Abstract
Rationale and Objectives
Our knowledge about genes involved in the control of basal motor activity that may contribute to the pathology of the hyperactivity disorders, e.g. attention deficit hyperactivity disorder (ADHD), is limited. Disruption of monoamine neurotransmitter signaling through G protein-coupled receptors (GPCR) is considered to be a major contributing factor to the etiology of the ADHD. Genetic association evidence and functional data, suggest that regulators of G protein signaling proteins of the R7 family (R7 RGS) that form obligatory complexes with type 5 G protein beta subunit (Gβ5) and negatively regulate signaling downstream from monoamine GPCRs, may play a role in controlling hyperactivity.
Methods
To test this hypothesis, we conducted behavioral, pharmacological and neurochemical studies using a genetic mouse model that lacked Gβ5, a subunit essential for the expression of the entire R7 RGS family.
Results
Elimination of Gβ5-RGS complexes led to a striking level of hyperactivity that far exceeds activity levels previously observed in animal models. This hyperactivity was accompanied by motor learning deficits and, paradoxical behavioral sensitization to a novel environment. Neurochemical studies indicated that Gβ5-RGS deficient mice had higher sensitivity of inhibitory GPCR signaling and deficits in basal levels, release and reuptake of dopamine. Surprisingly, pharmacological treatment with monoamine reuptake inhibitors failed to alter hyperactivity. In contrast, blockade of NMDA receptors reversed the expression of hyperactivity in Gβ5-RGS deficient mice.
Conclusions
These findings establish that Gβ5-RGS complexes are critical regulators of monoamine-NMDA receptor signaling cross-talk and link these complexes to disorders that manifest as hyperactivity, impaired learning and motor dysfunctions.
Keywords: Attention deficit hyperactivity disorder (ADHD), basal ganglia, motor control, hyperactivity, synaptic transmission, G protein-coupled receptors, Regulators of G protein signaling (RGS)
Introduction
Attention deficit hyperactivity disorder (ADHD) is a neuropsychatric condition that manifests in restlessness, impulsivity, inattention, and is estimated to affect up to 10% of the world population (Faraone et al. 2003). Although the etiology of ADHD is complex, it is currently well accepted that imbalance in monoamine neurotransmitter signaling is the major contributing factor. Extensive studies investigating ADHD have implicated catecholamine (dopamine, norepinephrine) and serotonin dysfunction in two key brain areas that cooperatively regulate attention and motor functions: the prefrontal cortex (PFC) and striatum (Arnsten 2009; Oades 2008; Prince 2008; Tripp and Wickens 2009).
At the molecular level, all effects of catecholamines, and, with one exception, serotonin are mediated by G protein-coupled receptors (GPCR) (Kristiansen 2004). Activation of GPCR by neurotransmitters promotes GTP binding to the α subunits of downstream G proteins which results in their dissociation into α-GTP and βγ subunits. When dissociated, G protein subunits modulate the activity of effector proteins which produce cellular responses (Gainetdinov et al. 2004; Offermanns 2003). Polymorphisms in GPCRs for dopamine and/or serotonin, as well as the corresponding transporters that affect the volume of transmission, have been genetically associated with ADHD (Faraone et al. 2005; Kirley et al. 2002). Furthermore, inhibitors of dopamine, serotonin and norepinephrine reuptake, which enhance the signaling by these neurotransmitters, ameliorate ADHD symptoms and are among the most frequently prescribed medications for this condition (Heal et al. 2009; Pliszka 2007). Taken together, these observations suggest that changes in the extent and duration of GPCRs signaling in response to monoaminergic stimulation may contribute to the development of ADHD symptoms. Several genetic studies aimed at identifying molecular factors disrupted in ADHD have resulted in the generation of the daunting number of candidates that are potentially linked to the disease (Faraone et al. 2005). While it is generally recognized that understanding ADHD disease mechanisms will ultimately require functional validation of the possible contributions of these molecular players to the etiology of ADHD, relatively little progress has been made in this direction.
