Abstract
The D3 dopamine receptor, a member of the Gi-coupled D2 family of dopamine receptors, is expressed throughout limbic circuits affected in neuropsychiatric disorders, including prefrontal cortex (PFC). These receptors are important for prefrontal executive function because pharmacological and genetic manipulations that affect prefrontal D3 receptors alter anxiety, social interaction, and reversal learning. However, the mechanisms by which D3 receptors regulate prefrontal circuits and whether D3 receptors regulate specific prefrontal subnetworks remains unknown. Here, we combine dopamine receptor reporter lines, anatomical tracing techniques, and electrophysiology to show that D3 receptor expression defines a novel subclass of layer 5 glutamatergic pyramidal cell in mouse PFC (either sex). D3-receptor-expressing pyramidal neurons are electrophysiologically and anatomically separable from neighboring neurons expressing D1 or D2 receptors based on their dendritic morphology and subthreshold and suprathreshold intrinsic excitability. D3-receptor-expressing neurons send axonal projections to intratelencephalic (IT) targets, including contralateral cortex, nucleus accumbens, and basolateral amygdala. Within these neurons, D3 receptor activation was found to regulate low-voltage-activated CaV3.2 calcium channels localized to the axon initial segment, which suppressed action potential (AP) excitability, particularly when APs occurred at high frequency. Therefore, these data indicate that D3 receptors regulate the excitability of a unique, IT prefrontal cell population, thereby defining novel circuitry and cellular actions for D3 receptors in PFC.
SIGNIFICANCE STATEMENT The D3 dopamine receptor, a member of the Gi-coupled D2 family of dopamine receptors, are expressed throughout limbic circuits, including prefrontal cortex (PFC). They are of broad interest as a site for therapeutic intervention in serious mental illness, yet we know very little about their distribution or function within PFC. Here, we show that D3 receptors define a unique population of glutamatergic principal cells in mouse PFC that largely lack expression of D1 or D2 receptors. Within these cells, we find that D3 receptors regulate the ability to generate high-frequency action potential bursts through mechanisms not supported by other dopamine receptors. These results define unique circuitry and cellular actions for D3 receptors in regulating PFC networks.
- axon initial segment
- calcium channel
- dopamine
- electrophysiology
- prefrontal
Introduction
The Gi/o-coupled D2 family of dopamine receptors is important for normal prefrontal function and dysfunction of these receptors underlies multiple forms of serious mental illness (Minzer et al., 2004; Laruelle, 2014). Although considerable attention has been paid to the function of D2 receptors (D2Rs) themselves, the cellular mechanisms by which other D2-family receptors, including D3 receptors (D3Rs), regulate prefrontal cortex (PFC) neurons remain unclear. D3Rs appear to play an important role in normal PFC function and potentially in mental illness treatment because currently prescribed antipsychotics have equal affinity for D3R and D2R (Joyce and Millan, 2005; Gross et al., 2013). Moreover, alterations in medial PFC (mPFC)-dependent learning tasks are evident in both D3R knock-out animals and with pharmacological manipulation of prefrontal D3Rs (Glickstein et al., 2002, 2005; Millan et al., 2010; Nakajima et al., 2013). Therefore, determining the cellular substrates of prefrontal D3R modulation and the resulting effects on neuronal computation is essential for our understanding of mPFC function in health and disease.
Major advances in understanding striatal circuitry were made after the discovery that D1 receptors (D1Rs) and D2Rs map onto medium spiny neurons that comprise the direct and indirect pathway (Gerfen and Surmeier, 2011). In prefrontal circuits, parallel observations are beginning to emerge, as recent work indicates that D1R and D2R regulate thin- and thick-tufted layer 5 (L5) pyramidal cells, respectively (Gee et al., 2012; Seong and Carter, 2012). These pyramidal cell subclasses are part of distinct circuits: thin-tufted pyramidal cells are intratelencephalic (IT), with projections to contralateral cortex; thick-tufted pyramidal cells are pyramidal tract (PT), with projections to thalamus and pons, but not contralateral cortex (Dembrow et al., 2010; Gee et al., 2012). Given that D1Rs and D2Rs are expressed in largely separate L5 pyramidal cell subclasses that have unique electrophysiological and morphological features (Gee et al., 2012; Seong and Carter, 2012), we hypothesized that D3R expression may be restricted to one of these subclasses or to an additional subclass with its own electrophysiological signature. However, how D3Rs are incorporated in and regulate the activity of prefrontal neurons is not clear.
Here, we used dopamine receptor reporter lines, anatomical tracing techniques, and electrophysiology to understand D3-dependent regulation in PFC. In contrast to striatum, which contains only two principle classes of medium spiny neuron, we found that D3R expression defines an additional class of L5 pyramidal cells that largely lack D1R or D2R coexpression. Despite D3R and D1R belonging to different dopamine receptor families (D2-like, D1-like), L5 D3R-expressing neurons were more comparable to D1R-expressing cells in their synaptic connectivity, with projections to IT areas, including contralateral cortex. D3R-expressing neurons could be distinguished from D1R- or D2R-expressing neurons by dendritic morphology and intrinsic electrophysiological properties, and by the manner in which dopamine regulated neuronal function. In these neurons, D3Rs selectively regulated the dynamics of voltage-gated calcium channels localized to the site of action potential (AP) initiation in the axon initial segment (AIS), which in turn led to a marked suppression in the generation of high-frequency AP bursts. Similar signaling mechanisms were not observed in neighboring D1R- or D2R-expressing cells, indicating that D3Rs have a unique role in the regulation of pyramidal cell excitability. Therefore, these results reveal a specific role for D3R signaling in prefrontal networks and highlight new signaling pathways and circuitries that may contribute to antipsychotic efficacy in PFC.
Materials and Methods
Electrophysiological recordings.
