Bile diversion, a bariatric surgery, and bile acid signaling reduce central cocaine reward

PLoS Biol. 2018 Jul 26;16(7):e2006682. doi: 10.1371/journal.pbio.2006682. eCollection 2018 Jul.

Abstract

The gut-to-brain axis exhibits significant control over motivated behavior. However, mechanisms supporting this communication are poorly understood. We reveal that a gut-based bariatric surgery chronically elevates systemic bile acids and attenuates cocaine-induced elevations in accumbal dopamine. Notably, this surgery reduces reward-related behavior and psychomotor sensitization to cocaine. Utilizing a knockout mouse model, we have determined that a main mediator of these post-operative effects is the Takeda G protein-coupled bile acid receptor (TGR5). Viral restoration of TGR5 in the nucleus accumbens of TGR5 knockout animals is sufficient to restore cocaine reward, centrally localizing this TGR5-mediated modulation. These findings define TGR5 and bile acid signaling as pharmacological targets for the treatment of cocaine abuse and reveal a novel mechanism of gut-to-brain communication.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Bariatric Surgery*
  • Behavior, Animal
  • Bile / metabolism*
  • Choice Behavior / drug effects
  • Cocaine / pharmacology*
  • Dopamine / metabolism
  • Gallbladder / metabolism
  • Ileum / metabolism
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Motor Activity / drug effects
  • Nucleus Accumbens / metabolism
  • Reward*
  • Signal Transduction*

Substances

  • Cocaine
  • Dopamine