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      Early life stress dysregulates kappa opioid receptor signaling within the lateral habenula

      research-article
      , , , , , ,
      Neurobiology of Stress
      Elsevier
      Lateral habenula, LHb, Kappa opioid receptor, KOR, Dynorphin, Early life stress, action potential, (AP), adverse childhood experiences, (ACE), artificial cerebral spinal fluid, (ACSF), corticotropin-releasing factor, (CRF), dopamine, (DA), dynorphin, (Dyn), early life stress, (ELS), fastafterhyperpolarization, (fAHP), hyperpolarization activated cation current, (HCN, Ih), input resistance, (Rin), inter-event interval, (IEI), Kappa opioid receptor, (KOR), maternal deprivation, (MD), medium afterhyperpolarization, (mAHP), miniature excitatory postsynaptic current, (mEPSC), miniature inhibitory postsynaptic current, (mIPSC), non-maternally deprived, (non-MD), nucleus accumbens, (NAc), postnatal age, (PN), raphe nuclei, (RN), rostromedial tegmental area, (RMTg), serotonin, (5HT), ventral tegmental area, (VTA)

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          Abstract

          The lateral habenula (LHb) is an epithalamic brain region associated with value-based decision making and stress evasion through its modulation of dopamine (DA)-mediated reward circuitry. Specifically, increased activity of the LHb is associated with drug addiction, schizophrenia and stress-related disorders such as depression, anxiety and posttraumatic stress disorder. Dynorphin (Dyn)/Kappa opioid receptor (KOR) signaling is a mediator of stress response in reward circuitry. Previously, we have shown that maternal deprivation (MD), a severe early life stress, increases LHb spontaneous neuronal activity and intrinsic excitability while blunting the response of LHb neurons to extrahypothalamic corticotropin-releasing factor (CRF) signaling, another stress mediator. CRF pathways also interact with Dyn/KOR signaling. Surprisingly, there has been little study of direct KOR regulation of the LHb despite its distinct role in stress, reward and aversion processing. To test the functional role of Dyn/KOR signaling in the LHb, we utilized ex-vivo electrophysiology combined with pharmacological tools in rat LHb slices. We show that activation of KORs by a KOR agonist (U50,488) exerted differential effects on the excitability of two distinct sub-populations of LHb neurons that differed in their expression of hyperpolarization-activated cation currents (HCN, Ih). Specifically, KOR stimulation increased neuronal excitability in LHb neurons with large Ih currents (Ih+) while decreasing neuronal excitability in small/negative Ih (Ih-) neurons. We found that an intact fast-synaptic transmission was required for the effects of U50,488 on the excitability of both Ih- and Ih+ LHb neuronal subpopulations. While AMPAR-, GABA AR-, or NMDAR-mediated synaptic transmission alone was sufficient to mediate the effects of U50,488 on excitability of Ih- neurons, either GABA AR- or NMDAR-mediated synaptic transmission could mediate these effects in Ih+ neurons. Consistently, KOR activation also altered both glutamatergic and GABAergic synaptic transmission where stimulation of presynaptic KORs uniformly suppressed glutamate release onto LHb neurons while primarily decreased or in some cases increased GABA release. We also found that MD significantly increased immunolabeled Dyn (the endogenous KOR agonist) labeling in neuronal fibers in LHb while significantly decreasing mRNA levels of KORs in LHb tissues compared to those from non-maternally deprived (non-MD) control rats. Moreover, the U50,488-mediated increase in LHb neuronal firing observed in non-MD rats was absent following MD. Altogether, this is the first demonstration of the existence of functional Dyn/KOR signaling in the LHb that can be modulated in response to severe early life stressors such as MD.

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          Highlights

          • Lateral Habenula (LHb) neurons differ in synaptic activity and membrane properties.

          • Kappa opioid receptors (KOR) alter excitability of distinct LHb neurons.

          • KOR stimulation alters GABAergic and glutamatergic synaptic signaling in LHb.

          • Early life stress increases dynorphin A protein in LHb, decreases KOR expression.

          • Early life stress blunts LHb neuronal responses to KOR signaling.

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          Most cited references90

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          Adverse childhood experiences and the risk of depressive disorders in adulthood.

