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Chiu YT, Deutch AY, Wang W, Schmitz GP, Huang KL, Kocak DD, Llorach P, Bowyer K, Liu B, Sciaky N, Hua K, Chen C, Mott SE, Niehaus J, DiBerto JF, English J, Walsh JJ, Scherrer G, Herman MA, Wu Z, Wetsel WC, Roth BL. A suite of engineered mice for interrogating psychedelic drug actions. bioRxiv 2023:2023.09.25.559347. [PMID: 37808655 PMCID: PMC10557740 DOI: 10.1101/2023.09.25.559347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/10/2023]
Abstract
Psychedelic drugs like lysergic acid diethylamide (LSD) and psilocybin have emerged as potentially transformative therapeutics for many neuropsychiatric diseases, including depression, anxiety, post-traumatic stress disorder, migraine, and cluster headaches. LSD and psilocybin exert their psychedelic effects via activation of the 5-hydroxytryptamine 2A receptor (HTR2A). Here we provide a suite of engineered mice useful for clarifying the role of HTR2A and HTR2A-expressing neurons in psychedelic drug actions. We first generated Htr2a-EGFP-CT-IRES-CreERT2 mice (CT:C-terminus) to independently identify both HTR2A-EGFP-CT receptors and HTR2A-containing cells thereby providing a detailed anatomical map of HTR2A and identifying cell types that express HTR2A. We also generated a humanized Htr2a mouse line and an additional constitutive Htr2A-Cre mouse line. Psychedelics induced a variety of known behavioral changes in our mice validating their utility for behavioral studies. Finally, electrophysiology studies revealed that extracellular 5-HT elicited a HTR2A-mediated robust increase in firing of genetically-identified pyramidal neurons--consistent with a plasma membrane localization and mode of action. These mouse lines represent invaluable tools for elucidating the molecular, cellular, pharmacological, physiological, behavioral, and other actions of psychedelic drugs in vivo.
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Affiliation(s)
- Yi-Ting Chiu
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Ariel Y. Deutch
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Pharmacology, Vanderbilt University, Nashville, TN, USA
| | - Wei Wang
- Appel Alzheimer’s Disease Research Institute, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, 10021, USA
| | - Gavin P Schmitz
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Karen Lu Huang
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
- Department of Cell Biology and Physiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
- UNC Neuroscience Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - D. Dewran Kocak
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Pierre Llorach
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
- UNC Neuroscience Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Kasey Bowyer
- Appel Alzheimer’s Disease Research Institute, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, 10021, USA
| | - Bei Liu
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Noah Sciaky
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Kunjie Hua
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Chongguang Chen
- Center for Substance Abuse Research, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
| | - Sarah E. Mott
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Jesse Niehaus
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
- Department of Cell Biology and Physiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
- UNC Neuroscience Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Jeffrey F. DiBerto
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Justin English
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
| | - Jessica J. Walsh
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
- UNC Neuroscience Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Grégory Scherrer
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
- Department of Cell Biology and Physiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
- UNC Neuroscience Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
- New York Stem Cell Foundation ‒ Robertson Investigator, Chapel Hill, NC 27599, USA
| | - Melissa A Herman
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
- Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599
| | - Zhuhao Wu
- Appel Alzheimer’s Disease Research Institute, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, 10021, USA
| | - William C Wetsel
- Departments of Psychiatry and Behavioral Sciences, Cell Biology, and Neurobiology, Duke University Medical Center, Durham, NC 27710, USA
- Mouse Behavioral and Neuroendocrine Analysis Core Facility, Duke University Medical Center, Durham, NC 27710, USA
| | - Bryan L Roth
- Department of Pharmacology, University of North Carolina at Chapel Hill, NC 27599, USA
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Pate BS, Bouknight SJ, Harrington EN, Mott SE, Augenblick LM, Smiley CE, Morgan CG, Calatayud BM, Martínez-Muñiz GA, Thayer JF, Wood SK. Site-Specific knockdown of microglia in the locus coeruleus regulates hypervigilant responses to social stress in female rats. Brain Behav Immun 2023; 109:190-203. [PMID: 36682513 DOI: 10.1016/j.bbi.2023.01.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 01/11/2023] [Accepted: 01/16/2023] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Women are at increased risk for psychosocial stress-related anxiety disorders, yet mechanisms regulating this risk are unknown. Psychosocial stressors activate microglia, and the resulting neuroimmune responses that females exhibit heightened sensitivity to may serve as an etiological factor in their elevated risk. However, studies examining the role of microglia during stress in females are lacking. METHODS Microglia were manipulated in the stress-sensitive locus coeruleus (LC) of female rats in the context of social stress in two ways. First, intra-LC lipopolysaccharide (LPS; 0 or 3 μg/side, n = 5-6/group), a potent TLR4 agonist and microglial activator, was administered. One hour later, rats were exposed to control or an aggressive social defeat encounter between two males (WS, 15-min). In a separate study, females were treated with intra-LC or intra-central amygdala mannosylated liposomes containing clodronate (m-CLD; 0 or 25 μg/side, n = 13-14/group), a compound toxic to microglia. WS-evoked burying, cardiovascular responses, and sucrose preference were measured. Brain and plasma cytokines were quantified, and cardiovascular telemetry assessed autonomic balance. RESULTS Intra-LC LPS augmented the WS-induced burying response and increased plasma corticosterone and interleukin-1β (IL-1β). Further, the efficacy and selectivity of microinjected m-CLD was fully characterized. In the context of WS, intra-LC m-CLD attenuated the hypervigilant burying response during WS as well as the accumulation of intra-LC IL-1β. Intra-central amygdala m-CLD had no effect on WS-evoked behavior. CONCLUSIONS These studies highlight an innovative method for depleting microglia in a brain region specific manner and indicate that microglia in the LC differentially regulate hypervigilant WS-evoked behavioral and autonomic responses.
