Fornix deep brain stimulation circuit effect is dependent on major excitatory transmission via the nucleus accumbens

Erika K. Ross, Joo Pyung Kim, Megan L. Settell, Seong Rok Han, Charles D. Blaha, Hoon Ki Min, Kendall H Lee

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Introduction: Deep brain stimulation (DBS) is a circuit-based treatment shown to relieve symptoms from multiple neurologic and neuropsychiatric disorders. In order to treat the memory deficit associated with Alzheimer's disease (AD), several clinical trials have tested the efficacy of DBS near the fornix. Early results from these studies indicated that patients who received fornix DBS experienced an improvement in memory and quality of life, yet the mechanisms behind this effect remain controversial. It is known that transmission between the medial limbic and corticolimbic circuits plays an integral role in declarative memory, and dysfunction at the circuit level results in various forms of dementia, including AD. Here, we aimed to determine the potential underlying mechanism of fornix DBS by examining the functional circuitry and brain structures engaged by fornix DBS. Methods: A multimodal approach was employed to examine global and local temporal changes that occur in an anesthetized swine model of fornix DBS. Changes in global functional activity were measured by functional MRI (fMRI), and local neurochemical changes were monitored by fast scan cyclic voltammetry (FSCV) during electrical stimulation of the fornix. Additionally, intracranial microinfusions into the nucleus accumbens (NAc) were performed to investigate the global activity changes that occur with dopamine and glutamate receptor-specific antagonism. Results: Hemodynamic responses in both medial limbic and corticolimbic circuits measured by fMRI were induced by fornix DBS. Additionally, fornix DBS resulted in increases in dopamine oxidation current (corresponding to dopamine efflux) monitored by FSCV in the NAc. Finally, fornix DBS-evoked hemodynamic responses in the amygdala and hippocampus decreased following dopamine and glutamate receptor antagonism in the NAc. Conclusions: The present findings suggest that fornix DBS modulates dopamine release on presynaptic dopaminergic terminals in the NAc, involving excitatory glutamatergic input, and that the medial limbic and corticolimbic circuits interact in a functional loop.

Original languageEnglish (US)
Pages (from-to)138-148
Number of pages11
JournalNeuroImage
Volume128
DOIs
StatePublished - Mar 1 2016

Fingerprint

Brain Fornix
Deep Brain Stimulation
Nucleus Accumbens
Dopamine
Dopamine Receptors
Glutamate Receptors
Alzheimer Disease
Hemodynamics
Magnetic Resonance Imaging
Memory Disorders
Presynaptic Terminals
Amygdala
Nervous System Diseases
Electric Stimulation
Dementia
Hippocampus
Swine

Keywords

  • Deep brain stimulation
  • Dopamine
  • Fast scan cyclic voltammetry
  • Fornix
  • Functional magnetic resonance imaging
  • Nucleus accumbens

ASJC Scopus subject areas

  • Cognitive Neuroscience
  • Neurology

Cite this

Fornix deep brain stimulation circuit effect is dependent on major excitatory transmission via the nucleus accumbens. / Ross, Erika K.; Kim, Joo Pyung; Settell, Megan L.; Han, Seong Rok; Blaha, Charles D.; Min, Hoon Ki; Lee, Kendall H.

In: NeuroImage, Vol. 128, 01.03.2016, p. 138-148.

Research output: Contribution to journalArticle

Ross, Erika K. ; Kim, Joo Pyung ; Settell, Megan L. ; Han, Seong Rok ; Blaha, Charles D. ; Min, Hoon Ki ; Lee, Kendall H. / Fornix deep brain stimulation circuit effect is dependent on major excitatory transmission via the nucleus accumbens. In: NeuroImage. 2016 ; Vol. 128. pp. 138-148.
@article{3a7fba3716224a039ee1d88230321720,
title = "Fornix deep brain stimulation circuit effect is dependent on major excitatory transmission via the nucleus accumbens",
abstract = "Introduction: Deep brain stimulation (DBS) is a circuit-based treatment shown to relieve symptoms from multiple neurologic and neuropsychiatric disorders. In order to treat the memory deficit associated with Alzheimer's disease (AD), several clinical trials have tested the efficacy of DBS near the fornix. Early results from these studies indicated that patients who received fornix DBS experienced an improvement in memory and quality of life, yet the mechanisms behind this effect remain controversial. It is known that transmission between the medial limbic and corticolimbic circuits plays an integral role in declarative memory, and dysfunction at the circuit level results in various forms of dementia, including AD. Here, we aimed to determine the potential underlying mechanism of fornix DBS by examining the functional circuitry and brain structures engaged by fornix DBS. Methods: A multimodal approach was employed to examine global and local temporal changes that occur in an anesthetized swine model of fornix DBS. Changes in global functional activity were measured by functional MRI (fMRI), and local neurochemical changes were monitored by fast scan cyclic voltammetry (FSCV) during electrical stimulation of the fornix. Additionally, intracranial microinfusions into the nucleus accumbens (NAc) were performed to investigate the global activity changes that occur with dopamine and glutamate receptor-specific antagonism. Results: Hemodynamic responses in both medial limbic and corticolimbic circuits measured by fMRI were induced by fornix DBS. Additionally, fornix DBS resulted in increases in dopamine oxidation current (corresponding to dopamine efflux) monitored by FSCV in the NAc. Finally, fornix DBS-evoked hemodynamic responses in the amygdala and hippocampus decreased following dopamine and glutamate receptor antagonism in the NAc. Conclusions: The present findings suggest that fornix DBS modulates dopamine release on presynaptic dopaminergic terminals in the NAc, involving excitatory glutamatergic input, and that the medial limbic and corticolimbic circuits interact in a functional loop.",
keywords = "Deep brain stimulation, Dopamine, Fast scan cyclic voltammetry, Fornix, Functional magnetic resonance imaging, Nucleus accumbens",
author = "Ross, {Erika K.} and Kim, {Joo Pyung} and Settell, {Megan L.} and Han, {Seong Rok} and Blaha, {Charles D.} and Min, {Hoon Ki} and Lee, {Kendall H}",
year = "2016",
month = "3",
day = "1",
doi = "10.1016/j.neuroimage.2015.12.056",
language = "English (US)",
volume = "128",
pages = "138--148",
journal = "NeuroImage",
issn = "1053-8119",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Fornix deep brain stimulation circuit effect is dependent on major excitatory transmission via the nucleus accumbens

