Research Highlights: Targeting Challenges in Mental Health
Each and every day, NewYork-Presbyterian researchers and clinician-scientists are advancing knowledge in virtually every medical specialty. At Weill Cornell Medicine and Columbia University Vagelos College of Physicians and Surgeons, faculty are targeting some of today’s most formidable health challenges, pushing scientific discoveries forward and applying research breakthroughs to improving the lives of patients everywhere. In this issue of Advances, we share several of our recent investigations in behavioral health.
‘Anxiety Cells’ Identified in the Brain’s Hippocampus
Neuroscientists at Columbia University Medical Center and the University of California, San Francisco, have found in mice that certain brain cells in the hippocampus fire when the animal is anxious, triggering anxiety-related behaviors. While the researchers found the cells in the brains of mice, they believe that the cells probably also exist in humans, notes Rene Hen, PhD, Professor of Neuroscience and Pharmacology in Psychiatry at Columbia and one of the study’s senior investigators. “We call these anxiety cells because they only fire when the animals are in places that are innately frightening to them,” says Dr. Hen. “For a mouse, that’s an open area where they’re more exposed to predators, or an elevated platform.”
The firing of the anxiety cells sends messages to other parts of the brain that turn on anxious behaviors; in mice, those include avoiding the dangerous area or fleeing to a safe zone.
Though many other cells in the brain have been identified as playing a role in anxiety, the cells found in this study are the first known to represent the state of anxiety, regardless of the type of environment that provokes the emotion.
“This is exciting because it represents a direct, rapid pathway in the brain that lets animals respond to anxiety-provoking places without needing to go through higher-order brain regions,” says Mazen Kheirbek, PhD, Assistant Professor of Psychiatry at UCSF and the study’s other senior investigator.
“Now that we’ve found these cells in the hippocampus, it opens up new areas for exploring treatment ideas that we didn’t know existed before,” says lead author Jessica Jimenez, PhD, an MD/PhD student at Columbia University’s Vagelos College of Physicians and Surgeons
The findings appeared in the February 2018 issue of Neuron. “This study shows how translational research using basic science techniques in animal models can elucidate the underlying basis of human emotions and reasons for mental disorders, thereby pointing the way for treatment development,” says Jeffrey A. Lieberman, MD, the Lawrence C. Kolb Professor and Chair of Psychiatry at Columbia and Psychiatrist-in-Chief at NewYork-Presbyterian/Columbia University Irving Medical Center.
To understand how things go awry in anxiety disorders, researchers in the Hen lab have been looking at mice to decipher how the brain processes healthy anxiety. “We wanted to understand where the emotional information that goes into the feeling of anxiety is encoded within the brain,” says Dr. Kheirbek, who was an Assistant Professor at Columbia before moving to UCSF.
The hippocampus plays a well-known role in the brain’s ability to form new memories and to help animals — from mice to humans — navigate through complex environments. But recent research has also implicated the hippocampus in regulating mood, and studies have shown altering brain activity in the ventral part of the hippocampus can reduce anxiety. It’s also known that the hippocampus sends signals to the amygdala and the hypothalamus that have also been shown to control anxiety-related behavior.
Using a miniature microscope inserted into the brains of the mice, Dr. Hen’s team recorded the activity of hundreds of cells in the hippocampus as the mice freely moved around their surroundings. Whenever the animals were in exposed, anxiety-provoking environments, the researchers noticed that specific cells in the ventral part of the hippocampus were active. And the more anxious the mice seemed, the greater the activity in the cells.
The researchers traced the output of those cells to the hypothalamus, which is known to control behaviors associated with anxiety, including increased heart rate, avoidance, and secretion of stress hormones. By turning the anxiety cells off and on using optogenetics that allows scientists to control the activity of neurons using beams of light, the researchers found that the anxiety cells control anxiety behaviors. When the cells were silenced, the mice stopped producing fear-related behaviors, wandering onto elevated platforms and away from protective walls. When the anxiety cells were stimulated, the mice exhibited more fear behaviors even when they were in “safe” surroundings.
The discovery of the anxiety cells raises the possibility of finding treatments that target them and reduce anxiety. "We’re looking to see if these cells are different molecularly from other neurons,” says Dr. Hen. “If there’s a specific receptor on the cells that distinguishes them from their neighbors, it may be possible to produce a new drug to reduce anxiety."
Jimenez JC, Su K, Goldberg AR, Luna VM, Biane JS, Ordek G, Zhou P, Ong SK, Wright MA, Zweifel L, Paninski L, Hen R, Kheirbek MA. Anxiety cells in a hippocampal-hypothalamic circuit. Neuron. 2018 Feb 7;97(3):670-83.e6.