Abstract
Hypocretin/Orexin (HCRT/OX) and dopamine (DA) are both key effectors of salience processing, reward and stress-related behaviors and motivational states, yet their respective roles and interactions are poorly delineated. We inactivated HCRT-to-DA connectivity by genetic disruption of Hypocretin receptor-1 (Hcrtr1), Hypocretin receptor-2 (Hcrtr2), or both receptors (Hcrtr1&2) in DA neurons and analyzed the consequences on vigilance states, brain oscillations and cognitive performance in freely behaving mice. Unexpectedly, loss of Hcrtr2, but not Hcrtr1 or Hcrtr1&2, induced a dramatic increase in theta (7–11 Hz) electroencephalographic (EEG) activity in both wakefulness and rapid-eye-movement sleep (REMS). DAHcrtr2-deficient mice spent more time in an active (or theta activity-enriched) substate of wakefulness, and exhibited prolonged REMS. Additionally, both wake and REMS displayed enhanced theta-gamma phase-amplitude coupling. The baseline waking EEG of DAHcrtr2-deficient mice exhibited diminished infra-theta, but increased theta power, two hallmarks of EEG hyperarousal, that were however uncoupled from locomotor activity. Upon exposure to novel, either rewarding or stress-inducing environments, DAHcrtr2-deficient mice featured more pronounced waking theta and fast-gamma (52–80 Hz) EEG activity surges compared to littermate controls, further suggesting increased alertness. Cognitive performance was evaluated in an operant conditioning paradigm, which revealed that DAHcrtr2-ablated mice manifest faster task acquisition and higher choice accuracy under increasingly demanding task contingencies. However, the mice concurrently displayed maladaptive patterns of reward-seeking, with behavioral indices of enhanced impulsivity and compulsivity. None of the EEG changes observed in DAHcrtr2-deficient mice were seen in DAHcrtr1-ablated mice, which tended to show opposite EEG phenotypes. Our findings establish a clear genetically-defined link between monosynaptic HCRT-to-DA neurotransmission and theta oscillations, with a differential and novel role of HCRTR2 in theta-gamma cross-frequency coupling, attentional processes, and executive functions, relevant to disorders including narcolepsy, attention-deficit/hyperactivity disorder, and Parkinson’s disease.
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Introduction
Neuromodulators are master levers of brain circuits which shape brain states and functional output by tuning neuronal firing or synaptic strength. Hypocretin (HCRT, also known as Orexin, OX) and dopamine (DA) are both major neuromodulators of arousal and motivated states. Their interactions, however, remain ill defined. A small population of glutamatergic neurons in the lateral, perifornical and dorsomedial hypothalamus synthesizes the neuropeptides HCRT-1 and HCRT-2 (OXA and OXB), and sends axonal projections to all wake-promoting monoaminergic (including dopaminergic) and cholinergic nuclei of the ascending arousal system, as well as directly innervates their targets, the neocortex, thalamus, hippocampus, amygdala, and spinal cord [1]. HCRT neurons thus establish a brain-wide neural network, with extraordinarily pleiotropic functions, spanning multiple physiological, behavioral, emotional, and temporal domains [2, 3]. HCRT peptides act through two genetically independent and differentially expressed G-protein-coupled-receptors, HCRTR1 and HCRTR2. HCRTR2 binds both peptides, whereas HCRTR1 only binds HCRT-1 with high affinity. Brain level of each peptide, differential signaling via the two receptors, and how each uniquely impacts vigilance states and behavior remain elusive.
HCRT neurons fire maximally during active wakefulness, in line with their role in maintaining heightened arousal [4], but can also show burst firing during phasic events of rapid-eye-movement sleep (REMS) [4], and occasional bursting during non-REMS (NREMS) [5]¸ consistent with their role in sleep-to-wake transitions [6]. An unexpected role of HCRT neurons in REMS was recently discovered [7]. Disrupting the HCRT system in mice [8], dogs [9], and humans [10] causes narcolepsy-type-1, a disease characterized by excessive daytime sleepiness, vigilance state fragmentation, hypnagogic/hypnopompic hallucinations, and emotionally-driven sudden muscle atonia, or cataplexy [11]. Inactivation of the Hcrt gene, or combined loss of the two receptors, are sufficient to induce narcolepsy in mice [12, 13], indicating that narcolepsy stems from deficient HCRTR signaling. However, a circuit-based understanding of the unique role of each HCRTR1 or HCRTR2-expressing target population is still lacking. Among HCRT targets, DA neurons are particularly interesting because of their established prime role in regulating arousal and arousal-dependent behaviors [14] and apparent functional overlap with HCRT.
Daytime sleepiness and cataplexy are two main narcolepsy symptoms with opposite manifestations, EEG hypoarousal and hyperarousal, respectively, yet both stem from HCRT deficiency and both respond to dopaminergic drugs. In narcoleptic dogs and mice, sleep attacks respond to D1-receptor agonists, and cataplexy responds to D2/D3-receptor antagonists [15]. Most stimulants act by raising brain DA levels. These findings suggested that DA is an important effector of the HCRT system, and indeed HCRT neurons densely innervate the VTA dopaminergic (DAVTA) system [16]. HCRT-1 dose-dependently elevates [Ca2+]intracell in dissociated DAVTA cells [17], and both HCRT peptides enhance DAVTA firing and induce tetrodotoxin-resistant depolarization in brain slices [18]. Different firing patterns were elicited in different DAVTA cell subsets, and single cells expressed either Hcrtr1, Hcrtr2, or both receptors [18]. Whether the different responses reflected differential Hcrtr1 vs Hcrtr2 expression remains an open question.
