INTRODUCTION

Brain imaging techniques have had substantial impact on neuroscience, for example, by highlighting regional and systems-level dysfunction of brain circuitry in neuropsychiatric disease. Pharmacological magnetic resonance imaging (phMRI) responses are widely used to probe disease-related pharmacology, for example, N-methyl-D-aspartate (NMDA) antagonist-induced brain activation as a model of schizophrenia and its modulation by antipsychotics (eg, Gozzi et al, 2008; Chin et al, 2011; Doyle et al, 2013). However, in this context, several studies have suggested that modulation of NMDA antagonist imaging signals by antipsychotics does not necessarily concur with their effects on ‘psychotic’ symptoms (eg, Lahti et al 1995, Malhotra et al, 1996). Recently, novel imaging paradigms have shifted their focus to assessment of intrinsic brain activity to complement studies of evoked or event-related activity (Biswal et al, 1995; Fox and Raichle, 2007). Such studies have explored the notion of functional connectivity between brain regions using low-frequency BOLD fluctuation correlations, and abnormalities have been identified in resting-state connectivity in numerous diseases, including schizophrenia (for review, see Fox and Greicius, 2010). Assessment of functional connectivity via functional MRI (fMRI) in rodents is possible but is presently limited to anesthetized or heavily restrained animals (see review by Ferris et al, 2011), greatly limiting the scope of behavioral studies.

In-vivo oxygen amperometry is an alternative to rodent fMRI that can measure real-time changes in extracellular oxygen (O2) in freely moving animals. This technique has been successfully used to measure regional brain tissue O2 levels with sub-second temporal resolution in a variety of behavioral paradigms (McHugh et al, 2013; Francois et al, 2012; Howe et al 2013). Amperometric O2 signals have been shown to be analogous to the fMRI BOLD signal (Lowry et al, 2010) and functionally related to discrete neuronal activation events (Li et al, 2011). Tissue O2 signals also display low-frequency fluctuations similar to the BOLD signal, raising the possibility that analyses analogous to functional connectivity fMRI methods might be conducted in the conscious, behaving rodent by measuring correlations in these fluctuations between different brain areas.

Identification of resting-state networks and descriptions of their modification and dysfunction in disease states have encouraged cross-species study of pharmacological modulation of regional functional connectivity (Zhu et al, 2013; Gass et al, 2013), notably in the context of translational biomarkers of psychosis and antipsychotic efficacy. In this regard, the uncompetitive NMDA receptor antagonist ketamine (Anis et al, 1983; Lodge and Johnson, 1990) can be used in humans and animals to induce behavioral change bearing resemblance to psychosis (eg, Krystal et al, 1994; Malhotra et al, 1996, Moghaddam et al, 1997) that, in humans at least, concomitantly changes regional brain activity and coherence across different resting state networks. However, to date, there have been no studies looking at the effect of antipsychotics on ketamine-induced changes in functional connectivity in either species, hence both preclinical and clinical studies are needed to allow a translational mapping of cross-species effects. The aim of this study was to apply rat in vivo O2 amperometry to allow simultaneous assessment of antipsychotic-induced modulation of S-(+)-ketamine-induced changes in prefrontal and ventral striatal regional activity and coherence, regions implicated in psychosis (Duncan et al, 1998b).

MATERIALS AND METHODS

Subjects

All experiments were conducted in accordance with the Animals (Scientific Procedures) Act 1986 and local ethical requirements of Eli Lilly. Twenty-two male Lister Hooded rats (300–400 g at surgery; Harlan, UK) were group-housed in a temperature-controlled (20–22 °C) environment with food and water available ad libitum under a 12-h light/12-h dark cycle for at least 7 days prior to surgical preparation. Following surgery, animals were singly housed under similar environmental conditions.