Members of the regulator of G protein signaling (RGS) protein family are important intracellular factors that shape GPCR signal transduction. RGS proteins serve as negative regulators of GPCR signaling by stimulating GTP hydrolysis on the Gα subunits to promote their inactivation (Hollinger and Hepler 2002). From the perspective of the monoamine GPCR signaling in the central nervous system, members of the R7 family (R7 RGS): RGS6, RGS7, RGS9 and RGS11, play particularly important roles owning to their enrichment in the striatum and demonstrated roles in the regulation of motor and reward behaviors mediated by dopamine and opioid receptors (Anderson et al. 2009). In the brain, all R7 RGS proteins exist as complexes with two subunits: type 5 G protein β subunit (Gβ5) and R7 binding protein (R7BP) (Anderson et al. 2009). While R7BP regulates the subcellular localization and, in some cases, expression of R7 RGS, Gβ5 is essential for the structural integrity and proteolytic stability of all R7 RGS complexes (Anderson et al. 2009). Indeed, recent crystal structure of the RGS9/Gβ5 indicates that Gβ5 is tightly integrated in the core of the complex (Cheever et al. 2008) and its knockout in mice results in the elimination of R7 RGS expression (Chen et al. 2003). These findings suggest that Gβ5 is a central subunit that is essential for the function of the entire R7 RGS subfamily. Gβ5-R7 RGS proteins regulate Gi/o class of G proteins and their elimination is expected compromise the function of GPCRs that signal via these G proteins.
We recently conducted genetic screening in C. elegans and identified several Gβ5 mutations that are associated with the hyper-locomotor phenotype suggesting that this subunit has a conserved role in the regulation of motor behaviors (Porter et al. 2010). In humans, Gβ5 is located in q21 locus on chromosome 15, and a genetic linkage study has implicated this region (marker D15S659) in ADHD with the LOD score of 1.81 (p=0.002) (Faraone et al. 2008); see also psychiatric genetics evidence database at https://slep.unc.edu/evidence/index.php). Gβ5 was also recently identified as one of the highest scoring genes linked to cognitive ability in a functional group analysis of genetic data derived from a study on ADHD patients (Ruano et al. 2010). Furthermore, our previous studies indicate that Gβ5 complexed with RGS proteins play crucial role in regulating the timing of slow synaptic transmission mediated by GPCRs (Xie et al. 2010). Taken together, this evidence suggests a potential role of Gβ5 in neuropsychiatric disorders including ADHD. To test this hypothesis, we analyzed the behavioral consequences of targeted disruption of the Gβ5 gene in mice (Chen et al. 2003). Our results show that Gβ5 knockout mice develop striking hyperactivity which far exceeds levels of hyperactivity previously observed in animal models (Viggiano 2008). This hyperactivity is accompanied by motor learning deficits and a paradoxical adaptation to novel environment. Concurrent with an increase in the sensitivity of pre- and postsynaptic Gi/o-coupled GPCRs, we found substantial deficits in basal levels, release and reuptake of extracellular dopamine in the striatum. Surprisingly, pharmacological treatment with monoamine reuptake inhibitors aimed at restoring extracellular monoamine levels were ineffective in reducing hyperactivity in Gβ5−/−mice. However, NMDA receptor blockade, completely reversed hyperactivity. These findings establish Gβ5-RGS complexes as major regulators of a number of neuronal GPCRs and link these complexes to disorders that manifest as hyperactivity, impaired learning and motor dysfunctions.