All procedures were in accordance with University of California, San Francisco Institutional Animal Care and Use Committee guidelines. After anesthesia, para-coronal slices in plane with mPFC L5 apical dendrites (225–300 μm) were made from postnatal day (P)25–P60 C57 or transgenic mice of either sex. Transgenic animals (TH-Cre::Ai32; D1-tdTomato/D3-cre; D2-Cre; D3-Cre; D3-Cre::Ai14; D1-tdTomato/D2-eGFP; and D3−/−, all on C57 background) were genotyped by PCR. Transgenic mice lines had the following research resource identifiers: TH-cre, IMSR_JAX:008601; D1-tdTomato, IMSR_JAX:016204; D2-Cre, MMRRC_032108-UCD; D2-eGFP, MMRRC_000230-UNC; D3-Cre (KJ302), MMRRC_034696-UCD; D3−/−, MGI:4839942. No differences were observed across mouse lines and results were pooled. Cutting solution contained the following (in mm): 87 NaCl, 25 NaHCO3, 25 glucose, 75 sucrose, 2.5 KCl, 1.25 NaH2PO4, 0.5 CaCl2 and 7 MgCl2 bubbled with 5%CO2/95%O2; 4°C. After cutting, slices were either incubated in the same solution or in the recording solution (see below) for 30 min at 33°C and then at room temperature until recording. Recording solution contained the following (in mm): 125 NaCl, 2.5 KCl, 2 CaCl2, 1 MgCl2, 25 NaHCO3, 1.25 NaH2PO4, 25 glucose bubbled with 5%CO2/95%O2 at 32–34°C.
Pyramidal cells were visualized with Dodt or differential interference contrast optics; L5 was targeted as the less dense region below L2/3, visualized as the thin band of densely packed somata. For current-clamp recordings, patch electrodes (Schott 8250 glass, 3–4 MΩ tip resistance, <15 MΩ series resistance) were filled with a solution containing the following (in mm): 113 K-gluconate, 9 HEPES, 4.5 MgCl2, 0.1 EGTA, 14 Tris2-phosphocreatine, 4 Na2-ATP, 0.3 tris-GTP at ∼290 mOsm, pH 7.2–7.25. For Ca imaging, EGTA was replaced with 250 μm Fluo-5F and 20 μm Alexa Fluor 594. Electrophysiological data were recorded at 20–50 kHz and filtered at 10 kHz using a Multiclamp 700A or 700B amplifier (Molecular Devices) and acquired with custom routines in Igor Pro (Wavemetrics). For assessing AIS Ca modulation, Vm was held at −80 mV (corrected for a 12 mV measured junction potential) and cells were excluded if Rin changed by >±15%.
Targeted Ni iontophoresis was done as described previously (Bender et al., 2012) using a Dagan ION-100 (50–100 nA ejection current, −20 nA retention current). Phosphates were omitted from recording solutions to avoid Ni3(PO4)2 formation at the electrode tip. Ni application temporally overlapped somatic current or conductance injection. Excitatory postsynaptic conductances were injected in dynamic clamp using an ITC-18 interface as pure AMPA-mediated conductances (0 mV reversal potential, Poisson distributed, τrise = 0.4 ms, τdecay = 4 ms, amplitude scaled within each experiment to evoke spikes).
For endogenous dopaminergic fiber stimulation, channelrhodopsin-2 (ChR2) was activated by full-field 470 nm light (2 mW at the focal point) using a purpose-built light-emitting diode assembly. Stimuli were delivered in a burst of 10 light pulses at 40 Hz (5 ms per stimulus). These bursts were repeated 10× every 60 s. Because ChR2 is expressed in both dopaminergic and noradrenergic cells in TH-Cre::Ai32 animals, noradrenergic receptors were blocked with 10 μm yohimbine hydrochloride, 1 μm alfuzosis hydrochloride, and 10 μm ICI 118,551 hydrochloride.
For voltage clamp of Ca currents, experiments were performed in D1-tdTomato/D2-eGFP or D3-Cre::Ai14 mice, allowing fluorescent targeting of pyramidal cell subclasses. Internal solution contained the following (in mm): 110 CsMeSO3, 40 HEPES, 1 KCl, 4 NaCl, 4 Mg-ATP, 10 Na-phosphocreatine, 0.4 Na2-GTP, 0.5 Fluo-5F, and 0.02 Alexa Fluor594 at ∼290 mOsm, pH 7.22, voltages adjusted for 11 mV junction potential. Experiments were performed in the presence of 500 nm tetrodotoxin (TTX), 1 mm CsCl, 10 μm SR95531, and 10 μm NBQX. T-type Ca2+ currents were activated with 100 ms voltage steps from −100 to −50 mV. For T-type current measurements, leak currents were subtracted using a P/4 protocol with −12.5 mV steps from −80 mV.
Electrophysiological analysis for classification.
Electrophysiological characteristics (sag/rebound, AP spike train/waveform) were determined from voltage responses to hyperpolarizing (−400 pA, 120 ms) and depolarizing (300 ms, 20–300 pA) square current pulses from a holding potential of −80 mV.
Latency to peak sag was calculated as the time from current pulse onset to the negative peak of the voltage. Sag amplitude was defined as the amplitude of a one-term exponential model fit to the voltage between peak sag onset and the end of the current pulse. Latency to peak rebound was defined as the time from the end of the current pulse to the maximum voltage within 100 ms of pulse offset. Rebound time constant was defined as the duration after current offset for a voltage increase from 20–80% of the difference between the peak rebound voltage and the voltage at current offset.
AP threshold was defined as the voltage at which the first derivative of the membrane potential exceeded 15 V/s (McCormick et al., 2007). AP amplitude was calculated as the difference between the maximum AP membrane potential and AP threshold. The rate of the AP rising, rate of AP falling, and spike width were all calculated at 20% of AP amplitude for the given amplitude, with rates calculated as the first derivative of membrane potential with respect to time. Afterhyperpolarization (AHP) potential of APs in a spike train was defined as the minimum voltage between APs. A doublet index was calculated as the ratio of the second to first interspike interval.
Linear discriminant analysis (LDA): model development and application.
Five features were chosen for LDA: sag amplitude, rebound time constant, the log of the doublet index, rate of AP rising phase for the last AP in the spike train, and difference in AP threshold between first and last AP. None of these variables was tightly correlated (defined as r2 > 0.5 and p < 0.05) or strongly non-normal (Lilliefors test, p < 0.001). Variables were standardized by rescaling to have a mean of zero and an SD of one.
