Understanding the Significance of the Hypothalamic Nature of the Subthalamic Nucleus

Abstract The subthalamic nucleus (STN) is an essential component of the basal ganglia and has long been considered to be a part of the ventral thalamus. However, recent neurodevelopmental data indicated that this nucleus is of hypothalamic origin which is now commonly acknowledged. In this work, we aimed to verify whether the inclusion of the STN in the hypothalamus could influence the way we understand and conduct research on the organization of the whole ventral and posterior diencephalon. Developmental and neurochemical data indicate that the STN is part of a larger glutamatergic posterior hypothalamic region that includes the premammillary and mammillary nuclei. The main anatomic characteristic common to this region involves the convergent cortical and pallidal projections that it receives, which is based on the model of the hyperdirect and indirect pathways to the STN. This whole posterior hypothalamic region is then integrated into distinct functional networks that interact with the ventral mesencephalon to adjust behavior depending on external and internal contexts.


Introduction
Initially the whole ventral diencephalon was included in a region named "regio subthalamica" by Forel (Forel, 1877) or "hypothalamus" by Wilhelm His (His, 1893). However, Herrick (Herrick, 1910) made the distinction between the hypothalamus proper, which covers a large collection of nuclei and areas within the ventral margin of the diencephalon, and the ventral thalamus, which essentially comprises the reticular thalamic nucleus, the zona incerta and the subthalamic nucleus (STN; Fig. 1A). This organization model was largely adopted until the end of the 20th century as it seemed to agree with functional differences: the hypothalamus is involved in the control of neuroendocrine/autonomic responses as well as the expression of instinctive behaviors, while the ventral thalamus participates in higher cognitive processes or voluntary motor actions by mediating cortico-thalamic interactions or as part of the basal ganglia network. However, in the late 20th century, the borders as well as the internal organization of these brain regions were strongly debated once again. The former consensus that both the ventral thalamus and the hypothalamus belong to the ventral diencephalic vesicle was shaken by evidence that both regions are best regarded as rostral rather than ventral to the thalamus (Puelles and Rubenstein, 2015;Puelles et al., 2019). The borders between the hypothalamus and ventral thalamus were disputed yet again. For example, in 1980, it was believed that the STN undeniably belonged to the ventral thalamus; however, it is now considered to be a part of the hypothalamus (Altman and Bayer, 1986;Swanson, 2004Swanson, , 2012. Furthermore, while the STN ventral thalamic identity was being challenged, organizational analogies between the basal ganglia and the hypothalamic networks were also recognized. Indeed, the systematic study of hypothalamic medial zone nuclei connections led to the conclusion that these nuclei are entangled in loop circuits with the thalamus, cerebral cortex and cerebral nuclei that parallel similar loops that are representative of the basal ganglia network in which the STN is integrated ( Fig. 1B; Risold et al., 1994Risold andSwanson, 1995, 1996;Swanson, 2000Swanson, , 2012.
Unfortunately, this dramatic increase in our knowledge about the development and anatomy of the forebrain has not yet led to a new accepted view of the organization of the forebrain that can be shared with a general audience. In brief, neuroanatomists and developmentalists know that the former concepts of the forebrain organization are not in tune with our actual knowledge; however, a new and accepted schema has struggled to emerge and such changes as the anatomic identity of the STN may be viewed by many other neuroscientists as merely a matter of academic discussion, without any tangible consequences. In contrast, it is now appropriate to think about the implication of the STN having a hypothalamic identity as this will profoundly influence our understanding of the organization of the posterior hypothalamus and thus the hypothalamus and forebrain altogether.
In this work, we analyze available data in the literature about the development, connectivity, and functions of the STN and of the neighboring posterior hypothalamic cell groups. We demonstrate that a specific glutamatergic posterior hypothalamic region that comprises nuclei from the STN to the mammillary body (MBO), receives convergent cortical and pallidal inputs from the telencephalon and is involved, along the striatally targeted ventral mesencephalon, in the coordinated control of the behavioral response of the individual.

