Abstract
Severe behavioural deficits in psychiatric diseases such as autism and schizophrenia have been hypothesized to arise from elevations in the cellular balance of excitation and inhibition (E/I balance) within neural microcircuitry. This hypothesis could unify diverse streams of pathophysiological and genetic evidence, but has not been susceptible to direct testing. Here we design and use several novel optogenetic tools to causally investigate the cellular E/I balance hypothesis in freely moving mammals, and explore the associated circuit physiology. Elevation, but not reduction, of cellular E/I balance within the mouse medial prefrontal cortex was found to elicit a profound impairment in cellular information processing, associated with specific behavioural impairments and increased high-frequency power in the 30–80 Hz range, which have both been observed in clinical conditions in humans. Consistent with the E/I balance hypothesis, compensatory elevation of inhibitory cell excitability partially rescued social deficits caused by E/I balance elevation. These results provide support for the elevated cellular E/I balance hypothesis of severe neuropsychiatric disease-related symptoms.
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References
Pardo, C. A. & Eberhart, C. G. The neurobiology of autism. Brain Pathol. 17, 434–447 (2007)
O’Donovan, M. C., Craddock, N. J. & Owen, M. J. Genetics of psychosis; insights from views across the genome. Hum. Genet. 126, 3–12 (2009)
Südhof, T. C. Neuroligins and neurexins link synaptic function to cognitive disease. Nature 455, 903–911 (2008)
Patterson, P. H. Modeling autistic features in animals. Pediatr. Res. 69, 34R–40R (2011)
Walsh, T. et al. Rare structural variants disrupt multiple genes in neurodevelopmental pathways in schizophrenia. Science 320, 539–543 (2008)
Markram, K. & Markram, H. The intense world theory—a unifying theory of the neurobiology of autism. Front. Hum. Neurosci. 4, 224 (2010)
Vattikuti, S. & Chow, C. C. A computational model for cerebral cortical dysfunction in autism spectrum disorders. Biol. Psychiatry 67, 672–678 (2010)
Kehrer, C., Maziashvili, N., Dugladze, T. & Gloveli, T. Altered excitatory-inhibitory balance in the NMDA-hypofunction model of schizophrenia. Front. Mol. Neurosci. 1, 6 (2008)
Rubenstein, J. L. Three hypotheses for developmental defects that may underlie some forms of autism spectrum disorder. Curr. Opin. Neurol. 23, 118–123 (2010)
Rubenstein, J. L. & Merzenich, M. M. Model of autism: increased ratio of excitation/inhibition in key neural systems. Genes Brain Behav. 2, 255–267 (2003)
Gogolla, N. et al. Common circuit defect of excitatory-inhibitory balance in mouse models of autism. J. Neurodevelop. Disord. 1, 172–181 (2009)
Hashimoto, T. et al. Conserved regional patterns of GABA-related transcript expression in the neocortex of subjects with schizophrenia. Am. J. Psychiatry 165, 479–489 (2008)
Hashimoto, T. et al. Gene expression deficits in a subclass of GABA neurons in the prefrontal cortex of subjects with schizophrenia. J. Neurosci. 23, 6315–6326 (2003)
Belforte, J. E. et al. Postnatal NMDA receptor ablation in corticolimbic interneurons confers schizophrenia-like phenotypes. Nature Neurosci. 13, 76–83 (2010)
Blatt, G. J. et al. Density and distribution of hippocampal neurotransmitter receptors in autism: an autoradiographic study. J. Autism Dev. Disord. 31, 537–543 (2001)
Bourgeron, T. A synaptic trek to autism. Curr. Opin. Neurobiol. 19, 231–234 (2009)
Belmonte, M. K., Gomot, M. & Baron-Cohen, S. Visual attention in autism families: ‘unaffected’ sibs share atypical frontal activation. J. Child Psychol. Psychiatry 51, 259–276 (2010)
Gomot, M., Belmonte, M. K., Bullmore, E. T., Bernard, F. A. & Baron-Cohen, S. Brain hyper-reactivity to auditory novel targets in children with high-functioning autism. Brain 131, 2479–2488 (2008)
Dichter, G. S., Felder, J. N. & Bodfish, J. W. Autism is characterized by dorsal anterior cingulate hyperactivation during social target detection. Soc. Cogn. Affect. Neurosci. 4, 215–226 (2009)
Orekhova, E. V. et al. Excess of high frequency electroencephalogram oscillations in boys with autism. Biol. Psychiatry 62, 1022–1029 (2007)