HCRT is thought to stimulate DAVTA activity both by direct HCRTR activation on DA somatodendritic compartment, and indirectly by potentiating glutamatergic afferents [18,19,20]. Intra-VTA HCRTR1 antagonism precluded acquisition of cocaine-induced locomotor sensitization in rats, and blocked cocaine-induced DAVTA glutamatergic potentiation ex vivo [19], suggesting that HCRT → DAVTA pathways are implicated in drug-associated plasticity. Because HCRT neurons sense reward and danger-predicting cues [21], and DAVTA glutamatergic potentiation is a mechanism of value-driven learning of salient stimuli, the HCRT → DAVTA circuit is positioned to be a prime inducer of DAVTA potentiation-related positive and negative reinforcement [22]. For instance, male copulatory behavior is coupled to FOS activation in HCRT terminal-apposed DAVTA cells, and HCRTR1 antagonism suppresses mating behavior [23]. HCRT-induced DAVTA activation is thus linked to rewards, but also to stress-associated arousal [24]. In rat models of stress-induced psychosis-like behavior associated with DAVTA hyperactivity, HCRTR1/R2-dual antagonism reversed both aberrant DAVTA activity and behavioral correlates of psychosis [25]. Intracerebroventricular HCRT-1 infusion induced hyperlocomotion, stereotypy and grooming, which could be fully abolished by DA-receptor antagonism [17]. Studies therefore implicate HCRT → DAVTA circuits in drug-associated plasticity, sexual approach, stress-induced chronic arousal (e.g. post-traumatic stress) and several other neuropsychiatric disorders [26].
The role of DAVTA neurons in sleep/wake control was long ignored because average cell spiking rate changes little across vigilance states. However spiking patterns vary sharply, with prominent DAVTA burst firing in active wakefulness and REMS, but tonic activity during NREMS [27]. The causal role of DAVTA activation in salience-induced arousal is now demonstrated [28, 29]. Interestingly, a major VTA target is the nucleus accumbens (NAc), and the DAVTA → NAc circuit, well-known to mediate reward-driven motivated behavior, recently emerged as critical in bridging motivation and vigilance state control [29, 30]. Hence motivation was suggested as ‘3rd process’ of sleep/wake regulation [31, 32]. Altogether, HCRT and DA neurons, on their own, and through HCRT → DAVTA pathways, are implicated in emotional drive, salience processing, behavioral state transitions and cognition, but delineation of their interplay, and how it may be implicated in arousal disorders, remain underexplored. In addition to the DAVTA cell group, other DA cell nuclei, notably in the hypothalamus and dorsal raphe, are known to be implicated in vigilance state regulation [33,34,35]. Whether they are targets of HCRT neurons and express HCRT receptors is however unknown.
To functionally interrogate HCRT → DA circuits, we generated mice whose dopaminergic system cannot respond to HCRT input, via HCRTR1, or HCRTR2, or neither. Importantly, these genetically-targeted mice interrogate all types of HCRT → DA connectivity, whether endowed by post-, pre-, or extra-synaptic action of HCRT binding receptors on DA cell somata, dendrites or axons [36, 37], i.e., in dopaminergic nuclei or their targets. The mice also functionally interrogate all potential HCRT → DA neuronal group connectivity, not only HCRT → DAVTA. Our findings place DA signaling under prominent neuromodulatory control of the hypocretinergic system and show that this neuromodulation operates differentially through HCRTR1 and HCRTR2. We reveal prominent roles of HCRTR2-mediated HCRT → DA neurotransmission in regulating brain oscillations, learning, attention, and behavioral inhibition, with clinical implications for HCRTR-targeted drug development.
Results
Selective inactivation of HCRT receptors in dopaminergic neurons
To conditionally inactivate HCRT receptors, we engineered the Hcrtr1 (OxR1) and Hcrtr2 (OxR2) genes and created Cre-dependent knockout/GFP-reporter floxed alleles: Hcrtr1flox (reported in [38]), and Hcrtr2flox (Fig. 1). Each floxed line was independently crossed to a Dopamine transporter Cre driver (Dat-IRES-Cre [39]), generating Hcrtr1flox/flox;Dat+/Cre (abbreviated: DAOxR1-KO), Hcrtr2flox/flox;Dat+/Cre (DAOxR2-KO), and compound Hcrtr1flox/flox;Hcrtr2flox/flox;Dat+/Cre (DAOxR1&2-KO) mutant mice (Fig. 1 and Fig. S1). Because floxed genetic alleles can show altered expression relative to wild-type we established crosses that generate Hcrtr1flox/flox, or Hcrtr2flox/flox littermates, to use as genetic control group (CT) for each KO group: Hcrtr1flox/flox (DAOxR1-CT), Hcrtr2flox/flox (DAOxR2-CT), and Hcrtr1flox/flox;Hcrtr2flox/flox (DAOxR1&2-CT). We therefore generated 6 genotypic groups (3 KO:CT pairs, for Hcrtr1, Hcrtr2, and Hcrtr1&2, respectively), and performed all analyses as pair-wise comparisons between KO and CT littermate groups.
To verify at nucleotide level the accuracy and DA-specificity of Cre/lox Hcrtr2 gene recombination in vivo, we sequenced genomic DNA of various tissues from DAOxR2-KO and DAOxR2-CT mice. Only VTA of DAOxR2-KO mice contained the diagnostic 792 bp recombinant fragment, absent in tuberomammillary nucleus (TMN), neocortex, or ear (Fig. 1c). Because not all DA neurons express Dat [40], we estimated the fraction of DA neurons expressing Dat-ires-Cre by counting cells immunoreactive for CRE and tyrosine hydroxylase (TH), and found that overall 88.4% of ventral midbrain area TH+ neurons express Dat-ires-Cre (2640 TH+ cells, n = 4 mice; Fig. S2), and are therefore susceptible to Cre/lox recombination.