Twelve classifiers were created using the machine learning toolbox (MATLAB), depending on Ca buffer in the recording pipette (EGTA or Fluo-5F) and number of APs evoked in 300 ms (3–8 APs). Repeated holdout cross-validation (2000×) validated the discriminant functions. For each iteration, data were randomly partitioned into a training set (90%) and a testing set (10%), with the linear discriminant determined by the training set then applied to the testing set. Prediction accuracy was averaged across rounds, defined as the percentage of cells correctly identified in the testing set. Prediction accuracy was increased by defining an “exclusion zone,” determined by the Gaussian fit of the D1+ and D3+ cell class' Euclidean distances from the discriminant hyperplane (i.e., decision boundary). The exclusion zone was defined such that only nonlabeled cells with distances from the boundary outside of the 95th percentile of the other cell class' distribution were classified as “Type 1” or “Type 3” (see Fig. 2D). The final set of classifiers was applied to all nongenetically identified cells to predict D1R or D3R expression. Each cell was tested on all relevant classifiers, depending on Ca buffer and AP spike number. Cells were included in subsequent analysis if they were classified outside the exclusion zone and did not have their designation switch from Type 1 to Type 3 (or vice versa) between classifiers.
Laminar distribution and orthograde/retrograde tracing.
Before all viral injections, mice were anesthetized and positioned in a stereotaxic frame. For laminar expression experiments, P28–P35 D1-tdTomato/D3-cre or D2-cre mice were injected bilaterally with large volumes (750–1000 nl) of either AAV-EF1α-DIO-EYFP or AAV-EF1α-DIO-mCherry in the mPFC (stereotaxic coordinates [mm]: anteriorposterior [AP], +1.7, mediolateral [ML] +/− 0.3; dorsoventral [DV]: −2.75). Four to 5 weeks after injection, animals were fixed with 4% paraformaldehyde in PBS via transcardial perfusion. After full brain fixation (4 h), 50 μm coronal sections of the mPFC were made in PBS using a vibratome.
In preparation for anti-RFP immunohistochemistry, free-floating coronal sections were rinsed with PBS (3×) and blocked 1 h at room temperature (BlockAid blocking solution). Sections were incubated overnight at 4°C in primary antibody (mouse anti-RFP, 1:500) in PBS-T (PBS with 0.1% Triton X-100) with 1% normal goat serum. Sections were then rinsed with PBS-T and incubated in secondary antibody (Alexa Fluor 594 goat anti-mouse, 1:500) with PBS-T for 4 h at room temperature. After PBS rinse, sections were coverslipped with Prolong Gold Antifade reagent with DAPI. To visualize laminar distributions of D1R, D2R, or D3R expression, fluorescence of mPFC sections was acquired with a spinning disk confocal microscope (10× objective, 0.3 numerical aperture, NA). Somatic fluorescence expression was assessed with a z-series from a 500 × 800 μm area of mPFC (long axis perpendicular to midline pia).
For analysis of cellular laminar distributions, laminar depths were used as defined previously by the L3 and L5b markers Cux1 and Ctip2. Given variability in L1 depth, laminar boundaries were defined with respect to the L1/2 border, visualized with DAPI. The bottom of L2/3, L5a, and L5b were defined as 119, 241, and 534 μm from the L1/2 border, respectively (DeNardo et al., 2015).
For orthograde tracing experiments, P28 D3-Cre::Ai14 mice were injected with 300 nl of AAV- EF1α-DIO-ChR2-EYFP in the mPFC (coordinates as above). Three weeks after injection, animals were perfused and the full brain fixed overnight. Then, 50-μm-thick coronal sections of the entire brain were obtained. To assess axonal projection patterns, fluorescent images were taken with a high-speed wide-field microscope (Nikon Ti with Andor Zyla 5.2 camera, 10× objective, 0.45 NA) and then digitally stitched with ImageJ to reconstruct each full coronal section.
For retrograde tracing experiments, P52+ D3-Cre::Ai14 mice were injected with 200–300 nl of Alexa Fluor 488 conjugated to cholera toxin subunit B (Ctb-488) in the mPFC (coordinates as above), nucleus accumbens core (NAcc) (AP, +1.5; ML, −1.3; DV, −4.38), basolateral amygdala (BLA) (AP, −1.55; ML, −2.95; DV, −5), or mediodorsal (MD) thalamus (AP, −1.7; ML, −0.3; DV, −3.45). Then, 3–4 d after injection, animals were perfused, the full brain fixed overnight, and 50-μm-thick coronal mPFC sections were obtained. In a subset of animals, paracoronal slices were prepared containing mPFC and slices were fixed, cryoprotected in a sucrose–PBS solution, and then sectioned on a freezing stage microtome at 50 μm after a recording session. In both cases, the injection site was verified in 75 μm coronal sections. To examine colabeling of Ai14 marker and retrograde tracer, fluorescence of mPFC sections was acquired with a confocal microscope (10× objective, 0.45 NA). Ai14/Ctb-488 coexpression was assessed with a z-series taken of a 400–500 μm swath of mPFC up to 800 μm from the pia. Analysis of laminar distribution was done as described above.
Two-photon imaging.
A two-photon imaging system (Prairie Technologies) was used as described previously (Bender et al., 2010). A Chameleon Ultra II laser (Coherent Technologies) was tuned to 810 nm. Epifluorescence and transfluorescence signals were captured through a 60×, 1.0 NA objective and a 1.4 NA oil-immersion condenser (Olympus). Fluorescence was split into red and green channels using dichroic mirrors and band-pass filters (T560LPXR, ET525/50, ET620/60; Chroma). Green fluorescence (Fluo-5F) was captured with H10770PA-40 photomultiplier tubes (PMTs; Hamamatsu). Red fluorescence (Alexa Fluor 594) was captured with R9110 PMTs. Data are presented as averages of 10–20 events per site and are expressed as Δ(G/R)/(G/R)sat * 100 (simply, Δ(G/Gsat), where (G/R)sat was the maximal fluorescence in saturating Ca2+ (2 mm). Ca2+ transient peaks were calculated from exponential fits to the fluorescence decay after stimulus offset. Two-photon imaging was performed in P30–P45 mice.
Chemicals.
Fluo-5F pentapotassium salt, Alexa Fluor 594 hydrazide Na+ salt, cholera toxin conjugated to Alexa Fluor 488, and Alexa Fluor 594 goat anti-mouse secondary antibody were from Invitrogen. BlockAid blocking solution was from Thermo Fisher Scientific. Anti-RFP (mouse) monoclonal antibody was obtained from Rockland Immunochemicals (200–301-379). Prolong Gold Antifade reagent with DAPI was from Invitrogen. All AAV vectors were obtained from the University of North Carolina vector core. SR95531, R-CPP, NBQX (−)-quinpirole hydrochloride, TTX, and GR103691 were from Tocris Bioscience. All others were from Sigma-Aldrich.
Statistics.