Rojas, D. C., Maharajh, K., Teale, P. & Rogers, S. J. Reduced neural synchronization of gamma-band MEG oscillations in first-degree relatives of children with autism. BMC Psychiatry 8, 66 (2008)
Gillberg, C. & Billstedt, E. Autism and Asperger syndrome: coexistence with other clinical disorders. Acta Psychiatr. Scand. 102, 321–330 (2000)
Canitano, R. Epilepsy in autism spectrum disorders. Eur. Child Adolesc. Psychiatry 16, 61–66 (2007)
Rippon, G., Brock, J., Brown, C. & Boucher, J. Disordered connectivity in the autistic brain: challenges for the “new psychophysiology”. Int. J. Psychophysiol. 63, 164–172 (2007)
Dani, V. S. et al. Reduced cortical activity due to a shift in the balance between excitation and inhibition in a mouse model of Rett syndrome. Proc. Natl Acad. Sci. USA 102, 12560–12565 (2005)
Etherton, M. R., Blaiss, C. A., Powell, C. M. & Sudhof, T. C. Mouse neurexin-1α deletion causes correlated electrophysiological and behavioral changes consistent with cognitive impairments. Proc. Natl Acad. Sci. USA 106, 17998–18003 (2009)
Tabuchi, K. et al. A neuroligin-3 mutation implicated in autism increases inhibitory synaptic transmission in mice. Science 318, 71–76 (2007)
Chao, H. T. et al. Dysfunction in GABA signalling mediates autism-like stereotypies and Rett syndrome phenotypes. Nature 468, 263–269 (2010)
Moretti, P. et al. Learning and memory and synaptic plasticity are impaired in a mouse model of Rett syndrome. J. Neurosci. 26, 319–327 (2006)
Rinaldi, T., Perrodin, C. & Markram, H. Hyper-connectivity and hyper-plasticity in the medial prefrontal cortex in the valproic acid animal model of autism. Front. Neural Circuits 2, 4 (2008)
Adamantidis, A. R., Zhang, F., Aravanis, A. M., Deisseroth, K. & de Lecea, L. Neural substrates of awakening probed with optogenetic control of hypocretin neurons. Nature 450, 420–424 (2007)
Sohal, V. S., Zhang, F., Yizhar, O. & Deisseroth, K. Parvalbumin neurons and gamma rhythms enhance cortical circuit performance. Nature 459, 698–702 (2009)
Berndt, A., Yizhar, O., Gunaydin, L. A., Hegemann, P. & Deisseroth, K. Bi-stable neural state switches. Nature Neurosci. 12, 229–234 (2009)
Diester, I. et al. An optogenetic toolbox designed for primates. Nature Neurosci. 14, 387–397 (2011)
Bamann, C., Gueta, R., Kleinlogel, S., Nagel, G. & Bamberg, E. Structural guidance of the photocycle of channelrhodopsin-2 by an interhelical hydrogen bond. Biochemistry 49, 267–278 (2010)
Yizhar, O., Fenno, L., Davidson, T. J., Mogri, M. & Deisseroth, K. Optogenetics in neural systems. Neuron 71, 9–34 (2011)
Gunaydin, L. A. et al. Ultrafast optogenetic control. Nature Neurosci. 13, 387–392 (2010)
Wen, L. et al. Opto-current-clamp actuation of cortical neurons using a strategically designed channelrhodopsin. PLoS ONE 5, e12893 (2010)
Zhang, F. et al. Red-shifted optogenetic excitation: a tool for fast neural control derived from Volvox carteri. Nature Neurosci. 11, 631–633 (2008)
Nagel, G. et al. Channelrhodopsin-1: a light-gated proton channel in green algae. Science 296, 2395–2398 (2002)
Gradinaru, V. et al. Targeting and readout strategies for fast optical neural control in vitro and in vivo. J. Neurosci. 27, 14231–14238 (2007)
Lind, S. E. & Bowler, D. M. Episodic memory and episodic future thinking in adults with autism. J. Abnorm. Psychol. 119, 896–905 (2010)
D’Argembeau, A., Raffard, S. & Van der Linden, M. Remembering the past and imagining the future in schizophrenia. J. Abnorm. Psychol. 117, 247–251 (2008)
Ni, A. M. & Maunsell, J. H. Microstimulation reveals limits in detecting different signals from a local cortical region. Curr. Biol. 20, 824–828 (2010)
Moy, S. S. et al. Sociability and preference for social novelty in five inbred strains: an approach to assess autistic-like behavior in mice. Genes Brain Behav. 3, 287–302 (2004)
Wilson, T. W., Rojas, D. C., Reite, M. L., Teale, P. D. & Rogers, S. J. Children and adolescents with autism exhibit reduced MEG steady-state gamma responses. Biol. Psychiatry 62, 192–197 (2007)
Gradinaru, V. et al. Molecular and cellular approaches for diversifying and extending optogenetics. Cell 141, 154–165 (2010)
Lewis, D. A., Hashimoto, T. & Volk, D. W. Cortical inhibitory neurons and schizophrenia. Nature Rev. Neurosci. 6, 312–324 (2005)