We quantified efficiency of Dat-Cre-driven gene deletion in DA neurons using our designed GFP-reporter of gene inactivation, and found that 83.0 ± 2.8%, and 87.2 ± 1.5%, of ventral midbrain TH+ neurons co-expressed GFP in DAOxR1-KO, and DAOxR2-KO mice, respectively (Fig. S1d, e for R1, Fig. 1d, e for R2; n = 12 sections, 2 mice per group), and have thus successively recombined. These fractions represent the % of TH+ cells that underwent recombination and hold an active endogenous Hcrtr1 or Hcrtr2 promoter driving the GFP-reporter. This demonstrates that a majority of ventral midbrain DA neurons express Hcrtr1, or Hcrtr2 (>83% and >87%, respectively). Anti-HCRTR1 immunostaining confirmed that most TH+ DAVTA cells lost HCRTR1-immunoreactivity in DAOxR1-KO, but not DAOxR1-CT, mice (Fig. S1f), and now express GFP instead (Fig. S1e). DA-specificity of Hcrtr1 and Hcrtr2 gene deletion was quantified by counting the fraction of GFP+ neurons expressing TH, confirming that a majority of recombined GFP+ cells are indeed DA neurons (DAOxR1-KO: 74.4 ± 0.5%, Fig. S1d; DAOxR2-KO: 73.19 ± 2.42%, Fig. 1d; n = 12 sections, 2 mice per group).
We next sought to functionally assess the effect of Hcrtr2 Cre/lox recombination and verify that recombination creates a null (Hcrtr2del), while the unrecombined Hcrtr2flox gene remains functional in non-DA cells. Thus we performed patch clamp recordings in ventral TMN histamine neurons, a cell type expressing Hcrtr2 and not appreciably Hcrtr1 [41], using brain slices of wild-type (C57BL/6J), Hcrtr2flox/flox, and whole-body KO (Hcrtr2del/del) mice (see Methods). Putative histamine neurons were identified using their electrophysiological characteristics with post-recording morphological confirmation of biocytin-loaded cells (Fig. S3, Table S1, see Supplementary Methods). We found that application of the selective HCRTR2-agonist [Ala11,D-Leu15]-Orexin B (OXB-AL) triggers spike trains in histamine neurons of C57BL/6J (88% of cells), and Hcrtr2flox/flox mice (100% of cells), but elicits little response in cells from Hcrtr2del/del mice (9% of cells) (Fig. 1f). Application of the selective HCRTR2-antagonist TCS-OX2-29 fully blocked the effects of OXB and OXB-AL in >80% cells of C57BL/6J and Hcrtr2flox/flox mice, confirming HCRTR2-dependency of the response. Therefore, creation of the Hcrtr2flox allele has preserved its function, while the post-recombination Hcrtr2del allele is inactive.
Inactivating Hcrtr2 in DA neurons causes spontaneous electrocortical hyperarousal
To determine how disrupting HCRT → DA neurotransmission affects vigilance states and brain oscillations, we performed EEG/EMG recordings in freely-behaving mice. While the quantity of wakefulness and NREMS did not show major differences between KO and CT mice in any group (Fig. S4), wakefulness spectral quality showed profound alterations. DAOxR2-KO mice featured markedly higher waking theta (7-11 Hz) power, but lower delta (1–4 Hz) power, compared to DAOxR2-CT mice (see exact affected frequency ranges in Fig. 2b and legend). Because waking theta activity is associated with exploration and arousal [42], whereas waking delta and inter-delta/theta (4–7 Hz) (together referred to as ‘infra-theta’, 1–7 Hz) are markers of sleep propensity and decreased vigilance [43, 44], these EEG alterations suggest that DAOxR2-KO mice may be spontaneously more alert than controls. In contrast, DAOxR1-KO mice’ waking spectra did not differ from controls, and wakefulness of DAOxR1&2-KO mice featured diminished power across a wide infra-theta range (2.00–7.25 Hz; Fig. 2b).
After 2 days of baseline recording, at light-onset of Day-3 (i.e, in early resting phase), we exposed mice to 6-hour of ‘gentle handling’ sleep deprivation (SD), followed by 18 h of recovery. Time-frequency heatmap analysis of the waking EEG during these 3 days revealed powerful surges in theta and fast-gamma (52-80 Hz) power above baseline at times of elevated activity (dark phase and SD) in all genotypes, as expected for periods of increased alertness [45], but these effects were most pronounced in DAOxR2-KO mice (Fig. 2c, left heatmap, middle). When EEG power differences between KO and CT were extracted by subtracting CT values from KO values (KO-CT), it became apparent that DAOxR2-KO mice theta and fast-gamma power surges surpassed those of CT mice (Fig. 2c, right heatmap, middle). As theta and fast-gamma increased, infra-theta and beta (15-30 Hz) frequencies concomitantly decreased, most prominently during SD. In striking contrast, SD induced a drop in theta power in DAOxR1&2-KO mice relative to controls (Fig. 2c, right heatmap, bottom), suggesting that dual Hcrtr1&2 vs single Hcrtr2 loss in DA neurons cause opposite responses in alertness at times of high sleep pressure and experimental handling. To further address quantitatively these spectral trends, we analyzed the waking EEG power dynamics within specific frequency ranges of interest. This confirmed that theta and fast-gamma EEG activities dramatically increase in DAOxR2-KO mice relative to controls during dark periods and SD, while delta and inter-delta/theta activities concomitantly decline (Fig. 2d). DAOxR1&2-KO mice exhibit the opposite, with decreased theta, but higher delta and inter-delta/theta during SD (Fig. 2d), and interestingly increased beta (15–30 Hz) activity as well (Fig. S6). Thus, as estimated by both vigilance (theta) and sleepiness (infra-theta) EEG indices, our results suggest that dopaminergic Hcrtr2 disruption increases alertness, whereas combined Hcrtr1&2 loss reduces it. Beta band enhancement in DAOxR1&2-KO animals in periods of heightened locomotor activity (SD), is intriguing and reminiscent of observations in DA-depleted rats and in Parkinson’s disease (PD)-associated movement disorders [46, 47].