The STN Belongs to the Posterior Hypothalamus
The STN was first named after its discoverer, the French neurologist Jules Bernard Luys (1828-1897), before receiving its definitive appellation as the "nucleus subthalamicus" (in Altman and Bayer, 1986). A hypothalamic identity for the STN was suggested by Rose (Rose, 1942) and Kuhlenbeck (Kuhlenbeck, 1973) in the 20th century, against the dominant perception that this region is located within the ventral thalamus. However, to the best of our knowledge, Altmann and Bayer (Altman and Bayer, 1986) were the first to show that the STN is generated within the caudal hypothalamic anlage. In a comprehensive study of the development of the hypothalamus, these authors showed that "postmitotic subthalamic neurons migrate by a semicircular route from the anterodorsal mammillary recess neuroepithelium" following an outside-in gradient, as classically described for the hypothalamus. Therefore, following the work of Altmann and Bayer, it can be stated that neurons of the STN are generated in a region that adjoins the premammillary (PM) and mammillary nuclei and, therefore, the STN is a part of the posterior hypothalamus. From the 1990s to the present day, the analysis of the distribution and action of dozens of developmental genes, many of which encode morphogenic proteins or transcription factors, has resulted in a better understanding of the precise molecular orchestration that drives brain patterning and neurogenesis Rubenstein, 1993, 2015;Alvarez-Bolado et al., 1995;Shimogori et al., 2010;Diez-Roux et al., 2011;Moreno and González, 2011;Puelles et al., 2013). Therefore, information about the mechanism that governs the formation of the posterior hypothalamus is slowly emerging (Bedont et al., 2015;Kim et al., 2020). Based on the current literature, it can be stated that the initial processes involved in the differentiation of the posterior hypothalamic and the ventral mesencephalic anlagen depend on the diffusion of morphogenic proteins that drive the expression of transcription factors through the mesodiencephalic floorplate (Fig. 2;Alvarez-Bolado et al., 2012;Bedont et al., 2015). While the processes involved in the interactions between these proteins are not yet fully clear, the early distribution of these molecules delimits three domains Bedont et al., 2015;Nouri and Awatramani, 2017). (1) Above the mesencephalic flexure, the ventral mesencephalic domain produces dopaminergic (DAergic) neurons in the substantia nigra (SN)/ventral tegmental area (VTA). (2) The ventral floor plate of the diencephalon is lined by a postoptic hypothalamic domain that is often referred to as the tuberal hypothalamus and in which the ventromedial hypothalamic nucleus (VMH), dorsomedial hypothalamic nucleus (DMH) and tuberal lateral hypothalamic area (LHA) are produced.
(3) Between the mesencephalic and tuberal hypothalamic anlagen, we find the posterior hypothalamic domain. This domain produces the STN, parasubthalamic nucleus (PSTN), calbindin nucleus (CbN), Parvafox nucleus, Gemini nucleus, ventral PM (PMv), dorsal PM (PMd), and MBO (Fig.  3). These three domains require the expression of the morphogenic protein sonic hedgehog (SHH). However, the posterior hypothalamic anlage is also characterized by the specific expression of Wnt8b (Fig. 2). The role of the expression of this gene is unknown, but an interplay between Shh and Wnt8b has been observed in the patterning of the dorsomedial pallium which is another region showing intense Wnt8b expression that gives rise to cortical areas that, as we will see, are connected to the posterior hypothalamus in the mature brain. This posterior hypothalamic domain also expresses neuronal progenitor markers such as the transcription factors Nkx2.1 and Dbx1 which play important roles in hypothalamic patterning and are expressed in the tuberal hypothalamus (Fig. 2). The expression of Nkx2.1 is restricted to two regions of the prosencephalon Kimura et al., 1996;Sussel et al., 1999;Flandin et al., 2010;Moreno and González, 2011;Alvarez-Bolado et al., 2012;Magno et al., 2017): a large basal telencephalic zone encompassing the pallidum and the preoptic area, and a postoptic territory that includes the tuberal and posterior hypothalamus. Since Nkx2.1 is expressed throughout most of the hypothalamus except a restricted anterior region between the preoptic and postoptic hypothalamus, it is often considered a hypothalamic marker. Experimental silencing of the Nkx2.1 gene, critically perturbs the formation of the hypothalamus leading to a reduction in the size of many tuberal structures such as the VMH, DMH, or LHA, and ablation of the mammillary/premammillary structures as well as the STN (Kimura et al., 1996;Kim et al., 2020). Dbx1 is required for the differentiation of many hypothalamic cell types in both the tuberal and the posterior hypothalamus (Sokolowski et al., 2016;Nouri and Awatramani, 2017;Alvarez-Bolado, 2019). Therefore, according to the early distribution and functions of Nkx2.1 and Dbx1, the region that gives birth to the STN and MBO is hypothalamic in nature. However, recent studies also point toward intriguing relationships between mesencephalic and posterior hypothalamic neuronal lineages. As the grafting of DAergic neurons produced from embryonic or induced pluripotent stem cells is a promising field of research for the development of treatments for Parkinson's disease, much attention has been focused on the genetic mechanisms involved in the differentiation of these neurons . Therefore, many of the progenitor and postmitotic markers of DAergic neurons have been identified. Interestingly, most of the currently known DAergic progenitor markers, including Lmx1a and Foxa2, among others, are also expressed rostrally to the mesencephalic anlage into the posterior hypothalamus, but not into the tuberal hypothalamic domain Nouri and Awatramani, 2017). Nouri and Awatramani (Nouri and Awatramani, 2017) dissected the distribution of Lmx1a and Foxa2 in the posterior hypothalamus. They showed intense expression of the two progenitor markers in STN, PSTN, and PMv neurons coexpressing Dbx1. The close relationship between the cell lineage of the posterior hypothalamus and MES-DA may also be reflected by the expression of the DA transporter (DAT) in adult PMv neurons (Stagkourakis et al., 2018), whereas this protein is otherwise found only in DAergic neurons throughout the midbrain/forebrain (Ciliax et al., 1995). In wild-type embryos, the rostral boundary of En1 expression in the ventral mesencephalon abuts the expression domain of Dbx1 in the posterior hypothalamus (Nouri and Awatramani, 2017). It is suspected that some corepressive interactions take place between these two transcription factors which are probably important for maintaining the respective identity of the ventral mesencephalon and of the posterior hypothalamus (Nouri and Awatramani, 2017). Indeed, the forced expression of En1 in the posterior hypothalamic region induces the ectopic differentiation of DAergic neurons scattered in the mammillary region .
