Involvement of muscarinic receptors in psychomotor hyperactivity in dopamine-deficient mice
Molecular Brain volume 15, Article number: 96 (2022)
Dopamine-deficient (DD) mice exhibit psychomotor hyperactivity that might be related to a decrease in muscarinic signaling. In the present study, muscarinic acetylcholine receptor M2 (CHRM2) density decreased in the cortex in DD mice. This is significant because cortical CHRM2 acts as an autoreceptor; therefore, changes in CHRM2 levels could alter acetylcholine in DD mice. We also found that the CHRM1/CHRM4 agonist xanomeline and CHRM2 agonist arecaidine propargyl ester tosylate inhibited hyperactivity in DD mice, suggesting that postsynaptic CHRM1 and CHRM2 and presynaptic CHRM2 may be involved in hyperactivity in DD mice.
A decrease in dopamine levels is generally considered to impair motor function. We used a dopamine-deficient (DD) mouse model in which the tyrosine hydroxylase (TH) gene is knocked out but TH expression is rescued in noradrenergic and adrenergic neurons by introducing a transgene that expresses TH under the dopamine β-hydroxylase promotor . Using this model, we previously reported that DD mice, which have extremely low levels of dopamine in the brain, are hyperactive when placed in a novel environment . Hyperactivity in DD mice was not suppressed by typical antipsychotics but was reduced by clozapine, suggesting that this psychomotor hyperactivity might reflect a treatment-resistant schizophrenia-like phenotype .
Unlike typical antipsychotic drugs, clozapine and its metabolites target muscarinic acetylcholine receptors (CHRMs), which mediate the regulation of ion channels by activating signal-transducing G proteins and intracellular effector systems [3, 4]. Thus, clozapine and/or its metabolites could exert therapeutic effects by exerting actions on CHRMs, which are suggested to be involved in the pathophysiology of schizophrenia . We previously reported that hyperactivity in DD mice in a novel environment was inhibited by oxotremorine , a nonselective CHRM agonist , and acetylcholine levels decreased in DD mice . Acetylcholine plays a key role in various nervous system functions, including the contraction of skeletal muscles, emotion, perception, cognition, learning, and memory. These results suggest that a decrease in CHRM activation that is caused by a decrease in acetylcholine could be involved in hyperactivity in DD mice. The present study investigated whether CHRM density is disturbed and whether a CHRM subtype-selective agonist or antagonist affects locomotor activity in DD mice.
Male and female DD mice on a C57BL/6J background were maintained on daily intraperitoneal injections of 50 mg/kg l-3,4-dihydroxyphenylalanine (l-DOPA; Nacalai Tesque, Kyoto, Japan) until 6 weeks of age. The DD mice were then given a paste diet that was soaked in water and contained 500 mg l-DOPA, 125 mg benserazide (Fujifilm Wako Pure Chemical, Tokyo, Japan), and 250 mg ascorbic acid (Nakalai Tesque) in 1 kg of powdered feed. The DD mice were given a 50 mg/kg l-DOPA injection 72 h before testing. For the binding assays, brain samples were collected 72 h after the l-DOPA injection and then stored at − 80 °C until use. Levels of [3H]pirenzepine (CHRM1 antagonist; DuPont, Melbourne, Australia), [3H]AFDX-384 (CHRM2 antagonist; DuPont), and [3H]4-DAMP (CHRM3 antagonist; DuPont) binding were measured using established methodologies . Locomotor activity was measured in a novel environment as described previously . In the present study, we used a commercially available CHRM subtype-selective agonist and antagonist. Xanomeline (CHRM1/CHRM4 agonist; 10 mg/kg; Tocris Bioscience, Bristol, UK), arecaidine propargyl ester tosylate (CHRM2 agonist; 5 mg/kg; Tocris Bioscience), VU0255035 (CHRM1 antagonist; 10 mg/kg; Tocris Bioscience), and AQRA-741 (CHRM2 antagonist; 1 mg/kg; Tocris Bioscience) were dissolved in saline and administered subcutaneously. The dose of each drug was determined according to doses that were used in mice in previous studies or doses that decreased locomotor activity in wildtype (WT) mice [8,9,10]. The statistical analyses were performed using Student’s t-test or two-way repeated-measures analysis of variance (ANOVA) followed by the Scheffe post hoc test. Values of p < 0.05 were considered statistically significant. The data were analyzed using BellCurve for Excel software (Social Survey Research Information, Tokyo, Japan).
