SUMMARY
Abnormalities in GABAergic interneurons, particularly fast-spiking interneurons (FSINs) that generate gamma (γ; ~30-120 Hz) oscillations, are hypothesized to disrupt prefrontal cortex (PFC)-dependent cognition in schizophrenia. Although γ rhythms are abnormal in schizophrenia, it remains unclear whether they directly influence cognition. Mechanisms underlying schizophrenia's typical post-adolescent onset also remain elusive. We addressed these issues using mice heterozygous for Dlx5/6, which regulate GABAergic interneuron development. In Dlx5/6+/− mice, FSINs become abnormal following adolescence, coinciding with the onset of cognitive inflexibility and deficient task-evoked γ oscillations. Inhibiting PFC interneurons in control mice reproduced these deficits, whereas stimulating them at γ-frequencies restored cognitive flexibility in adult Dlx5/6+/− mice. These pro-cognitive effects were frequency-specific and persistent. These findings elucidate a mechanism whereby abnormal FSIN development may contribute to the post-adolescent onset of schizophrenia endophenotypes. Furthermore, they demonstrate a causal, potentially therapeutic, role for PFC interneuron-driven gamma oscillations in cognitive domains at the core of schizophrenia.
INTRODUCTION
In the prefrontal cortex (PFC), rhythmic neural activity in the gamma-frequency band (γ; ~30-120 Hz) is believed to play a key role in many cognitive functions (Uhlhaas and Singer, 2010). γ oscillations in the cortex and hippocampus are controlled by a specific class of inhibitory interneurons that can be identified based on either their fast-spiking electrophysiological properties or their expression of calcium-binding protein parvalbumin (PV) (Cauli et al., 1997; Kawaguchi and Kubota, 1993). Fast-spiking PV interneurons (FSINs) fire rhythmically at γ frequencies in vivo (Penttonen et al., 1998), and selectively activating PV interneurons at 40 Hz in vivo leads to a specific increase in the power of γ oscillations not seen with stimulation of other cell types (Cardin et al., 2009). Conversely, inhibiting PV interneurons suppresses the power of evoked γ oscillations in vivo (Sohal et al., 2009), demonstrating that PV cells play major roles in γ oscillations.
Altered γ oscillations in the PFC and other brain regions may be associated with neuropsychiatric disorders such as schizophrenia. Schizophrenia comprises positive symptoms such as hallucinations and delusions, as well as deficits in PFC-dependent cognitive domains such as attention, cognitive flexibility, working memory, and social cognition (Green, 2006). Cognitive deficits seem to represent the core of the disorder, because whereas other symptoms may enter periods of remission, cognitive symptoms persist throughout the duration of illness, correlate best with long-term functional outcome, and often precede the onset of frank psychosis (Green, 2006; Minzenberg and Carter, 2012). Unfortunately, current antipsychotic treatments are only minimally effective for cognitive symptoms (Minzenberg and Carter, 2012).
EEG recordings over human frontal cortex reveal increases in γ oscillations specifically during PFC-dependent tasks that require cognitive flexibility (Cho et al., 2006; Minzenberg et al., 2010). In contrast, during the same tasks, patients with schizophrenia show decreases or no change in γ oscillations, along with impaired performance. Studies of post-mortem brain tissue from subjects with schizophrenia have also consistently found abnormalities in cortical GABAergic interneurons derived from the medial ganglionic eminence (MGE) (Volk and Lewis, 2013), a process directed by several transcription factors including Dlx1, Dlx2, Lhx6, Dlx5 and Dlx6. In particular, in schizophrenia, levels of GAD67 and PV are lower for PV interneurons within the PFC, and markers for GABA transporters, post-synaptic GABA receptors, and ion channels associated with PV interneurons are abnormal as well (Lewis et al., 2005; Volk and Lewis, 2013). This has led to the hypothesis that in schizophrenia, dysfunction of MGE-derived interneurons, particularly PV interneurons, results in deficient task-evoked γ oscillations that contribute to cognitive dysfunction and other symptoms of the disease (Lewis et al., 2005; Uhlhaas and Singer, 2010). However, it is not clear whether the alterations in interneurons observed in schizophrenia cause abnormal γ oscillations and thereby contribute to cognitive deficits, or whether alterations in PV interneurons and γ oscillations represent incidental or compensatory changes. While many studies have found important schizophrenia-related abnormalities in mutant mice with disruptions in cortical GABAergic interneurons (Belforte et al., 2010; Bissonette et al., 2014), including specific disruptions of FSINs (Carlen et al., 2012; Del Pino et al., 2013; Korotkova et al., 2010), none have reported the deficits in task-evoked γ oscillations that are hypothesized to mediate cognitive deficits (it is unclear whether they explicitly looked for and did not find deficient task-evoked γ oscillations). By contrast, NMDAR antagonists can both increase baseline γ oscillations and decrease sensory stimulus-evoked γ power (Saunders et al., 2012). Furthermore, specific aspects of GABAergic interneuron development that may contribute to the post-adolescent onset of schizophrenia remain largely unknown. Most critically, it has not yet been possible to demonstrate any causal role for interneuron-driven γ oscillations in cognition. Thus, the hypothesized links between interneuron dysfunction, deficient task-evoked γ oscillations, and deficits in PFC-dependent cognition remain tentative at best.