In addition to early progenitor markers, postmitotic transcription factors such as Pitx2 are also necessary for the development of both the ventral mesencephalon and the posterior hypothalamus. In the posterior hypothalamus, Pitx2 plays a determinant role in the migration of STN neurons or the establishment of the mammillothalamic tract and is still expressed in the entire posterior hypothalamus of adult mice (Smidt et al., 2000;Skidmore et al., 2012;Waite et al., 2013). However, most postmitotic DAergic neuron markers such as Pitx3 are not found in the posterior hypothalamus . Each nucleus of the posterior hypothalamus is otherwise characterized by a specific combination of transcription factors, such as Barlh1 for the STN  or Lhx5 and   (Herrick, 1910). B, Model of circuitries involving the basal ganglia (top) and the medial zone nuclei of the hypothalamus (bottom). Both involve loop pathways with the thalamus and the cortex. The descending projections of the basal ganglia are classically divided into direct, indirect, and hyperdirect pathways. Such pathways for the medial zone nuclei of the hypothalamus have not yet been identified. BN: basal nuclei; CPu: caudoputamen nucleus; Ctx: cerebral cortex; GPe: globus pallidus, external part; GPi: globus pallidus, internal part; HYP: hypothalamus; PAG: periaqueductal gray; PBN: parabrachial nuclei; PPN: pedunculopontine nucleus; SC: superior colliculus; SNr: substantia nigra; reticular part; STN: subthalamic nucleus; TH: thalamus. Figure 2. Development of the posterior hypothalamus. A-C, Pictures reprinted from the Allen Brain Institute (image credit: Allen Institute; 2020 Allen Institute for Brain Science; Allen Brain Atlas: Mouse Brain; available from http://mouse.brain-map.org/experiment/show/ 100092704, http://mouse.brain-map.org/experiment/show/100029214, and http://mouse.brain-map.org/experiment/show/100030632) and illustrating the distribution of genes coding for the morphogenic proteins Shh and Wnt8b on sagittal sections of embryonic brains (embryonic stages 11.5 or 13.5). D-F, Pictures reprinted from the Allen Brain Institute (image credit: Allen Institute; available from: http:// mouse.brain-map.org/experiment/show/100093267, http://mouse.brain-map.org/experiment/show/100076539, and http://mouse.brainmap.org/experiment/show/100030677) and illustrating the distribution of the neuronal progenitors Nkx2.1, Lmx1a, and En1 on sagittal sections of the embryonic mouse brain. G-H, Pictures reprinted from the Allen Brain Institute (image credit: Allen Institute; available from: http://mouse.brain-map.org/experiment/show/100026263 and http://mouse.brain-map.org/experiment/show/100076531) to illustrate the embryonic distribution of the postmitotic transcription factor Pitx2 and the enzyme GAD. I, Line drawing summarizing the division of the embryonic prosencephalon and the distribution of Nkx2.1 (blue and red) and Lmx1a (green and red). J, Diagram illustrating the distribution of transcription factors involved in the differentiation of the posterior hypothalamus. The development of the ventral mesencephalon/ posterior hypothalamic continuum depends on the action of morphogenetic proteins such as SHH. However, the expression domain of Wnt8b is specific of the posterior hypothalamus. The posterior hypothalamic anlage is characterized by the expression of hypothalamic (Nkx2.1, Dbx1) and mesencephalic (Lmx1a, Foxa2) neuronal progenitor genes. Some postmitotic transcription factors are also common to the mesencephalon, but then each nucleus of the posterior hypothalamus necessitates the action of specific transcription factors such Miquelajáuregui et al., 2015), but the lineages of most cell types constituting this region still require investigation.
An important neurochemical feature needs to be stressed here as it characterizes most of the posterior hypothalamic region and has important functional consequences: posterior hypothalamic structures are mostly glutamatergic while abundant GABAergic neurons can be found in the adjacent tuberal hypothalamus (DMH, LHA), zona incerta and ventral mesencephalon (SN, VTA). In the embryonic posterior hypothalamic domain, the lack of Dlx and Gad gene expression distinguishes the posterior hypothalamus from adjacent structures (Puelles et al., , 2013Figs. 2, 3). The Dlx genes code for transcription factors that are responsible for orienting differentiating neurons toward a GABAergic phenotype (Lindtner et al., 2019). The glutamic acid decarboxylase (GAD) enzyme is necessary for the synthesis of GABA (Esclapez et al., 1993;McDonald and Augustine, 1993). In the adult brain, GABAergic cells are present in the posterior hypothalamic nucleus and the capsule of the PMv that are close to the tuberal hypothalamus or in the supramammillary nucleus that abuts the VTA (Esclapez et al., 1993). However, the nuclei that form the core of this region, namely, the STN, PSTN, Parvafox, Gemini nucleus, core of the PMv, PMd, Figure 3. Architecture of the glutamaergic posterior hypothalamus. A, Line drawing to illustrate the nuclear parcellation of the glutamatergic posterior hypothalamus in the rat. The pink nuclei are glutamatergic. B-E, Pictures reprinted from the Allen Brain Institute (image credit: Allen Institute; 2020 Allen Institute for Brain Science; Allen Brain Atlas: Mouse Brain; available from http://mouse. brain-map.org/experiment/show/79591669) to illustrate the distribution of GAD2 in the posterior hypothalamus of the mouse. ARH: arcuate nucleus of the hypothalamus; CbN: calbindin nucleus; cpd: cerebral peduncle; fx: fornix; LHA: lateral hypothalamic area hypothalamus; lht: lateral hypothalamic tract; LM: lateral mammillary nucleus; MM: medial mammillary nucleus; mtt: mammillothalamic tract; NG: nucleus gemini; PH: posterior hypothalamic nucleus; pm: principal mammillary tract; PMd: dorsal premammillary nucleus; PMv: ventral premammillary nucleus; PSTN: para-STN; SNr: substantia nigra, reticular part; STN: subthalamic nucleus; SUM: supramammillary nucleus; VTA: ventral tegmental area; ZI: zona incerta. continued as Barhl1 for the STN or Lhx5 for the MBO. Finally, the posterior hypothalamic region is massively glutamatergic while adjacent territories contain a mix of GABAergic and glutamatergic neurons. ANT: presumptive anterior area of the hypothalamus; DMH: dorsomedial nucleus hypothalamus; Glu: glutamate; dPal: dorsal pallium; mPal: medial pallium; HYP: hypothalamus; LHA: lateral hypothalamic area; MBO: mammillary nuclei; MES: mesencephalon; MesDA: DAergic ventral mesencephalon: mPal: medial pallium; PAL: pallidum; PO: presumptive preoptic area; POST: presumptive posterior hypothalamic area; PTH: prethalamus (ventral thalamus); SN: substantia nigra; STN: subthalamic nucleus; TEL: telencephalon; TH: thalamus; TUB: presumptive tuberal hypothalamic area; VMH: ventromedial hypothalamic nucleus hypothalamus; VTA: ventral tegmental area; zli: zona limitans intrathalamica. and MBO are massively glutamatergic and contain very few or no GABAergic cells (Fig. 3).
Therefore, the STN differentiates within a specific anlage that also produces premammillary and mammillary nuclei. The MBO was already included in the hypothalamus by His (His, 1893), and some of the genes that are necessary for the differentiation of this posterior hypothalamic region are emblematic hypothalamic markers. However, this region also requires the expression of progenitor markers that are needed for the development of the ventral mesencephalon and they display a specific feature by being massively glutamatergic.

