Abstract
BACKGROUND:
Homeostatic plasticity in mesolimbic dopamine (DA) neurons plays an essential role in mediating resilience to social stress. Recent evidence implicates an association between stress resilience and projections from the locus coeruleus to the ventral tegmental area (LC→VTA) DA system. However, the precise circuitry and molecular mechanisms of the homeostatic plasticity in mesolimbic DA neurons mediated by the LC→VTA circuitry, and its role in conferring resilience to social defeat stress, have not been described.
METHODS:
In a well-established chronic social defeat stress (CSDS) model of depression, using projection-specific electrophysiological recordings, optogenetic, pharmacological, and molecular profiling techniques, we investigated the functional role and molecular basis of an LC→VTA circuit in conferring resilience to social defeat stress.
RESULTS:
We found that LC neurons projecting to the VTA exhibit enhanced firing activity in resilient, but not susceptible, mice. Optogenetically mimicking this firing adaptation in susceptible mice reverses their depression-related behaviors, and induces reversal of cellular hyperactivity and homeostatic plasticity in VTA DA neurons projecting to nucleus accumbens (NAc). Circuit-specific molecular profiling studies reveal that α1 and β3 adrenergic receptors are highly expressed in VTA→NAc DA neurons. Pharmacologically activating these receptors induces similar pro-resilient effects at the ion channel, cellular and behavioral levels, whereas antagonizing these receptors blocks the pro-resilient effect of optogenetic activation of LC→VTA circuit neurons in susceptible mice.
CONCLUSIONS:
These findings reveal a key role of the LC→VTA circuit in mediating homeostatic plasticity in stress resilience, and reveal α1 and β3 adrenergic receptors as new molecular targets for therapeutically promoting resilience.
Keywords: Locus coeruleus, Ventral tegmental area, Nucleus accumbens, Adrenergic receptors, Depression, Resilience
Recently, a growing body of studies has begun to pay attention to how some individuals maintain seemingly unaltered psychophysiological functioning (resilient to depression), while others are more susceptible when they experience stress (1, 2).
Resilience is defined as “the process of adapting well in the face of adversity, trauma, tragedy, threats or even significant sources of threat” (3). By achieving beneficial adaptations, resilient individuals are able to survive and even thrive despite exposure to high levels of adversity, such as prolonged severe stress (1, 2, 4, 5). Investigating resilient mechanisms in the brain becomes important because such studies could provide a conceptually novel strategy to treat stress-related illnesses by promoting mechanisms of natural resilience(2). However, in contrast to stress-induced pathological alterations, less is known about the neural mechanisms that underlie beneficial adaptations for resilience in the brain. Recent investigations demonstrate that resilient individuals actively use more genes to cope with stress and establish stable neural adaptations (5-7). Further, and an increasing number of studies has begun to reveal the important neural mechanisms of such active resilience (1, 8-12). More recent work has uncovered a physiological role of VTA→NAc DA neurons in resilience versus susceptible behavioral phenotypes in the chronic social defeat stress (CSDS) model of depression (10, 11, 13). Moreover, a homeostatic plasticity—a new balance between Ih current (hyperpolarization-activated cation channel current) and potassium (K+) channel currents—in mesolimbic DA neurons mediates active resilience to CSDS (11). However, how upstream brain regions control these pathway-specific DA neurons to establish resilient adaptations and reverse depressive-like behaviors in susceptible animals remains unknown.
The LC, a norepinephrine (NE) producing nucleus of the brainstem is important for modulating vigilance (14), arousal (15), cognition (16), sleep/awake transitions (17) and drug addiction (18). The LC has also been implicated in stress resilience in both humans and rodent models (4, 19, 20). One of the key downstream brain regions of LC neurons is the VTA. Recently, it has been revealed that resilient mice had an increase in NE release from LC neurons that project to the VTA (21), implicating the role of NE in the VTA in mood regulation. In the present study, we examined whether LC→VTA circuit neurons mediate the homeostatic plasticity mechanisms in mesolimbic DA neurons and investigated which adrenergic receptors mediate this resilience plasticity.