Here we set out to (1) test whether the deficiency of factors which guide the development of MGE-derived interneurons can elicit key pathophysiological findings (prominent deficits in FSINs) and endophenotypes (decreased task-evoked γ oscillations and impaired PFC-dependent cognition) linked to schizophrenia; (2) identify developmental processes that could contribute to the post-adolescent onset of schizophrenia; and (3) directly implicate γ-frequency activity of PFC interneurons in cognitive domains linked to schizophrenia. To address these issues, we analyzed Dlx5/6+/− mutant mice. Although Dlx5 and Dlx6 are not known to be abnormal in schizophrenia, these homeobox transcription factors play critical roles in the development of MGE-derived cortical GABAergic interneurons. Knocking out Dlx5/6 reduces numbers of PV interneurons without affecting numbers of interneurons belonging to other classes (Wang et al., 2010), suggesting that Dlx5/6 are particularly important for FSIN development. While overall numbers of FS / PV interneurons are normal in both Dlx5/6+/− mice and schizophrenia, we hypothesized that they may exhibit functional abnormalities in Dlx5/6+/− mice that parallel their histochemical alterations in schizophrenia.
RESULTS
Many factors can modulate the consequences of reductions in gene dosage in ways that depend on background strain. Therefore, although we carried out the bulk of our studies in Dlx5/6+/− mice on a mixed (CD1 and C57Bl/6) background, as described below, we also confirmed that major behavioral and physiological phenotypes of Dlx5/6+/− mice were also present in two additional lines of mice with disruptions in Dlx5/6: (1) Dlx5/6+/− mice that had been backcrossed to CD1 for at least 6 generations; (2) mice that combined heterozygosity for Dlx6 with a forebrain GABAergic neuron-specific knockout of Dlx5 (DlxI12b::Cre × Dlx5fl/−Dlx6+/−; Figure S1) and were on a different background than our Dlx5/6+/− mice.
FSINs exhibit abnormal post-adolescent development in Dlx5/6+/− mice
To assess FSIN function in Dlx5/6+/− mice, we made whole-cell patch-clamp recordings from FSINs in layer 5 of medial prefrontal cortex (mPFC) in adult (P63-82) mutant mice and wild-type (WT) littermates. We visually identified interneurons for electrophysiological analyses using AAV and the DlxI12b enhancer to express mCherry (Lee et al. 2014). Based on electrophysiological criteria, we selected FSINs for further study (Supplemental Experimental Procedures). The well-established correspondence between PV expression and FS electrophysiological properties was maintained in Dlx5/6+/− and WT mice, as there were no significant differences in intrinsic properties between immunohistochemically-identified PV cells (n = 5 for each genotype) and electrophysiologically-identified FSINs (n = 16-23 for each genotype).
Based on their responses to a series of current injections, FSIN excitability was abnormal in Dlx5/6+/− mice (Figures 1B and 1C). Specifically, Dlx5/6+/− FSINs had wider spikes, higher input resistances, slower membrane time constants, and markedly elevated action potential thresholds (WT, n = 23; Dlx5/6+/−, n = 16). While more subtle changes may be present in other cell types, examination of the same properties in pyramidal neurons and non-FS interneurons did not reveal any changes of comparable magnitude (Figures S2C and S2D). We also confirmed that similar differences in the intrinsic properties of adult FSINs were present in Dlx5/6+/− mice backcrossed to CD1 for at least 6 generations, and in DlxI12b::Cre × Dlx5fl/−Dlx6+/− conditional knockout mice (Figures S2E and S2F). Again, comparable deficits were not seen in pyramidal neurons or non-FS interneurons (Figures S2E and S2F).
Next, we examined whether these abnormalities in FSIN properties were age-dependent. FSIN intrinsic properties mature over several weeks (Okaty et al., 2009), and based on recordings at P16-20, P45-49, and P63-82, we observed a progressive maturation of FSIN properties – specifically, decreases in spike half-width and membrane time constant (Goldberg et al., 2011) (Figures S2A and S2B). Remarkably, FSIN intrinsic properties in Dlx5/6+/− mice were normal at the first two timepoints (P16-20: n = 8 mice per genotype, p = 0.5-0.9; P45-49: n = 9 WT and n = 5 Dlx5/6+/−mice, p = 0.4-0.9; Figure 1C). Thus, the abnormal FSIN properties we found in Dlx5/6+/− mice only appear during the post-adolescent period, when the normal maturation of FSIN intrinsic properties is largely complete.