In Vivo Amperometry

Changes in extracellular tissue [O2] were measured using constant potential amperometry with carbon paste electrodes (CPEs) (Lowry et al, 1997). A potential of −650 mV was applied to electrodes allowing the electrochemical reduction of dissolved O2 at their tip (Lowry et al, 1996; Bolger et al, 2011). CPEs were constructed from 8 T (200 μm bare diameter, 270 μm coated diameter) Teflon-coated silver wire (Advent Research Materials, Suffolk, UK). The Teflon insulation was slid along the wire to create an 2-mm deep cavity, which was packed with carbon paste (prepared according to O’Neill et al, 1982). Prior to implantation, all CPEs were calibrated in vitro in a glass cell containing 15 ml phosphate buffer solution (0.01 M), pH 7.4, saturated with nitrogen (N2) gas, atmospheric air (from a RENA air pump), or pure O2 (compressed gas) at room temperature. The concentrations of dissolved O2 were taken as 0 μM (N2-saturated), 240 μM (air-saturated) (Foster et al, 1993), and 1260 μM (O2-saturated) (Bourdillon et al, 1982), respectively. Reference and auxiliary electrodes were also prepared from 8 T Teflon-coated silver wire by removing 2 mm Teflon from the tip. All electrodes were soldered to gold connectors, which were cemented into six-pin plastic sockets (both from Plastic One, Roanoke, VA) during surgery.

Surgery

Under isoflurane anesthesia, animals were implanted bilaterally with CPEs in the medial prefrontal cortex (mPFC) (AP:+3.2 mm; ML: ±0.7 mm; DV: −4.2 mm from dura) and the medial ventral striatum (mVS) (AP: +1.9 mm; ML: ±0.8 mm; DV: −6.9 mm from dura). The reference electrode was placed in posterior cortex, and the auxiliary electrode was wrapped around one posterior skull screw. Pre- and post-operative Rimadyl (Carprofen 5 mg/kg sc; Pfizer) was administered, and animals were allowed to recover in thermostatically controlled cages. A post-operative period of 2 weeks was allowed before testing commenced.

Drugs

(S)-(+)-ketamine hydrochloride (Sigma-Aldrich, Gillingham, UK) was dissolved in 0.9% (w/v) saline, clozapine (Sigma-Aldrich) in a 50 : 50 mix of 0.1 M HCl and 0.9% (w/v) saline, and haloperidol (Tocris, Bristol, UK) initially in 1 M lactic acid (10% of total required) and brought up to volume with 0.9% (w/v) saline.

Testing Schedule

Animals were tested in Perspex test chambers (40 × 40 × 40 cm), where their head mounted six-pin socket was connected to a low-noise, four-channel potentiostat (Biostat, ACM Instruments, Cumbria, UK) via a flexible screened six-core cable mounted through a swivel (both Plastics One Roanoke, VA) in the ceiling of the cage. This arrangement allowed free movement of the animal throughout the cage. One hour before dosing, animals were placed individually in test chambers and a constant −650 mV potential applied to CPEs to allow signal settling. Both haloperidol (0.25, 0.5, 1 mg/kg ip) and clozapine (5, 10, 20 mg/kg ip) were dosed 30 min before injection of 25 mg/kg ketamine sc. Signals were recorded for 2 h after ketamine dosing, following which animals were returned to their home cages. Animals in each cohort randomly received each treatment condition per study, allowing at least 1 week between test sessions.

Data Recording and Processing

Amperometric recordings from each working electrode channel were recorded at 40 Hz, and a PowerLab 8/30 was used for analog/digital conversion before data were collected on a PC running Chart v5 (both AD Instruments, Oxford, UK). For each brain region (mVS and mPFC), one hemisphere was chosen from each animal to be included in the analysis, which was determined based on visual inspection of noise level and signal quality. Post-collection, linear interpolation was used to replace occasional missing data points and a bi-quad Butterworth filter (high-pass 0.1 Hz) was used to suppress fast noise-related artifacts. Data were normalized by subtraction of the 60 s average pre-dose value from each data point in the series, thereby compensating for absolute differences in baselines between channels. Finally, a boxcar-averaging algorithm was applied to down-sample the data, keeping a single average from multiple 120 s non-overlapping windows.

Data Analysis

With regard to absolute regional signals, data were analyzed for 6800 s post-injection for the ketamine dose response study and 3600 s for all other studies. The full time course was shown for the ketamine dose response to show the time taken for the response to return to baseline levels, but given the peak of the response occurs within the first hour, all studies looking at the modulation of the ketamine response just shows the first 60 min. Area under the curve (AUC) was calculated according to the formula AUC= where n=number of samples in the curve, a=current (nA) at a given sample and d=sample interval (120 s). For all studies, regional coherence data were analyzed in the 0.01–0.1 Hz range, from a period 300 s pre-dose to 1800 s post-dose, and averaged in 300 s time bins. To achieve this, the injection-aligned series of N data points from both brain regions were padded with N/4 additional points such that data trended toward zero rate of change. Padding helps to eliminate edge-artifacts which are produced when applying a low-pass filter to data with a mean offset from zero. Butterworth noise filtering was applied as before for each frequency F of interest and then data were correlated in a series of half-overlapping windows of length 2/F, excluding padded sections of data. Pearson’s r was generated as an index of coherence between the filtered signals at a given time for that frequency, to build a coherence spectrum over time for multiple frequency bins.