Materials and Methods
Behavioral Studies
The Gβ5−/−mice were generated previously and were back-crossed with C57/Bl6 mice for six generations. Littermates (2–4 months old) of both sexes were used for behavioral experiments and were derived from heterozygous breeding pairs. All procedures were approved by the Animal Care and Use Committee at the University of Minnesota. Quinpirole (0.03–1.5 mg/kg), LY379268 (0.1–3 mg/kg), amphetamine (1 mg/kg), desipramine (10 mg/kg), atomoxetine (10 mg/kg), citalopram (10 mg/kg), MK-801 (0.2–1 mg/kg) were all dissolved in saline and injected intraperitoneally (i.p.) with a volume of 100 μL per 10 g body weight. Locomotor activities were evaluated in the open field environment using Plexiglas chambers (Med Associates, Inc., St. Albans, VT), as previously described (Anderson et al. 2010). Briefly, a mouse was placed in the center of the open field arena and allowed to freely move for 60 or 180 min while being tracked by an automated tracking system consisting of three 16 beam infrared arrays, the data from which were analyzed by Open Field Activity software (Med Associates). Infrared beam break data were collected in 5 min bins and used to extract ambulatory activity (crossing four beams within 500 ms), and distance traveled. Beam break activity in the absence of consecutive crossing of beams was defined as steretotypic movements. Thigmotaxis (wall hugging) for each subject was determined by dividing the distance traveled in the 7.5-cm wide perimeter of the environment by the total distance traveled during the 180-min session. Motor coordination was measured by performance on an accelerating rotarod device equipped with drums (IITC Life Science) sized for mice (Anderson et al. 2010). Eleven consecutive trials were performed for each animal on the same day. After placing a mouse on the rod, the rod was accelerated from 4 to 27 r.p.m. in 5 min. The endurance of mice on the rotarod was measured by time to fall to the floor of the apparatus, or to turn one full revolution while hanging onto the drum. The hot plate paw-lick test was performed on a platform heated to 55°C with a cutoff of 60 sec. Latency to paw lick or jump was recorded. Baseline responses were determined for each mouse before drug injection. Mice were injected with a volume of 100 μL per 10 g of body weight of either saline or morphine sulfate (s.c.; 1–15 mg/kg), 30 min after acquiring baseline ambulatory activity. The analgesia response was monitored 45 min after injection. The antinociceptive response was calculated as a percentage of maximal possible effect (MPE), where MPE%=(final - baseline)/(60 - baseline)*100%. Evaluation of basal behavior in open field and rotarod assays were done on naïve groups of mice not previously used in other assays. Dose dependence pharmacological studies were done on the same mice starting from morphine administration, and followed by quinpirole and LY379268 always starting from low dose first. At least one week was allowed between different drug applications and different doses were administered in 2-day interval. Administration of amphetamine and MK-801 in each case was done on a separate group of naïve mice and in a week followed by the injection of ADHD medications (citalopram, desipramine, and atomoxetine) with 3-day interval between drugs.
Measurements of dopamine levels by fast-scan cyclic voltammetry (FSCV)
Voltammetry was used as a method of choice for monitoring alterations in kinetic parameters of dopamine dynamics and no information regarding basal dopamine concentration was derived from the results. Mice were decapitated, brains were rapidly removed, and coronal slices (300-μm-thick) containing the striatum were prepared with a microtome. Slices were placed in artificial cerebrospinal fluid (aCSF, 119 mM NaCl, 2.5 mM KCl, 1 mM NaH2PO4, 26.5 mM NaHCO3, 1.3 mM MgSO4, 2.5 mM CaCl2 and 11 mM glucose, pH 7.4) and superfused with 95% O2 and 5% CO2. Carbon-fiber microelectrodes used herein for the fast-scan cyclic voltammetry (FSCV) experiments were fabricated according to a previously published protocol (Hochstetler et al. 2000). All FSCV experiments were conducted at 37±1°C in a temperature-controlled chamber (QE-1 and TCB-324B, Warner Instruments, Hamden, CT). The slice was continuously perfused with pre-warmed oxygenated aCSF solution at 1 mL/min. A carbon-fiber microelectrode was inserted ~75 μm into the caudate-putamen area; a pair of platinum stimulating electrodes (tip separation ~200 μm, #303/8-B, plastics1) was placed on the slice surface and maintained equal distance (~150 μm) to the carbon-fiber microelectrode. The potential on the carbon-fiber microelectrode was scanned from −0.4 to 1.0 V and back to −0.4 V (vs. Ag/AgCl) at 400 V/s with an update frequency of 10 Hz, using an Axopatch 200B potentiostat (Molecular Devices). The electrical stimulation (a single biphasic pulse, 350 μA in amplitude, 2 ms/phase) was delivered by an analog stimulus isolator (model 2200, A-M system Inc), and the stimulated dopamine release was recorded and analyzed by a locally written LabView program. The recorded current signal was converted to dopamine concentration based on a post-calibration using 1 μM dopamine solution in a flow-injection system (Kristensen et al. 1986). Triplicate measurements of dopamine release were performed on a brain slice to account for tissue heterogeneity.