All data are shown as mean ± SEM. Depending on data distributions, an ANOVA followed by multiple two-sample t tests or Kruskal–Wallis followed by Wilcoxon's rank-sum test (Holm–Sidak corrections for multiple comparisons) was used unless otherwise noted (significance: p < 0.05). For the Wilcoxon's rank-sum test, z-statistics are given for large sample sizes (n > 20); otherwise, the rank-sum test statistic (W) is reported.
Results
D3Rs are expressed in a distinct subset of mPFC pyramidal cells
To determine how D3Rs are distributed relative to known pyramidal cell classes in mPFC, we visualized the distribution of fluorescently labeled pyramidal cells across mPFC layers using previously described border demarcations (Hooks et al., 2011; DeNardo et al., 2015) and dopamine-receptor-specific reporter mice (D1-tdTomato/D2-GFP or D1-tdTomato/D3-cre mice, as well as D2-Cre or D3-Cre mice either crossed to Ai14 or injected with a DIO-EYFP or DIO-mCherry virus). D1R- and D2R-expressing (D1+, D2+) pyramidal cells have been identified previously in L5, with morphological features consistent with thin- and thick-tufted pyramidal classes, respectively (Gee et al., 2012; Seong and Carter, 2012). Consistent with this, D1+ and D2+ neurons were identified in L5. In addition, D1+ and D2+ neurons were observed in L2/3. D2+ neurons were most heavily concentrated in L5b, with lower relative abundance in L5a. In contrast, D3R-expressing (D3+) neurons were concentrated within the upper cortical layers to the L5a/L5b border, with relatively low expression below (Fig. 1A).
That D1+, D2+, and D3+ neurons are distributed in distinct lamina suggests that they are restricted to separate mPFC pyramidal cell classes. To determine whether dopamine receptor expression correlates with electrophysiological or morphological characteristics, whole-cell current-clamp recordings were made from each of these cell classes and a series of hyperpolarizing and depolarizing pulses were delivered to examine subthreshold and suprathreshold voltage responses. Cells were simultaneously filled via patch pipettes with the red volume marker Alexa Fluor 594 and two-photon-based z-stacks were acquired over the entire dendritic span, allowing for post hoc morphological reconstruction.
Previous studies have shown that different prefrontal pyramidal cell classes express varying degrees of hyperpolarization-activated cyclic nucleotide-gated (HCN) channels, which can influence resting membrane properties (Dembrow et al., 2010; Gee et al., 2012; Seong and Carter, 2012). We found that D1+, D2+, and D3+ neurons had different input resistances when subjected to a −50 pA current pulse (D1+: 183 ± 5 MΩ, n = 95; D2+: 146 ± 11 MΩ, n = 35; D3+: 212 ± 5 MΩ, n = 188; Kruskal–Wallis, H(2) = 32.91, p = 7 × 10−8; Wilcoxon's rank-sum test, Holm–Sidak correction, D1+ vs D2+: z = 3.75, D1+ vs D3+: z = −3.32, D2+ vs D3+: z = −5.01; p < 0.05) and that D2+ cell resting Vm was modestly depolarized relative to D3+ cells (D1+: −80.0 ± 0.6 mV; D2+: −77.9 ± 0.7 mV; D3+: −80.2 ± 0.4 mV; Kruskal–Wallis, H(2) = 7.26, p = 0.027; Wilcoxon's rank-sum test, Holm–Sidak correction, D2+ vs D3+: z = 2.76; p < 0.05; Fig. 1D). Intrinsic membrane properties were stable within each class across the age range studied, consistent with other reports in rodent neocortex (McCormick and Prince, 1987; Zhang, 2004; linear regression of Vm or Rin vs age for D1+/D2+/D3+: r2 < 0.01, p > 0.4).
Larger current pulses (−400 pA) more effectively recruit HCN current and reveal different response properties across dopamine-receptor-expressing classes. Consistent with other reports from D2+ neurons (Gee et al., 2012), 74% of D2+ neurons exhibited a prominent voltage sag during hyperpolarizing pulses and had a voltage rebound that depolarized past rest after current offset. A far lower proportion of D1+ and D3+ neurons had similar response properties (4% and 6%, respectively, defined by a peak rebound voltage occurring within 90 ms of current offset; Fig. 2A: rebound: n = 85/35/185, D1+/D2+/D3+; Kruskal–Wallis, H(2) = 67.01, p = 3 × 10−15; Wilcoxon's rank-sum test, Holm–Sidak correction, D1+ vs D2+: z = 5.89, D1+ vs D3+: z = −4.55, D2+ vs D3+: z = −7.08; sag: n = 95/35/188, D1+/D2+/D3+; Kruskal–Wallis, H(2) = 90.23, p = 3 × 10−20; Wilcoxon's rank-sum test, Holm–Sidak correction, D1+ vs D2+: z = 6.06, D1+ vs D3+: z = −5.51, D2+ vs D3+: z = −8.34). Therefore, we used these response properties to classify cells that likely express D2Rs, but lack D1Rs and D3Rs (termed Type 2).
To determine whether non-Type 2 neurons had electrophysiological phenotypes that correlated with D1R and D3R expression, we examined additional aspects of their intrinsic excitability. We found that multiple features differed across D1+ and D3+ groups; however, no single electrophysiological property was sufficient to discriminate these groups well. Therefore, we applied LDA to determine whether a combination of features would better distinguish D1+ and D3+ neurons. We chose five electrophysiological properties that allowed for maximal separation of D1+ and D3+ populations (Fig. 2C). These included sag amplitude in response to −400 pA current steps, rebound time constant during recovery from these current steps, and three spiking properties (AP rate of rise, threshold, and changes in interspike interval during an AP train). Compared with D1+ neurons, D3+ neurons had lower sag and slower rebound recovery after −400 pA current pulses (sag, D1+: −2.7 ± 0.1 mV, n = 92; D3+: −1.9 ± 0.1 mV, n = 176; two-sample t test, t(266) = −4.62, p = 6 × 10−6; rebound τ, D1+: 30.1 ± 0.6 ms; D3+: 35.7 ± 0.4 ms; two-sample t test, t(266) = −7.56, p = 7 × 10−13). In addition, D3+ neurons had a lower instantaneous spike frequency at train onset, slower AP rise times, and a larger increase in AP threshold of successive spikes in trains (Fig. 2B,C: statistics for classifier shown; two-sample t tests, n = 47/72, D1+/D3+; rebound: t(118) = −7.24, p = 5 × 10−11; sag: t(118) = −3.77, p = 3 × 10−4; doublet index: t(118) = 7.49, p = 1 × 10−11; AP rate of rise: t(118) = 6.98, p = 2 × 10−10; ΔThreshold: t(118) = −7.65, p = 6 × 10−12). Additional features also differed across these populations, but they tended to covary with parameters already included in the analysis and therefore did not improve discriminability (Fig. 3).
