Abstract
Alcohol abuse disorders are associated with dysfunction of frontal cortical areas including the orbitofrontal cortex (OFC). The OFC is extensively innervated by monoamines, and drugs that target monoamine receptors have been used to treat a number of neuropsychiatric diseases, including alcoholism. However, little is known regarding how monoamines affect OFC neuron excitability or whether this modulation is altered by chronic exposure to ethanol. In this study, we examined the effect of dopamine, norepinephrine, and serotonin on lOFC neuronal excitability in naive mice and in those exposed to chronic intermittent ethanol (CIE) treatment. All three monoamines decreased current-evoked spike firing of lOFC neurons and this action required Giα-coupled D2, α2-adrenergic, and 5HT1A receptors, respectively. Inhibition of firing by dopamine or the D2 agonist quinpirole, but not norepinephrine or serotonin, was prevented by the GABAA receptor antagonist picrotoxin. GABA-mediated tonic current was enhanced by dopamine or the D1 agonist SKF81297 but not quinpirole, whereas the amplitude of spontaneous IPSCs was increased by quinpirole but not dopamine. Spiking was also inhibited by the direct GIRK channel activator ML297, whereas blocking these channels with barium increased firing and eliminated the inhibitory actions of monoamines. In the presence of ML297 or the G-protein blocker GDP-β-S, DA induced a further decrease in spike firing, suggesting the involvement of a non-GIRK channel mechanism. In neurons from CIE-treated mice, spike frequency was nearly doubled and inhibition of firing by monoamines or ML297 was lost. These effects occurred in the absence of significant changes in expression of Gi/o or GIRK channel proteins. Together, these findings show that monoamines are important modulators of lOFC excitability and suggest that disruption of this process could contribute to various deficits associated with alcohol dependence.
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INTRODUCTION
Monoamine neurotransmitters such as norepinephrine (NE), serotonin (5HT), and dopamine (DA) are important regulators of neuronal function and are critical for a wide variety of affective behaviors including reward, attention, emotion, memory, and learning. Alterations in the levels or function of monoamines and their receptors, either by disease or genetic differences, are thought to contribute to symptoms associated with many psychiatric diseases including addiction (Kirby et al, 2011; Narendran et al, 2014; Volkow et al, 2001). Indeed, drugs that target monoamine systems have long been used to treat affective and attention disorders (Rothman et al, 2008; Volkow et al, 2002).
The ability of these compounds to partially alleviate symptoms of psychiatric diseases is thought to largely reflect actions on neurons and circuits within the frontal cortex. Of these, the orbitofrontal cortex (OFC) is known to play an important role in integrating information from sensory modalities in order to guide behavior based on optimal choices and outcomes. Thus, regions of the OFC mediate aspects of choice behavior (Roesch and Olson, 2007; Schoenbaum et al, 1998), reversal learning (Bissonette et al, 2008; McAlonan and Brown, 2003), and the development of anticipation in response to either appetitive or aversive stimuli (Tremblay and Schultz, 1999). Dysfunction of the OFC is associated with numerous neuropsychiatric diseases including obsessive–compulsive disorder and symptoms of OFC deficiency are often observed in individuals suffering from alcohol and drug abuse disorders (Fortier et al, 2008; Verdejo-Garcia et al, 2006). In a previous report, we showed that alcohol-dependent mice have impaired performance on a reversal learning task (Badanich et al, 2011) that in both rodents (Brown et al, 2007) and primates (Jedema et al, 2011) requires the OFC. Withdrawal from repeated cycles of chronic intermittent ethanol exposure was also shown to enhance the intrinsic excitability of OFC neurons (Nimitvilai et al, 2016), suggesting that dysregulation of processes that modulate excitability may contribute to dysfunction associated with alcohol use disorders. Understanding the mechanisms that regulate OFC excitability is thus important for developing therapeutic interventions designed to restore normal control of neuronal activity.
The OFC has been shown to be extensively innervated by monoamine neurotransmitters (Agster et al, 2013; Homayoun and Moghaddam, 2008; Robbins and Arnsten, 2009) and dysregulation of monoamine function has been suggested to underlie deficits in certain OFC-dependent behaviors (Clarke et al, 2005; Kheramin et al, 2004; Winstanley et al, 2006). However, virtually nothing is known regarding the functional effects of monoamines on the excitability of OFC neurons or whether this modulation is affected by prior exposure to ethanol. In this study, we used whole-cell patch-clamp electrophysiology to examine the effects of DA, NE, and 5HT on the intrinsic excitability of lateral OFC (lOFC) neurons and determined whether the actions of these modulators are altered in ethanol-dependent mice. The results demonstrate that monoamine neurotransmitters reduce excitability via activation of G protein-coupled inwardly rectifying potassium (GIRK; Kir3 family) channels and that this regulation is lost in mice made dependent on alcohol.
