Autism spectrum disorder is marked by severe social deficits. Stanford
researchers were able to reverse those types of deficits in mice by
activating a single brain circuit.
Social behavior in mouse models of autism spectrum disorder
normalized when investigators triggered the release of a specific
signaling substance, serotonin, in a single part of the animals’ brains,
according to a study from the Stanford University School of Medicine.
“This points to a previously understudied brain mechanism that
contributes to an inability to derive pleasure from social
interactions,” said Robert Malenka, MD, PhD, professor and associate chair of psychiatry and behavioral sciences.
The brain mechanisms underlying sociability and social deficits are
poorly understood, complicating attempts to find effective treatments
for autism spectrum disorders, schizophrenia and other neuropsychiatric
disorders marked at least in part by social withdrawal. In the study,
experimental manipulations triggered extensive release of serotonin in a
region of the mice’s brains called the nucleus accumbens. Malenka said
drugs activating a particular subtype of serotonin receptors found in
this region could prove therapeutic in ameliorating the social deficits
of these neuropsychiatric disorders.
The Nancy Friend Pritzker Professor in Psychiatry and Behavioral Sciences, Malenka is the senior author of the study, whose findings were published in Nature. The lead author is postdoctoral scholar Jessica Walsh, PhD.
There are drugs called selective serotonin reuptake inhibitors, or
SSRIs, that increase overall serotonin levels in the brain. But these
widely used antidepressants take weeks to have a therapeutic effect and
sometimes don’t work at all — or eventually stop working. They haven’t
shown efficacy in countering autism spectrum disorder’s social deficits,
either.
‘Turning on the faucet to maximum flow’
“SSRIs increase serotonin levels about as much as a moderately leaky
faucet,” Malenka said. “What we did in this series of experiments in
mice was more like turning on that faucet to maximum flow.” The
researchers also tested the effects on mice’s sociability of suddenly
shutting off the faucet completely.
The nucleus accumbens, a midbrain structure found in all mammals, is a
crucial hub of the brain’s reward circuitry, which is a collection of
brain areas whose networked activity makes us feel good about something
we’ve done or are doing. This, in turn, instructs us to do more of it.
“Evolution has ensured that certain behaviors important for survival —
eating, finding a mate, procreating, successfully escaping from
predators or captivity — feel great,” Malenka said.
In most mammals, social interaction sets off the reward circuitry,
too. “Hanging out with your buddies makes sense from an evolutionary
survival standpoint,” Malenka said. “You’re more likely to find a mate
and less likely to be attacked.” But people with autism spectrum
disorder don’t interact easily with others. They don’t appear to
experience the same rewarding sensation that people without these
illnesses do.
In the new study, the scientists performed experiments that
pinpointed the relevance of serotonin release in the nucleus accumbens
to social activity in mice.
“Mice aren’t little human beings,” Malenka said. “We can’t ask them
how they’re feeling about their social lives. But they provide insights
into the human brain. They can be very useful for studying relatively
primitive mechanisms governing social behavior. For example, if
something makes a mouse want to spend more time with its buddies, that
something is likely to be fun for the mouse.”
Controlling cell signals with light
The scientists inserted genes encoding light-sensitive proteins into
sets of nerve cells in the mice’s brains. The scientists could now
stimulate these nerve cells to fire impulses, or inhibit them from
firing, with laser light delivered by an optical fiber implanted in the
animals’ brains.
First, Malenka and his colleagues sensitized nerve cells to light in
another brain area called the dorsal raphe. This structure, the brain’s
main source of serotonin, sends nerve-cell projections to many brain
areas, including the nucleus accumbens. Then the scientists put mice in
situations in which they could choose to socialize or not. Activating
nerve cells in the dorsal raphe made the mice more sociable.
Next, some mice were bioengineered so that only serotonin-secreting
nerve cells running from the dorsal raphe to the nucleus accumbens were
responsive to light. The scientists focused laser light on the nucleus
accumbens, causing just the serotonin-secreting nerves there to release
the substance — and inducing the same increased sociability. This
experimental step ruled out involvement of other types of nerve cells in
the tract from the dorsal raphe.
But activating this circuitry didn’t make the mice more inclined to
move around or explore inanimate objects, or increase their interest in
food. Serotonin release in the nucleus accumbens appears to reinforce
only social behavior in the animals, Malenka said, making potential
drugs that mimic or enhance this local release less likely to produce
unwanted behaviors, such as drug addiction, overeating and excessive
gambling.
Inhibiting rather than activating serotonin release in the nucleus
accumbens dramatically reduced the sociability of normally friendly
mice. This indicated that serotonin release in the nucleus accumbens
plays an important role in the mice’s normal social behavior.
To explore the possible connection between faulty serotonin-release
circuitry in the nucleus accumbens and neuropsychiatric social deficits,
the scientists zeroed in on one particular version of the more than 10
different known subtypes of receptors for serotonin. This version,
called 5HT-1b, is a major subtype found in the nucleus accumbens. Drugs
targeting 5HT-1b might produce fewer side effects than drugs with more
general serotonin-circuitry effects.
Malenka’s group next turned to mouse models of autism. The scientists
deleted a specific chunk of genetic material from a chromosome in these
mice to mimic an effectively identical genetic deletion in humans that
accounts for about 1 percent of all clinically diagnosed cases of autism
spectrum disorder. In mice, deleting this DNA either in nerve cells
throughout the brain or only in serotonin-secreting nerve cells from the
dorsal raphe produced social deficits in the mice that resemble some of
those associated with its human counterpart.
The researchers found that this mutation significantly weakened
serotonin-secreting activity in the nerve cells originating in the
dorsal raphe, in a manner reminiscent of the direct inhibition of
serotonin-secreting nerve cells that caused social deficits in normal
mice. By using light to directly force those nerve cells’ release of
serotonin in the nucleus accumbens, the researchers could restore normal
social behavior in the mouse models of autism. They were also able to
restore normal sociability by infusing a drug that directly targets and
activates 5HT-1b receptors in the nucleus accumbens, a result suggesting
similar drugs might be beneficial in treating social behavior deficits.
Malenka expressed surprise at the consistency and strength of the
study’s results. “They couldn’t have come out any better if I’d made
them up,” he said. “Usually you see some variability — some mice are
having a bad hair day, others are having a good hair day. This time, we
got similar results in almost every single animal we tested.”
(Source: med.stanford.edu)