Using these features, we created multiple LDA classifiers to assess the electrophysiological discriminability of these populations and to allow for classification of nonfluorescent neurons (see Materials and Methods, Fig. 2, Tables 1 and 2). To evaluate our electrophysiological model's performance, we implemented holdout cross-validation and found that the classifiers' mean accuracies in predicting D1R or D3R expression always exceeded 70% (D1+ range: 80–93%, median: 87%; D3+ range: 72–87%, median: 80%, Fig. 2E). These data indicate that pyramidal cells expressing different dopamine receptors tend to have distinct intrinsic electrophysiological phenotypes and that D1+ and D3+ neurons comprise generally nonoverlapping populations. We confirmed this separation by injecting D1-tdTomato/D3-cre mice with an AAV vector containing Cre-dependent EYFP, enabling simultaneous visualization of D1R and D3R expression via tdTomato and EYFP fluorescent markers, respectively (Fig. 4A). Consistent with electrophysiological analysis, D1+ and D3+ cells were largely separate populations, with >90% of labeled cells within L5 uniquely expressing the D1R or D3R (Fig. 4C).
The ability to identify accurately neurons likely to express a given dopamine receptor based solely on electrophysiological characteristics would be useful for assessing dopaminergic function in cases in which fluorescent reporters are not available. To enhance the prediction accuracy that a neuron's electrophysiological signature indeed corresponds to expression of D1R or D3R, we defined an “exclusion zone,” an area surrounding the decision boundary defined by the discriminant, in which D1+ and D3+ cell classes' electrophysiology overlapped (see Materials and Methods; Fig. 2D). Across all classifiers, this yielded a median accuracy of >90% for both D1+ and D3+ cells when tested on the final classifier that included all genetically identified cells (Fig. 2E). Therefore, by rejecting a subset of cells with overlapping electrophysiological characteristics, D1+ and D3+ cells can be categorized with high accuracy. We then applied this final set of classifiers to all non-Type 2, nongenetically identified neurons, categorizing them as Type 1, Type 3, or “unidentified.” By this method, 89% of 103 neurons analyzed were categorized as Type 1 or Type 3.
After electrophysiological characterization of D1+, D2+, and D3+ cell classes, we analyzed our post hoc morphological reconstructions to determine whether these cell classes were also morphologically distinct. D1+ neurons had relatively simple apical dendritic morphology (Fig. 1B, Table 3), consistent with previous reports of D1+ “thin-tufted” pyramidal cells (Seong and Carter, 2012). D2+ neurons had much more complex apical tuft morphology, both with respect to their broad span as well as overall apical dendritic length and branch points, similar to the “thick-tufted” D2+ neurons described previously (Gee et al., 2012). In contrast, D3+ pyramidal cells in L5 had a morphology that was intermediate to D1+ and D2+ neurons; they had an apical tuft that spanned a similar distance as D2+ pyramidal cells, but had branching and dendritic arbor length more comparable to D1+ neurons. In addition, for most morphological measures, D3+ and Type 3 neurons (genetically unlabeled) were identical (Table 3). Overall, these data suggest that there are electrophysiologically and morphologically distinct L5 pyramidal cell classes in mPFC and that these different classes correlate with expression of the D1, D2, and D3 receptors.
L5 D3+ pyramidal neurons are an IT, cortically projecting neuronal subtype
Cortical pyramidal neurons are categorized into two broad projection classes: IT, cortically projecting neurons and PT, subcortically projecting neurons. Whereas IT neurons are distributed throughout L5, PT neurons are restricted to L5b (Molnár and Cheung, 2006; Shepherd, 2013). In the mPFC, L5 D1+ and D2+ neurons correspond to IT and PT subtypes, respectively, with D1R-expressing cells projecting to contralateral cortex and D2R-expressing cells projecting subcortically (Dembrow et al., 2010; Gee et al., 2012). Interestingly, although D3Rs are a member of the D2 family, their density in L5b is low. This suggests that they may have different long-range synaptic targets than other types of D2-family-expressing neurons.
To determine the downstream targets of D3+ pyramidal neurons, we injected DIO-ChR2-EYFP into the mPFC of D3-Cre mice (Fig. 5A), allowing visualization of axonal projections throughout the brain. Axons were prominent in the contralateral mPFC, bilateral BLA, bilateral ventral striatum, including the NAcc, and both MD and ventromedial thalamus (Fig. 5B–D), indicating that D3+ neurons project to diverse cortical and subcortical targets. However, viral transfection was not limited to D3+ neurons in L5; rather, D3+ neurons throughout cortical lamina were transfected (Fig. 5A). Therefore, we complemented these orthograde tracing experiments with injections of fluorescently conjugated cholera toxin B, which incorporates into axonal terminals and transports retrogradely to somata. Alexa Fluor 488 conjugated cholera toxin was injected into four putative downstream targets in D3-Cre::Ai14 animals: contralateral mPFC and ipsilateral BLA, NAcc, and MD thalamus (Fig. 6A, insets). We then examined the extent and laminar distribution of overlap between D3+ and retrogradely labeled cell populations (Fig. 6). Using these methods, we identified a substantial L5 D3+ projection to both the NAcc and the contralateral mPFC. Indeed, the probability that a cell projected to the NAcc or mPFC, given that it was D3R-expressing, was ∼52% and ∼24%, respectively. In contrast, there was <10% probability that a D3+ L5 cell projected to the MD thalamus, a target of D2+ L5 neurons (Gee et al., 2012; Fig. 6C: n = 7/10/8/9, mPFC/NAcc/BLA/MD; ANOVA, F(3,30) = 39.24, p = 2 × 10−10; two-sample t test, Holm–Sidak correction, mPFC vs NAcc: t(15) = −4.77, mPFC vs BLA: t(13) = 3.10, mPFC vs MD: t(14) = 3.78, NAcc vs BLA, t(16) = 7.76, NAcc vs MD: t(17) = 8.55; p < 0.05). Therefore, though both D2R and D3R are of the same receptor family, they have distinct downstream targets. Instead, L5 D3+ and D1+ neurons share a common projection to contralateral cortex, suggesting that corticocortical networks can be modified by both Gs- and Gi-coupled dopamine receptor classes.