MATERIALS AND METHODS
Animals
Male C57BL/6J mice were obtained from Jackson Laboratories (Bar Harbor, ME) (https://www.jax.org/strain/00064) at 9 weeks of age. They were group-housed (4/cage) and allowed to acclimatize to the colony room for at least 1 week in a temperature- and humidity-controlled AAALAC-approved facility. Animals were maintained on a 12 h light/dark cycle with lights off at 0900 h and had ad libitum access to food and water. All animals were treated in strict accordance with the NIH Guide for the Care and Use of Laboratory Animals and all experimental methods were approved by the Medical University of South Carolina’s institutional animal care and use committee.
Chronic Intermittent Ethanol Exposure
After acclimatization, mice were exposed to four cycles of chronic intermittent ethanol (CIE group) vapor or air (control) in inhalation chambers as previously described (Badanich et al, 2011; Nimitvilai et al, 2016). Briefly, each cycle consisted of daily exposure to ethanol vapor for 16 h followed by 8 h of abstinence in the home cage. This was repeated each day for 4 consecutive days followed by 3 days of abstinence before beginning the next cycle of ethanol exposure. The average BEC during the 4 weeks of CIE exposure was 196.76±9.69 mg/dl. Mice were killed 3, 7, or 14 days following the final vapor exposure (ethanol or air) and used for electrophysiological and biochemical studies. Full details are provided in Supplementary Materials.
Brain Slice Electrophysiology
Whole-cell patch-clamp electrophysiology recordings were carried out in brain slices containing the lOFC as previously described (Badanich et al, 2013). Briefly, recordings were localized to deep layers of the lOFC and current-clamp recordings used a potassium gluconate internal solution (in mM; 120 K-Gluconate, 10 KCl, 10 HEPES, 2 MgCl2, 1 EGTA, 2 NaATP, and 0.3 NaGTP, adjusted to 294 mOsm, pH=7.4). In some experiments, GDP-β-S (500 μM) was included in the potassium gluconate internal solution to examine a role for G-protein activation on AP spiking. For voltage-clamp experiments, a cesium chloride internal solution (in mM; 120 CsCl, 10 HEPES, 2 MgCl2, 1 EGTA, 2 NaATP, 0.3 NaGTP, and 1 QX-314, adjusted to 294 mOsm, pH=7.4) was used. To measure spontaneous inhibitory postsynaptic currents (sIPSCs), the glutamate NMDA antagonist DL-AP5 (100 μM) and AMPA antagonist CNQX (10 μM) were added to the aCSF perfusion solution to isolate GABAA-mediated currents, and the neuron was voltage clamped at −70 mV. Spontaneous events were detected using a template matching algorithm and a threshold amplitude of 10 pA (AxographX software, Axograph, Sydney, Australia). All whole-cell recordings were carried out using an Axon MultiClamp 700B amplifier (Molecular Devices, Union City, CA) interfaced with an Instrutech ITC-18 analog-digital converter (HEKA Instruments, Bellmore, NY). Data were acquired with AxographX software running on a Macintosh G4 computer (Apple, Cupertino, CA). Events were filtered at 4 kHz and digitized at a sampling rate of 10 kHz. Full details can be found in Supplementary Materials.
Drugs
Dopamine hydrochloride was purchased from Alfa Aesar (Ward Hill, MA). Serotonin hydrochloride, α-methyl-5HT, SKF81297, quinpirole hydrochloride, sulpiride, SCH23390, WAY100635, yohimbine, picrotoxin, naftopidil hydrochloride, nomifensine, DL-AP5, and CNQX were purchased from Tocris Biosciences (Minneapolis, MN). ML297 was purchased from Abcam (Cambridge, MA). GDP-β-S was purchased from Santa Cruz Biotechnology (Dallas, TX). Norepinephrine, strychnine, barium, and all reagents used to prepare aCSF, sucrose-containing and internal pipette solution were purchased from Sigma (St Louis, MO).
Western Blotting
OFC tissue punches were collected from control and CIE-treated mice at 3 days following the last exposure and western blotting was performed according to standard immunoblotting procedures described previously (McGuier et al, 2015). Full details can be found in Supplementary Materials.
Statistical Analysis
Experimental data are expressed as mean±SEM and were analyzed with Prism software (GraphPad Software, San Diego, CA) using standard methods (one-way repeated measures ANOVA, two-way ANOVA, and t-test) as indicated. Comparisons were considered significantly different when p<0.05.