          Research examining the association between childhood abuse and depressive disorders has frequently assessed abuse categorically, thus not permitting discernment of the cumulative impact of multiple types of abuse. As previous research has documented that adverse childhood experiences (ACEs) are highly interrelated, we examined the association between the number of such experiences (ACE score) and the risk of depressive disorders. Retrospective cohort study of 9460 adult health maintenance organization members in a primary care clinic in San Diego, CA who completed a survey addressing a variety of health-related concerns, which included standardized assessments of lifetime and recent depressive disorders, childhood abuse and household dysfunction. Lifetime prevalence of depressive disorders was 23%. Childhood emotional abuse increased risk for lifetime depressive disorders, with adjusted odds ratios (ORs) of 2.7 [95% confidence interval (CI), 2.3-3.2] in women and 2.5 (95% CI, 1.9-3.2) in men. We found a strong, dose-response relationship between the ACE score and the probability of lifetime and recent depressive disorders (P<0.0001). This relationship was attenuated slightly when a history of growing up with a mentally ill household member was included in the model, but remained significant (P<0.001). The number of ACEs has a graded relationship to both lifetime and recent depressive disorders. These results suggest that exposure to ACEs is associated with increased risk of depressive disorders up to decades after their occurrence. Early recognition of childhood abuse and appropriate intervention may thus play an important role in the prevention of depressive disorders throughout the life span.
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            Ketamine blocks bursting in the lateral habenula to rapidly relieve depression

            The N-methyl-d-aspartate receptor (NMDAR) antagonist ketamine has attracted enormous interest in mental health research owing to its rapid antidepressant actions, but its mechanism of action has remained elusive. Here we show that blockade of NMDAR-dependent bursting activity in the 'anti-reward center', the lateral habenula (LHb), mediates the rapid antidepressant actions of ketamine in rat and mouse models of depression. LHb neurons show a significant increase in burst activity and theta-band synchronization in depressive-like animals, which is reversed by ketamine. Burst-evoking photostimulation of LHb drives behavioural despair and anhedonia. Pharmacology and modelling experiments reveal that LHb bursting requires both NMDARs and low-voltage-sensitive T-type calcium channels (T-VSCCs). Furthermore, local blockade of NMDAR or T-VSCCs in the LHb is sufficient to induce rapid antidepressant effects. Our results suggest a simple model whereby ketamine quickly elevates mood by blocking NMDAR-dependent bursting activity of LHb neurons to disinhibit downstream monoaminergic reward centres, and provide a framework for developing new rapid-acting antidepressants.
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              The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies.

              Epidemiologic studies indicate that children exposed to early adverse experiences are at increased risk for the development of depression, anxiety disorders, or both. Persistent sensitization of central nervous system (CNS) circuits as a consequence of early life stress, which are integrally involved in the regulation of stress and emotion, may represent the underlying biological substrate of an increased vulnerability to subsequent stress as well as to the development of depression and anxiety. A number of preclinical studies suggest that early life stress induces long-lived hyper(re)activity of corticotropin-releasing factor (CRF) systems as well as alterations in other neurotransmitter systems, resulting in increased stress responsiveness. Many of the findings from these preclinical studies are comparable to findings in adult patients with mood and anxiety disorders. Emerging evidence from clinical studies suggests that exposure to early life stress is associated with neurobiological changes in children and adults, which may underlie the increased risk of psychopathology. Current research is focused on strategies to prevent or reverse the detrimental effects of early life stress on the CNS. The identification of the neurobiological substrates of early adverse experience is of paramount importance for the development of novel treatments for children, adolescents, and adults.
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                Author and article information

                Contributors
                Journal
                Neurobiol Stress
                Neurobiol Stress
                Neurobiology of Stress
                Elsevier
                2352-2895
                17 November 2020
                November 2020
                17 November 2020
                : 13
                : 100267
                Affiliations
                [1]Uniformed Services University of the Health Sciences, Edward Hebert School of Medicine, Department of Pharmacology and Molecular Therapeutics, Bethesda, MD, 20814, USA
                Author notes
                []Corresponding author. fereshteh.nugent@ 123456usuhs.edu
                Article
                S2352-2895(20)30057-6 100267
                10.1016/j.ynstr.2020.100267
                7739170
                33344720
                9e617f54-7ab0-44be-a71c-c5512d39c75c

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 14 July 2020
                : 16 October 2020
                : 9 November 2020
                Categories
                Original Research Article

                lateral habenula,lhb,kappa opioid receptor,kor,dynorphin,early life stress,action potential, (ap),adverse childhood experiences, (ace),artificial cerebral spinal fluid, (acsf),corticotropin-releasing factor, (crf),dopamine, (da),dynorphin, (dyn),early life stress, (els),fastafterhyperpolarization, (fahp),hyperpolarization activated cation current, (hcn, ih),input resistance, (rin),inter-event interval, (iei),kappa opioid receptor, (kor),maternal deprivation, (md),medium afterhyperpolarization, (mahp),miniature excitatory postsynaptic current, (mepsc),miniature inhibitory postsynaptic current, (mipsc),non-maternally deprived, (non-md),nucleus accumbens, (nac),postnatal age, (pn),raphe nuclei, (rn),rostromedial tegmental area, (rmtg),serotonin, (5ht),ventral tegmental area, (vta)

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