Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming

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Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
Dopamine: Another magic bullet in the regulation of
              Caregiver Responsivity?
      Notre Dame : Human Nature and the Early Experience:

                      Alison S. Fleming
                   Students and colleagues
Centre for Research on Parenting
     University of Toronto
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
Maternal Behaviour:
                   Human and Animal Models

South bldg, 1966                                         St Joseph’s, Hosp1907

        Hedonics             Hormones
                  mediated                         early experience
        Affect               Brain   affected by
                    by
        Attention            NTs                   genetics
        Memory
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
Today’s ‘magic bullet’ is to describe how maternal
  behavior is affected by the dopamine system

      • ONSET OF MB-today
        –stimulus salience, ‘reward’
          • Nucleus accumbens (NAcc)

      • ONGOING QUALITY OF MB
        –attention, response inhibition, memory
          • Medial prefrontal cortex (mPFC)
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
Dopamine system originates in the VTA and projects
 to the nucleus accumbens and the prefrontal cortex

  (PFC)

          (NAC)
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
HORMONES: Changes in the estrogen /progesterone ratio during pregnancy
  associated with onset of PP maternal behavior (rats) and early attachment
  attitudes (human)

In rats and humans                                        •RAT
Prolactin,
Oxytocin, and
Glucocorticoids also
enhance mothering

                                                          •HUMAN

Reviewed in
Numan, Fleming, & Levy, 2006
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
• We believe that these hormonal changes affect
  mothers’ maternal behavior by affecting brain
  systems and neurotransmitters related to
  – Stimulus salience
  – Reward
  – Attention
  – Affect
  – Memory
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
‘Motivation’ to Nurture
      Stimulus Salience
           Reward

                      a la Berridge & Robinson
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
Pup Retrieval           General Licking

                Crouching
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
New Mother Rats are More Attracted to Lactating
Nest Odors than to Clean or Diestrous Nest Odor
  Virgin Rats Show No significant Preference

                                             pup nest-clean=0

    Pre-part   Post-part
                                               Adapted from Bauer, 1983
                     Variances homogeneous     See also Fleming et al.,, 1987, 1989
Dopamine: Another magic bullet in the regulation of - Caregiver Responsivity? Alison S. Fleming
This shift from avoidance of pups prior to
  parturition to approach to pups after birth results
  from both

  – the increase in positive valence of pups
  – decrease in ‘fear’ and withdrawal tendencies

Both must occur for mothers to retain proximity to
  young and care for them
Olfactory Preferences for Lactating Nest Odours
also shown by Virgins Primed with (P & E) Hormones
   That also activate maternal behaviour in virgins

                          Fleming et al., 1987, 1989
Virgin levels

     Lee, Fleming et al., 2000
Among Humans as well, New Mothers are
       Often Very Responsive to Their Infants soon
after birth and are Attracted to Infants and their Cues
New Mothers (day 2pp) are More Attracted to
                                 Infant Body Odors, But Not to Control Odors,
                                  Than are Non-mothers (VAS, pleasantness)
                                  (0,6)

                                                                     (-6,5)
Hedonics Rating

                                     (-6,2)
                  Median (IQR)

                                                                (-6,4)
                                                urine
                                                                                             NEUTRAL
                                 Infant                           spice
                                 T-shirt      (-5,1)

                                                       (-6,2)

                                                                              Fleming, Corter, Franks, Surbey, Schneider., & Steiner, 1993
Mothers with More Postpartum Experience tend
to also Find Infant Odors to be More Attractive

                                                     pos
                            52,585                   neg

           2,210

                                     120,370

                   15,318

    1,10
                                               105,375

                                                    Fleming, Corter et al., 1993
On self-report measures (VAS) new mothers are
      more sympathetic , and more alerted, in response to
       infant cries than are non-mothers. They also have
               higher overall levels of heart rate.