RESULTS
Monoamines Decrease the Excitability of Lateral OFC Neurons through Gi/o Linked Receptors
Dopamine
Recordings were carried out in large, regular spiking pyramidal neurons located in deep layers of the lOFC. Supplementary Table 1 shows values for resting membrane potential and input resistance in the absence and presence of monoamines. In current-clamp mode, injections of current evoked increasing numbers of action potentials (APs) in lOFC neurons (Figure 1a). Action potential firing was reduced by dopamine in a concentration-dependent manner (two-way ANOVA: main effect of dopamine, F(2, 390)=42.14, p=0.0002) and this effect was reversed upon washout. The post hoc comparisons reported significant differences in spiking in response to either 10 μM (q=8.426, p<0.0001; N=9) or 50 μM dopamine (q=12.99, p<0.0001; N=8). Concentrations of dopamine below 10 μM had little effect on firing (Figure 1b; two-way ANOVA, F(2, 171)=0.3058, p=0.737). To assess whether this reflects active uptake in the slice, recordings were carried out in the presence of the nonspecific monoamine transporter inhibitor nomifensine (10 μM). With nomifensine present (Figure 1c), firing was significantly decreased by dopamine concentrations as low as 1 nM (two-way ANOVA, F(2, 216)=13.9, q=2.55, p<0.05; N=10) and 100 nM (two-way ANOVA, F(2, 216)=13.9, q=5.27, p<0.0001; N=7), suggesting that monoamine transporters actively regulate extracellular levels of dopamine in the cortical slice. Nomifensine itself caused a small but significant decrease in AP spiking (two-way ANOVA, F(1, 12)=15.2, p=0.002; N=13; data not shown).
To determine whether dopamine inhibition of firing was receptor dependent, action potentials were recorded in the presence of D1 or D2 receptor antagonists. In the presence of the D1 receptor antagonist SCH23390, 50 μM dopamine still produced a significant reduction in AP spiking of lOFC neurons (Figure 1d; two-way ANOVA, F(2, 375)=16.25, q=6.621, p<0.0001; N=8). SCH23390 alone did not alter cell firing (two-way ANOVA, F(2, 375)=16.25, q=0.759, p>0.05). In contrast, dopamine (50 μM) had no effect on spiking in the presence of the D2 receptor antagonist sulpiride (Figure 1e; two-way ANOVA, F(2, 240)=11.58, q=3.078, p>0.05; N=6). Alone, sulpiride produced a slight, but significant, increase in firing rate (two-way ANOVA, F(2, 240)=11.58, q=6.89, p<0.0001), suggesting that these receptors may be tonically active in the slice. In concert with these findings, activation of D2 receptors directly with the selective agonist quinpirole also significantly reduced firing (Figure 1f; two-way ANOVA: main effect of quinpirole, F(2, 210)=19.46, p<0.0001). The post hoc comparisons reported significant differences in spiking in response to 5 μM quinpirole (q=6.09, p<0.0001; N=8).
Norepinephrine
Similar to dopamine, acute application of either 10 or 50 μM NE produced a robust inhibition of AP spiking in lOFC neurons (two-way ANOVA, main effect of NE, F(2, 255)=60.11, p<0.0001) and this effect reversed after washout. The post hoc comparisons showed significant decreases in firing in response to either 10 μM (q=9.089, p<0.0001; N=7) or 50 μM NE (Figure 2a; q=15.25, p<0.0001; N=6). Application of the α-2 adrenergic receptor antagonist yohimbine (10 μM) alone did not alter the excitability of lOFC neurons (two-way ANOVA, F(2, 495)=2.401, q=0.544, p=0.0917) but it did suppress NE inhibition of spiking (Figure 2b; two-way ANOVA, F(2, 495)=2.401, q=2.11, p=0.0917; N=12). In contrast, the reduction in firing by NE was not reduced by the α1 adrenergic receptor antagonist naftopidil (10 μM) (Figure 2c; two-way ANOVA, F(2, 104)=6.223, q=3.306, p<0.01; N=6) and by itself, naftopidil had no effect on spiking (two-way ANOVA, F(2, 104)=6.223, q=0.3779, p=0.6766).
Serotonin
As summarized in Figure 2d and similar to that observed for DA and NE, acute application of serotonin reversibly decreased AP spiking of lOFC neurons in a concentration-dependent manner (two-way ANOVA, main effect of 5HT, F(2, 300)=55, p=0.0314; N=8). The post hoc comparisons showed significant decreases in spiking in response to either 10 μM (q=6.831, p<0.0001) or 50 μM (q=14.64, p<0.0001) serotonin. This effect was blocked by the 5HT1A antagonist WAY100635 (100 nM; two-way ANOVA, F(2, 345)=11.04, q=2.231, p>0.05, Figure 2e) that itself produced a small decrease in firing rate (two-way ANOVA, F(2, 345)=11.04, q=4.298, p<0.01. As there is also evidence for 5HT2 receptors in the OFC, we tested whether selectively activating these receptors would influence lOFC neuronal excitability. There was no significant change in AP firing of lOFC neurons in the presence of 10 μM (N=9) or 50 μM (N=6) of the 5HT2 agonist α-methyl-5HT (Figure 2f; two-way ANOVA, F(2, 315)=2.52, p>0.05).