In Vivo microdialysis and measurements of neurotransmitter levels by HPLC
The goal of the microdialysis experiments was to obtain accurate estimate of the extracellular dopamine concentration in the tissues of living mice, an information that FSCV approach does not provide. Microdialysis experiment were Following anesthesia, mice were placed in a stereotaxic frame and dialysis probes (2-mm membrane length, MD-2212 (Bioanalytical Systems) with MD-2255 guide cannulaes) were implanted into the right striatum (antero-posterior 0.0 mm, daiso-ventral -4.4 mm, lateral 2.5 mm relative to bregma) as previsouly described (Zhuang et al. 2001). Twenty four hr after surgery, the dialysis probe was connected to a syringe pump and perfused with Ringer’s Solution (150 mM NaCl, 2.7 mM KCL, 1 mM NaH2PO4, 1.5 mM Na2HPO4, 1.6 mM CaCl2, pH 7.2) at the speed of 1.5 μL/min. Two hr later, perfusates were collected every 20 min. After 100 min of basal dopamine level measurements, mice were then injected with cocaine (20 mg/kg, i.p.) and the post-injection samples were collected for another 80 min. Perfusate samples were assayed for dopamine by using HPLC with electrochemical detection using a previously described method (Farmer et al. 1996).
For analysis of dopamine and the dopamine metabolite, 3,4 dihydroxyphenylacetic acid, in tissue samples, brains were cut frozen in 250 μm serial sections. The sections were thaw mounted on glass slides and refrozen for later microdissection and specific brain regions were microdissected using a 300 μm punch. Monoamine analysis of these regions was performed using high performance liquid chromatography (HPLC) with electrochemical detection as previously described (Renner et al. 1987).
Electron microscopy
Immunohistochemical reactions were carried out using the pre-embedding immunogold method as described earlier (Lujan et al. 1996). Briefly, after blocking with 10% serum for 1 hr at room temperature free-floating sections were incubated for 48 hr with anti-Gβ5 antibodies (1–2 mg/mL). Sections were washed and incubated for 3 hr with goat anti-rabbit IgG coupled to 1.4 nm gold (Nanoprobes Inc) at 1:100 dilution. Sections were washed, postfixed in 1% glutaraldehyde and processed for silver enhancement of the gold particles with an HQ Silver kit (Nanoprobes Inc.). The reacted sections were treated with osmium tetraoxide (1% in 0.1 M PB), block-stained with uranyl acetate, dehydrated in graded series of ethanol and flat-embedded on glass slides in Durcupan (Fluka) resin. Regions of interest were cut at 70–90 nm on an ultramicrotome (Reichert Ultracut E; Leica). Staining was performed on drops of 1% aqueous uranyl acetate followed by Reynolds’s lead citrate. Ultrastructural analyses were performed in a Jeol-1010 electron microscope. Quantification of immunolabelling was performed in the striatum and stratum radiatum of the hippocampus from 60 mm coronal slices as described (Lujan et al. 1996). For each of three animals, three samples of tissue were obtained (nine total blocks).
Statistical Analyses
All data are presented as the means ± and SEMs. Two-way ANOVA analysis was used on the behavioral experiment data with genotype and session number (or dose) as two grouping factors. Tukey’s post hoc tests were conducted for individual pairwise comparisons. Biochemical data were analyzed using Student’s t-test. Statistical significance was considered when p < 0.05.
Results
Gβ5 knockout mice (Gβ5−/−) develop severe hyperactivity, motor learning deficits and display paradoxical adaptation to the novel environment
First, we tested the involvement of Gβ5-RGS in the regulation of behavior by evaluating Gβ5−/−mice and wild-type littermates in the open field test. During the first 5 min, Gβ5−/−mice traveled twice as far as their wild-type littermates (Fig 1A; 7.47±1.04 vs. 16.56±2.68 m). By 60 minutes, wild-type mice displayed a robust decrease in locomotion which is typically interpreted as habituation to the novel environment (Fig. 1A). In contrast, Gβ5−/−mice showed a dramatic increase in motor activity that coincided with the timing of developing motor habituation in wild-type animals, with both strains reaching a steady state level of activity in about 60 min. Cumulatively, Gβ5−/−mice ran approximately 12 times further than wild-type subjects over the 180 min test period (144.2 ± 23.8 vs. 1784 ± 210 m, p < 0.001; Fig. 1B). Higher ambulatory activity by Gβ5−/−mice was accompanied by an increased frequency of other movements, such as jumps and stereotypic movements (Fig. 1D, E). These differences did not appear to be the result from differences in speed (Fig. 1C). The overall pattern of ambulatory activity appeared to be similar between wild type and Gβ5−/−mice (Supplemental Fig. 1), however, Gβ5−/−mice spent slightly more time in the center of the open field relative to the periphery as evidenced by a reduced thigmotaxis score (Fig. 1F).
