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The dopaminergic circuit in control of compulsive eating behavior
                                       Bokyeong Kim and Ja-Hyun Baik
            Molecular Neurobiology Laboratory, Department of Life Sciences, Korea University, Seoul 02841, Republic of Korea

                   BACKGROUND                                                  AIM

   Dopamine serves a central role in motivated behavior and reward processing, in which  Palatable food drives hedonic food consumption, and hedonic drive to feed is a key contributor to food
   dopamine D2 receptor (D2R) is intimately involved. Food addiction is characterized by a loss of  addiction resulting in obesity. Striatal dopamine D2 receptors were downregulated in obese rats and
                                                          knockdown of D2R expression in striatum rapidly accelerated compulsive eating behavior despite of
   behavioral control and compulsive food intake results in obesity. Reduction of striatal D2R
                                                          punishments, which suggests that D2R is intimately involved in compulsive eating behavior. We aimed to
   availability is observed in obese patients. The similar deficit is also detected in drug addicts,  identify the dopaminergic circuit involved in appetite control for a better understanding of the role of reward
   suggesting D2R is important to compulsive behavior towards the reward.  system in food addiction.
                                                METHODS
   Compulsive eating behavior was analyzed by the light/dark box test in which the amount of the food consumption is measured after 14 days of palatable food access with D2R knockout (D2R-/-)
   or D2R-Cre transgenic mice. Optogenetic inhibition was induced by AAV-DIO-NpHR3.0-eYFP viral gene delivery into D2R (+) neurons in the central nucleus of the amygdala (CeA) and optic
   fiber implantation into the bed nucleus of the stria terminalis (BNST) of D2R-Cre mice.
                                                RESULTS