To address how disrupting HCRT → DA signaling affects wakefulness in challenging environments, we exposed animals to either enriched or stress-inducing environments (Fig. S7, see Methods). Exposure to nesting material, which is rewarding in rodents, was associated with surges in theta and fast-gamma activity in all genotype groups, however these surges appeared stronger and longer-lasting in DAOxR1-KO and DAOxR2-KO mice, compared to controls (Fig. S7b). Strikingly, again, in double DAOxR1&2-KO mutants, nest material induced an opposite EEG response, with a decline in theta and fast-gamma activity in the 3 h following Nestlet addition (Fig. S7b). We next tested the mice’ EEG response upon removal from the nest at time of high sleep propensity (ZT3), and transfer to a foreign environment. This manipulation induced theta and fast-gamma power increase in DAOxR2-KO, but decrease in DAOxR1&2-KO mice, relative to controls (Fig. S7c, d). Thus, the spectral quality of wakefulness consistently shows opposite changes in DAOxR2-KO and DAOxR1&2-KO mice, in both rewarding and stressful environments, suggesting that HCRT → DA circuits play prominent roles in regulating both spontaneous and stimuli-induced arousal, irrespective of whether stimuli have positive or negative valence.
DAOxR2-KO mice display increased theta-dominated wakefulness uncoupled from locomotion
Prominent theta activity is present during locomotion and exploratory behavior in rodents, but also during alert immobility states [48]. We next examined whether increased waking theta power of DAOxR2-KO mice results from altered sub-states of wakefulness. We first quantified theta-dominated wakefulness (TDW) [45] in all 6 groups and found that although total time awake is not majorly affected in any group (Fig. S4a, b), time spent in TDW markedly increased in DAOxR2-KO, but not DAOxR1-KO or DAOxR1&2-KO, mice during baseline dark, SD, and recovery dark periods (DAOxR2-KO vs DAOxR2-CT: baseline dark: 196.3 ± 17.7 vs 114.9 ± 28.5 min, SD: 239.2 ± 15.4 vs 126.7 ± 26.7 min, recovery dark: 202.1 ± 14.6 vs 125.9 ± 27.8 min, Fig. 3a). Time-course analyses reveal that TDW time (min/h), and fraction of wakefulness occupied by TDW (TDW/W ratio) are dramatically increased in DAOxR2-KO in the first halves of the night and during SD (Fig. 3b), while total wakefulness is unchanged (Fig. 3b, top). We next assessed whether the increased TDW correlates with locomotion and found no alteration in locomotor activity in DAOxR2-KO mice compared to controls (Fig. 3b, bottom, Fig. S8), suggesting that DAOxR2-KO mice display electrocortical but not behavioral hyperarousal during the 3-day recording.
To determine if enhanced TDW results from more frequent wake-to-TDW transitions, or prolonged TDW, we quantified number and duration of TDW episodes. TDW bouts lasted markedly longer in DAOxR2-KO mice during baseline dark, SD and recovery (KO vs CT; baseline dark: 12.8 ± 0.7 s vs. 8.7 ± 0.9 s; SD: 18.6 ± 1.7 s vs. 9.6 ± 1 s, recovery dark: 12.4 ± 0.7 s vs. 9.1 ± 0.7 s; Fig. 3c, bottom). Hence, during SD, mean TDW bout duration more than doubled. Baseline TDW bout duration distribution analysis showed that short-to-medium bout categories (4-64 s) were much rarer, while very long TDW episodes (≥17 min) were enhanced, resulting in DAOxR2-KO mice spending 9.81 ± 4.35% of total TDW in this bout category, while DAOxR2-CT did not display any 17 min-long TDW episode (P = 0.014, Mann-Whitney U statistics, Fig. 3d). Total number of TDW episodes, however, did not differ (Fig. 3c, top). Therefore, increased time spent in TDW is due to increased stability of the TDW state.
Analysis of TDW spectra of DAOxR1-KO mice revealed lower delta (1-2.75 Hz) and slow-theta (6.75-8 Hz), but higher 8.5–10.75 Hz activity. DAOxR1&2-KO mice show a similar pattern, with a more pronounced decrease in theta (Fig. 3e). In contrast, DAOxR2-KO mice showed increased theta power (7.75–10.25 Hz; Fig. 3e). We then calculated the theta peak frequency in TDW of KO and CTs, which did not differ (Table S3), indicating that alterations in TDW theta power is not caused by shifts in TDW frequency. Together, these results indicate that mice lacking Hcrtr2 in DA cells exhibit constitutive cortical activation, and spend more time in a brain state electrocortically akin to the one observed during exploratory behavior, even in the absence of external stimuli and accompanying locomotory changes. Combined dopaminergic HCRTR1&2 loss led to opposite changes, with higher infra-theta but lower theta, suggesting a state of hypoarousal, and divergent impacts of the two HCRTRs on dopaminergic circuits of arousal.
Loss of Hcrtr2 in dopaminergic neurons consolidates REMS
We next investigated the effects of HCRT → DA disruption on REMS architecture and oscillations. Total time spent in REMS was significantly prolonged in DAOxR2-KO compared to controls in baseline light period (DAOxR2-KO: 65.7 ± 1.9 min vs DAOxR2-CT: 57.9 ± 2.8 min), but not in DAOxR1-KO and DAOxR1&2-KO mice (Fig. 4a, b). To determine whether enhanced REMS results from more frequent NREMS-to-REMS transitions, or from enhanced REMS stability, we quantified REMS episode number and duration. DAOxR2-KO mice exhibited prolonged REMS bouts (DAOxR2-KO: 66.2 ± 1.5 s vs DAOxR2-CT: 61.2 ± 1.7 s), without changes in bout number (Fig. 4c, top). Analysis of bout duration distribution showed that, relative to controls, DAOxR2-KO mice spent less of REMS in 32-64 s-long bouts, but more in 2–4 min-long bouts (Fig. 4c, bottom). Hence, loss of HCRT modulation of the DA system via HCRTR2 leads to both TDW and REMS state consolidation.