Convergence of Cortical and Pallidal Projections into the Posterior Hypothalamus
As the STN shares clear developmental and neurochemical features with premammillary and mammillary nuclei, the appraisal of comparable anatomic traits is legitimate. Historically, the circuit involving the MBO was first described by James Papez in 1937(Papez, 1995. This circuit involves a strong hippocampal input that reaches the MBO through the fornix, a very conspicuous tract that longitudinally crosses the entire anterior and postoptic hypothalamus. By comparison, the STN is targeted by isocortical projections that constitute the hyperdirect pathway of the basal ganglia. It also receives abundant projections from the pallidum in the basal telencephalon, constituting the well-described indirect pathway of the basal ganglia. Therefore, the cortex and the pallidum could be important sources of afferences that drive the activity of neurons in this region.

Cortical afferences or hyperdirect pathways
The basal ganglia hyperdirect pathways The hyperdirect pathway of the basal ganglia is still the subject of regularly published anatomic articles using classic tract tracing or modern tractography Temiz et al., 2020). Observations in humans, primates and rodents are concordant, and the STN can be subdivided into three domains partially depending on the origin of the cortical input. Many authors recognize a large dorsolateral motor, a ventral associative and a medial "limbic" sector (Parent and Hazrati, 1995a;Emmi et al., 2020). This tripartite organization of the STN is debated because no obvious boundaries can be traced within the nucleus and projections from the telencephalon often overlap. Nevertheless, this points toward a topographical organization in the telencephalic (including cortical) afferences to the nucleus. The latest studies conducted in humans and primates extended the concept of the hyperdirect pathway to include the LHA that is medially adjacent to the STN (Haynes and Haber, 2013;Temiz et al., 2020). This region is referred to as the "medial subthalamic region" in primates and humans, and it receives projections from the ventral medial prefrontal, entorhinal and insular cortices that do not innervate the STN proper. Therefore, in primates including humans, the STN receives isocortical projections while periallocortical areas such as the ventral medial prefrontal and insular areas, target LHA regions that are medially adjacent to the STN. In rodents, a similar observation was made, but, in contrast to that in primates, the LHA nuclei medially adjacent to the STN are well characterized (Barbier et al., 2017(Barbier et al., , 2020Bilella et al., 2016;Chometton et al., 2016). The posterior LHA contains the PSTN, the closely related small calbindin nucleus (CbN) and the Parvafox nucleus (Fig. 3), which receive inputs from insular and orbital areas, respectively (Tsumori et al., 2006;Chometton et al., 2016;Babalian et al., 2019;Barbier et al., 2020). From the Parvafox, orbital cortex projections continue and end in the Gemini nucleus (Babalian et al., 2019). Ventral medial prefrontal axons (i.e., from the infralimbic area) also innervate the caudal lateral LHA in rodents, but the exact distribution of these axons with regard to the posterior LHA nuclei still requires investigation. Ventral medial prefrontal axons also reach the PMd and enter the MBO (Shibata, 1989;Hurley et al., 1991;Gonzalo-Ruiz et al., 1992;Comoli et al., 2000;Fisk and Wyss, 2000). Therefore, the ventral medial prefrontal input is not limited to the posterior LHA. In contrast, dorsal medial prefrontal areas (cingulate) target the medial STN (Canteras et al., 1990;Parent and Hazrati, 1995a;Emmi et al., 2020).

The fornix system and the stria terminalis
Since the mammillary circuit (or Papez circuit) involves some major fiber tracts such as the fornix and the mammillothalamic tract, its general architecture was understood very early. It was known since the beginning of the 20th century that the origin of the fornix is the hippocampal formation (Cajal, 1909). However, Swanson and Cowan (Swanson and Cowan, 1977) and Meibach and Siegel (Meibach and Siegel, 1977) were the first to identify pyramidal neurons in the dorsal subiculum at the origin of the postcommissural fornix, while it was observed that Ammon's horn projects mostly through the precommissural fornix to innervate the lateral septal complex (the lateral nucleus of the septum and the septofimbrial nucleus; Swanson et al., 1981). This was confirmed by many other authors (Shibata, 1989;van Groen and Wyss, 1990;Gonzalo-Ruiz et al., 1992), and it is now well established that the dorsal subiculum innervates the medial mammillary nucleus while the para-pre-postsubiculum innervates the lateral mammillary nucleus. The projections from these cortical areas reach the MBO through the fornix. By contrast, the projections from the ventral subiculum reach the hypothalamus through the medial cortico-hypothalamic tract . In the anterior and postoptic hypothalamus, this tract courses parallel to the stria terminalis which arises in the amygdala, and both the medial cortico-hypothalamic tract and the stria terminalis converge and mostly end in the PMv. The stria terminalis carries, in part, glutamatergic axons from the posterior nucleus of the amygdala  which lies adjacent to the ventral subiculum and is a cortico-amygdalar nucleus with a pallial origin (Swanson and Petrovich, 1998). Therefore, the projections from the posterior amygdalar nucleus to the PMv should also be viewed as cortical in nature. Finally, and for the sake of completeness, other cortical nuclei of the amygdala (i.e., the anterior part of the basomedial nucleus) project through the direct amygdalo-hypothalamic pathway into the ventral posterior LHA (CbN; Barbier et al., 2017).

Conclusions about the connections between the cerebral cortex and the posterior hypothalamus
This short survey of the cortical innervation of the posterior hypothalamus shows that the glutamatergic nuclei of the posterior hypothalamus receive topographically organized inputs from the cortex, with the MBO and PMv receiving projections mostly from the allocortex (hippocampal formation, cortico-amygdala) and the STN receiving projections from the isocortex, while nuclei in-between these medial and lateral poles receive projections mostly from the periallocortex, including the ventral medial prefrontal, insular and orbital areas (Fig. 4). Therefore, the allocortical and periallocortical projections to the glutamatergic posterior hypothalamic structures are parallel to and topographically organized with the isocortical projections to the STN. In this way, the hyperdirect pathways arise from the cortical mantle as a whole and innervate glutamatergic nuclei of the posterior hypothalamic region. These cortical projections arise from pyramidal glutamatergic neurons. The STN is innervated by collaterals of descending axons that continue in the pyramidal tract. By contrast, the fornix ends in the MBO. However, at least in rats, the first axons constituting the fornix reach the mesencephalon during development and later emit collaterals that innervate the MBO while the distal mesencephalic branches recede (Stanfield et al., 1987).

Subcortical afferences or indirect pathways General organization of the subpallium
Based on the topographic organization of descending cortical inputs as well as on cytoarchitectural and neurochemical considerations, it has long been proposed that the cerebral nuclei of the basal telencephalon belong either to a striatal or to a pallidal compartment (Swanson, 2000(Swanson, , 2012Risold, 2004). Therefore, the telencephalon would be organized according to a basic plan with the pallium innervating the striatum which itself projects onto the pallidum. This organization of the telencephalon has been adopted by the Allen Brain Institute (Allen Institute, 2004), whose atlases and databases are extensively used by the scientific community (Table 1). According to the Allen Brain Institute's nomenclature, four striatal divisions receive projections from the cerebral cortex, including the dorsal striatum (caudoputamen) innervated by the isocortex as well as the ventral (nucleus accumbens, olfactory tubercle), medial (lateral septal complex) and caudal (striatal-like amygdalar nuclei) striatum receiving allocortical and periallocortical projections. The striatal compartment whose main cell type is the GABAergic somatospiny neuron, projects in a topographically organized way onto the dorsal [globus pallidus (GP)], ventral [ventral pallidum (VP), also named substantia innominate (SI)], medial (medial septal complex), and caudal [bed nucleus of the stria terminalis (BST)] pallidum (for additional information, see Tables 1, 2).