We also assayed whether intrinsic FSIN deficits occur within a broader context of deficient inhibitory output by comparing evoked inhibitory currents in pyramidal neurons within the mPFC of adult Dlx5/6+/− and WT mice. We expressed ChR2-eYFP in interneurons using the same DlxI12b enhancer previously used to fluorescently label interneurons for patching. We recorded from P63-88 layer 5 pyramidal neurons while delivering light flashes across a high power field to optogenetically-evoke inhibitory currents (Figure 1D). We stimulated at 40 Hz to measure the ability of interneurons to generate synchronized γ-frequency inhibition (Figures 1E and 1F). The amplitudes of optogenetically-evoked IPSCs were much lower in Dlx5/6+/− mice (n = 16) compared to WT littermates (n = 14; p < 0.001). (To control for possible confounding differences in ChR2-eYFP expression, we confirmed that eYFP fluorescence was not decreased in Dlx5/6+/− mice; c.f. Figure S6C). Thus, in addition to the intrinsic abnormalities described above, there is an overall impairment in the ability of local inhibitory circuits to generate γ-frequency inhibition, and other interneuron subtypes do not simply compensate for FSIN deficits.
Dlx5/6+/− mice exhibit the post-adolescent onset of impaired cognitive flexibility
Our next series of experiments examined whether these abnormalities in the post-adolescent development of FSINs and in local inhibitory output accompanied cognitive and behavioral endophenotypes of schizophrenia. We specifically assessed anxiety, cognitive flexibility, and social interaction. 7 week-old Dlx5/6+/− mice did not show significant differences in anxiety, measured by time spent in the center of a novel open field (n = 9 mice per genotype; Figure 2A) or the open arms of an elevated plus maze (EPM; WT, n = 4; Dlx5/6+/−, n = 5; Figure 2B). However, after 10 weeks of age, there was a significant increase in both measures of anxiety in Dlx5/6+/− mice compared to their WT littermates (open field: n = 9 WT and 8 Dlx5/6+/− mice, p < 0.01; EPM: n = 4 mice per genotype, p < 0. 05; Figures 2A and 2B). A similar age-dependent increase in anxiety was observed in DlxI12b::Cre × Dlx5fl/−Dlx6+/− mice (Figure S3A).
Next, we specifically assessed cognitive flexibility using a task (Figure 2C) in which a mouse learns to associate food reward with either an odor or a digging medium (initial association). In this task, mice are presented with two bowls on each trial, and must choose to dig in one bowl to find the food reward. Each bowl contains a different odor and a different digging medium, and the odor-medium combinations vary from trial to trial. Once the mouse has learned the initial association between food reward and a specific stimulus (either an odor or digging medium), the type of stimulus that predicts reward changes, e.g., from an odor to a digging medium or vice-versa, and the new rule must be learned (rule shift). As our data below shows, performance on this task depends strongly on the mPFC, and deficits in performance on this task observed in Dlx5/6+/− mice are stable across multiple days of testing.
At 7 weeks of age, both Dlx5/6+/− and WT mice (n = 5 per genotype) could learn the initial association and rule shift after similar numbers of trials (Figure 2D). However, after 10 weeks of age, while both groups of mice still learned the initial association in a similar number of trials, adult Dlx5/6+/− mice were specifically impaired during the rule-shifting portion of the task (n = 8 mice per genotype; p < 0.001; Figures 2F-2G). We further confirmed that adult Dlx5/6+/− mice had no deficiency in odor detection (Figure S3B). Finally, similar rule-shifting deficits occurred in Dlx5/6+/− mice backcrossed to CD1 for at least 6 generations, as well as in DlxI12b::Cre ×Dlx5fl/−Dlx6+/− mice (Figures S3C-F).
We also tested whether Dlx5/6+/− mice could learn a new rule that was the reverse of the initial association. For example, if mice initially learned to associate an odor (garlic) with food reward, then the previously unrewarded odor (coriander) became associated with food reward. Initially, we simply appended this “rule reversal” to the end of our rule shift task (WT, n = 6; Dlx5/6+/−, n = 7; Figures 3A and 3B). We also carried out the rule reversal immediately following the initial association, then tested mice on a rule shift (n = 5; Figures 3A and 3C). In both cases, Dlx5/6+/− mice performed normally on the rule reversal, but were extremely impaired during the rule shift. This demonstrates that after Dlx5/6+/− mice form an initial association, they can learn a rule that is the reverse of that initial association, but not one based on a set of stimuli that were previously irrelevant to the outcome of each trial (Figure 3C). This broadly resembles the effects of mPFC lesions in a more extensive version of this task, in which mPFC lesions impair learning of associations based on previously irrelevant cues, but not the reversal of previously-learned associations (Bissonette et al., 2008). Furthermore, as we will describe, this selective impairment during rule shifts but not rule reversals is identical to the pattern elicited by acute optogenetic inhibition of mPFC interneurons.
In addition to measuring anxiety and cognitive flexibility, we also compared social interaction in Dlx5/6+/− and WT mice. We did not find differences in the time Dlx5/6+/− and WT mice spend investigating a novel juvenile mouse introduced into their home cage, although we did find differences in social interaction-induced EEG oscillations, described below.