METHODS AND MATERIALS
Animals
Male 7-week-old C57BL/6J (Jackson Laboratory) and CD1 retired breeders (Charles River) were used to perform the chronic social defeat stress paradigm. Ten-week-old DAT-IRES-Cre knock-in mice (22) were used to determine the gene expression of adrenergic receptors in projection-specific VTA DA neurons using the circuit-mapping molecular profiling technique Retro-TRAP (23, 24). All mice were singly housed on a 12 hour light-dark schedule with food and water available ad libitum.
Chronic social defeat stress (CSDS) paradigm
CSDS was performed according to published protocols (6, 10, 11, 13, 25, 26) and is described in Supplemetary Materials.
Social interaction test
Social interaction tests were performed on day 11 or following related pharmacological and optogenetic treatments which were performed in the study as described in Supplemetary Materials and as described previously (6, 10, 11, 25, 26).
Ex vivo electrophysiology
Mice were anaesthetized with isofluorane and perfused immediately with ice-cold aCSF (artificial cerebrospinal fluid), which contained (in mM): 128 NaCl, 3 KCl, 1.25 NaH2PO4, 10 D-glucose, 24 NaHCO3, 2 CaCl2 and 2 MgCl2 (oxygenated with 95% O2 and 5% CO2, pH 7.4, 295–305 mOsm). Cell-attached and whole-cell patch-clamp recording were performed in acute brain slices containing LC or VTA as reported in our previous studies (10, 11, 25).
In vivo single-unit electrophysiological recording
As we previously reported, mice were anesthetized with 10% chloral hydrate (400 mg/kg), and heads were fixed onto a stereotaxic frame horizontally (25). Using bregma, LC was located within the range (in mm): anterior/posterior: −5.30 to −5.50, medial/lateral: 0.50 to 1.20, dorsal/ventral: −2.70 to −4.00. Glass micropipettes (15-20 MΩ) filled with 2M NaCl were used for recording. LC neurons were identified with criteria reported in previous studies (27, 28).
Molecular profiling
DAT-IRES-Cre mice were injected in the NAc with CAV-GFP (0.5 μl, coordinates: ± 1.0 mm ML, +1.35 mm AP, ±4.2 mm DV), as well as in the VTA with AAV-IV-NBL10 (0.5μl, coordinates: ± 0.5 mm ML, ±3.15 mm AP, ±4.2 mm DV). Fifteen days after injections, mice were sacrificed and the VTA was rapidly dissected on ice. Briefly, a 2 mm slice was made approximately covering the region 2–4 mm posterior to bregma. Brains were then pooled into three groups of six mice per group, homogenized in the presence of recombinant nanobody (100 ng/ml, ChromoTek), and centrifuged to clarify. GFP Immunoprecipitation was performed with two mouse monoclonal antibodies (19C8, 19F7; (29)) according to previous protocols (23, 24). The resulting RNA was purified using the Absolutely RNA Nanoprep Kit (Agilent) and analyzed using an Agilent 2100 Bioanalyzer, followed by reverse transcription (QIAGEN QuantiTect) and Taqman qPCR. Gene expression was normalized to large ribosomal protein gene 123 (rp123) (23).
Statistics
Data are presented as mean ± s.e.m. All analyses were performed with Prism software. Normality of the data was statistically tested by the D’Agostino-Pearson omnibus normality test. Normally distributed data from multiple-groups were compared with one-way analysis of variance with/without repeated factors (one-way ANOVA), followed by a post-hoc Bonferroni’s multiple comparison test when appropriate. Data that did not pass the normality test was be analyzed by a nonparametric testing (Kruskal-Willis test followed by Dunn’s multiple comparisons test). Adrenergic receptor genes expression ratio were compared with a paired Student’s t test. Statistical significance was set at P< 0.05.
