Journal
MOLECULAR PSYCHIATRY
Volume 27, Issue 4, Pages 2329-2339Publisher
SPRINGERNATURE
DOI: 10.1038/s41380-022-01471-4
Keywords
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Funding
- BMBF [01EW1911 UNMET, 01EW2010B NeuroMarKet]
- German Research Foundation (Deutsche Forschungsgemeinschaft) [DFG SA 1869/15-1]
- Clinician Scientist Program Interfaces and Interventions in Complex Chronic Conditions by the German Research Foundation (DFG) [EB187/8-1]
- BMBF
- DFG
- EU-AIMS-2-trials
- Hector Foundation II
- Klaus Tschira Stiftung
- Lundbeck A/S
- Prix Roger des Spoelberch
- State of BW
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This study investigates the effects of dopamine transporter (DAT) silencing on brain structure, function, and behavior using a rat model. The results suggest that constitutive DAT blockade leads to brain changes associated with impaired action inhibition control and motor hyperactivity, which are relevant for neuropsychiatric disorders such as ADHD, schizophrenia, and OCD. The study provides multimodal evidence for prefrontal-midbrain decoupling and striato-cerebellar neuroplastic compensation as transdiagnostic mechanisms of hyperdopaminergia.
Silencing of dopamine transporter (DAT), a main controlling factor of dopaminergic signaling, results in biochemical and behavioral features characteristic for neuropsychiatric diseases with presumed hyperdopaminergia including schizophrenia, attention deficit hyperactivity disorder (ADHD), bipolar disorder, and obsessive-compulsive disorder (OCD). Investigation of DAT silencing thus provides a transdiagnostic approach towards a systems-level understanding of common underlying pathways. Using a high-field multimodal imaging approach and a highly sensitive cryogenic coil, we integrated structural, functional and metabolic investigations in tandem with behavioral assessments on a newly developed preclinical rat model, comparing DAT homozygous knockout (DAT-KO, N = 14), heterozygous knockout (N = 8) and wild-type male rats (N = 14). We identified spatially distributed structural and functional brain alterations encompassing motor, limbic and associative loops that demonstrated strong behavioral relevance and were highly consistent across imaging modalities. DAT-KO rats manifested pronounced volume loss in the dorsal striatum, negatively correlating with cerebellar volume increase. These alterations were associated with hyperlocomotion, repetitive behavior and loss of efficient functional small-world organization. Further, prefrontal and midbrain regions manifested opposite changes in functional connectivity and local network topology. These prefrontal disturbances were corroborated by elevated myo-inositol levels and increased volume. To conclude, our imaging genetics approach provides multimodal evidence for prefrontal-midbrain decoupling and striato-cerebellar neuroplastic compensation as two key features of constitutive DAT blockade, proposing them as transdiagnostic mechanisms of hyperdopaminergia. Thus, our study connects developmental DAT blockade to systems-level brain changes, underlying impaired action inhibition control and resulting in motor hyperactivity and compulsive-like features relevant for ADHD, schizophrenia and OCD.
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