For absolute regional [O2] levels, AUC values were analyzed by a repeated measures ANOVA followed by Fisher’s LSD post hoc test for multiple comparisons. For coherence analysis, broadband (0.1–0.01 Hz) correlation values (Pearson’s r) were binned into 5 min time blocks, with one pre-dose time bin and six post-dose time bins. All r-values underwent Fisher’s z-transformation before repeated measures ANOVA with treatment group and time-bin as within-subjects factors was performed. This is followed by Fisher’s LSD post hoc test for multiple comparisons. Mauchly’s sphericity test was performed on all coherence data and Greenhouse–Geisser adjustments applied to degrees of freedom as necessary.

Histology

Animals were deeply anaesthetized with pentobarbital and perfused transcardially with 0.9% (w/v) saline followed by 10% (w/v) buffered paraformaldehyde solution. Brains were removed and placed in 10% (w/v) buffered paraformaldehyde and shipped for histological processing (Neuroscience Associates, Knoxville, TN), which involved 40 μm coronal sectioning of implanted regions and staining with thionin for Nissl bodies. Upon return, microscopic assessment confirmed CPE placement with reference to a standard rat brain atlas (Paxinos and Watson, 2009). All inaccurate placements were excluded from subsequent analyses. The nucleus accumbans shell/core placements were pooled due to the low number of animals and lack of power to make a separate assessment. For coherence analysis, only animals with correctly placed electrodes and noise-free signals in both brain regions were included.

RESULTS

Histology

Figure 1 depicts photomicrographs of representative electrode placements in mPFC (Figure 1a) and mVS (Figure 1b), and reconstruction of all electrode placements (Figure 1c).

Figure 1
figure 1

CPE placements. Photomicrographs of Nissl-stained sections showing the locus surrounding representative electrode placements in (a) medial prefrontal cortex and (b) ventromedial striatum. Scale bar, 1.0 mm. (c) Reconstruction of all electrode tip placements in medial prefrontal cortex and ventromedial striatum. Abbreviations: PrL, prelimbic cortex; IL, infralimbic cortex; CC, corpus callosum; NAc, nucleus accumbens; CPu, caudate putamen; LS, lateral septum; AC, anterior commissure. Figure generated from the Paxinos and Watson (2009) rat brain atlas.

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S-(+)-Ketamine dose Response Study

As shown in Figure 2, ketamine produced robust, dose-dependent increases in tissue [O2] in both regions as confirmed by significant main effects of dose on the AUC measure (mPFC: F(3,21)=20.7, p<0.001; mVS: F(3,15)=37.4, p<0.001). All doses of ketamine induced significant increases in AUC relative to the vehicle control (Figure 2b and d). In both regions, peak [O2] levels occurred within 6 min of dosing and higher doses produced progressively more sustained increases in [O2].

Figure 2
figure 2

Ketamine dose response study. (a) Temporal profile of changes in tissue O2 levels following S-(+)-ketamine injection (5, 10, 25 mg/kg, s.c.) in mPFC (n=8) and (c) mVS (n=6). Means (± SEM) of normalized O2 currents averaged over 2-min time bins are shown for the 2-h post-injection period. (b) mPFC and (d) mVS AUC measures extracted from the O2 response, where bars represent mean (± SEM) AUC for the 2-h period following S-(+)-ketamine injection. *p<0.05, **p<0.01, ***p<0.001 vs vehicle. (e) Coherograms for each treatment group showing the correlation value (r) by color intensity at frequencies between 0.01 and 0.1 Hz (Y-axis) for −300 s pre-injection to 1800 s post-injection on the X-axis. (f) Summary of coherence data showing the correlation of the whole frequency range (0.01–0.1 Hz) for each treatment group in 5 min time bins (n=8). Bars represent mean (± SEM) Pearson correlation values (r) between 0.01 and 0.1 Hz in 5 min time blocks. RMANOVA performed on Fisher transformed r-values, and values quoted after a Greenhouse–Geisser correction. *p<0.05, **p<0.01, ***p<0.001 vs pre-injection baseline.

