2021
DOI: 10.1038/s41380-021-01235-6
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Accumbens D2-MSN hyperactivity drives antipsychotic-induced behavioral supersensitivity

Abstract: Antipsychotic-induced dopamine supersensitivity, or behavioral supersensitivity, is a problematic consequence of long-term antipsychotic treatment characterized by the emergence of motor abnormalities, refractory symptoms, and rebound psychosis. The underlying mechanisms are unclear and no approaches exist to prevent or reverse these unwanted effects of antipsychotic treatment. Here we demonstrate that behavioral supersensitivity stems from long-lasting pre, post and perisynaptic plasticity, including insertio… Show more

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Cited by 21 publications
(27 citation statements)
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“…Since astrocytes dampen synaptic potentiation via a number of mechanisms ( 20 , 44 ), we hypothesize that increased astrocyte insulation of D2-MSNs during cue-reinstated heroin seeking may reduce D2-MSN potentiation relative to the extinguished context ( 31 , 45 ). However, a number of reports indicate that subpopulations of D2-MSNs in the striatum promote, rather than inhibit, motivated behaviors ( 53 56 ). Moreover, cortical inputs linked to cued reinstatement ( 57 ) innervate D2-MSNs to a greater extent than D1-MSNs ( 58 ).…”
Section: Discussionmentioning
confidence: 99%
“…Since astrocytes dampen synaptic potentiation via a number of mechanisms ( 20 , 44 ), we hypothesize that increased astrocyte insulation of D2-MSNs during cue-reinstated heroin seeking may reduce D2-MSN potentiation relative to the extinguished context ( 31 , 45 ). However, a number of reports indicate that subpopulations of D2-MSNs in the striatum promote, rather than inhibit, motivated behaviors ( 53 56 ). Moreover, cortical inputs linked to cued reinstatement ( 57 ) innervate D2-MSNs to a greater extent than D1-MSNs ( 58 ).…”
Section: Discussionmentioning
confidence: 99%
“…In a situation of excessive dopaminergic neurotransmission, it also functions as a D2 receptor antagonist [ 154 ]. In schizophrenia, D2 signaling is considerably hyperactive [ 155 ], and in the prefrontal cortex, the D1 receptor is decreased [ 156 ].…”
Section: Gpcrs In Cnsmentioning
confidence: 99%
“…Since astrocytes dampen synaptic potentiation via a number of mechanisms (20,40), we hypothesize that increased astrocyte insulation of D2-MSNs during cue-reinstated heroin seeking may reduce D2-MSN potentiation relative to the extinguished context (26,41). However, a number of reports indicate that subpopulations of D2-MSNs in the striatum promote, rather than inhibit motivated behaviors (49)(50)(51)(52). Moreover, cortical inputs linked to cued reinstatement (53) innervate D2-MSNs to a greater extent than D1-MSNs (54).…”
Section: Astroglial Adaptations Are Differentially Regulated Around D...mentioning
confidence: 99%