Involvement of GABAA Receptors in Monoamine Inhibition of lOFC Neuronal Excitability
To explore potential mechanisms underlying monoamine inhibition of lOFC firing, we investigated whether GABAA receptors were involved as previous studies report that monoamines can potentiate GABAA-induced inhibition of neurons in the PFC (Zhou and Hablitz, 1999) and other brain areas (Hoerbelt et al, 2015; Janssen et al, 2009; Rainnie, 1999). Recordings were performed in the presence of a GABAA receptor blocker picrotoxin (100 μM) in the aCSF, and the effect of each monoamine was reexamined. With picrotoxin present, 50 μM dopamine no longer inhibited current-evoked spiking of lOFC neurons (Figure 3a; two-way ANOVA, F(1, 180)=0.0624, p=0.99; N=7). Similarly, the inhibitory effect of the D2 receptor agonist quinpirole (5 μM) was also blocked by picrotoxin (Supplementary Figure S1a; two-way ANOVA, F(1, 100)=0.011, p=0.9153; N=6). In contrast, the inhibition of AP spiking by 50 μM norepinephrine (Supplementary Figure S1b; two-way ANOVA, F(1, 150)=101.4, p<0.0001; N=6) or serotonin (Supplementary Figure S1c; two-way ANOVA, F(1, 300)=31.4, p<0.0001; N=10) was not affected by picrotoxin. In addition to GABAA receptors, picrotoxin also inhibits glycine-activated chloride channels (Wang et al, 2006) and we previously reported a glycine-mediated inhibition of neuronal firing in the lOFC (Badanich et al, 2013). To investigate whether glycine receptors have a role in dopamine-mediated inhibition of spike firing, recordings were carried out in the presence of strychnine. There was no change in dopamine inhibition of lOFC firing by strychnine (1 μM) (Supplementary Figure S1d, two-way ANOVA, F(1, 150)=56.83, p<0.0001; N=6). Summarized in Figure 3b are the number of spikes at the highest current injection step in the presence of picrotoxin or strychnine and each monoamine (50 μM) and data are normalized to the picrotoxin or strychnine baseline.
To further probe how GABAA receptors are involved in the dopamine inhibition of lOFC neuronal firing, we monitored sIPSCs and tonic current before and during exposure to dopamine, the D1 agonist SKF81297, or the D2 agonist quinpirole. In these experiments, a cesium chloride internal solution was used and voltage-clamp recordings were carried out in the presence of glutamate receptor antagonists (CNQX and AP5) to isolate GABAA-mediated events. Interestingly, application of dopamine (50 μM) had no significant effect on sIPSC amplitude (Figure 3c and d; two-tail paired t-test, t(10)=0.6305, p=0.5425) or frequency (Figure 3c and e; two-tail paired t-test, t(10)=0.5298, p=0.6078) when compared with data from control recordings. Similarly, the D1 agonist SKF81297 (10 μM) did not alter sIPSC amplitude (two-tail paired t-test, t(7)=0.1762, p=0.8651) or frequency (two-tail paired t-test, t(7)=0.4763, p=0.6484) when compared with the control baseline. In contrast, the D2 agonist quinpirole (5 μM) significantly increased the amplitude of sIPSCs (Figure 3c and d; two-tail paired t-test, t(8)=3.61, p=0.0069), whereas it had no effect on frequency (Figure 3c and e; two-tail paired t-test, t(8)=0.735, p=0.4834).
To assess whether these dopamine receptor agonists also show differential effects on tonic currents mediated by extrasynaptic GABAA receptors, we measured the holding current before and during local application of DA, SKF81297, or quinpirole. DA (50 μM) induced a significant increase in the holding current of lOFC neurons (Figure 3f; two-tailed t-test, t(7)=3.932, p=0.0057) and this effect was blocked by picrotoxin (100 μM; two-tailed t-test, t(4)=0.054, p=0.9595). Similarly, the D1 agonist SKF81297 (10 μM) significantly increased tonic current (two-tailed t-test, t(7)=3.945, p=0.0056) and this increase was also suppressed by picrotoxin (two-tailed t-test, t(5)=0.2097, p=0.8422). However, there was no change in tonic current during application of quinpirole (5 μM) to the patched neuron (two-tailed t-test, t(8)=1.252, p=0.2458). Blocking D1 receptors with SCH23390 attenuated DA enhancement of tonic current (two-tailed t-test, t(6)=1.457, p=0.1953), whereas blocking D2 receptors with sulpiride had no effect on DA-induced tonic currents (two-tailed t-test, t(15)=2.252, p=0.0397).