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Figure 2e depicts coherograms of correlation strength across the 0.01–0.1 Hz range from −300 s to 1800 s post-injection for all treatment groups. Both time and dose-dependent changes in regional coherence are clearly evident from this figure. This data is summarized in figure 2f, where an averaged correlation of the frequency range of interest (0.01–0.1 Hz) for each treatment group is depicted in 5 min time bins. Following a Greenhouse–Geisser adjustment, a main effect of time (F(3.3,23.2)=3.07, p=0.044) and post hoc analyses revealed a significant increase in coherence in the 10 mg/kg S-(+)-ketamine group between 5 and 25 min, and in the 25 mg/kg S-(+)-ketamine group between 5 and 15 min post-injection compared with the 5 min pre-injection baseline.

Clozapine and Haloperidol dose Response Studies

Clozapine caused a slight but significant attenuation of [O2] AUC in the mPFC (Figure 3a), where a significant main effect of dose was found (F(3,15)=3.91, p=0.03), but not in the mVS (Figure 3b). Following post-hoc comparisons, all doses of clozapine were found to significantly decrease AUC relative to the vehicle control (all p<0.05) in the mPFC. With regard to summarized regional coherence (Figure 3c), clozapine had little effect. The summarized data showed a significant main effect of time (F(6,12)=3.58, p=0.029), but post hoc comparisons revealed only the 10 mg/kg clozapine group showed significant decreases in coherence at the 15–25 min time points relative to the pre-injection baseline (p<0.05).

Figure 3
figure 3

Clozapine and haloperidol dose response studies. Effect of clozapine injection (5, 10, 20 mg/kg, i.p.) on (a) mPFC (n=6) and (b) mVS (n=6) AUC measures extracted from the O2 response, where bars represent mean (± SEM) AUC for the 1-h period following clozapine injection. (c) Summary of coherence data showing the correlation of the whole frequency range (0.01–0.1 Hz) for each treatment group in 5 min (300 s) time bins (n=5). Bars represent mean (± SEM) Pearson correlation values (r) between 0.01 and 0.1 Hz in 5 min time blocks. The effect of haloperidol injection (0.25, 0.5, 1.0 mg/kg, i.p.) is shown for (d) mPFC (n=7) and (e) mVS (n=6) AUC measures extracted from the O2 response, where bars represent mean (± SEM) AUC for the 1-h period following haloperidol injection. (f) Summary of coherence data showing the correlation of the whole frequency range (0.01–0.1 Hz) for each treatment group in 5 min (300 s) time bins (n=8). Bars represent mean (± SEM) Pearson correlation values (r) between 0.01 and 0.1 Hz in 5 min time blocks. AUC: *p<0.05, **p<0.01, ***p<0.001 vs vehicle; Coherence: RMANOVAs performed on Fisher transformed r-values, *p<0.05, **p<0.01, vs pre-injection baseline.

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AUC analyses showed significant effects of haloperidol dose in both regions (mPFC: F(3,18)=3.45, p=0.038; mVS: F(3,15)=3.97, p=0.029) where the 0.25 mg/kg dose significantly increased AUC in both regions compared with vehicle (p<0.01) (Figure 3, lower panel). Similarly to clozapine, haloperidol also had little effect on regional [O2] coherence (Figure 3f), with only a trend toward a significant main effect of time following repeated measures ANOVA (F(6,42)=2.16, p=0.066) observed (n=8).