The direct and indirect pathways of the basal ganglia
Both striatal and pallidal compartments are then bidirectionally connected to the brainstem, but the organization of the descending pathways that connect these cerebral nuclei with the brainstem has been best portrayed for the dorsal striatum/dorsal pallidum, forming the well-known basal ganglia network (Fig. 5). Indeed, in addition to the hyperdirect pathway from the isocortex to the STN, the basal ganglia network is usually divided into direct and indirect pathways (Künzle, 1975;McGeorge and Faull, 1989;Graybiel et al., 1994;Parent and Hazrati, 1995a;Nambu et al., 2002;Graybiel, 2004;Gerfen and Bolam, 2016;Tecuapetla et al., 2016). The direct pathway involves several types of medium spiny neurons in the dorsal striatum that project in the internal part of the Table summarizing the parcellation of the telencephalon based on the nomenclature of the Allen Brain Atlas and Swanson (Allen Institute, 2004;Swanson, 2004) with a slight modification from Barbier et al. (2020; CEAm is adjoined to the PALc, see comments in    Phillipson (1979). Commentaries about the used parcellation: although we have remained very close to the nomenclature used by the Allen Brain Atlas (Allen Institute, 2004), a few adaptations seemed necessary to us. (a) The CEA is one of the striatal-like amygdalar nuclei. However, the original cytoarchitectonic study by McDonald (McDonald, 1982) revealed that only the lateral and central parts of the CEA contain striatal-like medium spiny neurons, while the medial part do not contain such neurons. The medial part of the CEA (CEAm) receives afferences from the lateral CEA as well as from the fundus striatum (belonging to the ventral striatum), which signify that the CEAm is targeted by striatal-like structures. Furthermore, it is intensely, selectively bidirectionally connected to the PSTN adjacent to the STN. Based on these considerations, the CEAm belongs to the pallidum and not to the striatum. This assertion is also compatible with developmental data (Bupesh et al., 2011;Barbier et al., 2020). (b) The MEA is also one of the striatal-like amygdalar nuclei. Without wishing to question this hypothesis, it is necessary to make a comment. Indeed, the MEA is made of a complex collection of neurons. In particular, it contains abundant populations of glutamatergic neurons with a hypothalamic or a pallial origin (Ruiz-Reig et al., 2018). These neurons are abundant in the posteroventral part of the medial amygdalar nucleus (MEApv) which sends dense projections to the PMv . Therefore, a better characterization of the neurochemical nature of the MEA projection to the PMv is necessary to understand the organization of this complex amygdalar nucleus. (c) For practical reason only, we divided the substantia innominata/VP into the three parts: the anterior VP is deep to the olfactory tubercle. The central anterior pallidum corresponds to most of the pallidum as illustrated by Root et al. (2015); the posterior VP corresponds to the posterior substantia innominata excluded from the VP by Root et al. (2015) GP (GPi) and the reticular part of the SN (SNr). The indirect pathway originates from another class of medium spiny neurons of the dorsal striatum that project into the external part of the GP (GPe). The main output of the GPe is for the STN as well as for the SNr. In turn, the STN projects into the whole GP and the SNr. Therefore, the STN is an additional station between the striatum and GPi/SNr.

Organization of subcortical projections to the posterior hypothalamus
As hyperdirect-like projections were described for the glutamatergic nuclei of the posterior hypothalamus, the comparison with the STN can be prolonged by analyzing the origin of subcortical projections to other posterior nuclei of the hypothalamus. A general inspection of Table 2 that summarizes these data, reveals that the posterior hypothalamus is predominantly and intensely connected to the pallidal compartment of the telencephalon as defined by the Allen Brain Atlas Canteras et al. Projections from the pallidal compartment to the posterior hypothalamus are topographically organized (Fig. 6). Along the projection from the GPe to the whole STN, the medial tip of the STN receives inputs from the ventral VP (Groenewegen et al., 1993;Root et al., 2015;Groenewegen and Berendse, 1990). The rostral region of the VP (following the nomenclature of Root et al., 2015; see Table 2), sends its axons through the ventrolateral hypothalamic tract and innervates the Parvafox and Gemini nuclei (Lundberg, 1962;Heimer et al., 1990;Price et al., 1991). These nuclei also receive inputs from the magnocellular preoptic nucleus and from the nucleus of the diagonal band (Heimer et al., 1990;Groenewegen et al., 1993). The olfactory nature of this pathway was demonstrated by Price 30 years ago (Price et al., 1991). Located between the Parvafox and STN, the PSTN is targeted by posterior VP (Grove, 1988;Chometton et al., 2016). The PSTN also receives convergent inputs from the medial division of the central nucleus of the amygdala [CEAm; included in a recent study to the pallidal compartment, see the legend (a) of Table 2; Bupesh et al. (2011)], from the rhomboid nucleus of the BST and, to a lesser extent, from the anterolateral, and oval nuclei of the BST (Dong et al., 2001;Swanson, 2003, 2004a;Chometton et al., 2016;Barbier et al., 2017). The caudal BST projects mostly into the PMv and PMd. These two hypothalamic nuclei are innervated by projections from the principal (BSTpr) and interfascicular (BSTif) nuclei of the BST, respectively (Comoli et al., 2000;Gu et al., 2003;Dong and Swanson, 2004b;Cavalcante et al., 2014). Finally, the medial septal complex (medial pallidum) innervates the medial mammillary nucleus (Swanson and Cowan, 1979;Shibata, 1989;Vann and Aggleton, 2004;Vann, 2010). This input is not as dense as other pallidal projections into the posterior hypothalamic nuclei, but it is the sole subcortical projection from the telencephalon identified in the medial mammillary nucleus and it serves important functions in this nucleus (Dillingham et al., 2021).
Both the PMv and the PMd are known to be integrated into circuits with other hypothalamic medial zone nuclei, and these circuits are also under the command of subcortical telencephalic projections (Fig. 7). The PMv is bidirectionally connected to the medial preoptic nucleus (MPN) while the PMd is bidirectionally linked with the anterior nucleus (AHN; Swanson, 2000). The MPN shows a strong sexual dimorphism, and the MPN-PMv circuit is called the sexually dimorphic circuit (Simerly and Swanson, 1988;Swanson, 2000). The AHN and PMd are involved in defense responses Risold et al., 1994;Swanson, 2000). Both the MPN and the AHN receive strong inputs from the BSTpr and BSTif, respectively (Dong and Swanson, 2004b), along with intense innervation from the ventral and rostral parts of the lateral septal nucleus (LSNv and LSNr, respectively; .