Dopamine regulates AIS Ca and burst initiation in D3R-expressing neurons
Recently, we found that D3Rs regulate a subset of Ca channels expressed in the AIS of auditory brainstem interneurons. Because pyramidal cells also express Ca channels in the AIS (Bender and Trussell, 2009; Yu et al., 2010), we investigated whether D3Rs had a similar function in the mPFC. Spike trains were evoked with somatic current injection (3×50 Hz, 1.5–2 nA, 2 ms per stimulus) and resultant axonal Ca transients were imaged 25–35 μm distal to the axon hillock. AIS Ca channel modulation was then assessed with the D2/D3R agonist quinpirole (2 μm) in the presence of 10 μm NBQX, 10 μm R-CPP, and 10 μm SR-95531. Although spike-evoked Ca influx was observed in the AIS of all three pyramidal subclasses, Ca influx was modulated only in fluorescently tagged D3+ neurons or neurons classified as Type 3 (Fig. 7B: normalized ΔG/Gsat, D1+: 0.98 ± 0.02, n = 10; Type 2: 1.00 ± 0.03, n = 4; D3+: 0.69 ± 0.03, n = 10; Type 3: 0.72 ± 0.03, n = 10; D3+ or Type 3 vs D1+ and Type 2; p < 0.05; ANOVA, two-sample t tests, Holm–Sidak correction; see below for statistics). Quinpirole had no effect on AIS Ca in Type 3 neurons in D3R−/− mice or in wild-type mice in the presence of the D3R antagonist GR103691 (5 μm) (Fig. 7B: normalized ΔG/Gsat, D3R−/−: 1.02 ± 0.03, n = 5; GR103691: 0.98 ± 0.04, n = 4; p < 0.05 vs quinpirole alone [statistical values for all comparisons shown in Fig. 7B: ANOVA, F(6,41) = 25.19, p = 3 × 10−12; two-sample t test, Holm–Sidak correction, Type 3 quinpirole vs Type 3 GR103691 + quinpirole, t(12) = −4.51, Type 3 quinpirole vs Type 3 D3−/− + quinpirole, t(13) = −5.90, Type 3 quinpirole vs Type 3 Cav3.2−/− + quinpirole, t(13) = −4.85, Type 3 quinpirole vs D1+ quinpirole, t(18) = 7.05, Type 3 quinpirole vs Type 2 quinpirole, t(12) = 5.02, D3+ quinpirole vs Type 3 GR103691 + quinpirole, t(12) = −5.88, D3+ quinpirole vs Type 3 D3−/− + quinpirole, t(13) = −7.54, D3+ quinpirole vs Type 3 Cav3.2−/− + quinpirole, t(13) = −6.23, D3+ quinpirole vs D1+ quinpirole, t(18) = 9.00, D3+ quinpirole vs Type 2 quinpirole, t(12) = −6.51]). Furthermore, AIS Ca was sensitive to endogenous dopamine because optogenetic stimulation of endogenous TH+ fibers was sufficient to alter AIS Ca transients (TH-Cre::Ai32 mice, see Materials and Methods, Fig. 7C; normalized ΔG/Gsat, ChR2 stimulation alone: 0.75 ± 0.04, n = 8; stimulation in 1 μm sulpiride: 0.93 ± 0.03, n = 4; Wilcoxon's rank-sum test: W = 40, p = 0.04).
In previous work in auditory brainstem, we found that D3Rs specifically modulate CaV3 calcium channels (Bender et al., 2010; Yang et al., 2016). Here, we found that AIS Ca was modulated only in D3+/Type 3 cells. This may reflect selective expression of CaV3 channels in this cell class and not in D1+ or D2+ cells. To test this, we made voltage-clamp recordings with Cs-based internal, 500 nm TTX, and 1 mm Cs to block K, Na, and HCN channels, respectively, and imaged Ca influx in the AIS of fluorescently tagged cells (Fig. 7D). Putative CaV3 current was isolated with voltage steps from −100 mV to −50 mV. Interestingly, all 3 cell classes displayed comparable levels of AIS Ca influx (D1+: 3.6 ± 0.6, n = 6; D2+: 3.5 ± 0.4, n = 3; D3+: 3.4 ± 1.2, n = 8; ΔG/Gsat, ANOVA, p = 0.99) even though whole-cell CaV3 currents were smaller in D3+ cells (D1+: −292 ± 35 pA; D2+: −271 ± 58 pA; D3+: −148 ± 15 pA; ANOVA, F(2,14) = 8.03, p = 0.005; two-sample t test, Holm–Sidak correction, D1+ vs D3+: t(12) = −4.14, D2+ vs D3+: t(9) = −2.98; p < 0.05). Whole-cell current and imaged Ca transients were sensitive to the selective CaV3 antagonist TTA-P2 (1 μm), indicating that CaV3 channels are found throughout dendritic and AIS compartments in all classes (Fig. 7D,E). Despite similar AIS Ca channel expression across cell classes, quinpirole-dependent modulation was observed only in the AIS of D3+ neurons (D3+ AIS G/Gsat: 60 ± 5% of baseline; ANOVA, D1+/D2+/D3+, F(2,14) = 13.38, p = 6 × 10−4; two-sample t test, Holm–Sidak correction, D1+ vs D3+: t(12) = 5.90, D2+ vs D3+: t(9) = 3.25; p < 0.05). Consistent with these voltage-clamp results, 1 μm TTA-P2 reduced spike-evoked Ca influx in current-clamp recordings from Type 3 neurons (Fig. 7C: normalized ΔG/Gsat: 0.67 ± 0.03, n = 5). Quinpirole did not alter AIS Ca after TTA-P2 application or in CaV3.2 knock-out mice, indicating that CaV3.2 isoforms are the target of D3R modulation (Fig. 7B,C: normalized ΔG/Gsat, quinpirole in TTA, normalized to pre-TTA baseline: 0.66 ± 0.02, n = 5, Wilcoxon's signed-rank test vs TTA baseline: p = 0.44; CaV3.2−/−: 0.98 ± 0.04, n = 5, p < 0.05). Overall, these data indicate that, whereas AIS Ca channels are common to multiple neuron classes (Bender and Trussell, 2009; but see Yu et al., 2010), they are subject to AIS neuromodulation only in neurons that coexpress D3R and these cells can be distinguished based on electrophysiological properties.