HCRT neurons are reported to discharge during phasic REMS [4], which represents intermittent rises in both amplitude and frequency of theta oscillations during REMS [49]. We therefore analyzed phasic REMS in our 6 genotype groups, and found that mean duration of these events is longer in DAOxR2-KO relative to controls (DAOxR2-KO: 1.634 ± 0.05 s vs DAOxR2-CT: 1.478 ± 0.05 s; Fig. 4d), while it is unchanged in DAOxR1-KO and DAOxR1&2-KO mice.
A surprising finding was that DAOxR2-KO mice were severely impaired in recovering REMS following SD. The homeostatic rebound in REMS was delayed and occurred at a slower rate (Fig. 4e, bottom). During the 18 h following SD, control mice engaged in a total of 23.8 ± 4 min of excess REMS compared to baseline, whereas DAOxR2-KO mice’ REMS rebound only summed up to 9.0 ± 2.6 min. Therefore, although dopaminergic Hcrtr2 inactivation prolongs REMS in baseline, REMS is diminished after a homeostatic challenge. NREMS rebound also tended to be reduced in DAOxR2-KO mice during the post-SD dark phase (Fig. S5a, left). These findings suggest involvement of dopaminergic HCRTR2 signaling in sleep homeostasis.
REMS spectral quality was next examined. We found opposing effects of single Hcrtr2 vs double receptor inactivation on theta power, which was significantly increased in DAOxR2-KO mice across 6.0–8.25 Hz, but decreased in DAOxR1&2-KO mice across 5.5–8.75 Hz (Fig. 4f). These changes strikingly parallel the ones observed during wakefulness and TDW, indicating that HCRT → DA modulation of theta power operates across states, in wakefulness, TDW and REMS.
Enhanced theta-gamma coupling
Theta and gamma oscillations are instrumental in cognition, and the strength of coupling between the theta phase and gamma amplitudes correlates with learning and task performance in rodents and humans [50, 51]. To investigate the role of dopaminergic HCRT signaling in modulating theta-gamma networks, we calculated phase-amplitude cross-frequency coupling between these two oscillations using the modulation index (Fig. 5, see Methods). We found that DAOxR2-KO mice express higher theta-gamma coupling during waking and TDW in baseline dark phase (DAOxR2-KO vs DAOxR2-CT; P = 0.0464; Fig. 5c), while theta-gamma coupling of DAOxR1-KO and DAOxR1&2-KO mice did not differ from controls. As theta and gamma frequencies also dominate the REMS EEG [52], we next measured theta-gamma coupling during REMS and found higher coupling index of the REMS theta rhythm of DAOxR2-KO mice with gamma oscillations in baseline light phase (DAOxR2-KO vs DAOxR2-CT; P = 0.0351; Fig. 5c), while Hcrtr1 or Hcrtr1&2 dopaminergic inactivation did not significantly affect REMS theta-gamma coupling.
DAOxR2-KO mice learn faster but exhibit maladaptive patterns of reward-seeking behavior
As DAOxR2-KO mice present neurophysiological markers known to correlate with cognitive performance, e.g. increased alert wakefulness and higher theta-gamma coupling, we next compared executive control and reward sensitivity of DAOxR2-KO and DAOxR2-CT mice using an operant conditioning paradigm. Mice were trained in a 3-choice serial reaction time task (3-CSRTT) in which each mouse progresses through stages of increasing difficulty according to individual performance and proceeds to the next training stage when certain criteria are met (Fig. 6a and Methods). During the training phase, DAOxR2-KO mice exhibited faster task acquisition, requiring fewer days (Fig. 6b), and fewer sessions (Fig. 6c), to reach the next training stage. When performance of all mice became stable on the same training contingencies, their performance during the last three sessions on the same stage was averaged (test phase). DAOxR2-KO mice performed more correct responses compared to DAOxR2-CT mice (Fig. 6d), with no difference in incorrect responses (Fig. 6e), nor in response accuracy (Fig. 6f), or number of omissions (Fig. 6g). However, DAOxR2-KO mice showed more premature responses, i.e. responses preceding cue light illumination, suggesting an impulsive-like behavior (Fig. 6h), and more perseverative responses, i.e. repeated head entries in absence of reward intake, suggesting a compulsive-like trait (Fig. 6i). Collectively, these data show that DAOxR2-KO mutants manifest improved performance in acquisition and maintenance of instrumental learning in a visual discrimination task, but they also concomitantly exhibit signs of impaired inhibitory control.
DAOxR2-KO mice show higher choice accuracy under increasingly demanding task contingencies
We next examined whether faster task acquisition during the training phase and enhanced correct responses during the test phase in DAOxR2-KO mice, could be denoting increased motivational drive rather than improved attentional skills. We performed two additional experiments that separately address aspects of attentional performance and motivation, in a cognitive effort, and a physical effort-demanding task, respectively (Fig. 6a). To assess attentional performance, we progressively decreased the duration of the light cue indicating the correct nosepoking response, assessing the mice with the cue lasting 3, 2 and 1 s, i.e. under increasing attentional demands. No differences were observed between genotypes when the cue light was 3 or 2 s in correct and incorrect responses, omissions, or accuracy (Fig. 7a, b). However, under the most difficult condition with the cue lasting 1 s, DAOxR2-KO mice showed higher performance reflected by fewer incorrect responses and concomitant increased accuracy (Fig. 7c), with no differences in number of correct responses, or omissions. These data suggest that DAOxR2-KO mice have an enhanced capability to sustain attention, and perform with higher accuracy when attentional demands are increased, and align with the hypervigilance reported above.