Clozapine—S-(+)-Ketamine Interaction Study

Time course data (Figure 4a and c) show that clozapine dose-dependently attenuated ketamine-induced increases in [O2] in both brain regions. This is confirmed by the AUC analysis which revealed a significant dose effect in the mPFC (F(3,15)=32.86, p<0.001), where clozapine dose-dependently and significantly reduced [O2] at all doses tested (Figure 4b). In mVS, there was a trend toward an effect of dose (F(3,12)=3.44, p=0.05), where 20 mg/kg of clozapine significantly reduced [O2] AUC relative to ketamine alone in a post hoc comparison (Figure 4d). Frequency range × time coherograms of ketamine for this study (Figure 4e) looked similar to those as observed in the ketamine dose response study, whereby increased regional [O2] coherence following ketamine treatment is evident. Thirty minutes pre-treatment with clozapine dose-dependently reduced this increase in [O2] coherence caused by ketamine, shown by the prominence of colder colors particularly in the 10 and 20 mg/kg clozapine-treated groups. These data are summarized in Figure 4f (n=6). Following a significant dose × time interaction (F(18,90)=2.44, p=0.003) here, post hoc analyses first revealed a significant increase in coherence in the Veh/ket group between 5–20 min and 25–30 min post-injection, and also in the 5/Ket group at the 5–15 min post-injection time points compared with the 5 min pre-injection baseline (−5–0 min) (all p<0.05). The 20 mg/kg dose of clozapine also showed a statistically significant decrease in coherence relative to the 5 min pre-injection baseline (−5–0 min) at 15–30 min time points (all p<0.05). Compared with the Veh/Ket group, the 5 mg/kg dose of clozapine attenuated the ketamine coherence increase at the 15–25 min time points (both p<0.05), whereas at doses of 10 mg/kg and 20 mg/kg clozapine pre-treatment significantly reduced ketamine-induced regional [O2] coherence increases for the 5–30 min time points inclusive (all p<0.01).

Figure 4
figure 4

Clozapine–ketamine interaction study. (a) Temporal profile of changes in tissue O2 levels in mPFC (n=6) and (c) mVSc (n=5) following (s)-(+)-ketamine (25 mg/kg, s.c.) injection in rats pre-treated with clozapine (5, 10, 20 mg/kg, i.p.). Means (± SEM) of normalized O2 currents averaged over 2-min time bins are shown over the 1-h post-injection period. (b) mPFC and (d) mVS AUC measures extracted from the O2 response, where bars represent mean (± SEM) AUC for the 1-h period following ketamine injection. *p<0.05, **p<0.01, ***p<0.001 vs vehicle. (e) Coherograms for each treatment group showing the correlation value (r) by color intensity at frequencies between 0.01 and 0.1 Hz (Y-axis) for −300 s (5 min pre-injection) to 1800 s (30 min) post-ketamine injection on the X-axis. (f) Summary of coherence data showing the correlation of the whole frequency range (0.01–0.1 Hz) for each treatment group in 5 min (300 s) time bins (n=6). Bars represent mean (± SEM) Pearson correlation values (r) between 0.01 and 0.1 Hz in 5 min time blocks. RMANOVA performed on Fisher transformed r-values, *p<0.05, **p<0.01, ***p<0.001 vs pre-injection baseline; #p<0.05, ##p<0.01, ###p<0.001 vs Veh group.

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Haloperidol—S-(+)-Ketamine Interaction Study

Time course data (Figure 5a and c) show that haloperidol pre-treatment had little effect on the ketamine response in both brain regions, and the AUC analyses for both regions (Figure 5b and d) revealed no significant effects following pre-treatment with haloperidol on ketamine-induced increases in regional [O2] (all F <4). Frequency range × time coherograms (Figure 5e) confirmed a similar effect of ketamine alone to that observed in the ketamine dose response study with increases in regional [O2] coherence observed following ketamine administration, but in this case haloperidol appeared to further increase coherence rather than decrease it. This was confirmed statistically in the summary analysis of coherence, as depicted in Figure 5f (n=7). Repeated-measures ANOVA showed a significant main effect of dose (F(3,18)=3.50, p=0.037) and time (F(6,36)=14.25, p<0.001) but no dose × time interaction (F<1). For the Veh/Ket group, post hoc analyses confirmed significant increases in coherence at the 5–15 min and 20–25 min time points compared with the pre-injection baseline (all p<0.05), in agreement with findings from the ketamine dose response study. Compared with Veh/Ket, haloperidol pre-treatment caused a significant enhancement of ketamine-induced increase in regional [O2] coherence following the 0.25 mg/kg dose at the 25–30 min time point, and the 0.5 mg/kg dose at the 10–20 min and 25–30 min time points.