Lewis, D. A., Volk, D. W. & Hashimoto, T. Selective alterations in prefrontal cortical GABA neurotransmission in schizophrenia: a novel target for the treatment of working memory dysfunction. Psychopharmacology (Berl.) 174, 143–150 (2004)
Lisman, J. E. et al. Circuit-based framework for understanding neurotransmitter and risk gene interactions in schizophrenia. Trends Neurosci. 31, 234–242 (2008)
Acknowledgements
We thank the K.D., P.H. and J.R.H. laboratories for discussions on the manuscript. We are grateful to S. Pak, Z. Chen and C. Perry for technical assistance. O.Y. is supported by the Human Frontier Science Program. L.E.F. is supported by the Stanford MSTP program. P.H. is supported by the DFG (HE3824/9-1 and 17-1, Cluster of Excellence: Unifying Concepts in Catalysis), and K.D. by NIMH, NIDA, NINDS, the DARPA REPAIR program, CIRM and the Yu, Woo, Snyder and Keck Foundations.
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O.Y., M.P., F.S. and C.R. designed and cloned all DNA constructs; O.Y. and L.E.F. contributed to all neuronal electrophysiology and behavioural experiments; T.J.D. designed the CMO implant; I.G. and J.F. contributed to behaviour and histology experiments; D.J.O. and V.S.S. contributed to slice electrophysiology and mutual information analysis; K.S. and R.F. performed spectroscopy experiments; M.P. and F.S. performed HEK cell experiments; P.H. analysed and supervised spectroscopy and HEK cell work; J.T.P. and J.R.H. conducted and analysed, and J.R.H. supervised, thalamic slice experiments. K.D. supervised all aspects of the project and O.Y., L.E.F. and K.D. wrote the manuscript.
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Supplementary information
Supplementary Information
The file contains Supplementary Figures 1-16 with legends, Supplementary Tables 1-2, Supplementary Methods and additional references. (PDF 3710 kb)
Supplementary Movie 1
The movie shows social interaction with a novel male juvenile in a mouse injected with CaMKII'-SSFO virus in mPFC, in the absence of light activation of SSFO. (MOV 5586 kb)
Supplementary Movie 2
The movie shows social interaction with a novel male juvenile in a mouse injected with CaMKII'-SSFO virus in mPFC, following a 1 s 473 nm light pulse to activate SSFO (MOV 4715 kb)
Supplementary Movie 3
The movie shows open field behavior in a mouse injected with CaMKII'-SSFO virus and implanted with a chronic 4-wire recording array. A 1 s 473 nm light pulse is given after 2 minutes of baseline recording, followed by a 30 s, 594 nm light pulse to deactivate SSFO (yellow light pulse starts at 4:00 minutes). (MOV 5838 kb)
Supplementary Movie 4
The movie shows social interaction with a novel male juvenile in a mouse injected with CaMKII'-SSFO virus in mPFC and implanted with a chronic 4-wire recording array, in the absence of light activation. (MOV 5094 kb)
Supplementary Movie 5
The movie shows social interaction with a novel male juvenile in the same mouse shown in Movie 4. A 1 s 473 nm light pulse was delivered 1 minute before the novel juvenile was introduced. (MOV 5473 kb)
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Yizhar, O., Fenno, L., Prigge, M. et al. Neocortical excitation/inhibition balance in information processing and social dysfunction. Nature 477, 171–178 (2011). https://doi.org/10.1038/nature10360
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DOI: https://doi.org/10.1038/nature10360
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Carlos Ibanez
In a mouse model of autism developed by Sudhof and colleagues (ref. 27), a mutation found in autistic patients was introduced in knock-in mice and found to cause increased inhibitory synaptic transmission and impaired social behavior. The authors of the present study dismiss this work (and results from other mouse mutant studies) as "chronic interventions" that introduce "developmental alterations". But autism is a developmental disorder with a genetic basis. Flipping the author's argument, one wonders to which extent acute manipulation of E/I balance in a normal brain mimics complex cognitive disorders with a clear genetic and developmental basis.