We next evaluated coordination and motor learning behavior using the rotarod paradigm as was previously used in characterizing the role of striatal R7BP and RGS9-2 proteins (Anderson et al. 2010; Blundell et al. 2008). Consistent with the motor deficits in mice lacking RGS9-2 or R7BP, Gβ5−/−mice exhibited severe deficits in the acquisition of motor skills (Fig. 1G). While performances of both genotypes were not significantly different during the initial two trials, Gβ5−/−mice exhibited dramatically shorter latencies to fall when compared to their wild-type littermates in subsequent trials. We therefore conclude that despite pronounced hyperactivity, Gβ5−/−mice have relatively normal motor coordination skills but their motor learning ability is severely compromised.
Broad pre- and postsynaptic localization of Gβ5 in central nervous system neurons
Gβ5 is expressed in multiple regions of the central nervous system (Zhang et al. 2000). However, high resolution information about the subcellular localization of Gβ5 has only been reported for its complexes with RGS9-2 in the striatum (Anderson et al. 2010; Anderson et al. 2007; Mancuso et al. 2010) where it was predominantly postsynaptic. Yet, several evidence suggest that RGS proteins play critical roles in controlling pre-synaptic processes (Chen and Lambert 2000; Han et al. 2006). In order to clarify the mode of Gβ5-RGS complexes action, we examined the distribution of Gβ5 protein at the ultrastructural level by immuno-gold electron microscopy in two representative brain regions: hippocampus and striatum. In both brain regions, most of the Gβ5 immunoreactivity was confined to neurons where it was especially prominent in dendritic shafts and spines. Representative images illustrate that Gβ5 is found both postsynaptically at the plasma membrane and in intracellular parts of the dendritic spines and shafts (Fig. 2A,D). Presynaptically, Gβ5 was detected along the extrasynaptic plasma membrane and the active zone of the axonal terminals in both striatum and hippocampus (Fig. 2B,E). In a quantitative comparison of pre- vs. postsynaptic Gβ5 immunoreactivity in the striatum, 495 out of 1455 immunoparticles (34%) were found at presynaptic sites and 960 out of 1455 (66%) were found at postsynaptic sites; in the hippocampus, 274 out of 1522 immunoparticles (18%) were found at presynaptic sites and 274 out of 1248 (82%) were found at postsynaptic sites. Importantly, no labeling was observed when tissues from Gβ5−/−mice were evaluated, indicating the specificity of the method for Gβ5 detection. These data suggest that in addition to recognized postsynaptic action, Gβ5-RGS complexes are easily detectable at pre-synaptic sites where they are likely to play role in controlling neurotransmitter release.
Dynamics of striatal dopamine transmission in Gβ5−/−mice
Because striatal dopamine signaling is thought to be a major factor controlling motor activity (Groenewegen 2003), we compared dopamine concentrations in Gβ5−/−and Gβ5+/+ mice. No significant differences in the concentrations of dopamine (or its major metabolite 3,4-dihydroxyphenylacetic acid) were detected in tissue punches from key regions of the mesolimbic dopamine system including the anterior-dorsal striatum (Supplemental Table 1), suggesting normal dopamine biogenesis. However, measurement of extracellular dopamine concentrations in the dorsal striatum by microdialysis in awake, unrestrained mice revealed significantly lower levels in Gβ5−/−mice (Fig. 3A,B). Cocaine administration resulted in robust increases in extracellular dopamine concentrations of similar magnitude in both Gβ5−/−and Gβ5+/+ mice (Fig. 3A,B).
We next evaluated changes in dopamine concentration in striatal slices by fast scan cyclic voltammetry, a method that allows assessment of real-time dopamine release and reuptake kinetics following in situ electrical stimulation. We observed no differences in the amplitudes of striatal dopamine signals in tissue slices from Gβ5−/−and Gβ5+/+ mice, indicating similar changes in dopamine concentration upon stimulation (Fig 3C,D). However, the kinetics of dopamine release and reuptake were significantly slower in Gβ5−/−samples (Fig. 3D,E).
Taken together with the microdialysis data, these observations suggest the presence of increased tonic inhibition of dopamine release in Gβ5−/−mice.