Role of GIRK Channels in the Inhibitory Effects of Monoamines
Many Giα-coupled receptors are linked to stimulation of GIRK (Kir3 family) channels that are major regulators of neuronal excitability (Dascal, 1997; Hille, 1992). As D2, 5HT1A, and α2-adrenergic receptors are all Giα coupled, we examined whether modulating GIRK channel activity would interfere with the inhibitory effects of monoamines. As shown in Figure 4a, a low concentration of barium (100 μM) chosen to primarily inhibit GIRK channels (McDaid et al, 2008; Hurst et al, 1995; van Welie et al, 2005) produced a small, but significant, increase in AP spiking of lOFC neurons (two-way ANOVA, F(1, 560)=27.2, p<0.0001; N=30). Data in Figure 4b show the number of spikes at the highest current injection step (220 pA) in the presence of barium and each monoamine (50 μM) and are normalized to the barium baseline. No significant difference in spike number from barium control recordings was observed for dopamine (two-tail paired t-test, t(4)=0.85, p=0.4438), serotonin (two-tail paired t-test, t(5)=0.86, p=0.4292), or norepinephrine (two-tail paired t-test, t(5)=1.52, p=0.1889). We then tested whether ML297, a direct activator of GIRK channels, would decrease cell firing and whether it occluded the inhibitory effects of each monoamine. As shown in Figure 4c–e, ML297 (10 μM, applied in the superfusate for 10 min) significantly decreased firing as compared with the control drug-free baseline (two-way repeated measures ANOVA, F(1, 43)=64.78, p<0.0001; N=44). Adding DA in the presence of ML297 (Figure 4c) further decreased spiking, whereas neither NE (Figure 4d) nor 5HT (Figure 4e) produced any additional decrease in firing as compared with the ML297 baseline. Summarized in Figure 4f are the number of spikes at the highest current injection step in the presence of ML297 and each monoamine (data from Figure 4c–e) and are normalized to the ML297 baseline. With ML297, spiking produced by NE (two-tail paired t-test, t(7)=0.4472, p=0.6682) or 5HT (two-tail paired t-test, t(10)=1.813, p=0.0998) was not different from spiking produced by ML297 alone. In contrast, DA further decreased AP spiking and this decrease was significantly different from ML297 baseline (two-tail paired t-test, t(8)=4.6, p=0.0018). We then tested whether blocking G-protein activation prevents monoamine-induced inhibition of spiking. In the presence of GDP-β-S (500 μM, applied intracellularly through patch pipette), 5HT (50 μM) did not significantly inhibit cell firing (Supplementary Figure S2b and d; two-way repeated measures ANOVA, F(9, 54)=1.689, p=0.1144; N=7). In contrast, DA (50 μM) reduced current-evoked spiking in the presence of GDP-β-S (Supplementary Figure S2c and d; two-way repeated measures ANOVA, F(9, 54)=4.946, p<0.0001; N=9), although the magnitude of inhibition was less than that without GDP-β-S in the pipette (see Figure 1a for comparison). GDP-β-S by itself had no effect on AP spiking over a 20 min time course (Supplementary Figure S2a, two-way repeated measures ANOVA, F(18, 90)=0.8849, p=0.5975; N=6). Together with results from the barium and ML297 recordings, these findings are consistent with the idea that Gi/o-coupled monoamine receptors reduce excitability of lOFC neurons via activation of GIRK channels and suggest the involvement of an additional non-GIRK mechanism in the inhibitory actions of DA.
CIE Exposure Attenuates ML297 and Monoamine Inhibition of Firing
We previously demonstrated that withdrawal from chronic intermittent ethanol treatment increases the excitability of lOFC neurons for up to 10 days after the last ethanol exposure (Nimitvilai et al, 2016). In the present study, we replicated this finding, added data from a 14-day withdrawal group, and examined whether CIE exposure alters monoamine inhibition of current-evoked spiking. As reported previously (Nimitvilai et al, 2016), CIE-exposed mice showed enhanced AP spiking as compared with air controls (Figure 5a; two-way ANOVA: main effect of CIE, F(4, 364)=31.77, p<0.0001). The post hoc comparisons revealed significant differences in spiking for 3-day (q=8.338, p<0.0001; N=17) and 7-day (q=7.189, p<0.0001; N=15) withdrawal (WD) groups. At 14 days after withdrawal, spiking from CIE-treated mice was not different from air controls (q=0.771, p>0.05; N=9).