RESULTS
LC→VTA NE neurons display enhanced firing activity in resilient mice
Taking advantage of a well-established chronic (10-day) social defeat stress model of depression (6, 10-12), we segregated susceptible and resilient mice based on their social interaction (SI) test behavior: susceptible mice display profound social avoidance, a behavior that was absent in resilient mice despite exposure to equivalent stress (Figure 1A, B; Figure S1 and S2). Resilient mice also lack other depressive behaviors that are displayed in susceptible mice (1, 10, 11, 13). To assess possible changes in the firing activity of LC neurons, we carried out in vivo single unit recordings from anesthetized stress-naive control, susceptible and resilient mice to measure both firing rate and bursting (phasic) properties (30) (Figure 1C, D). We observed that the in vivo firing rate and bursting frequency (per 100 s) of LC neurons were significantly increased in the resilient mice when compared to control and susceptible mice, with no change observed in spike number per burst event (Figure 1E-G). There was also a trend for an increase in the percentage of spikes found in a burst and time spent bursting in the resilient mice as compared to control and susceptible mice (Supplementary Figure S3).
Next, we tested whether the firing changes observed in the LC neurons of resilient mice have projection-target specificity. To label specific projections and measure the baseline firing of these circuit neurons in an ex vivo slice preparation (18, 31, 32), we injected a retrograde green Lumafluor into the VTA and a retrograde red Lumafluor into the medial prefrontal cortex (mPFC) (Figure 1H-J). These two brain regions are well known to contribute to the segregation of the susceptible and resilience phenotypes, respectively (6, 9, 11, 33, 34). Interestingly, we found that only 3.5% of LC neurons co-labeled with both red and green Lumafluors (Figure S4 A and B), suggesting that the majority of LC→VTA and LC→mPFC projection neurons are distinct subpopulations. Furthermore, our ex vivo slice recordings show that LC→VTA neurons (green, ~98% are tyrosine hydroxylase positive, Figure S4 C and D) exhibited increased firing in resilient mice when compared to control and susceptible groups, with no difference observed for firing frequencies in LC→mPFC neurons (Figure 1K, L). Unexpectedly, unlabeled LC neurons displayed firing rates comparable to control (Figure 1M), suggesting that firing alterations may be specific to LC→VTA projecting neurons.
We subsequently focused on the LC→VTA projection pathway because of its crucial role in segregating susceptible and resilient phenotypes (6). Moreover, our previous work demonstrated signature adaptations in VTA DA neurons projecting to the NAc that drive resilience (11). Therefore, we hypothesized that the increased firing adaptation in the LC→VTA circuit may contribute significantly to resilience mechanisms observed in the VTA.