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Affiliation(s)
- Brittany S Pate
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA; Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Samantha J Bouknight
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Evelynn N Harrington
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Sarah E Mott
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Lee M Augenblick
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Cora E Smiley
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA; WJB Dorn VA Medical Center, Columbia, SC, USA
| | - Christopher G Morgan
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Brittney M Calatayud
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Gustavo A Martínez-Muñiz
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA
| | - Julian F Thayer
- Department of Psychological Science, University of California, Irvine, CA, USA
| | - Susan K Wood
- Department of Pharmacology, Physiology and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, USA; WJB Dorn VA Medical Center, Columbia, SC, USA.
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Mott SE, Pope BS, Harrington EN, Wood SK. Estradiol Promotes Social Stress Susceptibility in Female Rats in a Region‐ and CRF‐Specific Manner. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r2191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sarah E. Mott
- Pharmacology, Physiology, and NeuroscienceUniversity of South Carolina School of MedicineColumbiaSC
| | - Brittany S. Pope
- Exercise ScienceUniversity of South Carolina Arnold School of Public HealthColumbiaSC
| | - Evelynn N. Harrington
- Pharmacology, Physiology, and NeuroscienceUniversity of South Carolina School of MedicineColumbiaSC
| | - Susan K. Wood
- Pharmacology, Physiology, and NeuroscienceUniversity of South Carolina School of MedicineColumbiaSC
- University of South Carolina School of MedicineColumbiaSC
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Rose CC, Haas MRC, Yilmaz Y, Alvarez A, Mott SE, Landry AI, Gisondi MA, Ankel F, Lin M, Chan TM. ALiEM Connect: Large-Scale, Interactive, Virtual Residency Programming in Response to COVID-19. Acad Med 2021; 96:1419-1424. [PMID: 33883400 PMCID: PMC8475644 DOI: 10.1097/acm.0000000000004122] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PROBLEM The COVID-19 pandemic restricted in-person gatherings, including residency conferences. The pressure to quickly reorganize educational conferences and convert content to a remote format overwhelmed many programs. This article describes the pilot event of a large-scale, interactive, virtual educational conference modeled, designed, and implemented by Academic Life in Emergency Medicine (ALiEM), called ALiEM Connect. APPROACH The pilot ALiEM Connect event was conceptualized and implemented within a 2-week period in March 2020. The pilot was livestreamed via a combination of Zoom and YouTube and was archived by YouTube. Slack was used as a backchannel to allow interaction with other participants and engagement with the speakers (via moderators who posed questions from the backchannel to the speakers live during the videoconference). OUTCOMES The RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework was used for program evaluation, showing that 64 U.S. Accreditation Council for Graduate Medical Education-accredited emergency medicine residency programs participated in the pilot event, with 1,178 unique users during the event (reach). For effectiveness, 93% (139/149) of trainees reported the pilot as enjoyable and 85% (126/149) reported it was equivalent to or better than their usual academic proceedings. Adoption for ALiEM Connect was fairly good with 64/237 (27%) of invited residency programs registering and participating in the pilot event. Implementation was demonstrated by nearly half of the livestream viewers (47%, 553/1,178) interacting in the backchannel discussion, sending a total of 4,128 messages in the first 4 hours. NEXT STEPS The final component of the RE-AIM framework, maintenance, will take more time to evaluate. Further study is required to measure the educational impact of events like the ALiEM Connect pilot. The ALiEM Connect model could potentially be used to replace educational conferences that have been canceled or to implement and/or augment a large-scale, shared curriculum among residency programs in the future.
