Cited by 280Autism Spectrum Disorder ResearchGenetics and Neurodevelopmental DisordersNeuroscience and Neuropharmacology Research

The DOI matches its Crossref record; 83 of the 83 references it cites were found in a registry or an index; 7 of the 65 sources its claims cite were checked for support.

Regulation of autism-relevant behaviors by cerebellar-prefrontal cortical circuits

Open access

Abstract

Cerebellar dysfunction has been demonstrated in autism spectrum disorders (ASDs); however, the circuits underlying cerebellar contributions to ASD-relevant behaviors remain unknown. In this study, we demonstrated functional connectivity between the cerebellum and the medial prefrontal cortex (mPFC) in mice; showed that the mPFC mediates cerebellum-regulated social and repetitive/inflexible behaviors; and showed disruptions in connectivity between these regions in multiple mouse models of ASD-linked genes and in individuals with ASD. We delineated a circuit from cerebellar cortical areas Right crus 1 (Rcrus1) and posterior vermis through the cerebellar nuclei and ventromedial thalamus and culminating in the mPFC. Modulation of this circuit induced social deficits and repetitive behaviors, whereas activation of Purkinje cells (PCs) in Rcrus1 and posterior vermis improved social preference impairments and repetitive/inflexible behaviors, respectively, in male PC-Tsc1 mutant mice. These data raise the possibility that these circuits might provide neuromodulatory targets for the treatment of ASD. Kelly et al. describe two cerebellum–thalamus–mPFC pathways in mice that regulate social and repetitive behavior. PC activation in Rcrus1 and posterior vermis improved social and reduced repetitive behaviors, respectively, in PC-Tsc1 mutant mice.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This study delineates cerebellar–prefrontal circuits in mice through which Rcrus1 and posterior vermis Purkinje cell output converges on ventromedial thalamus–medial prefrontal cortex projections to regulate autism-relevant social and repetitive/inflexible behaviors. It also reports disrupted cerebellar–mPFC connectivity in multiple ASD-linked mouse models and in individuals with ASD, and shows that circuit modulation can rescue behaviors in adult PC-Tsc1 mutant mice.

Key findings

  • Cerebellar Purkinje cell dysfunction or chemogenetic inhibition of Rcrus1 or posterior vermis increased left prelimbic mPFC single-unit firing; inhibiting left mPFC rescued social deficits and repetitive grooming in PC-Tsc1 mutant mice.
  • A polysynaptic circuit was delineated from Rcrus1 and posterior vermis through cerebellar nuclei (lateral nucleus and medial/fastigial nucleus) and ventromedial thalamus to left prelimbic mPFC; optogenetic activation of VM thalamic terminals in mPFC induced social deficits and repetitive grooming, while optogenetic silencing rescued both in PC-Tsc1 mutants.
  • Distinct cerebellar domains regulated different behaviors: Rcrus1/lateral nucleus modulation rescued social behaviors but not repetitive behaviors, whereas posterior vermis Purkinje cell stimulation selectively reduced repetitive grooming and improved water Y-maze flexibility without improving social preference in PC-Tsc1 mutants.
  • Connectivity was disrupted in ASD models and humans: structural covariance between Rcrus1 and left PRL mPFC was altered across 94 ASD-linked mouse lines (FDR q = 0.0191), with 30 of 94 models showing significant volume changes (binomial P = 2.02 × 10−18; combined q < 0.0001); human POND structural covariance showed Rcrus1–left rectus gyrus disruption (P = 0.012) that did not survive multiple corrections (q > 0.05); human resting-state fMRI in 8 ASD vs 8 TD males showed mPFC/Rcrus1–Rcrus2 alterations (P < 0.001, FDR q < 0.05) and reduced seed-to-voxel functional connectivity (P < 0.001, k > 50).

Methods

  • Mice: PC-Tsc1 mutants (PCCre;Tsc1flox/flox) and littermate controls, aged 5–12 weeks; only male animals were used for behavioral experiments and electrophysiological recordings. Methods included stereotaxic viral injections, chemogenetic and optogenetic modulation, in vivo single-unit recordings, acute slice electrophysiology, viral tracing, and behavioral assays (three-chamber social approach/novelty, social olfaction, grooming, water T/Y-maze reversal, open field, elevated plus maze, rotarod).
  • MRI/connectivity: mouse structural covariance MRI across 94 ASD-linked gene models (2,414 mice, 67.7% male, PND 30–245), plus a subset of 30 models (n = 559 mutants, n = 1,101 controls); human structural MRI from POND and other data (902 scans, 425 ASD and 477 control, from 648 individuals, age 2–50 years, mean 13); human resting-state fMRI in 8 TD male adults (mean age 20.75 ± 1.91 years) and 8 ASD male adults (mean age 26.13 ± 9.79 years).
  • Analysis: structural covariance modeled with sex and sex interaction covariates, two-sided t-tests, Benjamini–Hochberg FDR q values; behavioral data analyzed with two- or three-way ANOVA and Sidak post hoc tests; electrophysiology with t-tests or Mann–Whitney tests; sample size estimated with PASS 12.