Adult Dlx5/6+/− mice exhibit increased baseline γ oscillations and decreased task-evoked γ oscillations
We implanted EEG electrodes at the dorsolateral border of PFC and recorded intracranial EEG from freely-moving mice of both genotypes at 7 weeks of age and in adults (at least 10 weeks old) (Figures 4A and 4B). First, we examined EEG power at baseline, when mice were resting in their home cage. Adult (n = 8 per genotype), but not 7 week old (n = 5 per genotype), Dlx5/6+/− mice exhibited an increase in baseline γ oscillations (Figures 4C and 4D). This is notable because whereas many studies of schizophrenia have reported decreases in γ oscillations evoked by tasks, others have reported increases in baseline or resting γ power (Lee et al., 2006; Mulert et al., 2010; Spencer et al., 2009). Elevations in baseline γ oscillations have also been observed in previous studies of mice with deficits in interneuron function (Carlen et al., 2012; Del Pino et al., 2013; Korotkova et al., 2010). We also verified that similar increases in baseline γ oscillations occur in DlxI12b::Cre × Dlx5fl/−Dlx6+/− mice (Figure S4A).
Next, we examined whether in addition to increased baseline γ oscillations, we could also observe the deficient task-evoked γ oscillations that are associated with cognitive deficits in schizophrenia. For this, we recorded and analyzed prefrontal EEG activity during rule shifting. The recruitment of PFC γ oscillations by rule shifting was not markedly different in Dlx5/6+/− and WT mice at 7 weeks of age (Figure 4E), when Dlx5/6+/− mice perform normally. However, in adult Dlx5/6+/− mice, rule shifts recruited significantly less γ power (62-120 Hz) (Figure 4G). Thus, like the abnormalities in FSINs, anxiety, and cognitive flexibility described earlier, EEG abnormalities in Dlx5/6+/− mice only appear following adolescence. Notably, we confirmed that deficient rule shift-evoked γ oscillations are region specific, as EEG recordings over temporal cortex during rule shifting do not show γ-frequency differences between WT and Dlx5/6+/− mice (Figure S4C).
To test whether deficient γ oscillations could be observed during other PFC-dependent tasks, we recorded EEG activity during social interaction (Figures 4F and 4H). Notably, mPFC stimulation alters behavior during this task (Yizhar et al., 2011) and changes in mPFC activity also occur during social tasks in humans (Assaf et al., 2010). Task-evoked rhythmic activity was similar in Dlx5/6+/− and WT mice at 7 weeks of age (Figure 4F). By contrast, in adult mice, social interaction induced robust increases in PFC γ oscillations in WT, but not Dlx5/6+/− mice (Figure 4H). In fact, Dlx5/6+/− mice exhibited a slight decrease in prefrontal γ power. We observed similar deficits in DlxI12b::Cre × Dlx5fl/−Dlx6+/− mice (Figure S4B). Thus, decreased task-evoked γ power, and increased baseline γ power both appear in Dlx5/6+/− mice in concert with the post-adolescent onset of FSIN abnormalities, suggesting that these phenomena may reflect a singular underlying pathological process.
Optogenetically inhibiting mPFC interneurons specifically disrupts rule shifts but not rule reversals
To test whether mPFC interneuron dysfunction is sufficient to disrupt cognitive flexibility, we injected the mPFC of DlxI12b-Cre mice, which selectively express Cre in GABAergic interneurons (Han et al., 2012), with a Cre-dependent virus encoding the light-activated proton pump Archaerhodopsin (Arch; Figure 5B). Controls consisted of DlxI12b-Cre mice expressing eYFP or Cre-negative mice injected with AAV-DIO-Arch (throughout optogenetic experiments we were always blind about the identities of control mice). Once mice had learned the initial association, we delivered light to activate Arch bilaterally (530nm, 2.5 mW/side) throughout the rule shift portion of the task (Figures 5B and 5C). Arch-expressing mice (n = 5) were markedly impaired on the rule shift compared to Arch-negative controls (n = 4; Figures 5C and 5D), confirming that the rule shift depends on the mPFC, and specifically on mPFC interneurons.
To identify potential non-specific effects of inhibiting mPFC interneurons, we also activated Arch during initial associations or rule reversals. Neither initial association (n = 4 Arch-expressing mice and 3 controls; Figures S7D and S7E) nor rule reversal was affected by Arch activation compared to controls (n = 6 Arch-expressing mice and 5 controls; Figure 5E). This demonstrates that optogenetic inhibition of mPFC interneurons impairs the specific ability to learn a rule shift, but not nonspecific aspects of the task, learning of associations, or rule reversals. Thus, although optogenetically inhibiting mPFC interneurons is unlikely to completely mimic the consequences of chronic Dlx5/6 deficiency, these results do establish that (1) selective rule shifting deficits can occur even when initial associations and rule reversals are normal, and (2) mPFC interneuron dysfunction is sufficient to explain the selective rule-shifting deficits observed in Dlx5/6+/− mice. The absence of an effect of mPFC interneuron inhibition on learning of a rule reversal following a successful rule shift may simply reflect the fact that our rule reversal does not depend on the mPFC, but may depend on mechanisms in the orbitofrontal cortex (Bissonette et al., 2008). Notably, we did not observe any seizures at the light power used for behavioral experiments.
