http://www.pnas.org/content/early/2017/12/12/1712214114.abstract?sid=216629b2-a6c1-4a69-978b-be308e0e2f83
- Hemmings Wua,1,
- Kai J. Millera,1,
- Zack Blumenfeldb,
- Nolan R. Williamsc,
- Vinod K. Ravikumara,
- Karen E. Leea,
- Bina Kakusaa,
- Matthew D. Sacchetc,
- Max Wintermarkd,
- Daniel J. Christoffele,
- Brian K. Ruttd,
- Helen Bronte-Stewarta,b,
- Brian Knutsonf,
- Robert C. Malenkae,2, and
- Casey H. Halperna,2
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Contributed by Robert C. Malenka, November 5, 2017 (sent for review July 11, 2017; reviewed by Andre G. Machado and Sameer A. Sheth)
Significance
We reveal prominent delta
oscillations in the nucleus accumbens preceding food reward in mice and
use them to guide responsive
neurostimulation to suppress binge-like
behavior. Similar electrographic signatures are observed in human
nucleus accumbens
during reward anticipation as well,
suggesting their translational potential in the development of a
treatment for loss of
impulse control in obesity and perhaps
additional brain disorders.
Abstract
Reward hypersensitization is a
common feature of neuropsychiatric disorders, manifesting as impulsivity
for anticipated incentives.
Temporally specific changes in activity
within the nucleus accumbens (NAc), which occur during anticipatory
periods preceding
consummatory behavior, represent a
critical opportunity for intervention. However, no available therapy is
capable of automatically
sensing and therapeutically responding to
this vulnerable moment in time when anticipation-related neural signals
may be present.
To identify translatable biomarkers for an
off-the-shelf responsive neurostimulation system, we record local field
potentials
from the NAc of mice and a human
anticipating conventional rewards. We find increased power in 1- to 4-Hz
oscillations predominate
during reward anticipation, which can
effectively trigger neurostimulation that reduces consummatory behavior
in mice sensitized
to highly palatable food. Similar
oscillations are present in human NAc during reward anticipation,
highlighting the translational
potential of our findings in the
development of a treatment for a major unmet need.
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