Limitations

  • Stated: the human structural covariance finding between Rcrus1 and left rectus gyrus did not survive multiple corrections (q > 0.05); the human resting-state fMRI cohort was small; the precise function of these regions/circuits during social interactions and the broader cerebellar–cerebro cortical network map require future research; additional cortical and subcortical regions/routes may contribute; mPFC is a less accessible target for noninvasive neuromodulation.
  • Evident from the text: behavioral and electrophysiological experiments used only male mice, limiting generalization to females; mice were of mixed genetic backgrounds; some human imaging analyses involved small samples or did not survive correction.

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Integrity signals

Registry

Crossref · 10.1038/s41593-020-0665-z

Cites

83 of 83 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

81 Own result · 36 Not checked yet · 26 Own interpretation · 21 Own method · 3 Partly supported · 1 Supported · accuracy not yet measured

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Show all 105 claims

  • Probably not a substantial claim. 32
  • It may state two separate claims as one. 36
  • The quote only partly states this claim. 2
63 of 63
  • The paper relies on this without support.

    The circuits connecting the cerebellum to other brain areas to orchestrate complex behaviors such as those altered in ASDs remain unknown.

    “Additionally, the circuits connecting the cerebellum to other brain areas to orchestrate complex behaviors such as those altered in ASDs remain unknown.”
  • The paper relies on this without support.

    Inhibitory PC output emerges from the cerebellum via cerebellar nuclei.

    “Because inhibitory PC output emerges from the cerebellum via cerebellar nuclei (CN), we identified the CN receiving Rcrus1 PC output.”
  • The paper relies on this without support.

    Cerebellar-prefrontal circuits and their regulation of ASD-relevant behaviors are conserved between mice and humans.

    “Our findings provide critical insights into how the cerebellum regulates ASD-relevant behaviors, while also offering important preclinical evidence to support a potential cerebellar therapeutic target of neuromodulation through which the therapeutic benefits of mPFC modulation could be leveraged to benefit ASD behaviors.”
  • The authors state this as an assumption.

    For all other data, the data distribution was assumed to be normal, but this was not formally tested.

    “For all other data, data distribution was assumed to be normal, but this was not formally tested.”
4 of 4

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Citations

Cites

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Research works printed but not linked: 2

  1. Paxinos, G. & Franklin, K. Paxinos and Franklin’s the Mouse Brain in Stereotaxic Coordinates 4th edn (Academic Press, 2012).
  2. Watson, C., Paxinos, G. & Puelles, L. The Mouse Nervous System (Academic Press, 2011).

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Metadata

Authors
Kelly, E., Meng, F., Fujita, H., Morgado, F., Kazemi, Y., Rice, L. C., Ren, C., Escamilla, C. O., Gibson, J. M., Sajadi, S., Pendry, R. J., Tan, T., Ellegood, J., Basson, M. A., Blakely, R. D., Dindot, S. V., Golzio, C., Hahn, M. K., Katsanis, N., Robins, D. M., Silverman, J. L., Singh, K. K., Wevrick, R., Taylor, M. J., Hammill, C., Anagnostou, E., Pfeiffer, B. E., Stoodley, C. J., Lerch, J. P., du Lac, S., & Tsai, P. T.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • Johns Hopkins University (US)
  • University of Toronto (CA)
  • American University (US)
  • Hospital for Sick Children (CA)
  • King's College London (GB)
  • Florida Atlantic University (US)
  • Texas A&M University (US)
  • Centre National de la Recherche Scientifique (FR)
  • Northwestern University (US)
  • University of Michigan (US)
  • University of California, Davis (US)
  • McMaster University (CA)
  • University of Alberta (CA)
Corresponding author
Tsai, Peter T.
Venue
Nature Neuroscience
Published
2020-07-13
Volume
23
Issue
9
Pages
1102-1110
ISSN
  • 1097-6256 (ISSN-L)
  • 1546-1726
OpenAlex
W3041250095
Cited by
280
References
83
Citations by year
2026: 31 · 2025: 45 · 2024: 59 · 2023: 55 · 2022: 46 · 2021: 39 · 2020: 5
FWCI
19.47
Type
journal article
Language
en
Open access
Locations
  • Nature Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • HAL (submittedVersion, cc-by-nc)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NS107004, NS095232, NS105039, NS083733)
  • Autism Speaks
  • Gouvernement du Canada | Instituts de Recherche en Santé du Canada | CIHR Skin Research Training Centre
  • Ontario Brain Institute
  • U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (MH106957, MH094268, MH116882)
  • Tuberous Sclerosis Alliance
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
autism spectrum disorder, cerebellum, medial prefrontal cortex, social behavior, repetitive behavior, Purkinje cells, posterior vermis, ventromedial thalamus, cerebellar nuclei
MeSH terms
Autism Spectrum Disorder, Animals, Cerebellum, Male, Mice, Mutant Strains, Neural Pathways, Prefrontal Cortex, Mice

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