Enhancing GABAergic transmission rescues task-evoked γ oscillations and cognitive flexibility in Dlx5/6+/− mice
The preceding results show that mPFC interneuron dysfunction is sufficient to disrupt rule shifts, and identify specific abnormalities in mPFC interneurons that we hypothesize drive schizophrenia-like deficits in task-evoked γ oscillations and cognitive flexibility in Dlx5/6+/− mice. If this hypothesis is correct, then enhancing inhibitory output may rescue these EEG and cognitive abnormalities. Enhancing GABAergic signaling with the benzodiazepine clonazepam (CLZ), a positive allosteric modulator of the GABAA receptor, treats social deficits in a mouse model of Dravet's syndrome (Han et al., 2012). Therefore, we tested the same low dose of CLZ (0.0625 mg kg−1) in Dlx5/6+/− mice. While this low dose did not exert sedative or anxiolytic effects on either WT or Dlx5/6+/− mice, CLZ completely normalized rule shifting in Dlx5/6+/− mice (n = 5 per genotype; Figures 6A-C).
CLZ also abolished differences in rule shift-evoked γ oscillations between Dlx5/6+/− and WT mice (n = 5 per genotype; Figure 6E). Note that we treated all mice with vehicle (VEH) on the day prior to CLZ treatment. On this day, mice performed the rule shift. Thus, in addition to comparing CLZ-treated Dlx5/6+/− mice to CLZ-treated WT mice, we could compare each Dlx5/6+/− mouse in the CLZ and VEH conditions. Indeed, we found that rule shifting evoked significantly stronger γ oscillations in Dlx5/6+/− mice during CLZ than during VEH treatment (n = 5 per condition; Figure 6D). Since rule shift-evoked γ oscillations were measured one day later in CLZ than in the VEH condition, this might reflect an effect of training rather than of CLZ treatment. To rule out the possibility that training induces changes in γ oscillations between the first and second day of testing, we repeated rule shifting in a separate cohort of Dlx5/6+/− mice treated with VEH on two consecutive days (Figure S5A), and found no change in rule shifting evoked γ oscillations over the two days of VEH treatment (Figure S5B). Thus, CLZ treatment rescues both task-evoked γ oscillations and cognitive flexibility in Dlx5/6+/− mice. CLZ treatment also rescued cognitive flexibility in DlxI12b::Cre × Dlx5fl/−Dlx6+/− mice (Figures S5C and S5D).
γ-frequency optogenetic stimulation of mPFC interneurons normalizes cognitive flexibility in Dlx5/6+/− mice
To test whether specifically inducing γ-frequency activity in mPFC interneurons could also enhance cognition, we injected mice with either the I12b-ChR2-eYFP virus described earlier, or a control I12b-mCherry virus, and implanted optical fibers in the mPFC bilaterally for optogenetic stimulation. We confirmed that the I12b-ChR2-eYFP virus specifically expresses ChR2 in GABAergic neurons, since all light-evoked synaptic currents were blocked by the GABAergic antagonists gabazine and CGP35348 (Figures S6A and S6B).
On Day 1, we assayed rule shifting in the absence of optogenetic stimulation in adult Dlx5/6+/− mice injected with either virus (Figure 7C and 7D). On Day 2, we repeated rule shifting while delivering optical stimulation at 40 Hz (470 nm, 5 msec pulses, ~0.25 mW/side). Even though 40 Hz is slightly lower than the frequency of rule-shift induced γ oscillations, we stimulated at this frequency because ChR2 stimulation around 40 Hz has previously been shown to be most effective for recruiting γ oscillations in vivo (Cardin et al., 2009) – higher frequencies may be less effective due to ChR2 kinetics. Once mice reached the criterion for learning the initial association, we began optogenetic stimulation, performed three additional trials of the initial association, and then began the rule shift. Stimulation continued throughout the rule shift. On Day 3, we repeated the initial association and rule shift tasks again, in the absence of optogenetic stimulation.
As expected, both ChR2 and mCherry-expressing mice took an abnormally large number of trials to learn the rule shift on Day 1. However, on Day 2, optogenetic stimulation completely normalized rule shifting in ChR2-expressing mice (ChR2, n = 7; mCherry, n = 4; Figure 7D). Remarkably, on Day 3 of rule shifting, the ChR2-expressing mice continued to perform normally, whereas rule-shifting deficits persisted in mCherry-expressing mice (ChR2, n = 6; mCherry, n = 4; Figures 7D and 7E).
We also made prefrontal EEG recordings from both mCherry and ChR2-expressing Dlx5/6+/− mice as they performed the rule shift task in the presence or absence of 40 Hz optogenetic stimulation. In ChR2-expressing Dlx5/6+/− mice, optogenetic stimulation dramatically increased power at 40 Hz (Figure 7B), and this peak was absent in mCherry-expressing mice (Figure 7A). Interestingly, this increase in γ did not persist on Day 3 of testing, when mice no longer receive stimulation but continue to perform normally (see Discussion). Finally, we also rescued rule-shifting in ChR2-expressing Dlx5/6+/− mice using 60 Hz optogenetic stimulation (470 nm, 3.3 msec pulses, ~0.25mW/side; ChR2, n = 4; mCherry, n = 3; Figures 7I-K).