Figure 5
figure 5

Haloperidol–ketamine interaction study. (a) Temporal profile of changes in tissue O2 levels in the mPFC (n=6) and (c) the mVSc (n=5) following S-(+)-ketamine (25 mg/kg, s.c.) injection in rats pre-treated with haloperidol (0.25, 0.5, 1.0 mg/kg, i.p.). Means (± SEM) of normalized O2 currents averaged over 2-min time bins are shown over the 1-h post-injection period. (b) mPFC and (d) mVS AUC measures extracted from the O2 response, where bars represent mean (± SEM) AUC for the 1-h period following ketamine injection. *p<0.05, **p<0.01, ***p<0.001 vs vehicle. (e) Coherograms for each treatment group showing the correlation value (r) by color intensity at frequencies between 0.01 and 0.1 Hz (Y-axis) for −300 s (5 min pre-injection) to 1800 s (30 min) post-ketamine injection on the X-axis. (f) Summary of coherence data showing the correlation of the whole frequency range (0.01–0.1 Hz) for each treatment group in 5 min (300 s) time bins (n=7). Bars represent mean (± SEM) Pearson correlation values (r) between 0.01 and 0.1 Hz in 5 min time blocks. RMANOVA performed on Fisher transformed r-values, *p<0.05, **p<0.01, ***p<0.001 vs pre-injection baseline; #p<0.05, ##p<0.01, ###p<0.001 vs Veh group.

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DISCUSSION

This study demonstrates for the first time that it is possible to use in vivo O2 amperometry to simultaneously measure absolute regional O2 levels as well as regional coherence in low-frequency O2 signal fluctuations in the awake behaving rat. Using this approach, we observed a ketamine-induced signal whereby absolute O2 levels were dose-dependently increased in medial prefrontal cortical (mPFC) and ventral medial striatal (mVS) regions, together with an increased coherence of O2 signal between these regions, consistent with effects previously observed in humans (eg, De Simoni et al, 2013; Driesen et al, 2013). Administration of haloperidol and clozapine had dissociable effects on ketamine-induced increases in oxygenation and coherence, in a manner that also replicated what has been observed in humans (Doyle et al, 2013). Although the mechanistic relevance of these findings is yet to be determined, combining measurement of regional absolute tissue O2 levels with regional O2 coherence opens up a range of potential exploratory studies in rodents that might further define the predictive potential of these signals in humans.

Acute systemic administration of (S)-(+)-ketamine induced robust and sustained dose-related increases in tissue O2 levels in both the mPFC and mVS of freely moving rats. Ketamine O2 signals peaked rapidly in both brain sites, reflecting its known fast time course of action (Adams and Werner, 1997). The present results are in accordance with findings of past rodent glucose utilization studies (Duncan et al, 1998a, 1999; Miyamoto et al, 2000) and imaging studies (eg, Littlewood et al, 2006 and Chin et al, 2011) using ketamine and other NMDA receptor antagonists. Evidence of ketamine-induced neuronal activation also extends to neuroimaging markers in healthy humans (De Simoni et al, 2013; Deakin et al, 2008; Långsjö et al, 2003, 2004), suggesting an equivalent translational activation response of NMDA receptor antagonists across techniques and species. The present results also indicated increased mPFC–mVS inter-regional coherence of low-frequency oxygen oscillations following administration of S-(+)-ketamine. In human ketamine infusion studies, Driesen et al (2013) have shown increased global functional connectivity commensurate with psychotic symptoms in volunteers, and Anticevic et al (2012) demonstrated a disrupted reciprocal relationship between default mode and task-positive networks during the performance of a delayed working memory task. Although the present study did not incorporate behavioral assessment of animals, such studies are presently underway in our laboratories.

The effects of administration of clozapine and haloperidol were relatively small in contrast to the other findings reported here, remaining broadly in line with previous studies (Duncan et al, 1998a, Cochran et al, 2002, Wotanis et al, 2003). Clozapine and haloperidol also had minimal effect on mPFC–mVS coherence when administered alone. Some recent imaging studies have also looked at the direct effect of various antipsychotics on resting-state fMRI in rodents (Gass et al, 2013) and schizophrenic patients (Sambataro et al, 2010; Bolding et al, 2012; Lui et al, 2010) with varying results. However, in terms of translational correspondence, this may be a particularly difficult literature to reconcile at present for several reasons. First in schizophrenic patients, baseline functional connectivity has been shown to be altered (Fox and Greicius, 2010) such that investigations of antipsychotics may be confounded by variation in regional coherence in different patients from the outset. An important next step for preclinical research will be to determine whether proposed animal models of schizophrenia can consistently recapitulate any of these baseline differences in patients, as these models would then represent a more meaningful platform from which to study drug effects. Second, it is not clear at present how uniform and temporally stable such changes in functional connectivity are across the schizophrenic syndrome as a whole, and which resting state network changes (and hence nodes to evaluate in animal studies) are the most relevant to specific symptoms and patient outcome.