Repeated optical activation of LC→VTA neurons promotes resilience in susceptible mice
To investigate the relationship between the firing alterations of LC→VTA neurons and behavioral outcomes, we utilized a combination of viral and optogenetic techniques (11, 13). To specifically target the LC→VTA pathway, we injected a retrograde AAV2/5-Cre into the VTA, and Cre-inducible AAV5-DIO-ChR2-eYFP into the LC to selectively express ChR2 in LC→VTA neurons (AAV5-DIO-eYFP as control) (Figure 2A, B). We confirmed that optical phasic stimulation (5 pulses/10 ms pulse width) of ex vivo LC→VTA neurons reliably induced five spikes and optocurrents in whole-cell current- and voltage-clamp modes, respectively (Figure S5A, B). With this confirmation, we performed these dual injection surgeries before the onset of chronic social defeat stress. Following the defeat paradigm and the first SI test, susceptible and stress-naïve control mice were implanted with an optical fiber (ferrule) placed above the LC for selective stimulation of ChR2-expressing LC→VTA neurons (Figure S6). After recovery, we delivered in vivo optical phasic stimulation to LC→VTA neurons for 5 minutes during a second SI test, and failed to observe significant effects on social avoidance behavior (Figure 2D; Figure S7). We then turned to chronic stimulations to determine if repeated activation (20 minutes per day for 5 days or 10 days) of the LC→VTA circuit could reverse depressive-like behaviors (Figure 2A-C). Our data show that eYFP expressing susceptible mice continue to display profound and stable avoidant behavior when compared to control mice (Figure 2E, F), and to themselves across repeated SI tests (for time in interaction zone, two-way ANOVA followed by post-hoc Bonferroni’s test, Target: SIFigure 2D vs. SIFigure 2E, P>0.9999, SIFigure 2D vs. SIFigure 2F, P=0.4200, SIFigure 2E vs. SIFigure 2F, P>0.9999). However, the avoidant behaviors of ChR2 expressing susceptible mice were reversed following 5 days (Figure 2E; Figure S8A) and 10 days (Figure 2F; Figure S9A) of LC→VTA stimulation, without affecting locomotor activity during the social interaction tests (Figure S8B, C; Figure S9B, C). The 10-day optical stimulation of LC→VTA neurons also significantly increased sucrose preference, and tended to decrease immobility in a forced swim test (Figure 2G, H; Figure S10), further demonstrating pro-resilient effects. These results support the view that repeated activation of the LC→VTA circuit promotes resilience and beneficially reverses behavioral abnormalities in otherwise susceptible mice.
Repeated optical activation of LC→VTA neurons in susceptible mice enhances the firing activity of LC neurons
To further investigate the cellular mechanisms that underlie the pro-resilience effects following 10-day optical stimulation of LC→VTA circuit, we examined alterations in LC neurons and their downstream targets in VTA DA neurons. We first confirmed the behavioral phenotypes in a new cohort of socially defeated mice (Figure S11), and then carried out in vivo single unit recordings from LC neurons (continuing the stimulation 20-minute/day until the day of in vivo recordings as shown in Figure 3A and B). Our data demonstrates that repeated optical stimulation of LC→VTA neurons increased the in vivo firing rate and bursting frequency of LC neurons (when compared to the absence of optical stimulation), with no change observed in spike number per bursting event, when compared to control (Figure 3C-E). There is a significant increase or a trend of increase in percentages of bursting spikes and time in burst in the optically stimulated group as compared to control (Figure S12). These results induced by repeated LC→VTA optical activation are similar to the in vivo recordings observed in naturally resilient mice.
Repeated optical activation of LC→VTA neurons in susceptible mice induces homeostatic plasticity in VTA→NAc DA neurons
To examine whether repeated optical stimulation of LC→VTA induces downstream changes in the VTA, we focused on VTA DA neurons projecting to the NAc, the subpopulation of these neurons that display signature homeostatic adaptations in Ih current and K+ channel currents in resilient mice and that mediate behavioral resilience (11). These channels establish a critical intrinsic balance to maintain control levels of firing in the VTA→NAc DA neurons of resilient mice as compared to the pathological increase in firing seen in susceptible mice (11). To test whether repeated optical stimulation of the LC→VTA circuit has an effect on the firing rate and balance in intrinsic currents balance of VTA→NAc DA neurons, we labeled VTA→NAc neurons by injecting retrograde red Lumafluors into the NAc, and expressed ChR2 selectively in LC→VTA neurons (Figure 4A, B). We delivered 10-day in vivo optical stimulation to LC→VTA neurons in the LC as stated above, to reverse social avoidance (Figure S13), and measured the firing rates and ionic currents from VTA→NAc putative DA neurons (large Ih current and >1.1 ms triphasic waveform, Figure S14) of control, susceptible-eYFP and susceptible-ChR2 groups. Our data show that 10-day optical stimulation of LC→VTA neurons completely reversed the pathological hyperactivity observed in the susceptible-eYFP group (Figure 3C), and achieved an intrinsic currents balance similar to that observed in resilient mice (Figure 4D-E). These results demonstrate that mimicking the resilience-associated firing adaptation in the LC→VTA circuit by repeatedly activating this circuit’s neurons induces key resilience adaptations in VTA→NAc neurons.