CaV3 channels underlie burst generation in multiple cell classes (Williams and Stuart, 1999; Cain and Snutch, 2010) and modulating AIS CaV3 channels can suppress both evoked and spontaneous spike burst generation in cartwheel cells (Bender et al., 2010, 2012). Because bursts initiate in the AIS of pyramidal neurons (Kole, 2011), we hypothesized that AIS Ca channel modulation could suppress burst firing in D3+ cells. To test this, we first suppressed AIS Ca influx during evoked spike trains with targeted iontophoresis of the Ca channel antagonist Ni. In these experiments, control and Ni-paired bursts were interleaved and iontophoretic intensity was calibrated to match the relative reduction in AIS Ca influx observed after dopaminergic modulation (Fig. 8A–D). This partial block of AIS CaV channels is a good approximation of the actions of D3R because we showed recently that D3R signaling acts to hyperpolarize voltage-dependent steady-state inactivation of AIS-localized CaV3.2 channels (Yang et al., 2016). This reduces channel availability at resting Vm and is therefore similar to antagonist block. Local Ca influx in response to a train of APs (3 × 50 Hz) was reduced to 0.61 ± 0.02 of baseline when Ni iontophoresis was focused on the AIS (n = 8). AIS Ca was not altered if the pipette was targeted to a neighboring basal dendrite 15–20 μm from the AIS, suggesting that Ni iontophoresis can be restricted to a small volume (Fig. 8C: 1.04 ± 0.03 of baseline, n = 4; Wilcoxon's rank-sum test, AIS vs dendrite Ni: W = 36, p = 0.004).
After calibration of Ni iontophoretic intensity, stimuli were switched from APs to trains of Poisson-distributed idealized excitatory postsynaptic conductances (EPSGs), which were adjusted in amplitude to evoke a mix of single spike and burst events throughout the train. The same EPSG stimulus was then delivered repeatedly, paired with or without Ni application in an interleaved fashion. When Ni iontophoresis was applied to the AIS, a modest reduction in the number of events was observed (Fig. 8E: 0.82 ± 0.05 events per epoch, relative to baseline, n = 6; “events” defined as either a single spike or spike burst with an interspike interval <20 ms). In contrast, no change in event frequency was observed if Ni was applied to a neighboring dendrite (1.02 ± 0.03, n = 3; p = 0.02 vs AIS application, Wilcoxon's rank-sum test, W = 24). This event reduction was due to a selective loss of high-frequency bursts; burst occurrence was markedly reduced by AIS Ni (Fig. 8G: AIS Ni: 0.28 ± 0.08 of baseline; dendrite Ni: 0.91 ± 0.1; Wilcoxon's rank-sum test, W = 21, p = 0.02), whereas the single spike rate was unchanged (Fig. 8F: AIS Ni: 1.03 ± 0.09 of baseline, dendrite Ni: 1.03 ± 0.04; Wilcoxon's rank-sum test, p = 0.43). Similarly, D3R-dependent modulation also reduced event output through a selective suppression of bursts and these effects were blocked by preapplication of sulpiride (events, quinpirole: 0.79 ± 0.06 of baseline, n = 5; events, sulpiride + quinpirole: 1.05 ± 0.05, n = 5, Wilcoxon's rank-sum test: W = 16, p = 0.016; bursts, quinpirole: 0.14 ± 0.09; bursts, sulpiride + quinpirole: 1.08 ± 0.11, Wilcoxon's rank-sum test: W = 15, p = 0.008; single spikes, quinpirole: 0.90 ± 0.08; single spikes, sulpiride + quinpirole: 1.02 ± 0.09, Wilcoxon's rank-sum test: p = 0.22). This suggests that regulation of AIS Ca influx is a critical determinant for AP burst output in D3+ neurons and that D3Rs can regulate selectively the temporal features of spike output from this pyramidal cell class.
Discussion
Although the D3R has been observed previously in L5 PFC in both primate and rodent (Bouthenet et al., 1991; Lidow et al., 1998) and has a role in prefrontal-dependent behaviors (Nakajima et al., 2013), how it regulates neuronal function has been unclear. Combining electrophysiological and imaging approaches, we identified a novel class of IT neurons in which D3Rs regulated neuronal excitability at the AIS. Using a supervised machine learning approach, we found that dopamine receptor expression (D1, D2, D3) strongly predicted the subthreshold and suprathreshold electrophysiological properties of mPFC neurons. Dopamine receptor expression correlated with morphological differences between the subtypes, as well as differences in laminar distribution. D3+ cells were further distinguished from D2+ cells by their axonal projection targets. Although D2+, Type 2 neurons targeted subcortical regions such as the pons and thalamus, D3+ neurons had projection patterns more consistent with D1+ neurons, including projections to contralateral mPFC and bilateral NAcc and BLA (Dembrow et al., 2010; Gee et al., 2012; Seong and Carter, 2012; Land et al., 2014). Based on these results, we propose that D1R, D2R, and D3R expression defines largely distinct L5 pyramidal cell classes in mPFC, each with unique catecholaminergic responses.
Cell-class-specific function of neuromodulatory receptors
Although we describe three prefrontal L5 pyramidal neuron subtypes, prior studies largely focused on two subtypes: thick-tufted PT neurons with regular firing and large voltage sag and thin-tufted IT neurons with spike adaptation and low voltage sag (Morishima and Kawaguchi, 2006; Dembrow et al., 2010; Gee et al., 2012; Seong and Carter, 2012). D3+ neurons are likely a subset of the previously described IT neurons and were identified by characterizing multiple electrophysiological parameters. This is consistent with other recent studies reporting heterogeneity in cortically projecting, low-voltage-sag subtypes, in which both intrinsic firing patterns and response to neuromodulators help to describe two to three distinct groups (Otsuka and Kawaguchi, 2011; Avesar and Gulledge, 2012; van Aerde et al., 2015).
