Involvement of the habenula in the pathophysiology of autism spectrum disorder.

Funder: Fondation Brain Canada; doi: http://dx.doi.org/10.13039/100009408The habenula is a small epithalamic structure with widespread connections to multiple cortical, subcortical and brainstem regions. It has been identified as the central structure modulating the reward value of social interactions, behavioral adaptation, sensory integration and circadian rhythm. Autism spectrum disorder (ASD) is characterized by social communication deficits, restricted interests, repetitive behaviors, and is frequently associated with altered sensory perception and mood and sleep disorders. The habenula is implicated in all these behaviors and results of preclinical studies suggest a possible involvement of the habenula in the pathophysiology of this disorder. Using anatomical magnetic resonance imaging and automated segmentation we show that the habenula is significantly enlarged in ASD subjects compared to controls across the entire age range studied (6-30 years). No differences were observed between sexes. Furthermore, support-vector machine modeling classified ASD with 85% accuracy (model using habenula volume, age and sex) and 64% accuracy in cross validation. The Social Responsiveness Scale (SRS) significantly differed between groups, however, it was not related to individual habenula volume. The present study is the first to provide evidence in human subjects of an involvement of the habenula in the pathophysiology of ASD

Bilateral Amygdala Radio-Frequency Ablation for Refractory Aggressive Behavior Alters Local Cortical Thickness to a Pattern Found in Non-refractory Patients

Aggressive behaviors comprise verbal and/or physical aggression directed toward oneself, others, or objects and are highly prevalent among psychiatric patients, especially patients diagnosed with autism spectrum disorder and severe intellectual disabilities. Some of these patients are considered refractory to treatment, and functional neurosurgery targeting the amygdala can result in widespread plastic brain changes that might reflect ceasing of some abnormal brain function, offering symptom alleviation. This study investigated cortical thickness changes in refractory aggressive behavior patients that were treated with bilateral amygdala ablation and compared to control patients presenting non-refractory aggressive behavior [three refractory and seven non-refractory patients, all males diagnosed with autism spectrum disorder (ASD) and intellectual disabilities]. The Overt Aggression Scale (OAS) was used to quantify behavior and magnetic resonance imaging was performed to investigate cortical thickness. Before surgery, both groups presented similar total OAS score, however refractory patients presented higher physical aggression against others. After surgery the refractory group showed 88% average reduction of aggressive behavior. Imaging analysis showed that while refractory patients present an overall reduction in cortical thickness compared to non-refractory patients across both timepoints, the local pattern of thickness difference found in areas of the neurocircuitry of aggressive behavior present before surgery is diminished and no longer detected after surgery. These results corroborate the hypotheses on induction of widespread neuronal plasticity following functional neurosurgical procedures resulting in modifications in brain morphology and improvement in behavior. Further studies are necessary to determine the underlying cause of these morphological changes and to better understand and improve treatment options

Neurochemic study of the premammillary ventralis nucleus on submissive animals during social agonistic encounters.

Os comportamentos agonísticos sociais dispostos por animais dominantes e subordinados podem ser notados no paradigma residente intruso. No hipotálamo há o núcleo pré-mamilar ventral (PMv) ligado a um sistema sexualmente dimórfico e relacionado a reprodução e comportamentos agonísticos. A cópula é fundamental para a modulação do comportamento de dominância e aumenta os níveis de CART (Cocaine and Amphetamine Regulated Transcript) no PMv. Animais knockout de Sintase do Óxido Nítrico (NOS) apresentam agressão acentuada. Através da hibridização in situ estudamos a expressão de CART e de NOS nos animais com experiência sexual prévia ao encontro agonístico e sem experiência sexual (naive). No grupo que copulou foi visto aumento na expressão de CART e comportamento diferente do grupo naive visto que buscam a dominância e não apresentam posturas de submissão. Este aumento não foi observado nos níveis de NOS. Sugere-se que a experiência sexual esteja relacionada ao aumento de CART no PMv e possivelmente perda do comportamento subordinado e aumento da busca da dominância.Aggressive behavior occurs when the interests of one or more individuals conflict. Territory is one of these interests, and the resident intruder paradigm is widely used to observe the expression of social agonistic behaviors. The dominance behavior has been studied under several views and it was shown that it can be raised by the presence of the female, its olfactory clues and by the sexual behavior. In the hypothalamus there is the premammillary ventralis nucleus (PMv) connected to a sexual dimorphic system and related to reproduction and agonistic behaviors. This nucleus was suggested as being involved in the modulation of aggressive behavior, and PMvs neuropeptides can have a direct relation with the expression of those agonistic behaviors. Males exposed to females olfactory clues show an increase in the expression of CART (C Cocaine and Amphetamine Regulated Transcript) in the PMv. Nitric oxide synthase (NOS) knockout animals show increased aggression. In the present investigation, using in situ hybridization we studied the expression of the mRNA of CART and NOS on intruders exposed to the resident-intruder paradigm. Two experimental groups were examined: one with sexual experience before the agonistic encounter and other naïve. It was observed increased expression of CART in the PMv in the sexual-experienced intruder. More, these animals behaved differently from naive intruders, and did not display submissive postures and start searching for dominance. Sexual experienced intruders presented increased expression of CART, but not NOS, mRNA. Thus, suggesting that the sexual experience is related to an increase in CART expression in the PMv and possibly with the lost of submissive behavior and increased search for dominance status

Anesthetic‐loaded nanodroplets with focused ultrasound reduces agitation in Alzheimer's mice

Abstract Objective Alzheimer's disease (AD) is often associated with neuropsychiatric symptoms, including agitation and aggressive behavior. These symptoms increase with disease severity, ranging from 10% in mild cognitive impairment to 50% in patients with moderate‐to‐severe AD, pose a great risk for self‐injury and injury to caregivers, result in high rates of institutionalization and great suffering for patients and families. Current pharmacological therapies have limited efficacy and a high potential for severe side effects. Thus, there is a growing need to develop novel therapeutics tailored to safely and effectively reduce agitation and aggressive behavior in AD. Here, we investigate for the first time the use of focused ultrasound combined with anesthetic‐loaded nanodroplets (nanoFUS) targeting the amygdala (key structure in the neurocircuitry of agitation) as a novel minimally invasive tool to modulate local neural activity and reduce agitation and aggressive behavior in the TgCRND8 AD transgenic mice. Methods Male and female animals were tested in the resident‐intruder (i.e., aggressive behavior) and open‐field tests (i.e., motor agitation) for baseline measures, followed by treatment with active‐ or sham‐nanoFUS. Behavioral testing was then repeated after treatment. Results Active‐nanoFUS neuromodulation reduced aggressive behavior and agitation in male mice, as compared to sham‐treated controls. Treatment with active‐nanoFUS increased the time male mice spent in social‐non‐aggressive behaviors. Interpretation Our results show that neuromodulation with active‐nanoFUS may be a potential therapeutic tool for the treatment of neuropsychiatric symptoms, with special focus on agitation and aggressive behaviors. Further studies are necessary to establish cellular, molecular and long‐term behavioral changes following treatment with nanoFUS