Compared with their rather meager effects on baseline measurements in rats, clozapine, and haloperidol had marked and differential effects on regional [O2] and mPFC–mVS coherence induced by ketamine. Most notably, clozapine (5–20 mg/kg) produced significant dose-dependent suppression of ketamine-induced increases in both regions, and also attenuated ketamine-induced increases in mPFC–mVS coherence. In contrast, haloperidol (0.25–1.0 mg/kg) did not significantly modulate [O2] following ketamine administration, and potentiated mPFC–mVS coherence over and above the increase induced by ketamine alone. The regional [O2] observations presented here are in line with previous findings using other techniques. For instance, Duncan et al (1998a) showed in rats that increases in 2-DG uptake induced by 30 mg/kg of ketamine were normalized by clozapine (5–10 mg/kg) in all brain regions studied, whereas a 0.5 mg/kg dose of haloperidol potentiated ketamine-induced activation of 2-DG uptake. A phMRI study in anesthetized rats (Gozzi et al, 2008) has also shown that acute administration of PCP (0.5 mg/kg, i.v.) produced robust and sustained increases in relative cerebral blood volume (rCBV) in discrete cortico-limbo-thalamic regions, and that clozapine (5 mg/kg) completely suppressed PCP-induced rCBV responses in the thalamus and less so in cortical and hippocampal structures, whereas raclopride (0.3 mg/kg), a dopamine D2 antagonist similar to haloperidol, did not affect the PCP-induced increases in rCBV. This study also demonstrated no effects of clozapine or raclopride per se on rCBV, broadly consistent with our present findings. More recently, a phMRI study in healthy human volunteers described attentuation of the BOLD signal increase induced by ketamine challenge by the atypical antipsychotic risperidone and the anticonvulsant lamotrigine (Doyle et al, 2013).

Importantly, differential effects on mPFC–mVS coherence were observed, where clozapine attenuated ketamine-induced increases in mPFC–mVS coherence, but haloperidol enhanced this coherence. To date, there are no known rsfMRI studies describing the effect of antipsychotics on an NMDA receptor antagonist-induced modulation of functional connectivity—this will be a crucial translational comparison to be conducted. Future preclinical O2 amperometry work also needs to measure from various other nodes in resting state networks, first to more precisely define the extent to which these networks are homologous to those described in humans, but also to show that this indeed is a phenomenon specific to restricted nodes and not simply a global, non-specific effect. As physiological changes such as heart rate or blood pressure were not recorded in this study, their contribution to coherence levels cannot be determined. However, unpublished data from this lab shows that different combinations of brain regions in the same animal show different levels of coherence, suggesting that high coherence at rest is not a global response caused by a physiological artifact of this technique. The simultaneous measurement of other physiological parameters and behaviors such as locomotor activity will also help rule out the possibility of artifactual confound of functional connectivity measures. Although we have shown a clear differential effect of clozapine and haloperidol on ketamine-induced changes in activation and functional connectivity, the mechanistic interpretation of this effect needs to be further investigated. Studies that compare the hemodynamic response to direct measures of neuronal activity such as EEG/LFP recordings under the influence of this pharmacology, as well as measuring behavioral responses, would help elucidate the functional significance of these findings.

It is undoubtedly premature to assign a functional significance to the differences in regional amperometric O2 levels and inter-regional coherence effects, yet the present results demonstrate differential responses of typical and atypical antipsychotics on NMDA antagonist-induced brain activation and functional connectivity. These results fit well with existing literature on phMRI and rsfMRI responses described already, and lay the foundation for experiments analogous to functional connectivity imaging methods to be conducted in awake, behaving animals. This holds great promise for the development of a novel translational bridging technology to better define cross-species biomarkers for drug research and functional assays for neuroscience research in general.

FUNDING AND DISCLOSURE

JL, MWC, JF, JH, AJS, MT and GG are employees of Eli Lilly and Co. Ltd. KI was financially supported by Eli Lilly and Co. Ltd. The remaining authors declare no conflict of interest.