Pro-cognitive effects of stimulating mPFC interneurons are frequency-specific and long-lasting
To test whether the ability of optogenetic stimulation to rescue rule shifting is frequency-specific, we assayed rule shifting in the absence of optogenetic stimulation on Day 1 (Figures 7F and 7G). Then, on Day 2, we delivered optogenetic stimulation using a combination of frequencies above and below the γ band. Specifically, we delivered bursts of 4 msec light flashes with an inter-burst frequency of 12.5 Hz, an intra-burst frequency of 125 Hz, and 4 flashes / burst. Thus, the total amount of light stimulation using this protocol (denoted for simplicity as “12.5 Hz”) was the same as in our 40 or 60 Hz stimulation protocol (200 msec / second). This 12.5 Hz protocol loosely resembles theta burst stimulation, and was selected to employ an interburst frequency well outside the γ range, along with bursts of flashes (instead of long continuous light pulses) to minimize ChR2 inactivation. On Day 3, we delivered 40 Hz optogenetic stimulation. Again, we injected Dlx5/6+/− mice bilaterally with either the I12b-ChR2-eYFP virus, or a control I12b-mCherry virus (n = 5 per condition). On Day 2, the 12.5 Hz optogenetic stimulation did not improve rule shifting. In fact, 12.5 Hz stimulation caused a non-significant increase in both the number of trials required for learning and errors (Figures 7G and 7H) in ChR2-expressing mice. By contrast, on Day 3, 40 Hz stimulation again completely normalized rule-shifting. We waited one week, and then tested both ChR2-expressing and control mice again in the absence of additional light stimulation on Day 10. Surprisingly, the mice that had received 40 Hz optogenetic stimulation continued to exhibit markedly-improved rule shifting one week later (Figures 7G and 7H).
Finally, we delivered 12.5 or 40 Hz stimulation to wild-type mice that had been injected with AAV-I12b-ChR2-eYFP and measured their performance during the rule shift task. Neither pattern of stimulation altered performance (Figures S7A-C). This lack of effect is consistent with the relatively low light power used for stimulation, and suggests that these are weak patterns of optogenetic stimulation which serve to perturb, rather than radically alter, PFC activity.
DISCUSSION
We have demonstrated that the post-adolescent appearance of deficits in FSIN function accompanies the onset of behavioral, cognitive, and EEG endophenotypes of schizophrenia in Dlx5/6+/− mice. Furthermore, inhibiting mPFC interneurons in wild-type mice is sufficient to recapitulate the specific deficit in rule shifting observed in Dlx5/6+/− mice. Conversely, impaired cognitive flexibility in Dlx5/6+/− mice can be rescued either by globally-enhancing inhibitory synaptic output with CLZ, or by selectively-stimulating mPFC interneurons at γ frequency. Strikingly, the pro-cognitive effects of interneuron stimulation are specific to γ-frequency stimulation at 40 or 60 Hz, and do not generalize to stimulation using a combination of higher and lower frequencies. Moreover, following 40 Hz stimulation, mice continue to perform rule shifting normally one week later, even in the absence of additional optogenetic stimulation. These results demonstrate how disruptions in factors which direct the development of MGE-derived interneurons can, as hypothesized (Volk and Lewis, 2013), elicit key aspects of schizophrenia including prominent deficits in FSINs, γ oscillations, and PFC-dependent cognition. Our studies also illustrate a specific mechanism – the abnormal post-adolescent development of FSINs – that may contribute to the post-adolescent emergence of cognitive deficits and abnormal γ oscillations in schizophrenia. Most strikingly, our results firmly establish that γ-frequency activity within prefrontal interneurons can, as has long been hypothesized, powerfully influence cognitive domains at the core of schizophrenia.
Cognitive deficits in Dlx5/6+/− mice are specific and persistent, and model a key endophenotype of schizophrenia
Each day, mice learn flexible associations between stimuli and food rewards. Then, at the end of each day, we filled bowls with different odor-medium combinations, distributed food equally among these bowls, and presented them to mice so as to eliminate that day's stimulus-food associations. As a result, when we repeated this task across multiple days, ChR2-negative Dlx5/6+/− mice were consistently and selectively impaired during the rule shift but not the initial association (cf. mCherry-expressing mice in Figures 7D-H and Figures S6D and S6E). Similarly, Dlx5/6+/− mice (and mice in which we optogenetically inhibit mPFC interneurons) were impaired on rule shifts but not rule reversals. These results clearly establish that our rule-shifting task measures a specific aspect of cognitive flexibility that is strongly dependent on prefrontal interneurons and persistently impaired in Dlx5/6+/− mice. Interestingly, rule reversals, which are believed to depend on OFC, are not impaired in Dlx5/6+/− mice, suggesting either that OFC-mediated reversal learning is less dependent on FSINs, or that FSINs are less impaired within the OFC of Dlx5/6+/− mice.
