior-driving neural microcircuits.
炎症过程可能与包括自闭症谱系障碍 (ASD) 在内的神经精神疾病的病理生理学有关。来自啮齿动物研究的证据表明,早期发育期间的免疫激活可产生 ASD 的核心特征(社交互动缺陷、沟通失调、刻板行为增加和焦虑),尽管这些影响的神经机制尚不清楚。我们用聚肌胞苷酸 (Poly I:C) 处理时间怀孕的小鼠,该物质模拟病毒感染,或在妊娠第 12.5 天用载体处理,以产生母体免疫激活 (MIA)。雄性后代在出生后第 9 天接受载体或脂多糖处理,以产生产后免疫激活 (PIA)。然后,我们使用光遗传学来研究早期发育性免疫激活是否会导致内侧前额叶皮层 (mPFC) 到基底外侧杏仁核 (BLA) 通路中信号流的持续改变,该回路与 ASD 有关。我们发现,我们的 MIA 方案导致 mPFC 到 BLA 的谷氨酸能投射中的突触强度增加。相比之下,我们的 PIA 方案导致源自 mPFC 的纤维激活 BLA 中的局部回路中间神经元后,前馈 GABA 能抑制性突触后反应减少。当方案结合时,这两种效应都出现了。兴奋和抑制之间的平衡变化被不同地转化为 BLA 神经元的修改后的尖峰输出。我们的发现提出了这样一种可能性,即产前和产后免疫激活可能会影响调节 ASD 等疾病的一些核心行为体征的大脑回路中的不同细胞靶标。免疫系统在产前和早期产后发育期间的激活可能会导致自闭症谱系障碍 (ASD) 的发展。我们结合光遗传学方法和反映 ASD 核心特征(焦虑、社交互动减少)的行为测定法,揭示了免疫激活引起的 ASD 相关行为障碍可以在调节情绪和动机的大脑回路内相互作用水平上得到介导的机制(特别是 mPFC 和 BLA)。在这里,我们提供了证据表明,产前和产后免疫激活在大脑中可能有不同的细胞靶标,为 ASD 的病因可能与影响相关行为驱动神经微回路中信号流的大脑兴奋/抑制失衡有关的观点提供了支持。