VAS       cry stimuli           Heart-rate monitor   Stallings et al., 2002
What about the role of BRAIN and
the DOPAMINE system in mothers
      motivation to mother?
MATERNAL CIRCUIT: Brain Areas
             Associated with Maternal/Associated Behaviors

           MPOA is the FINAL COMMON PATH
          Inhibition of Maternal Behavior             Olfactory Bulb   Odor of Pups

                                                           MPF
                                                              C

                                       VMH
                                                            NA            Reinforce/

                              VP                   MPOA
                                                                          Memory
                                                                          attention
                                            MAM
                        VTA

                              Fear system

mPFC: ATTENTION, Impulsivity                      MPOA and VMH: Maternal Behavior

AMYGDALA: Emotions                            NAcc: Stimulus Salience, Rewards
                                                                  Motivation
MATERNAL CIRCUIT: Brain Areas
             Associated with Maternal/Associated Behaviors

          Here focus on   the Nucleus Accumbens
          Inhibition of Maternal Behavior             Olfactory Bulb   Odor of Pups

                                                           MPF
                                                              C

                                       VMH
                                                            NA            Reinforce/

                              VP                   MPOA
                                                                          Memory
                                                                          attention
                                            MAM
                        VTA

                              Fear system

mPFC: ATTENTION, Impulsivity                      MPOA and VMH: Maternal Behavior

AMYGDALA: Emotions                            NAcc: Stimulus Salience, Rewards
                                                                  Motivation
Neural Model of MPOA Interaction with Mesolimbic"
   DA System and the Regulation of Maternal
                Responsiveness"
        tactile and olfactory"
          input from pups"

                              GluR!
                    MPOA"
      GluR!
              D1"             NOS"           D1"   NA"
                      GluR"
        out"
                       DA"                                    pup"
                                                             stimuli"
                                                   VP"

      VTA"                            DA"       voluntary"
                                            maternal responses "
GluR: glutamate receptor"                     to pup stimuli"
NOS: nitric oxide synthase"
                                            Numan, M. (2007)
NAcc: Stimulus Salience, Rewards
                 Motivation
Dopamine Action in Nucleus Accumbens is
    important for retrieval behavior AND maternal
                        memory
                              established by use of

• Dopamine receptor agonist (D1) (Numan et. al., 2007)

• DA receptor antagonists (D1 &/ D2) (Li & Fleming, 2004ab;
  Numan et al., 2005; Stern & Lonstein, 2001; Parada et al., 2008)
Dopamine release is associated with mothering
          (microdialysis studies assessing dopamine by HPLC)

Dopamine is Released in the Nucleus Accumbens in
       response to pups and is affected by

1. Postpartum status
2. Hormones (gestational
   /part)
3. Maternal Experiences
4. Early Postnatal Experinces

• Afonso et al., 2008,2009, in press; see also Champagne & Meaney, 2006
SAMPLING PROCEDURE
 SAMPLING      probe placement
Non-Homecage
                    NACsh

                                   COLLECTION:
                                  1uL/min for 8-min

                                                          HPLC: Output
                                                             Data

                                                  Afonso et al., 2008,2009,
New mother rats and hormone primed rats
   show decreased dopamine release at
 baseline in comparison to cycling females
New mother rats show sustained increased dopamine response
             in NAC to pup stimuli; virgins do not

                                                                         Postpartum
                                                                  MATERNAL IN OWN CAGE,
                                                                  NOT IN DIALYSIS CHAMBER

                                                                          Cycling
                                                                  NOT MATERNAL IN OWN CAGE
                                                                   OR IN DIALYSIS CHAMBER

          Parity diff /baseline covariate also sig at 16 and 24     Afonso et. al., 2009
DA effects are non-specific; All females show increased DA to
 FOOD-stimuli , however virgins show higher levels than do
       postpartum animals (reverse of pattern to pups)

                                               • DA peaks quickly

                                   Cycling

                                  Postpartum
In PP animals, there is an increase in DA to pups,
 but not to food, on simple exposure (no behavior).
         Not so with cycling animals

                               Afonso, Shams, & Fleming, in prep
Estrogen/Progesterone-primed virgin rats show sustained
increased dopamine response to pups in the absence of prior
        pup-experience; control sham animals do not.

                                                      HORMONE
                                                NOT MATERNAL IN HOME
                                                 CAGE OR IN CHAMBER
                                                  BUT SNIFFING PUPS

                                                       SHAM
                                               NOT MATERNMAL IN HOME
                                                 CAGE OR IN CHANBER

                         Afonso, Burton, Novakov, & Fleming, 2009
Hormones of pregnancy/part affect DA by reducing
baseline levels, and hence by increasing the signal/
noise ratio when the signal (pups) are presented.

