Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Behavioral Biology Program, McLean Hospital, Belmont, MA, USA.
Neuropsychopharmacology. 2022 Feb;47(3):767-775. doi: 10.1038/s41386-021-01250-9. Epub 2021 Dec 17.
Exposure to early-life adversity (ELA) is associated with several neuropsychiatric conditions, including major depressive disorder, yet causality is difficult to establish in humans. Recent work in rodents has implicated impaired reward circuit signaling in anhedonic-like behavior after ELA exposure. Anhedonia, the lack of reactivity to previously rewarding stimuli, is a transdiagnostic construct common to mental illnesses associated with ELA. Here, we employed an assay of reward responsiveness validated across species, the Probabilistic Reward Task (PRT). In the PRT, healthy participants reliably develop a response bias toward the more richly rewarded stimulus, whereas participants with anhedonia exhibit a blunted response bias that correlates with current and future anhedonia. In a well-established model of ELA that generates a stressful, chaotic, and unpredictable early-life environment, ELA led to blunted response biases in the PRT in two separate cohorts, recapitulating findings in humans with anhedonia. The same ELA rats had blunted sucrose preference, further supporting their anhedonic-like phenotypes. Probing the aspects of ELA that might provoke these deficits, we quantified the unpredictability of dam/pup interactions using entropy measures and found that the unpredictability of maternal care was significantly higher in the ELA groups in which PRT and sucrose preference reward deficits were present later in life. Taken together, these data position the PRT, established in clinical patient populations, as a potent instrument to assess the impact of ELA on the reward circuit across species. These findings also implicate the unpredictability of maternal signals during early life as an important driver of reward sensitivity deficits.
早期生活逆境(ELA)暴露与多种神经精神疾病有关,包括重度抑郁症,但在人类中很难确定因果关系。最近啮齿动物的研究表明,ELA 暴露后,快感缺失样行为与奖励回路信号转导受损有关。快感缺失是指对先前有奖励作用的刺激缺乏反应性,是一种与 ELA 相关的精神疾病共有的跨诊断结构。在这里,我们采用了一种在不同物种中都经过验证的奖励反应性测定方法,即概率奖励任务(PRT)。在 PRT 中,健康参与者可靠地形成了对更丰富奖励刺激的反应偏好,而快感缺失患者则表现出反应偏好迟钝,与当前和未来的快感缺失相关。在一种建立良好的 ELA 模型中,该模型产生了压力大、混乱和不可预测的早期生活环境,ELA 导致 PRT 中的反应偏好迟钝,在两个独立的队列中重现了快感缺失患者的发现。同样的 ELA 大鼠对蔗糖的偏好降低,进一步支持了它们的快感缺失样表型。为了探究可能导致这些缺陷的 ELA 方面,我们使用熵测度量化了母鼠/幼鼠相互作用的不可预测性,发现 PRT 和蔗糖偏好奖励缺陷在生命后期出现的 ELA 组中,母鼠照顾的不可预测性明显更高。总的来说,这些数据将 PRT 确定为一种有力的工具,可用于评估 ELA 对跨物种奖励回路的影响,该工具已在临床患者群体中建立。这些发现还表明,早期生命中母鼠信号的不可预测性是奖励敏感性缺陷的一个重要驱动因素。