Functional Considerations
All glutamatergic nuclei of the posterior hypothalamus receive topographically arranged projections from the telencephalon which comprise inputs from the cortical mantle that are reminiscent of the hyperdirect pathway as well as from the pallidal compartment reminiscent of the indirect pathway. However, this whole analysis is worth considering only if it improves our understanding of the functional organization of this region. To date, most nuclei of the posterior hypothalamus have been studied independently and each one of them is involved in its own specific response: motor behavior for the STN, control of feeding for the PSTN/CbN, agonistic behaviors for the Parvafox, PMv, and PMd, and complex cognitive functions related to encoding spatial information for the MBO Parent and Hazrati, 1995a;Swanson, 2000;Gerfen and Bolam, 2016;Barbier et al., 2020;Dillingham et al., 2021). Therefore, no functional relationship seems to link these different structures, contrary to what the developmental and anatomic data suggest. To understand the functional organization of the glutamatergic posterior hypothalamic region as a whole, once again, the STN may serve as a model. Indeed, it is important to remember that we understand the functions of the STN in collaboration with and often as opposed to that of the striato-nigral direct pathway. Therefore, the function of each nucleus of the posterior hypothalamus should be considered within a larger anatomic network also involving the ventral mesencephalon. Indeed, the ventral mesencephalon is implicated in behavioral responses (motor, feeding, social, and agonistic behaviors) similar to those of the posterior nuclei of the hypothalamus (Wei et al., 2021).

Summary of the functional organization of the basal ganglia network
At the lateral pole of the posterior hypothalamic glutamatergic region, STN functions are related to that of the basal ganglia network to which it belongs. GPi and SNr are the output stations of the basal ganglia network: they innervate the pedunculopontine nucleus and the superior colliculus that grant access to the somatic motoneurons and the cerebellar network (Gerfen and Bolam, 2016;Fig. 5). They also project into several nuclei of the thalamus forming the classic loops of the basal ganglia network with the motor cortex (Alexander et al., 1986;Parent and Hazrati, 1995b;Deniau et al., 1996;Haber, 2003;Kim and Hikosaka, 2015). However, as the medium spiny neurons in the caudoputamen as well as GP and SNr neurons are GABAergic, the direct pathway results in tonic inhibition of its targets which are disinhibited when cortical glutamatergic inputs stimulate the striatum and this pathway is also known as the "Go" pathway. On the other hand, the STN is glutamatergic and stimulates GPi and SNr neurons on disinhibition through the cortex-striatum-GPe pathway or activation by the hyperdirect pathway. Therefore, the activation of the STN through indirect or hyperdirect pathways, results in the inhibition of ongoing motor actions and the indirect pathway is also known as the "No-Go" pathway (Bahuguna et al., 2015;Baghdadi et al., 2017;Bariselli et al., 2019). This No-Go action is deemed important for the suppression of competing motor programs that would otherwise interfere with the execution of the desired movement, as well as for switching motor action and adapting behavior to environmental changes perceived by the isocortex (Wessel and Aron, 2013;Fife et al., 2017;Chen et al., 2020) Posterior hypothalamus and VTA functional networks The VTA in the ventral mesencephalon is involved in similar behavioral responses to many nuclei of the posterior hypothalamus, excluding the STN and MBO. Through its connections with the accumbens nucleus and the VP, the VTA initiates approach or avoidance responses in relation to feeding or agonistic/social behaviors. Generally, the VTA is thought to be involved in reinforcing behavioral responses and increasing or decreasing reward-seeking behaviors (Bouarab et al., 2019;Morales and Margolis, 2017;Parker et al., 2019). Data that integrate posterior nuclei of the hypothalamus in the functional network of the VTA are lacking. An anterograde study illustrates projections from the PSTN into the VTA (Goto and Swanson, 2004). Unfortunately, the functional significance of these connections has not yet been further investigated. Nonetheless, anatomic links also exist through the ventral/caudal/medial striato-pallidal complexes or through other nuclei of the hypothalamus (Phillipson, 1979;Groenewegen et al., 1993;Geisler and Zahm, 2005;Kaufling et al., 2009;Luo et al., 2011), suggesting at least indirect interactions at functional levels between the posterior hypothalamus and the VTA (Table 2).

Social behaviors in relation to reproduction and parental care
The nucleus accumbens-VTA network is involved in reproduction through the regulation of sexual preferences (Beny-Shefer et al., 2017). The projections from the VTA to the nucleus accumbens can encode and predict key features of social interactions (Gunaydin et al., 2014). The medial preoptic area (MPO) is a key center for the expression of many aspects of reproductive behaviors. Several populations of neurons within this region serve distinct aspects of reproduction, including copulatory behaviors, nest building, pup retrieval and grooming. In lactating females, a specific medial preoptic-VTA pathway is involved in nursing and pup retrieval (Fang et al., 2018;Fig. 8). Moreover, oxytocinergic projections from the paraventricular nucleus of the hypothalamus to the VTA and SNc drive DAergic neuron activity in opposite directions by increasing the activity of the VTA and decreasing that of the SNc (Xiao et al., 2017). Oxytocin-modulated DAergic neurons give rise to canonical striatal projections and oxytocin release in the VTA is necessary to elicit social reward, and is involved in attachment or bonding between parents and pups.
The PMv is involved in many other aspects of reproductive behaviors as part of the sexually dimorphic circuit with the MPN: it receives pheromonal information from the MEA and BSTpr, and the exposure of individuals to conspecific pheromonal stimuli induces a strong c-Fos expression in the PMv (Yokosuka et al., 1999;Nordman et al., 2020). Then, depending on the hormonal status of the individual and the sex of the intruder, the PMv either facilitates copulation or promotes an aggressive response. For example, the PMv is involved in intermale aggression or male copulatory behavior (Pfaus and Heeb, 1997;Stagkourakis et al., 2018;Fig. 8). In the case of females in estrus, this nucleus stimulates lordosis behavior. This is also a key site for leptin's regulation of reproduction, and it relays this information about the nutritional state to regulate gonadotropin-releasing hormone (GnRH) release (Leshan and Pfaff, 2014). In contrast to the VTA in lactating females, the PMv promotes a maternal aggressive response against a male intruder (Motta et al., 2013), but reports about the role of the PMv in caring for pups are lacking to date ( Fig. 8; see also Wei et al., 2021).
Therefore, both the VTA and the PMv are connected to the medial preoptic region, but while the VTA plays a role in reinforcing social bonds between partners and parents/ infants, the role of the PMv is dictated by the hormonal status of the individual and the sex and status of conspecifics, and its role ranges from copulatory behavior to fight initiation, depending of context.

