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Cortical input shapes subthalamic activity in chronic pain

PLoS biology · 2024-02-22

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PLoS biology · Research frontiers

Cortical input shapes subthalamic activity in chronic pain

In male mice, ACC input to STN strengthens after nerve injury. Suppressing the input improves hypersensitivity and tested depression-like behaviors, while soma and terminal activation have different outcomes.

AI science concept of two neural populations; not an ACC-to-STN anatomical map or experimental data

Persistent pain often accompanies emotional difficulties. How do brain connections link sensation and behavior? A 2024 PLOS Biology study examines anterior cingulate cortex, ACC, input to subthalamic nucleus, STN. In nerve-injured male mice, STN-projecting ACC cells become more excitable and evoke stronger synaptic responses in STN. Modulating the input changes hypersensitivity and some behavioral measures, with outcomes depending on animal state and whether somata or terminals are targeted.

KEY FINDING

ACC-to-STN excitatory input strengthens after nerve injury. Terminal suppression raises withdrawal thresholds and reduces tested depression-like behaviors. In naive mice, terminal activation increases sensitivity without reproducing the aversion and increased immobility caused by projection-cell soma activation.

Contents · 7 sections

An excitatory connection strengthens after injury

ACC participates in sensory and emotion-related processing, while STN belongs to basal-ganglia networks. Tracing and synaptic recordings identify a direct glutamatergic connection. STN-projecting ACC cells are mainly in cortical layer V, defining a particular population to investigate.

After nerve injury, these cells fire more with matched current and show altered excitability measures, while resting potential is unchanged statistically. Evoked excitatory currents in STN are larger, but paired-pulse ratios do not significantly change: cellular and connection changes spare some measures.

Original figure 1An excitatory connection strengthens after injury
An excitatory connection strengthens after injury
Original Figure 1: direct excitatory ACC-to-STN connectivity; injury increases projection-cell excitability and evoked STN currents, without significant resting-potential or paired-pulse-ratio changes.
Source: Wang YD et al. · PLoS biology · CC BY
Original figure and English caption ↗

Sensation and context evoke cortical responses

In naive mice, mechanical or thermal stimuli that elicit withdrawal increase ACC population calcium. Weaker mechanical stimulation and spontaneous paw lifts during exploration do not produce the same significant change. After injury, milder stimuli accompany clear signals, matching increased behavioral sensitivity.

ACC signals also change with air puff or entry into an elevated-maze open arm, falling on return to a closed arm. Calcium recordings therefore track sensory events and tested contexts beyond a single paw movement.

Original figure 2Sensation and context evoke cortical responses
Sensation and context evoke cortical responses
Original Figure 2: ACC population calcium responses to tested stimuli and maze-arm transitions; weak mechanical stimulation and spontaneous paw-lift comparisons are nonsignificant.
Source: Wang YD et al. · PLoS biology · CC BY
Original figure and English caption ↗

Cortical activity influences STN responses

Suppressing excitatory ACC cells reduces STN calcium responses to mechanical, thermal and air-puff stimuli. The effect occurs in tested naive and injured conditions, supporting an ACC contribution to STN sensory responses. Recipient responses thus relate to cortical state, rather than only to local cellular activity.

Maze-context findings differ. Naive STN shows no significant arm-transition response; corresponding changes emerge after injury but are not significantly reduced by ACC suppression. Other inputs may shape STN state, with sensory and contextual responses regulated differently.

Original figure 3Cortical activity influences STN responses
Cortical activity influences STN responses
Original Figure 3: ACC suppression reduces STN calcium responses to mechanical, thermal and air-puff stimuli. Distinct maze-context findings appear in supplementary Figure S5.
Source: Wang YD et al. · PLoS biology · CC BY
Original figure and English caption ↗

Projection-cell modulation changes sensitivity and avoidance

Activating STN-projecting ACC somata lowers withdrawal thresholds in both hind paws of naive mice, produces avoidance of the paired location and increases immobility during suspension and swimming. Movement speed in the place task does not significantly change, separating avoidance from simply moving more slowly. Withdrawal thresholds describe sensitivity to tested stimuli, whereas place choice and immobility offer different behavioral information.

In injured mice, suppressing the population raises thresholds, increases preference for the intervention-paired location, reduces immobility and improves the tested female-urine sniffing measure. Suppression does not significantly alter tested withdrawal thresholds in naive mice, making the effect state-dependent.

Original figure 4Projection-cell modulation changes sensitivity and avoidance
Projection-cell modulation changes sensitivity and avoidance
Original Figure 4: projection-cell soma activation and suppression affect withdrawal, place choice, immobility and sniffing measures, with differing naive and injured outcomes.
Source: Wang YD et al. · PLoS biology · CC BY
Original figure and English caption ↗

Terminal modulation produces a different pattern

These ACC cells also send branches to other regions. Activating their STN terminals still lowers naive-mouse withdrawal thresholds but does not significantly induce place avoidance or increased immobility. The full behavioral pattern from soma activation does not emerge at this output.

Yet terminal suppression in injured mice improves hypersensitivity, reduces immobility, increases tested sniffing and produces place preference. In naive mice, terminal suppression again has no significant threshold effect. The meaning of activation and suppression depends closely on the network’s starting state.

Original figure 5Terminal modulation produces a different pattern
Terminal modulation produces a different pattern
Original Figure 5: terminal activation increases naive-mouse sensitivity without significant place-choice or immobility changes; terminal suppression improves multiple measures in injured mice.
Source: Wang YD et al. · PLoS biology · CC BY
Original figure and English caption ↗

Elevating STN activity again counters improvement

The team next combines input and recipient manipulation. In injured mice, additional STN-cell activation counters threshold improvements from ACC-terminal suppression and eliminates the accompanying place-preference and immobility improvements. STN activity is therefore an important component of the input-intervention effect.

In separate naive mice, ACC-terminal suppression reduces hypersensitivity and place avoidance caused by STN activation. Together, these combinations show that recipient-cell excitability and cortical input interact in shaping tested behavior.

Original figure 6Elevating STN activity again counters improvement
Elevating STN activity again counters improvement
Original Figure 6: combined ACC-terminal and STN-cell modulation links input-intervention outcomes to STN activity state.
Source: Wang YD et al. · PLoS biology · CC BY
Original figure and English caption ↗

A connection whose contribution changes with state

This male-mouse study examines chronic hypersensitivity and depression-like measures through one connection while showing that they do not change together under every activation condition. Somata, local terminals and recipient cells contribute related but distinct components.

The insight is that cortical input to basal ganglia carries more than movement-related information: after nerve injury, it can help maintain sensory and behavioral changes. Understanding this role brings connection strength, recipient state and specific behavioral outcomes into the same picture.

Publication details

Wang YD, Bao ST, Gao Y, Chen J, Jia T, Yin C, Cao JL, Xiao C, Zhou C.
The anterior cingulate cortex controls the hyperactivity in subthalamic neurons in male mice with comorbid chronic pain and depression
PLoS biology · 2024-02-22
DOI: 10.1371/journal.pbio.3002518