VTA α1 and β3 adrenergic receptors promotes resilience and intrinsic currents balance in VTA→NAc DA neurons in susceptible mice
Our next question was which adrenergic receptors in the VTA mediate these effects. To perform molecular profiling of adrenergic receptors in VTA→NAc DA neurons, we injected retrograde tracer CAV-GFP into the NAc and Cre-inducible AAV-FLEX-NBL10 into the VTA of stress-naive DAT-IRES-Cre mice (Figure 5A, B). Immunostaining validation shows a substantial number of VTA→NAc DA neurons targeted by this approach (Figure S15). Our profiling data revealed that, among adrenergic receptor subunits, α1 and β3 were most highly expressed in VTA→NAc DA neurons as compared to their expression levels in all VTA DA neurons (Figure 5C).
We further tested whether α1 and β3 receptors are involved in mediating the resilience behavior and intrinsic currents balance induced by LC→VTA activation in the VTA→NAc circuit. Following chronic social defeat stress, we injected a red Lumafluor into the NAc to label VTA→NAc neurons, and locally infused α1 and β3 eceptor agonists (methoxamine HCl and CL316243) into the VTA for 10 days and then performed a SI test to measure social avoidance behavior (Figure 5D E). We observed that 10-day intra-VTA infusion of this cocktail completely reversed social avoidant behaviors in susceptible mice when compared to vehicle-infused susceptible mice (Figure 5F; Figure S16). We then performed ex vivo recordings to determine the cellular alterations within red Lumafluor labeled VTA→NAc neurons following chronic infusions. Repeated infusion of α1 and β3 receptor agonists reversed the pathological hyperactivity of VTA→NAc neurons that is associated with susceptibility (Figure 5G). Moreover, these infusions increased Ih and K+ currents of lumafluor-labeled VTA→NAc neurons as compared to susceptible-vehicle control (Figure 5H, I), reflecting the balance in intrinsic currents associated with natural resilience. These findings indicate that activation of these adrenergic receptors is sufficient to induce a resilience-like phenotype at the ion channel, cellular and behavioral levels.
VTA α1 and β3 adrenergic receptors are necessary for the pro-resilience effect of repeated optical stimulation of LC→VTA neurons
To further study this mechanism, we investigated whether antagonists of α1 and β3 receptors block the pro-resilience effects induced by optical stimulation of LC→VTA neurons. We expressed ChR2 in LC→VTA neurons as stated above and delivered 10-day optical stimulation to LC→VTA neurons of susceptible mice with intra-VTA infusion of α1 and β3 antagonists (cyclazosin and SR59230A HCl) (Figure 6A, B). Such intra-VTA infusions (once a day for 10 days) completely blocked the optical stimulation-induced reversal of social avoidance behavior as compared to mice receiving vehicle (Figure 6 C; Figure S17), demonstrating that these receptors are necessary for the pro-resilience effects of optical stimulation of the LC→VTA circuit.
DISCUSSION
This study showed that (1) the firing activity of LC→VTA neurons is increased exclusively in resilient, but not susceptible, mice after CSDS; (2) optogenetically mimicking this adaptive change (activating LC→VTA neurons) in stress-exposed susceptible mice promotes a resilience-like phenotype, including reversal of hyperactivity of VTA→NAc DA neurons, homeostatic plasticity (intrinsic balance between Ih current and K+ currents) and normalization of social behavior; (3) molecular profiling and pharmacological studies identify α1 and β3 adrenergic receptors expressed by VTA DA neurons as being sufficient and necessary to induce resilience-like phenotypes. Overall, these circuit-specific investigations demonstrate that the LC→VTA→NAc pathway plays an important role in promoting resilience through norepinephrine mechanisms in the VTA.
