The lateral habenula is critically involved in histamine-induced itch sensation

Lateral habenula (LHb) is a brain region acting as a hub mediating aversive response against noxious, stressful stimuli. Growing evidences indicated that LHb modulates aminergic activities to induce avoidance behavior against nociceptive stimuli. Given overlapped neural circuitry transmitting pain and itch information, it is likely that LHb have a role in processing itch information. Here, we examined whether LHb is involved in itchy response induced by histamine. We found that histamine injection enhances Fos (+) cells in posterior portion within parvocellular and central subnuclei of the medial division (LHbM) of the LHb. Moreover, chemogenetic suppression of LHbM reduced scratching behavior induced by histamine injection. These results suggest that LHb is required for processing itch information to induce histaminergic itchy response.


Main text
Various external stimuli coming through the periphery are transmitted to the brain, and the brain processes them for survival of higher organism. Among stimuli, pruritogens usually evoke negative sensation and induce scratching behavior to reduce it. Primary sensory neurons expressing pruriceptors such as histamine and PAR2 receptor transmit pruriceptive stimuli to secondorder neurons in spinal cord [1,2]. Growing studies have revealed the neural circuitry conveying pruriceptive information in the spinal cord [3,4]. Although there are specific interneurons activated only by pruritogen, it has been accepted that nociceptive and pruriceptive information are usually transmitted common spinal neural circuit [3,5]. After leaving spinal cord, itch information is conveyed to several brain regions via spinothalamic tract like as nociception transmission. In contrast to spinal level, although a few studies reported that some brain regions are activated by pruriceptive stimuli [6][7][8], it is largely unknown how and which brain regions process itch information.
As mentioned previously, neural circuitry transmitting itch information largely overlaps with that of pain information. Thus, it is conceivable that brain regions involving pain processing also mediate itch information. Among brain regions engaging the processing of pain information, the lateral habenula (LHb) is known to be activated by aversive stimuli and induces avoidance behavior [9,10]. Many studies have reported that the LHb in rodent and human is activated by noxious stimuli [11][12][13][14][15]. The lateral hypothalamic region (LHA) is directly innervated by sensory stimuli transmitted via spinothalamic tract, and directly projects to LHb. In addition, it was reported that spinal projection neurons also directly project to the LHb in cat [16]. When the LHb receives sensory information with negative valence, the LHb mediates avoidance behaviors by manipulating aminergic circuits [17,18]. Given the role of LHb and aversive property of itchy sensation, it is reasonable that the LHb is involved in the processing of itchy information. Although a few studies showed that LHb is activated by pruritogens [6], there is no direct evidence that LHb is involved in the processing of itchy information.
Here, we aimed to reveal whether the LHb is required for the processing of itchy sensation.
To investigate whether the LHb is activated by itch stimulus, we used histamine as pruritogen. Ninety minutes after intradermal injection of 40 mM histamine (20ul, in saline, His) solution into the rostral part of the back, mice were decapitated and brains were processed by the procedure of immunohistochemistry. Based on the fact that immediate-early gene, c-fos expression reflect neuronal activation, we examined Fos-immunoreactivities in the LHb. When we analyzed overall LHb, although His injection tended to increase Fos (+) cells, it was not significantly different compared to vehicle-injected group ( Fig. 1a and b). However, we observed that His injection robustly increased Fos (+) cells only in restricted area of LHb (Fig. 1c) and this increase is mainly concentrated into posterior part of the parvocellular (LHbMPc) and central (LHbMC) subnuclei within medial division of the LHb (LHbM) [19]. These results suggested that pruriceptive stimulus activates neurons located in the limited area of LHb.
Given the results showing His-induced activation of LHb, we sought to examine whether LHb is required for itchy response induced by His injection. To suppress neuronal activities of LHb, we used inhibitory GiDREADD system. The hM4Di-mcherry, delivered by AAVs, was expressed under CaMKII promoter based on that major cell type of LHb is glutamatergic [9]. Clozapine-N-oxide (CNO) (0.1 mg/kg) was intraperitoneally injected to suppress neuronal activities expressing hM4Di. His injection robustly increased scratching response compared to vehicle injection group, but pretreatment of CNO reduced scratching responses (Fig. 1d and e). These results showed that neuronal activities in LHb contribute to itchy behavioral response. In this study, we found that histamine injection activated neurons located in restricted area of LHbMPc and LHbMC. Also, we revealed that LHb activation is required for histamine-induced scratching behavior. Actually, the LHb is consist of several distinct subnuclei divided based on the characteristics of habenular cells [19]. Although the connectivity between each subnuclei of LHb and other brain regions has not revealed in detail, it was revealed that LHbM region including LHbMPc and LHbMC receives afferent input originated from midbrain and limbic area such as hypothalamus and basal forebrain [9]. Among these brain regions, LHA is well known to be activated by pruritogens [6]. Thus, it seems that LHA innervates a part of LHbMC and LHbMPc after histamine injection. Also, in our preliminary experiments, we observed that histamine activated paraventricular hypothalamus (PVN) (data is not shown), which is known to project to LHbM regions [20]. These two inputs to LHbM are known to involved in aversion and escape behaviors [20][21][22][23][24]. Thus, it is likely that histamine stimulates LHbMC and LHbMPc via LHA and/or PVN. But, it is still unclear why only a small part, posterior area, of LHbMC and LHbMPc was specifically activated by histamine injection.
In contrast to afferents of LHb, efferents involving itch information processing are not obscure. The LHb suppress dopaminergic neurons in ventral tegmental area (VTA) via GABAergic interneurons within VTA or in rostromedial tegmental nucleus (RMTg) [18,25]. Moreover, pruritus-induced scratching behavior was initiated by activation of GABAergic neuron in VTA, and dopaminergic neuron was activated immediately after scratching behavior [25]. Given the connectivity between LHbM and VTA, it seems that LHbM modulates VTA activities for processing itchy information.
To determine specifically whether LHbMC and LHbMPc subnuclei mediate the processing of itchy information, further study showing specific features of each subnuclei, such as molecular markers, is required. Fortunately, recent studies began to report that transcriptome is not uniformly distributed, show spatial distribution pattern in LHb [26]. Identification of molecular makers specifically expressed in LHbMC and LHbMPc will help to reveal the function of these subnuclei on itchy information processing. In addition, although we used histamine as a pruritogen in our study, many studies indicated that different types of pruritogens stimulate distinct neurons and activate partially overlapped brain areas [27][28][29]. Thus, it is worth to examine whether nonhistaminergic pruritogens are also processed by same LHb region activated by histamine. Finally, our study will help to understand how itch stimuli is processed by the brain, and contribute to develop treatment for pathological itch such as atopic dermatitis.