Karl Deisseroth
We fully concur with the point made in the comment, that the transgenic rodent is by far the best-suited experimental system for determining causal relationships among inborn genetic alterations and subsequent behavioral pathologies. Indeed, various mice with different kinds of inborn transgenic modifications have displayed social impairment in the mature animal, and in many cases diverse alterations in E/I balance in cortical and subcortical brain regions are also observed in these animals; we described and referenced much of this ''pioneering work''(Yizhar et al., Nature 2011; e.g. refs 25, 27, 28).
The unique strength of the transgenic model lies precisely in establishing a causal relationship between genetic alteration and pathology (which certainly could involve developmental and homeostatic changes and which would therefore unquestionably be most relevant to understanding the effects of genes on behavior in human beings). The parallels with clinical care run deeper as well. It is challenging in a typical transgenic model- just as in patients where (for example) increased excitability and epilepsy comorbidity are seen in autism-- to then determine which (if any) of the physiological changes observed might be causal for the social behavioral effects seen, rather than compensatory to, or distinct from, the causal processes. It is also difficult to determine in which cells, circuits, and brain regions such a causal effect of physiology might be exerted on behavior (the latter is a particularly challenging problem for complex integrative social behaviors).
We sought to complement the pioneering transgenic animal work with a completely different kind of experiment, which as we emphasized would fail to capture any developmental effects, but instead would test the effects of directly altered physiology in localized circuits on behavior. Our experiments targeted the prefrontal cortex, which has been implicated in executive function, working memory, affect regulation and multisensory integration, all often impaired in relevant patient populations. We observed profound and reversible deficits in mouse social interactions as a result of directly elevating E/I balance in this local circuit, as well as observing elevated baseline gamma-band power in frontal cortex (also reported in relevant human conditions).
Moreover, our additional results revealed that E/I balance is not a simple concept, and must be considered in the context of local circuitry-dependent effects (Figure 2i; Supplementary Figure 6). For example, we reported strong region-specificity of the effect; identical E/I balance manipulations did not lead to social impairment (and even trended toward increased sociability) when carried out in primary visual cortex (Figure 2i). This result may be concordant with seminal findings from two transgenic lines that included effects on primary sensory cortices (Tabuchi et al., ref 27; Canty et al., Journal of Neuroscience 29:10695-705, 2009), suggesting that E/I balance changes observed in sensory cortices can be associated with behavioral effects distinct from and even opposing those arising from E/I changes in medial prefrontal cortex. In summary, we are in full agreement with the central point of the comment.
Peter Gibson
I liked the idea of the E/I balance. What struck me was that if there is a deficit in some people others must have been augmented. The augmented will be quicker but not necessarily brighter. Brightness, presumably, will depend on the numbers of neuronal connections but this may not be a limiting factor since, I assume, processing is will just take longer in those with fewer connections. ?He may be a slow reader but he remembers more? is probably not true but it gives the gist. Also the ?quick ones? are also too quick for their own good. They are not always great on thinking.
There was a vogue for counting synapses in the elderly with Alzheimer?s. It was a bit pointless since ultimately these poor people (we may all end there) lose a lot more than synapses. ?Me say large numbers of synapse good ? small numbers bad.? Taking that as a theme then in our uterine days we were all geniuses. Perhaps the E/I balance depend not on the failure to produced connections but on losing too many as numbers of neurones are trimmed following birth. Halt the numbers lost and we would be as bright as buttons (but probably unable to make our minds up about anything!).
I made a few such vague suggestions in a blog to Mottron, ?Changing perceptions ?.? Nature 479, pp. 33-35 (2 Nov 2011) and elsewhere.