To further disentangle increased cognitive performance from reward-based invigoration [53] or motivational drive, we next subjected mice to a fixed and progressive schedule of reinforcement to evaluate their willingness to work for the reward. To minimize the contribution of attentional load, now only one hole was illuminated. There was no difference between DAOxR2-KO and DAOxR2-CT mice in number of nosepoking responses, neither under a fixed (Fig. 7d), nor progressive ratio (Fig. 7e), suggesting no alterations in motivation in an effortful task. Overall, these results demonstrate improved performance of DAOxR2-KO mice when attentional demands are high, namely during initial task acquisition, and when task contingencies are more demanding, but they also show maladaptive patterns of reward-seeking behaviors when assessed under well-trained conditions.
Discussion
Our data establish a genetically-defined link between monosynaptic HCRT → DA connectivity and theta oscillatory power in wakefulness and REMS, and furthermore identify a link between HCRT → DA neurotransmission and executive functioning. We disconnected the dopaminergic system from HCRT input by selective Hcrtr1 or Hcrtr2 deletion in DA neurons. Although DAVTA cells are the best characterized dopaminergic HCRT target, other potential HCRT target DA groups in hypothalamus or dorsal raphe would also be disconnected from HCRT input. Loss of Hcrtr2 caused dramatic increases in waking theta activity and time spent in alert wakefulness, albeit uncoupled from locomotion, although EEG theta is commonly associated with locomotion [42]. Thus DAOxR2-KO mice show electrocortical hyperarousal, but not evident behavioral hyperarousal as evaluated by locomotor activity in the homecage environment. Locomotor responses in novel contexts remain however to be evaluated. The increased rates of premature and repetitive (perseverative) responding in the 3-CSRTT test chamber suggest that behavioral hyperactivity is present.
REMS was also affected, with stronger theta activity, longer bouts, and total duration. Furthermore, fast-gamma amplitudes showed higher coupling to the theta phase during wakefulness and REMS. Stronger theta-gamma coupling was associated with cognitive advantages, namely superior learning speed and attentional performance, however compromised by maladaptive patterns of reward-seeking, impulsivity and compulsivity-like behaviors. DAOxR2-KO mice therefore earned more rewards, but presumably at a higher energetical cost. Disconnection between learning, attentional, and executive skills is intriguing and requires investigation in additional contexts. None of the EEG changes observed in DAOxR2-KO mice were seen in mice with chronic disruption of Hcrtr1, or both receptors, in DA cells. Strikingly, DAOxR1&2-KO mice exhibited opposite changes, with decreased theta activity in wakefulness, TDW and REMS. Our results thus demonstrate critically distinct neuromodulation of DA pathways by Hcrtr1 and Hcrtr2, with a crucial role of Hcrtr2 in theta/gamma oscillations and associated cognition.
Although implication of the HCRT → DA circuit in theta is novel, ample evidence exists for modulation of theta by HCRT and DA individually. We previously reported profound disruption of theta in Hcrt-KO mice, which show a severely theta-depleted baseline wakefulness, through inability to maintain TDW for extended periods [45, 54]. TDW instability of Hcrt-KO mice phenocopies excessive daytime sleepiness of narcolepsy patients, who typically fail to maintain arousal when under-stimulated. Similar to patients, when subjected to external stimulation, Hcrt-KO mice showed normalized TDW maintenance [45]. This is in strike contrast to DAOxR2-KO mice, which display increased TDW across spontaneous or enforced wakefulness, a priori challenging our understanding of HCRT signaling.
HCRT neurons are well positioned to influence hippocampal theta as they profusely innervate the medial septum (MS), a structure which expresses Hcrtr2 RNA [55], and projects to the hippocampus and paces hippocampal theta bursting activity. Destruction of HCRT-2-binding neurons in MS of rats dramatically decreased theta during wakefulness and REMS [56]. DAVTA axons also project to the septum and contribute to regulate theta oscillations [57]. Hence both HCRT and DAVTA project to the septum and regulate hippocampal theta during wakefulness and REMS.
A large body of data points to DA as facilitator of theta activity [58, 59]. DA agonists and NMDA-glutamatergic DAVTA activation induce theta, while VTA silencing or lesioning disrupts theta [60,61,62]. Prominent hippocampal theta appears in two states, active wakefulness (AW) and REMS, both featuring powerful DAVTA bursting activity [27]. The theta peak frequencies in VTA and hippocampal local field potentials are highly inter-correlated, during AW and REMS [27, 57]. Since AW and REMS are both high-cholinergic states sustained by pedunculopontine/laterodorsal tegmental nuclei (LDT/PPT) activity, and LDT/PPT send excitatory input to DAVTA cells [63], the DAVTA system may belong to a theta-generating AW and REMS-active LDT/PPT → DAVTA → MS→hippocampal circuit [57].
Although generally associated, DA activity and theta power in some contexts are inversely related, e.g. permanent hyperdopaminergia in Dat-KO mice is associated with decreased hippocampal theta [64], and DA-depleted rats show theta amplification during cognitive tasks [65]. Thus manipulations of the DA system may bidirectionally modulate downstream effectors, due to heterogeneities in DA subpopulations’ electrophysiological properties, receptive fields, projections, or in the subclass/distribution of receptors. For instance, DA agents can show inverted-U-shaped dose responses, e.g. too little or too much DA impairs working memory. D2/3-agonists enhance sleep at low dosage, but wakefulness at higher doses [66], depending on whether presynaptic or postsynaptic effects dominate.