Results and discussion
No significant differences in [3H]pirenzepine or [3H]4-DAMP binding were found in the cortex or striatum between DD and WT mice. The binding of [3H]AFDX-384 was significantly higher in the cortex but not striatum in DD mice (Fig. 1a–c). These data suggest that CHRM2 levels in the cortex increased in DD mice, whereas CHRM1, CHRM3, and CHRM4 levels were unaltered in the cortex and striatum in DD mice. Notably, our previous data from CHRM knockout mice showed that the methodology we used in the present study means that [3H]AFDX-384 preferentially binds to CHRM2 [11, 12]. Therefore, our data suggest that CHRM2 levels are higher in the cortex in DD mice (p = 0.0048). The cerebral cortex receives cholinergic afferents from the nucleus of Meynert. This is important because CHRM2 in the cortex predominantly acts as a cholinergic autoreceptor  that aids in the regulation of acetylcholine from presynaptic neurons. Higher levels of CHRM2 in DD mice could reflect a compensatory increase in sensitivity of the autoreceptor-driven feedback loop in an attempt to reduce acetylcholine levels in DD mice.
Hyperactivity in DD mice was reduced by treatment with xanomeline (Fig. 1d) and arecaidine propargyl ester tosylate (Fig. 1e). However, the effect of arecaidine propargyl ester tosylate was shorter than xanomeline. Hyperactivity was not reduced by treatment with VU0255035 (Fig. 1f) or AQRA-741 (Fig. 1g). Xanomeline is a CHRM1/CHRM4 agonist, arecaidine propargyl ester tosylate is a CHRM2 agonist, VU0255035 is a CHRM1 antagonist, and AQRA-741 is a CHRM2 antagonist. Based on these data, low levels of acetylcholine in DD mice may cause a maximal change in locomotion that is not further influenced by a receptor antagonist that lowers cholinergic activity in the brain. In contrast, the reversal of hyperactivity by a CHRM2 agonist and CHRM1/CHRM4 agonist suggests that CHRM2, CHRM1, and/or CHRM4 are involved in mediating hyperactivity in DD mice. Saline treatment alone did not affect hyperactivity in DD mice (Fig. 1h). All raw data are included in Additional file 1.
Xanomeline effectively suppressed hyperactivity in DD mice. Xanomeline treatment alone  and combined with a peripheral CHRM antagonist  effectively reduced clinical symptoms of schizophrenia in humans. Therefore, our preliminary data suggest that DD mice may be a valid model for studying the mechanisms by which CHRM agonists exert therapeutic effects in schizophrenia patients.
In conclusion, CHRM2 density increased in DD mice, possibly reflecting a physiological response to low levels of acetylcholine. Our data suggest that DD mice may be a useful model for studying cholinergic abnormalities that have been reported to exist in the central nervous system in schizophrenia patients.
Availability of data and materials
All data generated or analyzed during this study are included in this published article and its Additional file.
Muscarinic acetylcholine receptor
Nishii K, Matsushita N, Sawada H, Sano H, Noda Y, Mamiya T, et al. Motor and learning dysfunction during postnatal development in mice defective in dopamine neuronal transmission. J Neurosci Res. 1998;54:450–64.
Hagino Y, Kasai S, Fujita M, Setogawa S, Yamaura H, Yanagihara D, et al. Involvement of cholinergic system in hyperactivity in dopamine-deficient mice. Neuropsychopharmacology. 2015;40:1141–50.
Sur C, Mallorga PJ, Wittmann M, Jacobson MA, Pascarella D, Williams JB, et al. N-Desmethylclozapine, an allosteric agonist at muscarinic 1 receptor, potentiates N-methyl-d-aspartate receptor activity. Proc Natl Acad Sci USA. 2003;100:13674–9.
Lee YS, Park YS, Chang DJ, Hwang JM, Min CK, Kaang BK, et al. Cloning and expression of a G protein-linked acetylcholine receptor from Caenorhabditis elegans. J Neurochem. 1999;72:58–65.