Feeding behavior
The VTA through a rewarding action involving the nucleus accumbens, promotes the ingestion of hedonic food (Valdivia et al., 2014;Coccurello and Maccarrone, 2018;Koch et al., 2020). In general, DA-deficient mice are hypoactive, aphagic and adipsic (Zhou and Palmiter, 1995). The virally-induced rescue of DAergic signaling in the ventral striatum selectively restores the feeding of DAdeficient mice (Szczypka et al., 1999). Therefore, DAergic projections from the VTA to the ventral striatum, affect the motivation to eat regardless of homeostatic constraints.
By contrast, the PSTN and CbN have been implicated in the cognitive and physio-pathologic control of feeding (Barbier et al., 2020). Some authors also considered the PSTN as part of a satiety network (Zséli et al., 2016). These nuclei respond to the ingestion of hedonic food and to sickness. The response to hedonic food ingestion is even stronger if this food is consumed for the first time (Chometton et al., 2016;Barbier et al., 2020). However, they are preferentially involved in limiting food consumption in a way that was compared with the No-Go action of the STN (Barbier et al., 2020). The network involving these nuclei encompasses bidirectional connections with the insular cortex, the CEA and the posterior SI. Additionally, it comprises ascending calcitonin gene-related peptide (CGRP) inputs from the parabrachial nucleus in the pons that convey aversive signals from the periphery (Carter et al., 2015;Chometton et al., 2016;Barbier et al., 2017Barbier et al., , 2020Chen et al., 2018;Palmiter, 2018).
Therefore, both the PSTN/CbN and the VTA respond to hedonic food intake, but DAergic signaling in the VTA increases consumption while the PSTN/CbN limits the ingestion of such food if circumstances are not favorable (e.g., neophobia, sickness).

Defensive behavior
Both the VTA and the PMd have been extensively involved in the response to environmental threats. These responses include freezing, escape and even fighting. Concerning the VTA, it has been shown that noxious stimuli are able to excite ventral DAergic neurons while dorsal DAergic neurons are inhibited (Brischoux et al., 2009). DAergic inputs in the basolateral nucleus of the amygdala mediate the freezing response in contextual conditioned fear (de Oliveira et al., 2017) and, more recently, Barbano The PMd has also long been associated with a defense circuit involving connections with the AHN in the anterior hypothalamus, the ventral part of the anteromedial nucleus of the thalamus, and the dorsolateral sector of the periaqueductal gray (Blanchard et al., 2003;Aguiar and Guimarães, 2011;Litvin et al., 2014). This nucleus also depends on olfactory/pheromonal inputs for its functions. Initially, it was mostly involved in freezing responses to either a predator or predator odors, or to a dominant conspecific (social threat; Canteras et al., , 2008Canteras et al., , 2015Pavesi et al., 2011;Rangel et al., 2018). Anatomical evidence for a circuit suggesting that the AHN and PMd may influence eye and head movements was described long ago (Risold and Swanson, 1995). Indeed, recently, a study by Wang et al., provided further insights into the function of the PMd (Wang et al., 2021). These authors showed that this nucleus coordinates escape with spatial navigation. Projections from the PMd to the dorsolateral periaqueductal gray are necessary for the flight response, but its projection into the ventral part of the anteromedial nucleus of the thalamus is required to choose complex and suitable routes to escape a threat. Therefore, this nucleus plays a specific role in versatile context-specific escape.

Mammillary nuclei cooperation with the basal ganglia network
The MBO forms the medial pole of the glutamatergic posterior hypothalamic region. It is made of two nuclei that have similar and parallel projections with the ventral or dorsal tegmental nuclei of Gudden and with the anterior thalamic nuclei, but have distinct cell types and functions (Vann and Aggleton, 2004;Vann, 2010). Being the farthest from the STN, these two nuclei have no obvious connections with the ventral mesencephalon. Nevertheless, the current notion concerning the functions of these nuclei suggests that they may complete or influence basal ganglia action in the expression of behavior.

Occulomotor and head direction
Eye and head movements are important for scanning the environment and their control is indissociable from attentional processes and the ability to adapt to the environment.
The basal ganglia direct and indirect pathways play a key role in many aspects of these processes through the projections from the SNr to the superior colliculus (Kim et al., 2017;Hikosaka et al., 2019). By and large, the basal ganglia control gaze, gaze orientation and smooth pursuit (saccadic eye movements). Again, direct and indirect pathways play complementary roles with the indirect pathway being important for object choice and deteriorating gaze orientation to "bad" objects (Kim et al., 2017;Hikosaka et al., 2019). In addition, deep-brain stimulation of the STN used for the treatment of Parkinson's disease, affects eye movements (Klarendic and Kaski, 2021). Other striatal compartments may as well affect oculomotor responses from the SN. The amygdalo (from the CEA, caudal striatum)-nigral pathway is involved in boosting oculomotor action in motivating situations (Maeda et al., 2020).
Projections from the superior colliculus into the pontine nucleus are important to control basal ganglia oculomotor responses. Indeed this nucleus along with the nucleus reticularis tegmenti pontis are intimately involved in the visual guidance of eye movements and are known to influence the cerebellar vermis and flocculus (Allen and Hopkins, 1990;Liu and Mihailoff, 1999). Interestingly, the descending output of the MBO into the nucleus reticularis tegmenti pontis and the dorsomedial pontine nucleus are also well documented (Allen and Hopkins, 1990;Liu and Mihailoff, 1999). Therefore, the MBO may also mediate visual and vestibular related information through an anatomic pathway that includes mammillopontine projections to these precerebellar relay nuclei.
However, the lateral mammillary nucleus (LM) is mainly concerned with head direction. The LM along with the dorsal tegmental nucleus of Gudden, is probably particularly important for transforming vestibular information to signal head direction. Head direction cells are found in the LM but also in all the structures belonging to the LM circuit including the Gudden's dorsal tegmental nucleus, anterodorsal nucleus of the thalamus, retrosplenial cortex and postsubiculum (Vann and Aggleton, 2004;Vann, 2010;Fig. 9). Selective LM lesions abolish the anterior thalamic head direction signal as well as the directional specificity of hippocampal place field repetition. Head direction cells are critical for navigation and recent computational and experimental studies show that they interact with place and grid cells in large parts of the temporal cerebral cortex to support spatial memory, scene construction, novelty detection and mental navigation (Bicanski and Burgess, 2018;Soman et al., 2018;LaChance et al., 2020).

