Fig. 1.
Schematic representation adapted from the Paxinos and Watson atlas of a bipolar electrode implanted into the mouse nucleus accumbens and externally connected to a stimulator.
3 Notes
While DBS allows us to study the role of various brain regions in aberrant behavior, it remains unclear which cells are modulated by DBS or how (24). Ninety percent of the neurons in the NAc are medium spiny neurons (54). As previous studies have demonstrated abnormal expression of dopamine D2 receptors in human subjects who binge eat (55, 56), studying the role dopamine plays in perpetuating binge eating is important. Testing whether DBS modulates the expression of dopamine receptors on medium spiny neurons has potential implications on future pharmacologic approaches to obesity management. One way to target such receptors in a cell-specific manner is by incorporating optogenetic techniques (57). Combining biochemical and molecular assays with optogenetic neuromodulation using various transgenic mouse lines expressing Cre-recombinase or viral vectors with Cre-inducible opsins, for example, would provide substantial insight into the mechanism of action of DBS.
4 Conclusion
The future implications of this work may have profound clinical relevance. DBS has evolved over the past two decades as the treatment of choice for well-selected patients with medically refractory movement disorders such as advanced Parkinson’s disease, essential tremor, and dystonia (23). The success and safety profile of DBS in treating movement disorders has increased the investigation into and expansion of its application to other neuropsychiatric conditions such as depression, substance abuse, and Tourette’s syndrome (58, 59). Pilot studies are underway for obesity, and our studies may provide further impetus for larger animal studies and eventual translation to the human condition.
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