AU - Ross, Erika K.

AU - Kim, Joo Pyung

AU - Settell, Megan L.

AU - Han, Seong Rok

AU - Blaha, Charles D.

AU - Min, Hoon Ki

AU - Lee, Kendall H

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Introduction: Deep brain stimulation (DBS) is a circuit-based treatment shown to relieve symptoms from multiple neurologic and neuropsychiatric disorders. In order to treat the memory deficit associated with Alzheimer's disease (AD), several clinical trials have tested the efficacy of DBS near the fornix. Early results from these studies indicated that patients who received fornix DBS experienced an improvement in memory and quality of life, yet the mechanisms behind this effect remain controversial. It is known that transmission between the medial limbic and corticolimbic circuits plays an integral role in declarative memory, and dysfunction at the circuit level results in various forms of dementia, including AD. Here, we aimed to determine the potential underlying mechanism of fornix DBS by examining the functional circuitry and brain structures engaged by fornix DBS. Methods: A multimodal approach was employed to examine global and local temporal changes that occur in an anesthetized swine model of fornix DBS. Changes in global functional activity were measured by functional MRI (fMRI), and local neurochemical changes were monitored by fast scan cyclic voltammetry (FSCV) during electrical stimulation of the fornix. Additionally, intracranial microinfusions into the nucleus accumbens (NAc) were performed to investigate the global activity changes that occur with dopamine and glutamate receptor-specific antagonism. Results: Hemodynamic responses in both medial limbic and corticolimbic circuits measured by fMRI were induced by fornix DBS. Additionally, fornix DBS resulted in increases in dopamine oxidation current (corresponding to dopamine efflux) monitored by FSCV in the NAc. Finally, fornix DBS-evoked hemodynamic responses in the amygdala and hippocampus decreased following dopamine and glutamate receptor antagonism in the NAc. Conclusions: The present findings suggest that fornix DBS modulates dopamine release on presynaptic dopaminergic terminals in the NAc, involving excitatory glutamatergic input, and that the medial limbic and corticolimbic circuits interact in a functional loop.

AB - Introduction: Deep brain stimulation (DBS) is a circuit-based treatment shown to relieve symptoms from multiple neurologic and neuropsychiatric disorders. In order to treat the memory deficit associated with Alzheimer's disease (AD), several clinical trials have tested the efficacy of DBS near the fornix. Early results from these studies indicated that patients who received fornix DBS experienced an improvement in memory and quality of life, yet the mechanisms behind this effect remain controversial. It is known that transmission between the medial limbic and corticolimbic circuits plays an integral role in declarative memory, and dysfunction at the circuit level results in various forms of dementia, including AD. Here, we aimed to determine the potential underlying mechanism of fornix DBS by examining the functional circuitry and brain structures engaged by fornix DBS. Methods: A multimodal approach was employed to examine global and local temporal changes that occur in an anesthetized swine model of fornix DBS. Changes in global functional activity were measured by functional MRI (fMRI), and local neurochemical changes were monitored by fast scan cyclic voltammetry (FSCV) during electrical stimulation of the fornix. Additionally, intracranial microinfusions into the nucleus accumbens (NAc) were performed to investigate the global activity changes that occur with dopamine and glutamate receptor-specific antagonism. Results: Hemodynamic responses in both medial limbic and corticolimbic circuits measured by fMRI were induced by fornix DBS. Additionally, fornix DBS resulted in increases in dopamine oxidation current (corresponding to dopamine efflux) monitored by FSCV in the NAc. Finally, fornix DBS-evoked hemodynamic responses in the amygdala and hippocampus decreased following dopamine and glutamate receptor antagonism in the NAc. Conclusions: The present findings suggest that fornix DBS modulates dopamine release on presynaptic dopaminergic terminals in the NAc, involving excitatory glutamatergic input, and that the medial limbic and corticolimbic circuits interact in a functional loop.

KW - Deep brain stimulation

KW - Dopamine

KW - Fast scan cyclic voltammetry

KW - Fornix

KW - Functional magnetic resonance imaging

KW - Nucleus accumbens

UR - http://www.scopus.com/inward/record.url?scp=84960902131&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960902131&partnerID=8YFLogxK

U2 - 10.1016/j.neuroimage.2015.12.056

DO - 10.1016/j.neuroimage.2015.12.056

M3 - Article

VL - 128

SP - 138

EP - 148

JO - NeuroImage

JF - NeuroImage

SN - 1053-8119

ER -