Elimination of Gβ5 increases behavioral sensitivity to stimulation of several GPCRs
The presence of a significant fraction of Gβ5-RGS proteins at the axonal terminals, in addition to their known postsynaptic localization, and the observed inhibition of dopamine release in the absence of Gβ5, prompted us to evaluate behavioral responses of Gβ5−/−mice to the activation of inhibitory Gi/o-coupled GPCRs with known pre-synaptic effects. We found that stimulation of the μ-opioid receptors by morphine produced dramatically higher anti-nociceptive effects in Gβ5−/−mice (Fig. 4A). Similarly, administration of the D2 selective agonist quinpirole (Fig. 4B) or the mGluR2/3 selective agonist LY379268 (Fig. 4C; Supplemental Fig. 2) had greater motor inhibitory effects in Gβ5−/−animals, possibly through the activation of the respective autoreceptors. These observations are consistent with the idea that Gβ5-RGS complexes integrate signaling downstream from the receptors, at the level of activated Gαi/o proteins, and therefore inhibit responses mediated by several GPCRs in the nervous system.
Hyperactivity triggered by the loss of Gβ5-RGS complexes is resistant to treatment with monoamine reuptake blockers
Changes in the concentration of monoamine neurotransmitters are considered to be one of the leading causes of the hyperactivity (Arnsten 2009; David et al. 2005; Tripp and Wickens 2009). Consequently, behavioral hyperactivity is often responsive to pharmacological treatments with monoamine reuptake inhibitors that act to increase synaptic monoamine concentrations (Arnsten 2009; Stahl 2010). Therefore, we next evaluated the effects of several catecholamine reuptake inhibitors commonly used to combat hyperactivity disorders in human patients (Fig. 5). We have found that relatively unselective psychostimulant, amphetamine (Fig. 5 and Supplemental Fig. 3) as well as selective serotonin reuptake inhibitor citalopram caused significant increases in activity in wild-type mice. On the other hand, both selective norepinephrine reuptake inhibitor atomoxetine and the tricyclic antidepressant desipramine that affects norepinephrine and, to a lesser extent, serotonin reuptake, decreased activity of wild-type mice (Fig. 5). In contrast, none of these pharmacological treatments at significantly affected the hyperactivity of mice lacking Gβ5-RGS complexes (Fig. 5), indicating that Gβ5−/− mice are resistant to these treatments at least at concentrations effective in wild-type subjects. These results suggest that the observed deficiencies in the basal concentrations and reuptake kinetics of the catecholamine neurotransmitters are unlikely to be the primary cause underlying the hyperactivity observed in Gβ5−/−mice.
Blocking NMDA receptor completely alleviates hyperactivity in Gβ5−/−mice
Glutamate neurotransmission is the second major system in the striatum that is critically involved in controlling motor activity. Therefore, we next tested the possibility that hyperactive behavior of Gβ5−/−may be associated with the imbalances in the glutamatergic transmission. Administration of the NMDA receptor blocker MK-801 disrupts catecholamine-glutamate interactions in the striatum and results in marked increases in motor activity (David et al. 2005; Gainetdinov et al. 2001). Consistent with earlier work (Diana and Sagratella 1994; Druhan et al. 1996; Ginski and Witkin 1994; Liljequist et al. 1991; Shen and Phillips 1998), administration of MK-801 caused a robust dose-dependent increase in the motor activity of the wild-type mice (Fig. 6). However, in Gβ5−/−injections of MK-801 resulted in the opposite effect and dose-dependently inhibited locomotor behavior (Fig. 6). The highest dose of MK-801 tested decreased activity in the Gβ5−/−mice to near normal levels (Fig. 6). These findings implicate changes in glutamatergic signaling involving NMDA receptors in the development of the motor hyperactivity.
