Cardiogenic control of affective behavioural state

Brian Hsueh(Stanford University), Ritchie Chen(Stanford University), YoungJu Jo(Stanford University), Daniel D. Tang(Stanford University), Misha Raffiee(Stanford University), Yoon Seok Kim(Stanford University), Masatoshi Inoue(Stanford University), Sawyer Randles(Stanford University), Charu Ramakrishnan(Stanford University), Sneha Patel(Stanford University), Doo Kyung Kim(Stanford University), Tony X. Liu(Stanford University), Soo Hyun Kim(Stanford University), Longzhi Tan(Stanford University), Leili Mortazavi(Stanford University), Arjay Cordero(Stanford University), Jenny Shi(Stanford University), Mingming Zhao(Stanford University), Theodore Ho(Stanford University), Ailey Crow(Stanford University), Ai-Chi Wang Yoo(Stanford University), Cephra Raja(Stanford University), Kathryn E. Evans(Stanford University), Daniel Bernstein(Stanford University), Michael Zeineh(Stanford University), Maged Goubran(Stanford University), Karl Deisseroth(Howard Hughes Medical Institute)
Nature
March 1, 2023
Cited by 318Open Access
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Abstract

Abstract Emotional states influence bodily physiology, as exemplified in the top-down process by which anxiety causes faster beating of the heart 1–3 . However, whether an increased heart rate might itself induce anxiety or fear responses is unclear 3–8 . Physiological theories of emotion, proposed over a century ago, have considered that in general, there could be an important and even dominant flow of information from the body to the brain 9 . Here, to formally test this idea, we developed a noninvasive optogenetic pacemaker for precise, cell-type-specific control of cardiac rhythms of up to 900 beats per minute in freely moving mice, enabled by a wearable micro-LED harness and the systemic viral delivery of a potent pump-like channelrhodopsin. We found that optically evoked tachycardia potently enhanced anxiety-like behaviour, but crucially only in risky contexts, indicating that both central (brain) and peripheral (body) processes may be involved in the development of emotional states. To identify potential mechanisms, we used whole-brain activity screening and electrophysiology to find brain regions that were activated by imposed cardiac rhythms. We identified the posterior insular cortex as a potential mediator of bottom-up cardiac interoceptive processing, and found that optogenetic inhibition of this brain region attenuated the anxiety-like behaviour that was induced by optical cardiac pacing. Together, these findings reveal that cells of both the body and the brain must be considered together to understand the origins of emotional or affective states. More broadly, our results define a generalizable approach for noninvasive, temporally precise functional investigations of joint organism-wide interactions among targeted cells during behaviour.


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