DA system is therefore primed by hormones
(and by experience) which functions to enhance
salience of the pup stimulus.
NUCLEUS ACCUMBENS, AND DOPAMINE IN
                     HUMAN MOTHERS?

   Hard to establish a role for dopamine in
              human mothering.

      Have embarked on a series of fmri
studies exploring activation patterns in NAC and
     other brain sites in the maternal circuit
Human Model

  •Wonch, (unpub)
Brain fMRI Study:
New mothers presented with pictures of own and other infants in
        fMRI magnet and measures BOLD response
                Blood Oxygenation Level Dependent (BOLD) signal
     indirect measure of brain activity summ of -postsynaptic poten across ROI)

20 (7 primiparous, 13 multiparous) 3-5 mo.

                                 •Barrett, Wonch, Hall, Steiner, & Fleming, in prep
•Own                                                             •Unfamiliar

                                       •
                                       >

•Prediction: BOLD response in all ROIs will be greater for own
fMRI Protocol: Block design with own and other
  infant cry and smile faces presented in three
       runs, with distractor task between

        ISI         ISI         ISI
Activation of Limbic sites, especially
NAC by own ‘positive’ infant picture
Greater BOLD response to own infant over other >infant
and to smiling faces over negative faces in NAC and
       on

 Amygdala (not true of many control sites in cortex)
                             Right NAC
 0.3                         Left NAC                                      Right AMY
                                                                           Left AMY
                                          0.5
0.25
                                         0.45
                                          0.4
 0.2
                                         0.35
                                          0.3
0.15
                                         0.25
                                          0.2
 0.1
                                         0.15
                                          0.1
0.05
                                         0.05
                                            0
  0                                             Positive      Negative
            Positive   Negative
                                                                        Right AMY
                                                                        Left AMY
                                          0.5

                                          0.4

                                          0.3

                                          0.2

                                          0.1

                                           0
                                                Own        Unfamiliar
THESE BEHAVIORAL AND
        NEUROLOGICAL SYSTEMS ARE SET UP
             BY EARLY NEONATAL AND
            PREWEANING EXPERIENCES

      As main effects and in interaction with genetics

                  In both rat and human mothers

Gonzalez & Fleming, 2001; Lovic & Fleming, 2004; Burton et al., 2008; Gonzalez et al., 2009;
      Krpan et al., 2005; Giardino et al., 2008; zhang et al., 2005, Barret et al., in prep;
A teaser

Genetics Studies. In a recent study we related polymorphisms
in dopamine and serotonin genes to maternal behaviour and to
maternal ‘sensitivity’ in new mothers.

We focussed on the interaction between gene polymorphisms and
 aspects of early experiences in the mothers’ family of origin.
(n=166)

(Mileva, Sokolowski, Meaney, Kennedy, Steiner, & Fleming, in prep )
• Environment moderates the genetic effects on
      maternal behaviour in 6 mo. PP. mothers

Mothers with the GG genotype on DRD1 (rs686) marker look away
 more frequently from their infants A) when they experience higher
 levels of early adversity or B) when they report having greater
 current stress in their lives.
Summary
• Young are first attractive, then rewarding, to
  the new mother as a result of both hormones
  and experience

• Rewarding and salient young regulate
  mothers’ approach to and contact with the
  young. They enhance her motivation to
  mother.
Summary, cont’d
• Attraction to young is mediated by the
   ‘reward’ dopamine system, especially the
   mesolimbic system possibly activated by E/P
  /Prl/OXY

• The development of these brain systems are
  affected by previous experiences and by
  genetics
Thanks to All My Students, Colleagues, and participants Without Whom These
                     Studies Would Not Have Been Done
                             • Veronica Afonso
                             • Viara Mileva
                             • Jennifer Barrett
                             • Vedran Lovic
                             • Kathleen Wonch
                             • Diptendu Chatterjee
                             • May Parada
                             • Samantha King
                             • Meir Steiner
                             • Hiwote Belay
                             • Diane Ruble
                             • Marla Sokolowski
                             • Michael Meaney
                                         Xavier and all the folks at St. Joseph’s Hospital
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