Medial mammillary nucleus and theta rhythm
Theta band oscillations encode information critical to mnemonic processing across a wide range of diencephalic and cortical brain areas, including the hippocampal formation, medial septum, MBO, Gudden's ventral tegmental nucleus (VTN) and anterior nuclei of the thalamus (ATN; Vann and Aggleton, 2004;Vann, 2010;Dillingham et al., 2021). Over the years, theta activity in the medial mammillary nucleus (MM) was thought to depend on descending input from the dorsal hippocampus through the fornix, but recent data indicate that MM-VTN interactions comprise an independent theta source and that the MBO-ATN pathway forms a medial diencephalic theta network that arises independently of the hippocampus (Dillingham et al., 2021). Therefore, the mammillothalamic pathway may contribute to contextual encoding, and as suggested by Dillingham and colleagues, "the MB-ATN axis may be specifically tuned (via theta oscillations) to process and relay context-rich and time-critical information that is further integrated and distributed to higher-order areas by thalamocortical circuits." At this point, it is important to remember that functional connectivity between basal ganglia neuronal activity and theta band activity in the hippocampus exists (Allers et al., 2002). The medial prefrontal cortex (MPF) is affected by theta rhythm generated in the hippocampus (Colgin, 2011). These connections are important for decision-making, as a dorsal medial prefrontal-subthalamic pathway supports action selection in a spatial working memory task (Heikenfeld et al., 2020) and theta oscillations in the STN also increase when individuals are making decisions in the presence of conflict (Zaghloul et al., 2012;Zavala et al., 2013Zavala et al., , 2018. A next step would be to verify whether the MM-ATN pathway could also be involved in such responses and whether a coupling of functions between the MM and STN occurs through an MM-ATN-MPF-STN pathway that is inferred by anatomy (Fig. 9).

Concluding functional considerations
Glutamatergic posterior hypothalamic structures are involved in controlling basal ganglia motor output or in Figure 10. Diagram summarizing the organization of the telencephalic input to the glutamatergic posterior hypothalamus and SN/ VTA. The posterior hypothalamus receives convergent cortical and pallidal afferences while the SN/VTA receives striatal inputs. The GPe input to the SNr is not illustrated to keep the schema simple and as they were not addressed within this paper. Cer. Cortex: cerebral cortex; PAL: pallidum; Post. Hyp.: posterior hypothalamus; Pth: pathway; SN: substantia nigra; STR: striatum; VTA: ventral tegmental area. Figure 9. Organization of circuits involving the LM and MM. A, The LM is bidirectionally connected to the DTN. It also projects into the AD of the anterior thalamus which innervates the RSP and hippocampal formation. In turn the LM is innervated by the fornix. This circuit is involved in head direction. B, The MM is bidirectionally connected with the VTN and projects into the AM and AV of the anterior thalamus. The AV innervates the RSP, ENT, and HF, but through the AM, MM can also influence frontal areas and the anterior cingulate cortex, and modulates, along hippocampal projections, the activity of indirect and hyperdirect pathways from these isocortical areas (for more details, see text and Dillingham et al., 2021). AD: anterodorsal nucleus of the thalamus; AM: anteromedial nucleus of the thalamus; AV: anteroventral nucleus of the thalamus; Cing: cingulate cortex; CPu: caudoputamen; Ctx: cortex; DTN: dorsal tegmental nucleus (Gudden); ENT: entorhinal area; GP: globus pallidus; HF: hippocampal formation; LM: lateral mammillary nucleus; LSc: lateral septal nucleus, caudal part; MM: medial mammillary nucleus; MS: medial septal nucleus; RSP: retrosplenial area; STN: subthalamic nucleus; VTN: ventral tegmental nucleus (Gudden). strategic decision-making regarding reactions toward conspecifics, ingestion of hedonic food or finding a path to escape a threat. As a whole, they appear to perform non-rewarding actions correlated to spatial or internal contexts, while the SN/VTA is associated with reinforcement, motivation and reward of actions also relying on gaze and attention. However, the medial and lateral nuclei of the posterior hypothalamus show differences in the kind of responses in which they are involved: the STN, PSTN, and PMv are clearly involved in controlling specific motor/behavioral outputs by directly or indirectly interacting with the telencephalic basal nuclei/ventral mesencephalic networks. The MBO influences cognitive processes through ascending thalamo-cortical projections and interacts with the medial wall of the pallium and of the striatum/pallidum whose functions are less dependent on ascending DAergic mesencephalic inputs. In particular, the MM contribute to the perception of the spatiotemporal context by the hippocampal formation which then provides this information to the iso/periallocortex. The PMd has an interesting intermediary position.
Active research related to the role of the STN within the basal ganglia network is constantly being conducted in human and animal models (Hikosaka et al., 2019). To date, similar studies that examine the comparative roles of the posterior hypothalamic networks and that of the SN/VTA are still rare but will constitute a promising future field of research.

Hypothesis and Perspectives
A little more than two decades ago, it was established that the circuits involving the allocortex and periallocortex, cerebral nuclei and medial zone nuclei of the hypothalamus resembled in terms of their structures to the basal ganglia loop with the isocortex. In the meantime, it was noticed that the STN, which is an essential component of the basal ganglia network, belonged to the hypothalamus. To reconcile the two observations, we have reviewed recent developmental, anatomic and functional data concerning the STN and the posterior hypothalamus. The developmental data showed that the STN is integrated within a larger glutamatergic posterior hypothalamic region generated in a specific embryonic anlage that is adjacent to the ventral mesencephalon where the SN/ VTA differentiates. We then realized that this posterior hypothalamic region receives convergent and topographically organized cortical and pallidal projections. This pattern of telencephalic input can be compared with the intense striatal projections that reach the SN/VTA (Fig.  10). Finally, the structures belonging to this posterior glutamatergic hypothalamic region and the SN/VTA serve complementary functions to organize behaviors. In the end, it becomes tempting to hypothesize here that the glutamatergic posterior hypothalamic region is involved in decision-making processes in situations that are dictated by environmental or internal contexts and that require immediate behavioral adaptation (e.g., social or predator threats), or by bypassing the direct pathways of the basal ganglia to limit the pursuit of rewarding actions and prevent negative consequences (e.g., limit the ingestion of palatable but unknown food).
Baed on this analysis, it is plausible to hypothesize that hypothalamic longitudinal circuits that interconnect hypothalamic medial zone nuclei and the basal ganglia circuitry are built on a similar basic plan (see also Croizier et al., 2015). The fact that the STN has a hypothalamic origin is a clear evidence supporting this hypothesis. The relationship between the preoptic region and the pallidal anlage in the embryonic brain is another sign that should not be neglected. Pursuing investigations in this direction (see as well Swanson et al., 2019) may prove to be fruitful to achieve a better understanding of how the hypothalamus is integrated within large scale neural circuits in the prosencephalon.