We then tested whether CIE exposure altered the inhibition of firing by direct activation of GIRK channels. Shown in Figure 5b are the number of spikes at the highest current injection step in the presence of ML297 that are normalized to control baseline (without drug). The GIRK activator ML297 (10 μM) significantly decreased spiking in neurons from air-exposed mice (two-tail paired t-test, t(16)=7.086, p<0.0001), but had no effect on firing in lOFC neurons from the 3D-WD CIE group (two-tail paired t-test, t(10)=0.1316, p=0.8979). In the 7D-WD group, inhibition of spiking by ML297 was significantly different from the control (n=18, two-tail paired t-test, t(17)=3.226, p=0.005), but the level of inhibition was still less than that seen in neurons from air-exposed animals. By 14 days of withdrawal, ML297 inhibition of spiking was similar to that of air controls (two-tail paired t-test, t(7)=4.459, p=0.0029). Multiple GIRK channel subtypes have been identified, and in the brain, GIRK1, GIRK2, and GIRK3 subunits are moderately or highly expressed whereas that of GIRK4 is low or undetectable (Chan et al, 1997; Karschin et al, 1996; Kobayashi et al, 1995). The expressions of Gi and Go proteins that link GPCRs to GIRKs are also highly expressed in brain including the frontal cortex (Cruz et al, 2008; Goodfellow et al, 2009, 2014; Saenz del Burgo et al, 2008). To determine whether CIE exposure alters the expression of these proteins, western blotting was performed using antibodies against Gi/o protein subunits and GIRK channels including GIRK1 that is the target of ML297 (Days et al, 2010). At the 3-day WD time where ML297 had no effect on firing, air- and CIE-treated mice expressed similar amounts of Gi/o proteins (two-tailed t-test, t(9)=0.3727, p=0.718), GIRK1 (two-tailed t-test, t(10)=0.9863, p=0.3473), and GIRK2 (two-tailed t-test, t(18)=0.9218, p=0.3688) channel subunits (Figure 5c).
Although CIE exposure blunted the inhibitory effect of the direct channel activator ML297 on OFC neuron firing, no changes in expression of Gi/o or GIRK channel subunits were observed, suggesting that receptor-mediated effects on excitability might be unaffected. Thus, in an additional set of air- and CIE-treated mice, we tested the effect of DA, NE and 5HT on current-evoked spiking of lOFC neurons. As previously observed (Figures 1 and 2), AP spiking was significantly reduced by DA (Figure 5d; two-tail paired t-test, t(4)=6.236, p=0.0034), NE (Figure 5e; two-tail paired t-test, t(6)=5.296, p=0.0018), or 5HT (Figure 5f; two-tail paired t-test, t(5)=2.626, p=0.0467) in neurons from air control groups. However, DA, NE, and 5HT inhibition of evoked firing was completely abolished in neurons from CIE-treated mice (Figures 5d–f, respectively). Unlike that found for ML297, the loss of monoamine inhibition of excitability persisted for up to 7 days following withdrawal from CIE exposure.
DISCUSSION
We reported previously that ethanol, applied acutely, reduces the intrinsic excitability of lOFC neurons (Badanich et al, 2013), and that firing is enhanced in alcohol-dependent mice (Nimitvilai et al, 2016). The results of the present study demonstrate that the enhanced excitability of lOFC neurons in CIE-treated mice is accompanied by a loss of monoamine inhibition of firing normally observed in control animals. Specifically, DA, NE, and 5HT each decreased current-evoked firing of lOFC neurons from control animals and results from pharmacological studies suggest that this action was mediated primarily via Giα-coupled D2, α2, and 5HT1A receptors, respectively. These receptors all stimulate inhibitory GIRK channels consistent with the findings showing that the GIRK channel blocker barium occluded monoamine-induced inhibition of firing and that ML297, a direct GIRK channel activator, itself reduced firing. Overall, these results suggest that monoamines likely play a key role in modulating the intrinsic excitability of lOFC neurons and that loss of this action following chronic ethanol exposure may contribute to the impairment of OFC-dependent behaviors observed in alcohol-dependent individuals.
In this study, lOFC neurons from CIE mice were resistant to monoamine or ML297-induced inhibition of firing and this occurred in the absence of obvious changes in GIRK1, GIRK2, or Gi/o subunit expression. Although we cannot rule out that there may have been local or cell-type-specific changes in these proteins that may have been missed in the tissue punch samples, these findings suggest that CIE may induce changes in monoamine receptors or in processes that couple these receptors to their GIRK and G-protein counterparts. Although possible, it seems unlikely that CIE could cause identical changes in the expression of specific Gi-linked monoamine receptors among three different neurotransmitter families, suggesting that downstream events common to each of these receptors may be a more likely site of action. GIRK channels (Huang et al, 1998; Xiao et al, 2003) and some members of the transient receptor potential family (Huang et al, 1998; Xiao et al, 2003) require the membrane-associated phosphatidylinositol-4,5-bisphosphate (PIP2) for activation or regulation. Acute ethanol modulation of these channels has been shown to be sensitive to manipulations in PIP2 (Huang et al, 1998; Xiao et al, 2003) and following CIE, PIP2 activation of phospholipase C in NG108 neuroglia cells to ethanol is blunted (Katsura et al, 1994; Pandey, 1996). Similar findings have been reported in ethanol-dependent mice (Katsura et al, 1994; Pandey, 1996). Chronic ethanol exposure and withdrawal has also been shown to upregulate the expression of calmodulin (Katsura et al, 1994; Pandey, 1996), phospholipase C, and selective protein kinase C isozymes (Katsura et al, 1994; Pandey, 1996) in several brain regions and cultured neurons. Upregulation of these signaling molecules is linked to destabilization of GIRK–PIP2 interactions and PIP2 depletion on channel activity (Katsura et al, 1994; Pandey, 1996). Although not measured in this study, depletion or uncoupling of PIP2 from its downstream targets could account for the global loss of GIRK channel function in CIE-treated animals even though overall channel expression was not changed. Interestingly, the loss of monoamine inhibition in CIE-treated mice persisted for at least 1 week, whereas the ability of ML297 to reduce firing recovered by the 7-day WD period. This differential recovery of action suggests that the loss of monoamine inhibition of excitability following CIE exposure may involve multiple sites in the receptor/G-protein/GIRK channel cascade that links monoamines to control of firing. In addition, we reported previously that acute ethanol reduces firing of lOFC neurons via activation of ionotropic glycine receptors (Badanich et al, 2013) and that following CIE exposure, this effect is lost along with a blunting of inhibition by the glycine transport inhibitor sarcosine, reduced expression of the GlyT1 transporter, and a functional downregulation of small conductance (SK) potassium channels (Nimitvilai et al, 2016). When combined with the findings of the current study, these results demonstrate that CIE exposure and withdrawal induces time-dependent changes in multiple mediators of lOFC excitability that renders these neurons hyperexcitable. Restoring control over firing of OFC neurons in ethanol-dependent subjects thus likely requires the targeting of multiple neurotransmitter systems and effectors.
