4.8 Article

Insular neural system controls decision-making in healthy and methamphetamine-treated rats

Publisher

NATL ACAD SCIENCES
DOI: 10.1073/pnas.1418014112

Keywords

decision-making; methamphetamine; insular cortex; DREADD; motivational value

Funding

  1. Ministry of Education, Culture, Sports, Science and Technology (MEXT) [24111518, 25116515, 25460094, 26120713, 26118506, 26118507]
  2. MEXT
  3. Ministry of Health, Labour and Welfare of Japan
  4. Smoking Research Foundation, Japan
  5. Uehara Memorial Foundation
  6. Takeda Science Foundation
  7. Program for Promotion of Fundamental Studies in Health Sciences of the National Institute of Biomedical Innovation
  8. Grants-in-Aid for Scientific Research [26293046, 25116515, 15H01428, 26118506, 24111518, 26120713, 25460094, 26118507, 25284003, 26640041] Funding Source: KAKEN

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Patients suffering from neuropsychiatric disorders such as substance-related and addictive disorders exhibit altered decision-making patterns, which may be associated with their behavioral abnormalities. However, the neuronal mechanisms underlying such impairments are largely unknown. Using a gambling test, we demonstrated that methamphetamine (METH)-treated rats chose a high-risk/high-reward option more frequently and assigned higher value to high returns than control rats, suggestive of changes in decision-making choice strategy. Immunohistochemical analysis following the gambling test revealed aberrant activation of the insular cortex (INS) and nucleus accumbens in METH-treated animals. Pharmacological studies, together with in vivo microdialysis, showed that the insular neural system played a crucial role in decision-making. Moreover, manipulation of INS activation using designer receptor exclusively activated by designer drug technology resulted in alterations to decision-making. Our findings suggest that the INS is a critical region involved in decision-making and that insular neural dysfunction results in risk-taking behaviors associated with altered decision-making.

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