We recently demonstrated that VTA→NAc DA neurons constitute a neural circuit in which a resilience-specific active form of homeostatic plasticity is established by an intrinsic balance of Ih current and K+ currents to maintain normal neuronal activity as well as behavioral resilience (11). Following this finding, we further identified KCNQ-type K+ channels as a target for conceptually novel antidepressants that function through the potentiation of active resilience mechanisms (35). Recently, researchers have started to investigate the extrinsic synaptic mechanisms that underlie this active homeostatic plasticity (21, 36). It is well known that VTA DA neurons are regulated by intrinsic ion channels, and extrinsic synaptic innervation, including a heavy noradrenergic input from the LC (37-39). Our results in this study consistently support these early findings that the LC-NE system plays an important role in mediating resilience in human and animal models (4, 21, 40).
It is widely known that the LC-NE neurons respond to stress by globally priming neurons in the brain (4, 31, 41-46). Increasing evidence has also shows the heterogeneity of LC-NE neurons (46-49), as seen for VTA DA neurons (10, 11, 50, 51). Here, our in vitro electrophysiological experiments showed that LC→VTA neurons fired significantly higher in the resilient subgroup as compared to stress-naive control mice, while LC→VTA neurons of susceptible mice have a normal firing activity comparable to that of control mice. Our in vivo recording data further confirmed that LC neurons from resilient mice displayed enhanced firing rates and phasic firing events as compared to control and susceptible mice, which is consistent with a recent study reporting greater NE release in the VTA of resilient mice (21). These findings indicated that hyperactivity of LC→VTA neurons might be an important hallmark of resilience in the brain. Hyperactivity of the LC-NE neurons has been implicated in mediating hyper-responsiveness, including increased vigilance, in posttraumatic stress disorder (PTSD) and arousal dysfunction (15, 52). In our previous study using the CSDS model, we also observed elevated arousal in both susceptible and resilient mice (6), suggesting that increased arousal might be related to the development of stress susceptibility versus resilience depending on the timing of the vigilance. Greater vigilance before stressor exposure, as an active function, might promote resilience, whereas increased vigilance induced by stress, for example, hyper-responsiveness in PTSD, would be passive and pathological. It would be very interesting to investigate the role for vigilance in stress resilience in future work, and it is possible that high levels of natural vigilance acts as a predictor of stress resilience.
Our in vivo optogenetic investigations confirmed that 5 or 10 days of repeatedly activating these neural circuit neurons was sufficient to reverse social avoidance in previously defined susceptible mice. Strikingly, this stimulation also induced homeostatic plasticity of VTA→NAc DA neurons, a featured self-tuning adaptive balance between Ih current and K+ currents that is uniquely seen in resilient mice. In addition, this same stimulation consistently stabilized the firing activity and normalized social behavior. Interestingly, we observed that the firing variation in LC→mPFC circuit neurons is much greater than that in LC→VTA circuit neurons. We are not sure whether this indicates that different subgroups of LC→mPFC neurons that play a distinct functional roles in the response to social stress. In future work, it would be interesting to explore the functional role of other LC-related circuits, including LC→mPFC neurons, in mediating stress resilience versus susceptibility.