Restoring interneuron-driven γ oscillations induces persistent pro-cognitive effects
Remarkably, optogenetic stimulation can overcome this otherwise fixed cognitive deficit we found in Dlx5/6+/− mice and induce persistent improvements in their cognitive flexibility. While the persistent nature of this cognitive rescue may seem surprising, it is consistent with studies showing that effective learning can overcome rule-shifting deficits associated with schizophrenia in human subjects. In one study (Krystal et al., 2000), volunteers performed the Wisconsin Card Sorting Task (WCST) after receiving ketamine on one day, and saline on another. Ketamine induces cognitive deficits similar to schizophrenia, and volunteers who received ketamine on the first day were extremely impaired on the WCST. By contrast, volunteers who received saline on the first day performed normally when they subsequently received ketamine. In the second study, many subjects with schizophrenia who receive explicit instructions about the WCST improve to near normal levels of performance after just one training session (Pedersen et al., 2012). These studies suggest that once a subject understands the WCST, then that individual is able to perform the task normally, even in the presence of either schizophrenia itself, or ketamine-induced cognitive deficits which model schizophrenia. This parallels the situation in our study: we rescue cognitive deficits using optogenetic stimulation, allowing Dlx5/6+/− mice to learn the rule shift efficiently. Having experienced effective learning during one rule shift, Dlx5/6+/− mice subsequently perform normally when tested again in the absence of optogenetic stimulation. In particular, the persistent nature of the improvements in cognition we observed following γ-frequency stimulation suggests that acutely restoring interneuron-driven rhythms during cognitive training might potentiate learning in a way that could enhance cognitive remediation in schizophrenia (Subramaniam et al., 2012).
Interestingly, improved performance one day after optogenetic stimulation in Dlx5/6+/− mice was not associated with persistently-enhanced γ oscillations. This suggests that γ−frequency stimulation does not chronically enhance the ability of prefrontal inhibitory circuits to generate γ oscillations, but rather, may establish a representation of the task, either in the PFC and/or in downstream structures (e.g., striatum), that facilitates subsequent rule shifts even in the absence of “normal” task-evoked γ oscillations.
Although cortical γ oscillations have been hypothesized to contribute to cognition for decades (Gray and Singer, 1989; Llinas et al., 1991; Rodriguez et al., 1999; Salinas and Sejnowski, 2001), this is, to our knowledge, the first causal and specific demonstration that cortical γ oscillations can exert pro-cognitive effects in behaving mice. This builds on previous work showing that optogenetic activation of PV interneurons at γ frequencies can enhance the precision of spikes and information coding in single neurons (Cardin et al., 2009; Sohal et al., 2009). A more recent study showed that stimulating PV interneurons in S1 at γ frequency can enhance the detection of less salient tactile stimuli (Siegle et al., 2014), and this may relate to an earlier finding that nonspecifically activating PV interneurons sharpens orientation turning in V1 and enhances orientation discrimination by behaving mice (Lee et al., 2012). Together with those studies, our results suggest that interneuron-driven γ oscillations can enhance neural information processing across a broad range of scales and contexts, ranging from signal detection by single neurons or neuronal populations within primary sensory cortex, to association cortices performing more abstract computations.
It will be important for future studies to elucidate details about the process through which interneuron-driven γ oscillations can enhance cognition. Notably, 40 Hz stimulation could rescue rule shifting even though this frequency is slightly lower than that of actual rule shifting-induced γ oscillations. This suggests that 40 Hz oscillations (but not 12.5 Hz oscillations) can effectively supplant slightly higher frequency γ activity. In addition, while 40 or 60 Hz stimulation is clearly effective whereas 12.5 Hz stimulation is not, it is unclear what mechanism accounts for this specificity. In particular, it is possible that the pro-cognitive effects of 40 or 60 Hz stimulation reflect the fact that these frequencies are particularly effective at recruiting FSIN output and entraining the local circuit (Cardin et al., 2009). Alternatively, there may be something particularly advantageous about entraining the local circuit at 40 or 60 Hz compared to other frequencies. Regardless, our results clearly demonstrate that γ-frequency activation of PFC interneurons is particularly efficacious for restoring cognition.
Although our results clearly link PFC interneuron-driven γ oscillations with cognitive flexibility, the precise cellular defects that cause deficient task-evoked γ oscillations in Dlx5/6+/− mice remain unclear. While FSINs are known to play major roles in γ oscillations, and we observed intrinsic deficits in FSINs but not in non-FS interneurons or pyramidal neurons (c.f. Figures S2A and S2B), we cannot exclude the possibility that other classes of interneurons contribute to cognitive inflexibility and/or deficient task-evoked γ oscillations in Dlx5/6+/− mice. Indeed, other classes of interneurons exhibit less prominent abnormalities in schizophrenia (Volk and Lewis, 2013). On a finer scale, beyond finding diminished IPSCs evoked by γ-frequency stimulation of PFC interneurons, we have not worked out the details of how abnormal FSIN intrinsic properties “add up,” together with possible deficiencies in FSIN input and output, to cause a net effect such as FSIN dysfunction. That being said, Dlx5/6+/− mice exhibit the prominent FSIN abnormalities, abnormal γ oscillations, and cognitive inflexibility characteristic of schizophrenia, and thus represent a useful system for evaluating the relationship between interneuron-driven γ oscillations and cognitive endophenotypes. We have focused on cognitive flexibility, but future studies should explore how PFC interneuron-driven γ oscillations might contribute to other behaviors, e.g., anxiety or social interaction (for which we observed abnormal γ oscillations but no change in behavior).