Interestingly, continued DAVTA optogenetic stimulation induces a state of theta-enriched wakefulness [28] closely resembling baseline wakefulness of DAOxR2-KO mice. Although optogenetic activation and genomic manipulation are not directly comparable, dopaminergic Hcrtr2 loss may likewise cause sustained theta activity and dopaminergic activation. Genetic effects at two loci can be non-additive, and the opposite effects of dual Hcrtr1&2 vs single Hcrtr2 dopaminergic disruption, with Hcrtr1&2 most resembling Hcrtr1, suggests that Hcrtr1 is epistatic to Hcrtr2 in DA neurons. Nevertheless, our findings’ simplest interpretation remains that DAOxR2-KO mice increased theta reflects enhanced DA activity during wakefulness and REMS, while HCRTR2 signaling normally dampens theta networks via dopaminergic inhibition. HCRT is usually excitatory, however inhibitory HCRT-2 activity via HCRTR2 is reported [67,68,69]. Conversely, since DAOxR1&2-doubly-deficient mice experience reduced theta in waking and REMS, paired dopaminergic HCRTR1&2 activity may normally stimulate DA cell activity and theta networks. Consistent with this hypothesis, DAOxR1&2-KO mice display beta enhancement, which is a marker of DA deficiency. Beta activity is normally repressed during movement, and its pathological increase is characteristic of PD and DA-depleted rats [47, 70]. Interestingly, HCRT-1 and HCRT-2 are neuroprotective in PD animal models [71], underscoring the potential importance of HCRT → DA neurotransmission in PD, and relevance of DAOxR1&2-KO mice as model of DA-deficiency relevant to PD.
Disrupting HCRT → DA circuits impacted REMS and wakefulness almost identically. As mentioned, HCRT neurons show bursting activity during phasic REMS [4, 72], and a sublaterodorsal tegmental nucleus-projecting REMS-active HCRT population was shown to sustain theta and prolong REMS [7]. Consistent with active HCRT → DA signaling in phasic REMS, DAOxR2-KO mice exhibit prolonged phasic REMS events. An increasing number of studies also evidence DA activity during REMS. DAVTA neurons show increased c-Fos expression during REMS rebound [73], and NAc and medial prefrontal cortex (mPFC) DA release increases in REMS [74]. DAVTA single-unit recording in rats revealed prominent burst firing during REMS, as during palatable food consumption [27], and DAVTA activity increases at NREMS-to-REMS transitions [28]. Conversely, DA-depleted rats do not enter REMS, which is restored by D2-agonists [75]. A recent study positioned DAVTA cells as prime inducers of REMS, demonstrating DA transients appearing within the BLA ~20 s before REMS-onset, while optogenetic activation of BLA DAVTA terminals induced REMS [76]. In agreement, DAVTA bursting activity observed by unit-recordings appears ~10-20 s before REMS-onset [27].
An unexplained DAOxR2-KO phenotype is a strongly diminished REMS rebound following SD. Could the shorter REMS rebound of DAOxR2-KO mice stem from REMS higher theta power, whereby enhanced theta synchrony would facilitate the efficiency of REMS-dependent recovery processes? REMS homeostasis is poorly understood. The physiological and cognitive processes of REMS may rely on the combined action of prominent cholinergic and dopaminergic neuromodulation [27], and our study further suggests involvement of HCRT → DA transmission in sleep recovery.
A 3rd theta-dominated state is cataplexy, narcolepsy pathognomonic symptom and HCRT deficiency signature. D2/D3-receptors modulate cataplexy in narcoleptic dogs and mice, with D2/D3-agonists aggravating, and blockers improving cataplexy [77, 78]. Because D2/D3 are DA neuron inhibitory auto-receptors, this suggests that DA insufficiency precipitates cataplexy. Optogenetic excitation of DAVTA terminals within BLA of narcoleptic mice exposed to chocolate induced DA transients and cataplexy, while WT mice experienced a much smaller DA release [76], suggesting HCRT may inhibit DA release. Accordingly, our HCRT → DA-deficient mice may display cataplexy upon chocolate consumption. We did not evidence cataplexy in our mice, but they were not exposed to chocolate or other potent triggers. The role of HCRT → DA circuits in cataplexy warrants further investigation.
Theta-gamma coupling facilitates, or reflects, short-term memory processes. Rats learning day-by-day to associate contexts with food location, demonstrated increasing theta-gamma coupling as learning progressed, and theta-gamma coupling could predict the probability of correct choice on a given day [50]. Accordingly, DAOxR2-KO mice’ increased coupling is expected to enhance learning speed and response accuracy, two expectations that we confirmed in the 3-CSRTT. DAOxR2-KO mice not only learnt the task faster, but they reached higher accuracy at baseline, and when attentional demand increased, performed better. The mPFC is a major DAVTA target, as well as a direct HCRT target, and a hub for executive functions. DAOxR2-KO mice may experience malfunction of a HCRT → DAVTA → mPFC circuit [79] resulting from deficient HCRTR2 signaling in DA cell bodies or terminals. Lambe et al. demonstrated that HCRTR2 signaling at PFC thalamocortical terminals plays a role in executive functions, whereby intra-PFC HCRT-2 infusion improved high-attention-demanding task accuracy, by exciting thalamocortical terminals onto layer V pyramidal cells [80]. Importantly, HCRT can act either by postsynaptic or presynaptic action, i.e. acting on cell somata, or axon terminals. In terminals, HCRT can modulate release of neurotransmitters, e.g. glutamate, GABA, and potentially DA [36, 37, 81, 82]. Deficient HCRTR2 signaling in DAVTA terminals, that densely innervate the PFC and co-release DA and glutamate [83], may thus contribute to DAOxR2-KO mice’ phenotype.