                                     evoked IPSPs in a neuron negative for both D2R and ChR2 (right). (D)
    Absence of dopamine D2 receptors increased   Photostimulation mapping of local inhibitory input to a ChR2-negative
    compulsive eating behavior in Light /dark box   neuron. (E) Schematic for injection of ChR2-EYFP and implantation of a
    test                             fiber-optic cannula in the CeA of D2R-Cre mice. (F) Total travel distance
                                     in the open-field test during laser-on and laser-off periods for WT (n = 8)
                                     and D2R-Cre (n = 6) mice. (G) Scheme for determining the effects of
                                     optogenetic stimulation on performance in the 5-CSRTT. (H) Percentage
                                     omission, accuracy and premature response during 15 min averaged over
                                     the four test sessions of the 5-CSRTT performed with WT (n = 9) and
                                     D2R-Cre (n = 6) mice. **P < 0.01 versus laser off, †P < 0.05 versus
                                     corresponding WT value, genotype x light stimulation interaction in
                                     premature response (%); F (1, 26) = 5.24, P = 0.0304 with two-way ANOVA
                                     followed by Bonferroni test. (I) Time course omission (%), accuracy (%)
                                     and premature response (%) in the 5-CSRTT as in (H). *P < 0.05 versus the
                                     corresponding value for WT (unpaired Student’s t test). All data are
                                     means ± SEM.
                                                                        Fig 4. Analysis of compulsive eating behavior using optogenetics. (A)
                                      Photostimulation of D2R-positive neurons in   Schematic diagram of AAV-DIO-eNpHR3.0-EYFP injectionf into the CeA of
                                                                        D2R-Cre mice and implanted fiber optic cannula into bed nucleus of the
                                      the CeA regulates impulsive behavior   stria terminalis (BNST). (B) Selective activation of D2R-expressing neurons
                                                                        from CeA to BNST was achieved by 532nm laser during light/dark box
                                                                        test for analysis of compulsive eating behavior. Test was done for 25min
                                                                        divided into repeated laser off-laser on period (5min x 5 ). (C) Basal body
                                                                        weight of WT and D2R-Cre mice for 7 days. (D) Basal food intake of WT
   Fig 1. Compulsive-like eating behavior analysis with light/dark box test  and D2R-Cre mice for 7 days. (E) Result of L/D Pre-test with WT and D2R-
   in WT and Drd2 –/– mice.                                             Cre mice. There was no difference in preference of each box between WT
   (A) Experimental scheme of light/dark box test with WT and Drd2 –/– mice  and D2R-Cre mice. (F) The number of crossover of L/D Pre-test with WT
   to investigate phenotype of compulsive eating behavior. Mice were    and D2R-Cre mice. There was no significant difference between WT and
   induced strong preference for high-calorie palatable food for 14 days. (B)  D2R-Cre mcie C-F; WT n=16, D2R-Cre n= 16. (G) Time spent in each box
   Representative image of light/dark box test. (C) Basal body weight of WT  during L/D test. (H) Food intake of normal chow in dark box or normal
   and Drd2 –/– mice for 7 days. *** P < 0.001, student unpaired t-test. (D)  chow/palatable food placed in light box for 25 min test session of WT
   Basal food intake of WT and Drd2 –/– mice for 7 days. * P < 0.05, student  and D2R-Cre mice. (I) Total food inatke in light box for 25 min. *** P
   unpaired t-test. C-D; WT n=38, Drd2 –/– n=38. (E) Spent time in dark or  < 0.001,# p <0.05, two-way ANOVA followed by bonferroni post-test. (J)
   light box for 15min (test session) of WT and Drd2 –/– mice. ### P <0.0001;  Food intake of WT and D2R-Cre in NC, PF groups during laser off of laser
   WT versus Drd2 –/– in dark box, ††† P<0.0001; WT versus Drd2 –/– in light box,  on period in L/D test (Palatable food: Two-way ANOVA followed by
   *** P<0.0001; light box versus dark box in Drd2 –/– , interaction; F 1,158 =59.43,  bonferroni test, genotype x light interaction: F 1,28 =7.32, P=0.0115; G-J; WT
   P < 0.0001, Two-way ANOVA. (F) The number of crossover for 15min (test  n=8, D2R-Cre n=8).
   session) of WT and Drd2 –/– mice. Student t-test, ***p<0.0001. E-F; WT
   n=39, Drd2 –/– n=42. (G) Spent time in light box in light/dark box pre-test  CONCLUSION
   and test. (H) Food intake of palatable food placed in the light box during
   light/dark box test. Two-way ANOVA analysis, NC vs. PF ***P<0.0001, WT
   vs Drd2 –/– . ###P < 0.0001, F 1,77 =15.55. (I) The number of crossover for  We investigated novel dopaminergic circuitry regulating compulsive eating
   15min (test session) of WT and Drd2 –/– . G-I; WT-NC n=23, WT-PF n=21,
   KO-NC n=23, KO-PF n=23.                                               behavior through dopamine D2 receptors (D2Rs). In the light/dark box test,
                                     Fig. 3. D2R-expressing neurons in the CeA → BNST circuit regulate  Drd2 –/– mice showed severe compulsive eating behavior in the aversive
   Photostimulation of D2R-positive neurons in   impulsive behavior. (A) Confocal images of patch-clamped neurons  context. Central nucleus of the amygdala is known to be crucial for choice
                                      (arrows; labeled red with Alexa Fluor 594) in the BNST of D2R-Cre mice
   the CeA regulates impulsive behavior   (n = 2) injected with AAV-DIO-ChR2-EYFP into their CeA. The neurons  of incentive-reward and feeding behaviors. We previously identified that
                                      were stained with antibodies to VGAT (blue). (B) Fraction of BNST  D2R-expressing neurons in the CeA innervating to BNST regulate reward-
                                      neurons examined (n = 45) that were positive or negative for  related impulsivity. Selective optogenetic activation of D2R-expressing
                                      photostimulation-induced IPSPs or VGAT immunoreactivity (n = 14). (C)  neurons in CeABNST circuit induced deacrease of impulsivity (Kim et al.,
                                      Representative light-evoked IPSCs recorded from VGAT(+) and VGAT(−)
                                      neurons in the BNST. IPSC traces are the averages of five trials, measured  PNAS,  2018). Here, we observed that optogenetic inhibition of
                                      at a holding potential of −50 mV, and were low-pass-filtered (200 Hz). (D)  CeABNST circuit enhanced compulsive eating behavior. We are
                                      Amplitude of photostimulation-evoked IPSCs in VGAT(+) (n = 7) and  currently investigating functional brain circuit regulating appetite control.
                                      VGAT(−) (n = 3) BNST neurons (holding potential, −50 mV). Data were  Our present findings may contribute to widen therapeutic strategies for
                                      analyzed from two mice. (E) Schematic diagram of AAV-DIO-ChR2-EYFP
                                      injection into the CeA and implantation of a fiber-optic cannula into the  obesity and reward-related psychiatric disorders accompanied with eating
                                      BNST of D2R-Cre mice (D2R-Cre CeA→BNST ) for analysis in F–H. (F) Total  disorders.
                                      travel distance per minute in the open-field test for WT (n = 5) and D2R-
                                      Cre CeA→BNST (n = 3) mice during laser-off and laser-on (3 min, 5 Hz, 10
                                      mW) periods. (G) Percentage omission, accuracy, and premature response  REFERENCES
                                      in the 5-CSRTT for WT (n = 17) and D2R-Cre CeA→BNST (n = 8) mice. *P
                                      <  0.05  versus  corresponding  laser-off  value;  †P  <  0.05  versus
                                      corresponding WT; genotype × light stimulation interaction in premature  1. Bokyeong Kim et al, (2018) Proc Natl Acad Sci U S A. 115(45):E10730-E10739.
                                      response (%): F (1, 30) = 7.96, P = 0.0084 with two-way ANOVA followed by
                                      Bonferroni test. (H) Time course omission (%), accuracy (%), and  2. Oana Georgiana Rus et al, (2017) NeuroImage: Clinical 13, 246-255.
                                      premature response (%) in the 5-CSRTT as in G. *P < 0.05 versus the  3. Paul M Johnson and Paul J Kenny, (2010) Nature Neuroscience 13, 635–641.
                                      corresponding value for WT (unpaired Student’s t test). All data are
                                      means ± SEM.                       4. Akiyo Natsubori et al, (2017) Journal of Neuroscience 37 (10) 2723-273 .
                                                                         5. Mike J.F. Robinson, Shelley M. Warlow and Kent C. Berridge. (2014) Journal
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                                      CeABNST circuit increased compulsive eating
                                                                           ACKNOWLEDGEMENTS
                                      behavior
   Fig. 2. Photoactivation of D2R-positive neurons in the CeA regulates  This work was supported by the Bio & Medical Technology Development
   impulsive behavior. (A) Coronal section of the brain of a D2R-Cre mouse  Program Grant no: 2016M3A9D5A01952412
   injected  into  the  CeA  as  indicated  with  ChR2-EYFP.  (B)
   Immunofluorescence staining for Cre as well as DAPI staining and EYFP
   fluorescence (ChR2) for a section of the CeA of a D2R-Cre mouse injected  Contact information
   as in (A). Percent double-labeled cells out of the whole Cre-positive cell
   population, and out of the whole ChR2-expressing cell population as     First author: bobobo90@naver.com
   counted from high-magnification confocal z-stacks (n = 7 slices per   
   animal from 2 mice). (C) Representative recordings of light- evoked action    Corresponding author: jahyunb@korea.ac.kr
   potentials in a ChR2-expressing D2R-positive neuron (left) and light-
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