Whereas the effects of NE and 5HT on lOFC firing appeared to result from activation of GIRK channels, the actions of DA were more complex. Both DA and a specific D2 receptor agonist quinpirole decreased spike firing in lOFC neurons, and these effects were blocked by picrotoxin, suggesting the involvement of GABAA receptors. Many studies have reported on DA ability to modulate synaptic GABA-mediated inhibition in the PFC, with some reporting a D2-mediated decrease in GABA release (Retaux et al, 1991) or evoked GABAergic synaptic response (Penit-Soria et al, 1989) and others showing increases in extracellular GABA (Grobin and Deutch, 1998) or GABAergic sIPSCs (Penit-Soria et al, 1987; Zhou and Hablitz, 1999) following exposure to a D2 agonist. In the adult but not juvenile rat PFC, activation of D2 receptors enhances the firing of fast-spiking interneurons that inhibit pyramidal neuron excitability (Gorelova et al, 2002; Williams and Goldman-Rakic, 1995) and D1-mediated activation of GABAergic interneurons results in attenuation of spontaneous PFC neuronal firing (Gorelova et al, 2002; Williams and Goldman-Rakic, 1995). DA also has effects on extrasynaptic GABAA receptors that generate a tonic inhibitory current in various brain regions. For example, in nucleus accumbens medium spiny neurons (MSNs), activation of D1 receptors increases tonic current, whereas acute or prolonged activation of D2 receptors has no effect or decreases tonic current, respectively (Maguire et al, 2014). In the dorsal striatum, the effect of DA on tonic current is age dependent, mediated mainly by the α5 GABA subunit in D2-MSNs in immature mice and by the δ-subunit in D1-MSNs in mature animals (Ade et al, 2008; Janssen et al, 2009; Santhakumar et al, 2010). In the lOFC of adult rats, D1 receptor activation increases the amplitude of NMDA EPSCs and D2 receptor agonists decrease NMDA EPSCs (Thompson et al, 2016). In contrast, Wallace et al (2014) reported that DA had no effect on mono- or polysynaptic responses of electrically evoked field responses recorded from slices containing caudal areas of the OFC. In this study, we found that DA or the D1 agonist SKF81297 had no effect on sIPSCs but increased a tonic current that was suppressed by picrotoxin. In contrast, the D2 agonist quinpirole increased sIPSC amplitude but had no effect on GABA-mediated tonic inhibition. Although both D1- and D2-mediated events would be expected to reduce excitability, blocking D1 receptors did not prevent DA inhibition of current-evoked spiking, whereas picrotoxin prevented inhibition of firing by either DA or the D2 agonist quinpirole. D2 activation of fast-spiking interneurons in the lOFC, similar to that found in adult rat mPFC (Gorelova et al, 2002; Williams and Goldman-Rakic, 1995), could explain these results, although the effects of DA on spiking were also blocked by barium suggesting a direct postsynaptic GIRK-mediated mechanism. In addition, unlike NE or 5HT, DA induced an additional inhibition of firing in the presence of the direct GIRK channel activator ML297 or the G-protein blocker GDP-β –S, again suggesting multiple mechanisms for DA modulation of OFC firing. How these actions influence monoamine regulation of OFC activity in vivo is not yet clear, although results from studies using indirect monoamine agonists suggest that both increases and decreases can occur. For example, OFC spiking measured in vivo was mainly enhanced following experimenter administered amphetamine (Homayoun and Moghaddam, 2008), whereas bidirectional changes in OFC spiking were observed in rats that received cocaine noncontingently or via self-administration or during presentation of cocaine-predictive cues (Guillem et al, 2010). These results suggest that both local and circuit-based mechanisms ultimately determine the net result of monoamine receptor activation on OFC neuron firing.