DAOxR2-KO mice enhanced performance was compromised by premature responding, aligning with studies implicating HCRT in impulsivity [84], and with observation that intra-VTA HCRTR1&2-dual-antagonist application reduces cocaine-evoked premature responding in rats [85]. DAOxR2-KO mice exhibited moreover perseverative responding, with repeated head entries after reward intake. Both premature and repetitive responding suggest behavioral hyperactivity. Altogether, DAOxR2-KO mice phenotype depicted several endophenotypes reminiscent of the neurodevelopmental disorder attention deficit/hyperactivity disorder (ADHD), characterized by inattention, impulsivity, and hyperactivity symptoms, which can exist together or in isolation. Firstly, DAOxR2-KO mice waking EEG revealed constitutive electrocortical hyperarousal, with increased theta/fast-gamma power. Enhanced waking theta is documented in children with ADHD and ADHD mouse models [86, 87]. Second, our mice display impaired inhibitory control, with marked impulsivity. In the visual task we used, impulsivity appeared coupled to enhanced attention. Three ADHD subtypes are distinguished, subtype-H (hyperactive), -I (inattentive)- and -C (combined). DAOxR2-KO mice may feature an ADHD-H endophenotype, although other attentional modalities need appraisal in our mice. DAOxR2-KO mice also show strong compulsivity, a trait over-represented in ADHD [88]. Genetic and pharmacological evidence strongly suggest involvement of DA pathways in ADHD in humans and mouse models. The ‘DA hypothesis of ADHD’ posits that DA hypofunction, or imbalance, underlies ADHD [89, 90]. Meanwhile, HCRT deficiency is also linked to ADHD. Narcolepsy patients show impaired executive function and impulsivity [91], and clinical overlap exists between narcolepsy and ADHD [92]. Suggesting shared causalities, narcolepsy is associated with increased ADHD incidence [93, 94]. Furthermore, both pathophysiologies respond favorably to DA drugs. Whereas methylphenidate and amphetamine cause hyperarousal in normal subjects, they normalize arousal in ADHD patients, and improve sleepiness in narcolepsy. Hence both HCRT and DA are established candidate ADHD substrates, and our study suggests that HCRT → DA connectivity is especially relevant.
Owing to their vital role in neuroplasticity, learning and memory, theta and gamma oscillations and their phase coupling are cognitive biomarkers and therapeutic targets. Oscillatory alterations are observed in neuropsychological disorders, including arousal disorders, anxiety, and depression. Stimulants and other therapeutic interventions induce EEG changes that correlate with clinical benefits. Oscillations therefore can act as non-invasive biomarkers of recovery. Understanding circuits governing theta/gamma neuromodulation may moreover lead to disease-causing mechanisms. Post-mortem quantitative studies evidenced five-fold heavier HCRT input to TH-immunoreactive neurons in human VTA as compared with rat [95]. Hence, HCRT signaling in VTA may play as critical a role in reward processing and cognition in humans as it does in rodents, and further understanding of HCRT → DA connectivity may guide novel therapies.
Materials and Methods
Creation of Hcrtr2 conditional knockout mice
Hcrtr1flox mice generation was previously described [38, 96]. Hcrtr2flox allele creation is detailed in SI Appendix. The allele is designed so the Hcrtr2 promoter drives Gfp instead of Hcrtr2 following Cre/lox-recombination. Lox-lox recombination deletes DNA encoding HCRTR2 signal peptide, N-terminal domain, and almost entire transmembrane-domain1. To create a full-body Hcrtr2-null/GFP-reporter allele, Hcrtr2flox mice were crossed to Tg(EIIa-cre)C5379Lmgd mice, which express Cre in the early embryo [97], producing Hcrtr2del mice. To functionally validate Hcrtr1 and Hcrtr2 gene engineering, Hcrtr2del were crossed with Hcrtr1del mice [38, 98], and double-KO (Hcrtr1del/del,Hcrtr2del/del) were demonstrated to display narcolepsy with cataplexy by EEG/EMG-video analysis [13].
Animals
Animal husbandry is detailed in SI Appendix. All animal procedures followed Swiss federal laws and were approved by the State of Vaud Veterinary Office. Care was taken at all times to optimize wellbeing and minimize discomfort and stress.
Three-choice serial reaction time task (3-CSRTT)
The test is detailed in SI Appendix. Briefly, mice were trained to self-administer a 0.2% saccharine liquid reward. A nosepoke in the ‘active’ port activated delivery of 0.01 ml reward from a liquid dipper. The test comprised four increasing-difficult training stages and a test phase. To advance to the next stage, mice had to earn a fixed number of rewards during a 30-min session. Test phase performance was the average performance during the last 3 days’ sessions. Premature, correct, incorrect, omission, and perseverative responses were recorded. A premature response is nosepoking before cue light illumination. A perseverative response is a supernumerary head entry in liquid dispenser after reward consumption.
Data availability
The datasets acquired for this study are available from the corresponding author upon request.
Code availability
Custom-written scripts for data analysis used in this study are available from the corresponding author upon request.
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Acknowledgements
This work was supported by the Swiss National Science Foundation (grants 31003A_144282 and 182613 to A.V. and 190605 to M.B.) and the University of Milano-Bicocca (2021-ATE-0042 to A.B.). We thank Paul Franken for scripts used in early stages of this study and advice on sleep/wake and EEG analyses. We thank Anne-Catherine Thomas and Cendrine Repond for animal genotyping.
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Open access funding provided by University of Lausanne.
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MB performed EEG/sleep analysis and contributed in writing and figure design; SL performed EEG/sleep recordings and analysis; LA and BB conceived, performed and analyzed the behavioral experiments; ST contributed in behavioral analysis, interpretation and figure design; GC and AB conceived, performed and analyzed patch clamp recordings; AV designed and performed Hcrtr1 and Hcrtr2 gene targeting experiments to generate Hcrtr1 and Hcrtr2 floxed and delta mice, and wrote the manuscript. AV and MT conceived and supervised the project.
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Bandarabadi, M., Li, S., Aeschlimann, L. et al. Inactivation of hypocretin receptor-2 signaling in dopaminergic neurons induces hyperarousal and enhanced cognition but impaired inhibitory control. Mol Psychiatry 29, 327–341 (2024). https://doi.org/10.1038/s41380-023-02329-z
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DOI: https://doi.org/10.1038/s41380-023-02329-z