Dean B, Scarr E. Muscarinic M1 and M4 receptors: hypothesis driven drug development for schizophrenia. Psychiatry Res. 2020;288: 112989.
Salah-Uddin H, Scarr E, Pavey G, Harris K, Hagan JJ, Dean B, et al. Altered M1 muscarinic acetylcholine receptor (CHRM1)-Gαq/11 coupling in a schizophrenia endophenotype. Neuropsychopharmacology. 2009;34:2156–66.
Dean B, Crook JM, Opeskin K, Hill C, Keks N, Copolov DL. The density of muscarinic M1 receptors is decreased in the caudate-putamen of subjects with schizophrenia. Mol Psychiatry. 1996;1:54–8.
Montani C, Canella C, Schwarz AJ, Li J, Gilmour G, Galbusera A, et al. The M1/M4 preferring muscarinic agonist xanomeline modulates functional connectivity and NMDAR antagonist-induced changes in the mouse brain. Neuropsychopharmacology. 2021;46:1194–206.
Crans RAJ, Wouters E, Valle-León M, Taura J, Massari CM, Fernández-Dueñas V, et al. Striatal dopamine D2-muscarinic acetylcholine M1 receptor-receptor interaction in a model of movement disorders. Front Pharmacol. 2020;11:194.
Joseph L, Thomsen M. Effects of muscarinic receptor antagonists on cocaine discrimination in wild-type mice and in muscarinic receptor M1, M2, and M4 receptor knockout mice. Behav Brain Res. 2017;329:75–83.
Jeon WJ, Gibbons AS, Dean B. The use of a modified [3H]4-DAMP radioligand binding assay with increased selectivity for muscarinic M3 receptor shows that cortical CHRM3 levels are not altered in mood disorders. Prog Neuropsychopharmacol Biol Psychiatry. 2013;47:7–12.
Gibbons AS, Scarr E, Boer S, Money T, Jeon WJ, Felder C, et al. Widespread decreases in cortical muscarinic receptors in a sub-set of people with schizophrenia. Int J Neuropsychopharmacol. 2013;16:37–46.
Zhang W, Basile AS, Gomeza J, Volpicelli LA, Levey AI, Wess J. Characterization of central inhibitory muscarinic autoreceptors by the use of muscarinic acetylcholine receptor knock-out mice. J Neurosci. 2002;22:1709–17.
Shekhar A, Potter WZ, Lightfoot J, Lienemann J, Dubé S, Mallinckrodt C, et al. Selective muscarinic receptor agonist xanomeline as a novel treatment approach for schizophrenia. Am J Psychiatry. 2008;165:1033–9.
Brannan SK, Sawchak S, Miller AC, Lieberman JA, Paul SM, Breier A. Muscarinic cholinergic receptor agonist and peripheral antagonist for schizophrenia. N Engl J Med. 2021;384:717–26.
The authors thank Michael Arends for editing the manuscript, Etsuko Kamegaya and Yuiko Ikekubo for assistance with breeding the DD mice, and Junko Hasegawa for assistance with DD mouse genotyping.
This study was supported by grants from JSPS KAKENHI (Nos. 15H01303, JP22H04922 [AdAMS] to KI), MEXT KAKENHI (No. 25116232 to KI), Takeda Science Foundation (to MF), and the Astellas Foundation for Research on Metabolic Disorders (to MF). The funding agencies had no role in the design of the study, the collection, analysis, and interpretation of data, and writing the manuscript.
Ethics approval and consent to participate
All animal experiments and housing conditions were approved by the Institutional Animal Care and Use Committee (Animal Experimentation Ethics Committee, Tokyo Metropolitan Institute of Medical Science; Approval No. 22-012).
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The authors declare that they have no competing interests.
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Fujita, M., Ochiai, Y., Hagino, Y. et al. Involvement of muscarinic receptors in psychomotor hyperactivity in dopamine-deficient mice. Mol Brain 15, 96 (2022). https://doi.org/10.1186/s13041-022-00984-x
- Dopamine deficient
- Muscarinic signaling
- Muscarinic receptor
- Binding assay