Discussion
We report a striking behavioral consequence resulting from Gβ5-RGS elimination is the expression of pronounced motor hyperactivity. Combined with concurrent paradoxical sensitization to novel environment, motor learning deficits and lower extracellular dopamine concentration, these findings correspond to several symptomatic characteristics attributed to ADHD. Several lines of evidence point to potential contribution of Gβ5 to ADHD and associated neuropsychiatric disorders. Gβ5 gene is located within q21.2 locus on chromosome 15. Genetic aberrations in the 15q arm contribute to a variety of neuropsychiatric conditions including mental retardation, motor and speech development problems and, most notably, autism spectrum disorders (Allen-Brady et al. 2010; Battaglia 2005; Battaglia et al. 2010; Nayate et al. 2005). Although current diagnosis guidelines prevent co-diagnosis of autism and ADHD, both disorders respond to the same general pharmacological treatments and are increasingly viewed as having common molecular underpinnings (Murray 2010; Nayate et al. 2005; Rommelse et al. 2010). Moreover, recent genome-wide association studies also link 15q region to ADHD (Bakker et al. 2003; Nijmeijer et al. 2010). The Gβ5 gene is located within the D15S659 marker on 15q21.2 linked to ADHD (Faraone et al. 2008) and was recently identified among the genetic traits associated with cognitive abilities (Ruano et al. 2010). Taken together with our behavioral observations, this evidence suggests that disruption in Gβ5 function may be important in the pathophysiology of the ADHD. Clearly, more studies will be needed to affirm this connection as well as to establish the exact mechanisms of Gβ5-RGS contribution to this process. For example, in future studies it would be valuable to test the effects of the loss of Gβ5 on cognitive deficits such as attention, spatial or associative learning and memory.
Regardless of whether disruption in Gβ5 might be linked to the development of ADHD in human patients, we think that this genetic model offers important insights into the neurochemical mechanisms underlying the control of motor behavior. The mesolimbic dopamine system plays a central regulatory role in motor control (Graybiel 2000; Kreitzer and Malenka 2008). The striatum, which is the largest effector nucleus of this system, abundantly expresses several R7 RGS members complexed with Gβ5 (Anderson et al. 2009). Dopamine action in the striatum is mediated by two convergent circuits: a direct pathway that contains neurons expressing D1 receptors and stimulates movement, and an indirect pathway that contains neurons expressing D2 receptors and inhibits movement (Gerfen et al. 1990; Graybiel 2000). It is accepted that dopamine acts to enhance motor activity by stimulating the direct pathway and inhibiting the indirect pathway (Kreitzer and Malenka 2008). Depletion of dopamine from the striatum by either pharmacological (Clark and White 1987; Zigmond and Stricker 1989) or genetic (Zhou and Palmiter 1995) approaches reduces motor activity. In contrast, psychostimulants and many other addictive substances increase dopamine concentrations in the striatum and cause marked increases in locomotion (Wise and Bozarth 1987). Similarly, disruption of dopamine re-uptake by genetic knockout of the dopamine transporter leads to the elevation of extracellular dopamine concentrations and enhances locomotor activity (Giros et al. 1996; Zhuang et al. 2001). Additionally, imbalances in the processing of the dopamine signals in striatal pathways underlie a number of movement and hyperactivity disorders (DeLong and Wichmann 2007).
A considerable body of evidence indicates that, in addition to dopamine, related monoamines serotonin and norepinephrine also play critical role in controlling locomotor activities and that the three systems intimately interact in this process (Di Matteo et al. 2008; Oades 2008; Prince 2008). A unifying theory postulates that the levels of basal activity and attention, disrupted in ADHD, are set by the balance between dopamine and serotonin/norepinephrine rather by the changes in dopamine concentrations alone (Arnsten 2009; Stahl 2010). In addition, catecholamine systems interact with the glutamatergic neurotransmission, which provides a second major input to the basal ganglia (David et al. 2005). Most prominently, these interactions occur at the level of the dopamine and NMDA receptors that have been shown to reciprocally modulate one another in neurons (Greengard et al. 1999; Liu et al. 2006; Missale et al. 2006; Wang et al. 2003). An example of how these systems cooperate to control basal motor activity is provided by studies on mice lacking dopamine transporter (DAT), one of the central candidate genes for ADHD (Gainetdinov 2008; Mazei-Robinson and Blakely 2006). DAT knockout leads to the elevation of the dopamine concentrations in the striatum and results in moderate hyperactivity (Gainetdinov et al. 2001; Gainetdinov et al. 1999). This hyperactivity is paradoxically reduced by treatment with psychostimulants that fail to further elevate dopamine concentration in DAT knockout mice (Gainetdinov et al. 2001; Gainetdinov et al. 1999). The paradoxical effects of psychostimulants appear to be mediated by serotonin since treatments that augment extracellular serotonin reduce hyperactivity in DAT knockouts, possibly by normalizing the dopamine/serotonin balance (Gainetdinov et al. 2001; Gainetdinov et al. 1999). Interestingly, dopamine dysregulation and effects of serotonin on motor activity in these mice were found to be dependent on NMDA receptor function. Increase in NMDA receptor activity reduced hyperactivity, whereas its blockade prevented the inhibitory effects of psychostimulants and serotonergic drugs (Gainetdinov et al. 2001).