Low dose CLZ also restored prefrontal task-evoked γ oscillations and rescued cognitive flexibility in Dlx5/6+/− mice. While benzodiazepines are used to treat anxiety and agitation in schizophrenia, the cognitive effects of augmenting GABAergic function have been less well studied with mixed results (Lewis et al., 2008). As in a previous study which used CLZ to rescue social deficits in a mouse model of Dravet's syndrome (Han et al., 2012), the low dose of CLZ we used may have been particularly important for its therapeutic effects by minimizing sedation and/or maximizing the relative selectivity of CLZ for α2 or α3 subunit-containing GABAA receptors, which have been proposed to exert pro-cognitive effects in schizophrenia (Lewis et al., 2008).
Several observations argue against the idea that ongoing seizure activity contributes to cognitive deficits in Dlx5/6+/− mice. First, we never observed behavioral or electrographic seizures in awake, behaving Dlx5/6+/− mice. Indeed, a previous study of Dlx5/6+/− mice found a total of just 32 seconds of seizure activity spread across 34 days of EEG recording (Wang et al., 2010). Second, it would be remarkable if seizures could selectively impair learning during rule shifts, but not during initial associations or rule reversals. Finally, even low frequencies of interneuron stimulation should strongly suppress seizures. Thus, the fact that only 40 or 60 Hz stimulation rescues cognition, suggests that this cognitive rescue does not reflect an anticonvulsant mechanism.
Conclusions
In summary, our studies provide critical evidence for long-hypothesized relationships between interneurons, γ oscillations, and PFC-dependent cognition. They also illustrate how the abnormal development of FSINs might disrupt γ oscillations and thereby drive the post-adolescent onset of aspects of schizophrenia. Future studies that elucidate the detailed process of interneuron development, including molecular pathways connecting Dlx5/6 to FSIN development, may thus further advance our understanding of the pathophysiology of schizophrenia and related conditions, while interventions that acutely enhance interneuron-driven γ rhythms may represent new avenues for treatment.
EXPERIMENTAL PROCEDURES
A brief summary is provided here, with more detail in the Supplemental Information accompanying this article.
All experiments were conducted in accordance with procedures established by the Administrative Panels on Laboratory Animal Care at the University of California, San Francisco. Dlx5/6+/− mice were generated as previously described (Wang et al., 2010), and maintained on either a CD1 or a mixed CD1 and C57Bl/6 background. Unless otherwise noted, subjects were fed ad libitum and reared in normal lighting conditions (12/12 light/dark cycle).
Electrophysiological recordings used mice of both genders at three ages: juvenile (P16-20), adolescent (P45-49), and adult (P63-88). Behavioral analyses used male mice that were adolescents (P46-52) or adults (P70-121), except the experiment using optogenetic inhibition during an initial association, which used adult female I12b-Cre mice. For some behavioral experiments, animals were implanted with EEG recording electrodes. After allowing animals to recover from surgery, we recorded differential EEG at 1 kHz using a time-locked video EEG monitoring system (Pinnacle Technology). In other cases, prior to behavioral experiments, animals were injected with AAV to drive expression of I12b-ChR2-eYFP, I12b-mCherry, DIO-Arch3.0-eYFP, or DIO-eYFP, and implanted with dual fiberoptic cannulae (Doric Lenses, Inc.) for optogenetic stimulation. For details about electrophysiology, immunohistochemistry, EEG surgeries, virus injections and implantations, and optogenetic stimulation, see the Supplemental Experimental Procedures.
The open-field, elevated plus maze, social interaction, and cognitive flexibility testing in mice are described in the Supplemental Experimental Procedures along with additional details and discussion of the behavioral training, recordings, and data analyses.
Data was analyzed using custom software written in Matlab (The MathWorks, Natick, MA). In general, two-tailed Student's t-tests were used to compare pairs of groups, unless there were repeated measurements or >2 groups in which case ANOVA was used. Error bars indicate ± 1 SEM unless otherwise specified. All statistical tests are described in detail in Supplemental Experimental Procedures.
Supplementary Material
ACKNOWLEDGEMENTS
We are grateful to Ramón Pla Ferriz for his assistance with breeding and genotyping mice. We thank Nigel Killeen and the UCSF ES cell core for making the floxed Dlx5 allele. This work was supported by the Staglin Family and International Mental Health Research Organization, NIMH (R00MH085946 and R01MH100292), the Alfred P. Sloan Foundation, and the NIH Office of the Director (DP2MH100011), a NIH training grant to KKAC (T32MH89920), and the Brain and Behavior Foundation (NARSAD Young Investigator Award to KKAC). JLRR is supported by NIMH (R37MH049428).
Footnotes
AUTHOR CONTRIBUTIONS
KKAC, JLRR, and VSS designed experiments and wrote the manuscript. KKAC performed all of the experiments, except rule shifting in CD1 mice, which was done by TP. The generation of the Dlx5 conditional mutants was done in part by RH. ATL generated AAV5-DlxI12b-ChR2-eYFP. KKAC and VSS analyzed the data.
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