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Affiliation(s)
- Christian C. Rose
- C.C. Rose is assistant professor, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California
| | - Mary Rose Calderone Haas
- M.R.C. Haas is instructor and assistant residency program director, Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Yusuf Yilmaz
- Y. Yilmaz is a postdoctoral fellow, McMaster Education Research, Innovation, and Theory (MERIT), Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada, and researcher-instructor, Department of Medical Education, Faculty of Medicine, Ege University, İzmir, Turkey
| | - Al’ai Alvarez
- A. Alvarez is clinical assistant professor and associate residency program director, Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California
| | - Sarah E. Mott
- S.E. Mott is staff physician, Emergency Care Consultants, Minneapolis, Minnesota
| | - Adaira I. Landry
- A.I. Landry is assistant professor and assistant residency program director, Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts
| | - Michael A. Gisondi
- M.A. Gisondi is associate professor, vice-chair of education, and principal, Precision Education and Assessment Research Lab (PEARL), Department of Emergency Medicine, Stanford School of Medicine, Stanford, California
| | - Felix Ankel
- F. Ankel is professor of emergency medicine, University of Minnesota Medical School, and medical director of education, HealthPartners Institute, Minneapolis, Minnesota
| | - Michelle Lin
- M. Lin is professor, Department of Emergency Medicine, University of California, San Francisco, San Francisco, California
| | - Teresa M. Chan
- T.M. Chan is associate professor, Divisions of Emergency Medicine and Education and Innovation, Department of Medicine, McMaster University, Hamilton, Ontario, Canada, and assistant dean, Faculty of Health Sciences’ Program for Faculty Development, and adjunct scientist, McMaster Education Research, Innovation, and Theory (MERIT), McMaster University, Hamilton, Ontario, Canada
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Pope B, Mott SE, Fadel JR, Wilson MA, Wood SK. Estradiol’s Permissive Role in Social Stress Susceptibility in Female Rats. FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.04804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Brittany Pope
- University of South Carolina Aronld School of Public Health
- University of South Carolina School of Medicine
| | | | - James R. Fadel
- University of South Carolina School of Medicine
- Wm. Jennings Bryan Dorn VA Medical Center
| | - Marlene A. Wilson
- University of South Carolina School of Medicine
- Wm. Jennings Bryan Dorn VA Medical Center
| | - Susan K. Wood
- University of South Carolina School of Medicine
- Wm. Jennings Bryan Dorn VA Medical Center
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Lin M, Battaglioli N, Melamed M, Mott SE, Chung AS, Robinson DW. High Prevalence of Burnout Among US Emergency Medicine Residents: Results From the 2017 National Emergency Medicine Wellness Survey. Ann Emerg Med 2019; 74:682-690. [PMID: 30879701 DOI: 10.1016/j.annemergmed.2019.01.037] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 01/14/2019] [Accepted: 01/22/2019] [Indexed: 11/30/2022]
Abstract
STUDY OBJECTIVE Previous work shows that emergency medicine attending physicians have higher-than-average rates of burnout. Preliminary data suggest that emergency medicine residents are also at risk for burnout. The objective of this study was to conduct the first national survey assessment of US emergency medicine residents to determine the prevalence of burnout. METHODS This prospective 2017 National Emergency Medicine Resident Wellness Survey study was conducted through the Wellness Think Tank, whereby emergency medicine residents from 247 residencies across the United States were invited to participate in a national survey. The primary measure of burnout was the Maslach Burnout Inventory-Human Services Survey. In accordance with others' work, "burnout" was defined as a dichotomous variable represented by high levels of emotional exhaustion or depersonalization. Because of interpretative variability with the survey tool, we also calculated burnout rates by using a more restrictive definition and a more inclusive definition that have been reported in the literature. RESULTS Surveys were completed by 1,522 residents (21.1% of all US emergency medicine residents), representing 193 of 247 US emergency medicine residency programs (78.1%). Within this sample, the prevalence of burnout was 76.1% (95% confidence interval 74.0% to 78.3%). With alternative definitions applied, burnout prevalence rates for this same sample were 18.2% (95% confidence interval 16.3% to 20.1%) with the more restrictive definition and 80.9% (95% confidence interval 78.9% to 82.9%) with the more inclusive definition. CONCLUSION The majority of US emergency medicine residents responding to this survey reported symptoms consistent with burnout, highlighting that physician burnout in the emergency medicine profession seems to begin as early as residency training. These findings may provide a baseline against which future work can be compared.
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Affiliation(s)
- Michelle Lin
- Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA.
| | | | - Matthew Melamed
- Department of Emergency Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY
| | - Sarah E Mott
- Department of Emergency Medicine, Regions Hospital, St. Paul, MN
| | - Arlene S Chung
- Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY
| | - Daniel W Robinson
- Department of Medicine, Division of Emergency Medicine, University of Chicago, Chicago, IL
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Mott SE, Peña ZG, Spain RI, White KP, Ehst BD. Nicolau syndrome and localized panniculitis: a report of dual diagnoses with an emphasis on morphea profunda-like changes following injection with glatiramer acetate. J Cutan Pathol 2016; 43:1056-1061. [DOI: 10.1111/cup.12791] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 06/13/2016] [Accepted: 08/08/2016] [Indexed: 01/23/2023]
Affiliation(s)
- Sarah E. Mott
- School of Medicine; Creighton University; Omaha NE USA
| | - Zachary G. Peña
- Department of Dermatology; Oregon Health and Sciences University; Portland OR USA
| | - Rebecca I. Spain
- Department of Neurology; Oregon Health and Sciences University; Portland OR USA
| | - Kevin P. White
- Department of Dermatology; Oregon Health and Sciences University; Portland OR USA
- Department of Dermatopathology; Oregon Health and Sciences University; Portland OR USA
| | - Benjamin D. Ehst
- Department of Dermatology; Oregon Health and Sciences University; Portland OR USA
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