Our findings with Gβ5 knockout mice provide the converse view of interactions between the same systems in setting basal motor activity. In contrast to DAT knockouts, Gβ5−/−mice have lower extracellular levels of dopamine in the striatum, presumably due to increased inhibition of the presynaptic neurotransmitter release (see Fig. 3B-D). This effect is expected given that Gβ5-RGS proteins act as selective negative regulators for inhibitory Gi/o proteins (Hooks et al. 2003) that mediate pre-synaptic inhibition (Blackmer et al. 2001). Consequently, the animals were found to be resistant to treatments with the monoamine reuptake inhibitors. Furthermore, NMDA receptor blockade completely prevented behavioral hyperactivity, an effect opposite from what was observed in DAT knockout mice (Gainetdinov et al. 2001). Taken together, both studies provide complementary evidence for a model where the level of motor activity is set by the antagonistic interaction between glutamate and catecholamine systems. The hyperactivity caused by the excess dopamine can be compensated by stimulation of NMDA receptors, whereas, when hyperactivity is caused by insufficient dopamine/serotonin signaling, NMDA antagonism is effective. Thus, our results reinforce the central role of glutamate signaling via NMDA receptors in setting the level of motor activity and provide evidence that Gβ5-RGS complexes play important role in dopamine-NMDA receptor cross-talk. This hypothesis is further supported by findings that implicate RGS9, a member of the R7 RGS family that forms complexes with Gβ5 in the striatum, as a possible regulator of NMDA receptor signaling (Bouhamdan et al. 2006; Kovoor et al. 2005). However, it is likely that other Gβ5-binding RGS proteins also contribute to this process since elimination of RGS9 alone is not sufficient to trigger hyperactive behavior (Rahman et al. 2003; Zachariou et al. 2003). Since we found multiple GPCR systems to be affected upon Gβ5-RGS elimination it also seems possible that the hyperactivity phenotype seen in Gβ5−/− mice might be a cumulative result of the general dysregulation in G protein inactivation downstream of several GPCRs, which could act synergistically with the monoaminergic systems.
Finally, our results suggest the possibility that NMDA receptor antagonism may be a useful therapeutic strategy for relieving the hyperactivity symptoms in ADHD, especially in cases that are resistant to treatment with psychostimulants. Indeed, NMDA receptor dysfunction has been suggested as one of the underlying causes of the hyperactivity in the rat model of ADHD (Jensen et al. 2009) and the NMDA receptor blocker memantine has effectively been used to treat pediatric ADHD patients (Findling et al. 2007).
In closing, we would like to mention that, to our knowledge, Gβ5 deficiency leads to the most profound expression of hyperactivity ever reported in mammalian models. We therefore believe that Gβ5-RGS complexes serve as key modulators of signaling pathways that control neuronal excitability and motor activity and thus represent exciting targets for understanding a spectrum of human disorders associated with hyperactivity and motor deficits.
Supplementary Material
Acknowledgments
We would like to thank Dr. Ching-Kang Jason Chen (VCU) for providing Gβ5−/−mouse line and Dr. William Simonds (NIH) for the generous gift of anti-Gβ5 antibodies. This work was supported by NIH grants DA021743 (K.A.M.), DA026405 (K.A.M.) DA019921 (K.J.R.), DA13680 (R.L.M.), McKnight Land-Grant Professorship award (K.A.M.), NSF 0921874 (K.J.R), grants from the Spanish Ministry Science and Innovation (BFU2009-08404/BFI and CONSOLIDER-Ingenio CSD2008-00005; RL), Searle Scholars Award (C.L.H.)
Footnotes
Disclosure
The authors declare that except for the income received from the primary employers and NIH grants listed in the “Acknowledgements” section below no financial compensation has been received from any individual or corporate entity over the past three years of research or professional service that could be perceived as constituting a potential conflict of interest.
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