We note that in the present study, micromolar concentrations of DA, NE, and 5HT were required to alter firing of lOFC neurons, similar to findings reported for other cortical areas (Di Pietro and Seamans, 2011; Gonzalez-Islas and Hablitz, 2001; Nimitvilai et al, 2012; Trantham-Davidson et al, 2014; Wallace et al, 2014) and for the OFC (Wallace et al, 2014). However, extracellular concentrations of monoamines in the PFC are estimated to be in the nanomolar range (Mallo et al, 2008; Moghaddam et al, 1990), calling into question the physiological relevance of the high concentrations used in brain slice studies. This apparent discrepancy may reflect active uptake of monoamines, and/or the slow penetration of these substances into the relatively thick (~300 μm) slices used in these experiments. Although both NE transporters and serotonin transporters appear to be highly expressed in the PFC (Morón et al, 2002), expression of the DA transporters is minimal (Freed et al, 1995; Sesack et al, 1998). Nevertheless, DA in the PFC can be broken down by enzymatic means (catechol-O-methyl-transferase) and DA is actively taken up by the other monoamine transporters, especially that for NE (Di Chiara et al, 1992; Morón et al, 2002; Mundorf et al, 2001; Pani et al, 1990; Yamamoto and Novotney, 1998). In the present study, dopamine applied in the presence of a concentration of the nonspecific monoamine transporter inhibitor predicted to block all monoamine transporters (Tuomisto, 1977) significantly decreased lOFC neuronal firing at concentrations as low as 1–100 nM. These findings suggest that active transport regulates extracellular levels of monoamines even in acute slices of the OFC. As there is evidence for an increase in monoamine uptake rate following CIE (Di Chiara et al, 1992; Yamamoto and Novotney, 1998) and inhibition of monoamine transporter attenuates excessive drinking and impulsivity in high-alcohol-preferring animals (Di Chiara et al, 1992; Yamamoto and Novotney, 1998), it will be important to determine whether CIE also affects monoamine transporter activity in the OFC.
Imbalance or dysfunction of monoamine neurotransmission has been linked to functional abnormalities in the OFC and deficits in behavioral flexibility that require an intact OFC (Pardey et al, 2013; Wischhof et al, 2011; Zeeb et al, 2010). For example, low levels of serotonin within the OFC impaired performance on a visual discrimination reversal task in marmosets and rodents (Clarke et al, 2004; Masaki et al, 2006), and caused disruption on a detour reaching task in monkeys (Walker et al, 2006). In addition, animals receiving systemic administration of haloperidol, a potent DA receptor blocker with higher affinity for D2-like receptors, or the D2/D3 receptor antagonist raclopride, require more trials and produce more errors in order to reach the performance criterion in the reversal (Ridley et al, 1981; Lee et al, 2007). Reductions in D2 receptors have also been associated in alcoholism and other substance abuse disorders (Noble, 2000). We reported previously that ethanol-dependent mice exhibit deficits in reversal learning (Badanich et al, 2011) and drink more alcohol compared with control animals (den Hartog et al, 2016). The present study showed that CIE induced a loss of D2, 5HT1A, and α2 receptor modulation of intrinsic excitability, suggesting that a loss of monoamine receptor activity within the OFC would be expected to adversely impact the organization of neural networks and cognitive functions mediated by each monoamine, and thus may play a role in behavioral inflexibility and cognitive deficits associated with chronic alcohol exposure.
In conclusion, the results of the present study suggest that monoamines may play a key role in regulating the intrinsic excitability of lOFC neurons, through modulation of GABA-mediated events and activation of Giα-coupled GIRK channels (summarized in a model; Supplementary Figure S3). Maintaining optimal levels of monoamine signaling is likely critical for support of cognitive functions that require an intact OFC and loss of these regulatory processes may contribute to the pathology of various neuropsychiatric disorders including schizophrenia, obsessive-compulsive disorder, as well as alcohol and substance abuse disorders. The profound loss of DA-, NE-, and 5HT-mediated control of lOFC excitability following CIE exposure also suggests that treatments focused on specific receptor subtypes may not be effective in restoring the balance of monoamine signaling in alcohol-dependent individuals especially during the early stages of abstinence.
FUNDING AND DISCLOSURE
This work was supported by P50AA010761 and R37AA009986 to JJW; UO1 AA020929 to MFL; and U01AA020930 to PJM. The authors declare no conflict of interest.
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Nimitvilai, S., Lopez, M., Mulholland, P. et al. Ethanol Dependence Abolishes Monoamine and GIRK (Kir3) Channel Inhibition of Orbitofrontal Cortex Excitability. Neuropsychopharmacol 42, 1800–1812 (2017). https://doi.org/10.1038/npp.2017.22
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DOI: https://doi.org/10.1038/npp.2017.22
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