Although we found that D1+, D2+, and D3+ pyramidal neurons were generally distinct cell classes, we did identify a fraction of genetically labeled neurons (∼14%) that had an electrophysiological phenotype not predicted by their fluorescent marker (Fig. 2F). These cross-classified cells may represent a subset of cells that coexpress dopamine receptors because colabeled cells were also observed in D1-tdTomato/D3-cre animals (29% of D3+ cells and 9% of D1+ cells). Coexpression of D1R and D2R occurs in a similar fraction of cells in areas of the ventral striatum, including the NAc core and shell (Bertran-Gonzalez et al., 2008). Although coexpressing neurons comprise a small fraction of the pyramidal cell population in mPFC, further work will be needed to determine whether dopamine affects these neuronal populations differently than those that express a single dopamine receptor. In addition, all five dopamine receptor subtypes are expressed in L5 PFC (Lidow et al., 1998). D4 and D5 reporter lines suggest that both receptors localize to cells in L5b and L6 and colabeling studies in nonhuman primates indicate that D1 and D5 colabel pyramidal cells (Bergson et al., 1995; Gong et al., 2003; Noaín et al., 2006). How these different distributions of dopamine receptors contribute to PFC processing will be important to determine.
The mPFC also receives convergent input from numerous ascending neuromodulatory pathways, including serotonergic, cholinergic, and adrenergic afferent systems. Our study adds to growing evidence that modulatory regulation of prefrontal neurons depends strongly on their long-range targets (Dembrow and Johnston, 2014). For example, pyramidal cell integration of serotonergic input is also subtype specific, with excitatory and biphasic responses to serotonin by IT neurons via 5-HT2A receptors and purely inhibitory responses by PT neurons via 5-HT1A receptors (Avesar and Gulledge, 2012). This result suggests the PT D2+ subtype may coexpress the 5-HT1A receptor, whereas D1+ and/or D3+ subtypes may coexpress the 5-HT2A receptor. In addition, IT and PT mPFC neurons also undergo differential adrenergic and cholinergic modulation, with both neuromodulators having larger effects on PT cell excitability, in part through HCN channels that are expressed at higher levels in PT cells (Dembrow et al., 2010). Determining the overlap or segregation of these subcircuits within the mPFC will advance our understanding of how concerted actions by neuromodulators affect prefrontal network activity.
Implications for mPFC D3 receptor function in health and disease
An analysis of mPFC pyramidal cell subclass anatomy and electrophysiology, combined with the functional analysis of D3R here and D1R/D2R in previous work (Gee et al., 2012; Seong and Carter, 2012), revealed that some cell-intrinsic aspects of dopaminergic modulation in mPFC are subclass dependent. Although CaV3-mediated AIS Ca influx was present in all three cell classes (Fig. 7, but see Yu et al., 2010), channel modulation occurred only in D3R-expressing neurons, identified either through fluorescent tag (D3-Cre::Ai14) or electrophysiological identification (Type 3). Modulation was restricted to AIS-localized CaV3 channels, consistent with previous findings in D3R-expressing auditory brainstem neurons (Bender et al., 2010, 2012; Yang et al., 2016). Within these neurons, we observed a marked reduction of both evoked and spontaneous bursts (Bender and Trussell, 2009; Bender et al., 2012). Here, we find similar effects in D3+ mPFC pyramidal cells (Fig. 8). AIS Ca channels are common to broad neuronal classes (Schiller et al., 1995; Callewaert et al., 1996; Lüscher et al., 1996; Bender and Trussell, 2009; Yu et al., 2010; François et al., 2015; Gründemann and Clark, 2015; Martinello et al., 2015; Apostolides et al., 2016) and D3Rs are broadly distributed, especially in limbic regions (Bouthenet et al., 1991; Lévesque et al., 1992, also see Fig. 5). Therefore, AIS Ca modulation may be a common mechanism by which D3Rs regulate neuronal excitability throughout the brain.
In vivo, prefrontal neurons exhibit sparse AP firing, interspersed with short, high-frequency bursts (Boudewijns et al., 2013). Selective reduction of AP burst output in D3R-expressing neurons provides a novel mechanism for dopaminergic modulation to regulate mPFC information processing because both behavioral and physiological evidence suggests that AP bursts contain a distinct neural code. Prefrontal bursting is both modulated by and predictive of learning within multiple behavioral paradigms (Laviolette et al., 2005; Burgos-Robles et al., 2007). At the synaptic level, bursts facilitate plasticity, producing dendritic Ca-regenerative activity and depolarization required for NMDA receptor activation (Kampa et al., 2007). In addition, high-frequency bursts increase synaptic transmission reliability, especially at synapses with low release probability that exhibit short-term facilitation (Lisman, 1997). Moreover, release probability can vary based on postsynaptic target (Markram et al., 1998). If this variability exists within D3R-expressing pyramidal cell networks, then burst regulation may route information to specific postsynaptic networks in a dopamine-dependent manner.
D3Rs have long been considered a potential therapeutic target for the treatment of serious mental illness (Sokoloff and Le Foll, 2017), especially because currently prescribed antipsychotics have high D3R affinity (Joyce and Millan, 2005). Determining a specific role for D3R in mental illness has been hampered by our poor understanding of its cellular distribution and function in prefrontal circuits. Here, we demonstrated that D3Rs have a distinct role within mPFC. Although both D2Rs and D3Rs are generally thought to signal through Gi/o, AIS Ca was only modulated in D3R-expressing neurons, not in neighboring D2R-expressing neurons. Indeed, we showed recently that D3Rs regulate AIS CaV3.2 channels through a noncanonical, arrestin-dependent pathway, both in auditory brainstem neurons and in heterologous expression systems (Yang et al., 2016). Interestingly, arrestin-biased compounds have been shown recently to alleviate schizophrenia-like phenotypes in mouse models (Urs et al., 2016). As targeted therapies continue to be developed, future work will be critical to determine whether interactions with mPFC D3Rs contribute to antipsychotic efficacy.
Footnotes
- Received January 20, 2017.
- Revision received April 13, 2017.
- Accepted April 18, 2017.
This work was supported by the National Science Foundation (Graduate Research Fellowship 1144247 to R.L.C.) and the National Institutes of Health (Grants DC011080, DA035913, and MH112729 to K.J.B. and Grant MH100292 to V.S.S.). TTA-P2 was generously provided by Merck. We thank Howard Fields, Michael Roberts, Sidney Kuo, Gregory Hjelmstad, Patrick Sheets, and members of the Bender laboratory for discussions and comments on this work and Madeline Ferwerda, Jiggy Athilingam, and Caroline Keeshen for sharing their genotyping expertise.
The authors declare no competing financial interests.
- Correspondence should be addressed to Kevin J. Bender, UCSF Sandler Neurosciences Center, Box 0444, 675 Nelson Rising Lane, Room 514A, San Francisco, CA 94158. kevin.bender{at}ucsf.edu
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