VTA DA neurons express multiple kinds of adrenergic receptors that might mediate the interaction between the LC-NE inputs and VTA-DA neurons. Taking advantage of a circuit- and cell type-specific molecular profiling technique (23), we identified enrichment of α1 and β3 adrenergic receptors in VTA→NAc DA neurons, and found that repeated pharmacological activation of VTA α1 and β3 adrenergic receptors with a cocktail of specific agonists reversed social avoidance behavior in previously identified susceptible mice. Strikingly, this treatment also completely normalized the pathological hyperactivity of VTA→NAc DA neurons and established a resilience-like intrinsic balance between Ih and K+ currents, a critically important mechanism of homeostatic plasticity identified in naturally resilient mice and in susceptible animals after repeated optogenetic stimulation (11). These findings indicate that repeated activation of VTA α1 and β3 adrenergic receptors, and repeated activation of LC→VTA neurons, display similar pro-resilient effects in susceptible mice at the cellular and behavioral levels. This interesting phenomenon suggests that α1 and β3 adrenergic receptors might be key mediators of the synaptic relay between the LC-NE system and the VTA→NAc reward circuit. As expected, we observed that pretreatment with α1 and β3 receptor antagonists is sufficient to abolish the pro-resilience of repeated optogenetic activation of LC→VTA neurons in the social interaction test. This study thereby establishes that α1 and β3 receptors are necessary for the pro-resilient effects of LC-NE on VTA→NAc DA neurons. Another important finding of this study is that it introduces a novel extrinsic mechanism that accounts for the homeostatic plasticity in VTA→NAc DA neurons that is associated with resilience. In these studies, we combined pharmacological agonist and antagonist treatments for both adrenergic receptors to maximize our ability to detect their roles. Future studies are needed to examine whether manipulation of either receptor alone would be sufficient to induce antidepressant-like behavioral effects.
While the CSDS paradigm is a well-established and widely used rodent model of depression, our previous study (6) showed that socially defeated mice also exhibit anxiety-like phenotypes. In the present study, we reported that activation of LC→VTA circuit reversed deficits in social behavior and forced swim performance. It is not completely clear whether or not the reversal of these deficits was induced by normalizing depression- or an anxiety-related components because social interaction and forced swim tests that we used in this study may include both components (53). Our results from the sucrose preference test suggest that depression components may contribute, at least in part, to the reversal effects observed. Nevertheless, the functional role of LC→VTA in the regulation of an anxiety phenotype in the context of CSDS needs to be explored in greater depth in the future.
Ketamine is used routinely for surgical anesthesia in rodents. There is now robust evidence that a single sub-anesthetic dose of ketamine produces rapid antidepressant effects in humans and animals (54, 55). However, there has been no evidence so far showing that ketamine at anesthetic doses such as 100 mg/kg in our case, which is far higher than used for depression treatment, has any antidepressant effect (6, 10, 11, 13, 25, 35). Nevertheless, this caveat should be considered when interpreting data from animals that underwent ketamine-induced anesthesia.
Collectively, these observations provide highly consistent molecular, cellular and behavioral evidence for the underlying mechanisms by which an LC→VTA→NAc circuit functions as a stress resilient pathway in the brain. Specifically, these results establish α1 and β3 adrenergic receptors as new molecular targets for therapeutically promoting natural resilience, a possibility which now warrants clinical testing, while current research focuses on obtaining a more complete understanding of the mechanisms of natural resilience.
Supplementary Material
ACKNOWLEDGMENTS
This work was supported by the National Institute of Mental Health (R01 MH092306: M.H.H.; R01 MH051399: E.J.N.), National Natural Science Foundation of China (NSFC81230025, 81720108013: J.L.C.; NSFC81200862, 81771453: H.Z.), Jiangsu Province Natural Science Foundation (BK20171158: H.Z.), Xuzhou Medical University Start-up Grant for Excellent Talents (D2018010: H.Z.), National Research Service Award (F31 AA022862, T32 MH 087004: B.J.; F32 MH096464: A.K.F.), Johnson & Johnson/IMHRO Rising Star Translational Research Award (M.H.H.), and NARSAD Independent Investigator Award (M.H.H.). The Jiangsu Provincial Special Program of Medical Science Grant No. BL2014029; the Priority Academic Program Development of Jiangsu Higher Education Institutions.
Footnotes
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DISCLOSURES
All authors reported no biomedical financial interests or potential conflicts of interest.
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