Role of Beta-arrestin 2 downstream of dopamine receptors in the Basal Ganglia.

Multifunctional scaffolding protein beta-arrestins (βArr) and the G protein-receptor kinases are involved in the desensitization of several G protein-coupled receptors (GPCR). However, arrestins can also contribute to GPCR signaling independently from G proteins. In this review, we focus on the role of βArr in the regulation of dopamine receptor functions in the striatum. First, we present in vivo evidence supporting a role for these proteins in the regulation of dopamine receptor desensitization. Second, we provide an overview of the roles of βArr2 in the regulation of extracellular-signal-regulated kinases/MAP kinases and Akt/GSK3 signaling pathways downstream of the D1 and D2 dopamine receptors. Thereafter, we examine the possible involvement of βArr-mediated signaling in the action of dopaminergic drugs used for the treatment of mental disorders. Finally, we focus on different potential cellular proteins regulated by βArr-mediated signaling which could contribute to the regulation of behavioral responses to dopamine. Overall, the identification of a cell signaling function for βArr downstream of dopamine receptors underscores the intricate complexity of the intertwined mechanisms regulating and mediating cell signaling in the basal ganglia. Understanding these mechanisms may lead to a better comprehension of the several roles played by these structures in the regulation of mood and to the development of new psychoactive drugs having better therapeutic efficacy.

Introduction

Dopamine is a catecholamine neurotransmitter that has several functions in the brain including the regulation of locomotion, cognition, emotions, and endocrine secretion (for review see Carlsson, 2001). Consequently, abnormal dopamine signaling could be implicated in many neuropsychiatric disorders such as schizophrenia, bipolar disorder, depression, Parkinson’s disease, and drug abuse. This broad functional implication of the dopaminergic system is, at least in part, explained by its prominent cerebral innervation.

Anatomically, dopamine neurons extend widely in the central nervous system and could be dissociated in five sub-systems: nigrostriatal, mesolimbic, mesocortical, tuberoinfundibular, and tuberohypophysial (Bannon et al., 1983; Bjorklund and Stenevi, 1984). Among these, one of the major dopamine containing regions is the nigrostriatal pathway, composed of dopamine neurons originating from substantia nigra and ventral tegmental area that project respectively to the caudate putamen and nucleus accumbens, among other areas (Gerfen and Surmeier, 2011).

Dopamine signaling is mediated by two different groups of G protein-coupled receptors (GPCR). The first category, the D1 family, comprises the D1- and D5-receptors (D1R and D5R). The second family, named D2-class receptors, is formed by the D3R, D4R along with the short and long splices variants of the D2R (for a review see Missale et al., 1998; Beaulieu and Gainetdinov, 2011). In the basal ganglia, D1R is mostly expressed by GABAergic medium spiny neurons (MSN) of the caudate putamen (striatum) while D2R are found in both MSN and dopamine neurons. Recent studies using bacterial artificial chromosome (BAC) transgenic mice expressing specific reporters (e.g., eGFP and/or dtTomato) under the control of the D1R or D2R gene promoters, revealed a high level of segregation of D1R- and D2R-containing MSN (Figure 1) of the striatum and nucleus accumbens (Shuen et al., 2008; Valjent et al., 2009). These data confirmed that MSN could be separated into two subgroups according to their projection areas and the type of dopaminergic receptors that they express. One of these subgroups includes MSN of the direct striatonigral pathway, which mostly express D1R, and project to the medial globus pallidus and substantia nigra pars reticulata. The second group is composed of MSN of the “indirect” striatopallidal track that project to the lateral globus pallidus and express preferentially D2R (Gerfen and Surmeier, 2011). In the striatum, activation of D1R appears to facilitate transmission along the direct pathway while activation of post-synaptic D2R would inhibit transmission along the indirect pathway (Parent et al., 2000; Kravitz et al., 2010). However, it is noteworthy that a small subpopulation of MSN synthesizes both D1R and D2R and may have different dopamine receptor signaling properties (Rashid et al., 2007; Valjent et al., 2009).

Figure 1

D1 and D2 receptors are segregated in different cells in the striatum and in the nucleus accumbens. The first image (left) shows striatal cells of the direct striatonigral pathway expressing D1 receptors (specific reporter dtTomato under the control of D1R promotor). Second image (middle) show striatal cells of the indirect striatopallidal track expressing D2 receptors (specific reporter eGFP under the control of D2R promotor). The third picture (right) shows the lack of colocalization of D1 and D2 receptors in striatal cells (yellow parts of cells are cell overlap artifacts).

Functionally, dopamine receptors signal through G protein-dependent cellular processes. D1R is mostly coupled to Gαs/olf proteins and stimulate the activity of adenylate cyclase and the production of the second messenger cAMP (Spano et al., 1978; Kebabian and Calne, 1979). In contrast, D2R is associated to Gαi/o proteins and inhibit the production of cAMP. The coupling of dopamine receptors to different G proteins allows this neurotransmitter to act on multiple cell signaling molecules such as kinases and phosphatases (Beaulieu and Gainetdinov, 2011). As for other GPCR, activation of dopamine receptors is quickly followed by their rapid phosphorylation by GPCR kinases (G protein-receptor kinases, GRK; Premont and Gainetdinov, 2007). This results in the recruitment of multifunctional scaffolding proteins termed beta-arrestin 1 and beta-arrestin 2 (βArr1 and βArr2) in order to desensitize and internalize GPCR (Gainetdinov et al., 2004; Shenoy and Lefkowitz, 2005). The recruitment of at least βArr2 to D1R and D2R has also been reported to activate cellular signaling in a G protein-independent manner by inducing the formation of functional protein complexes in which βArr acts as a scaffold for different kinases and phosphatases (Beaulieu et al., 2005; Urs et al., 2011).

In this review, we provide an overview of our current understanding of the different contributions of βArr to dopamine receptor functions putting an emphasis on studies conducted directly in the mouse striatum. First, we present an outline of in vivo studies of the involvement of βArr and GRK in dopamine receptor desensitization and internalization. We then summarize different lines of evidence supporting the implication of βArr-dependent signaling events downstream of both D1R and D2R. Thereafter, we examine the possible involvement of βArr and its molecular interactors in the action of drugs used for treatment of psychiatric disorders. Finally, we discuss briefly evidences pointing toward possible molecular mechanisms through which βArr-mediated signaling can contribute to the regulation of neuronal functions by dopamine.

A Role for Beta-Arrestin in the Regulation of Dopamine Receptor Functions

Following receptor stimulation, homologous GPCR desensitization constitutes a crucial mechanism to protect cells against over-stimulation of the receptors. This phenomenon begins with the phosphorylation at specific sites of the activated GPCR by GRK. This first step is followed by the recruitment and the binding of the multifunctional adaptor proteins arrestins (Lohse et al., 1990a; Pitcher et al., 1998; Pierce and Lefkowitz, 2001; Gainetdinov et al., 2004; Premont, 2005). Association of βArr to GPCR prevents further G protein activation therefore ensuing receptor desensitization (Lohse et al., 1990b). βArr also promote receptor internalization from the cellular membrane to the cytoplasm through the subsequent binding of arrestins to the clathrin adaptor protein adaptin (AP2; Laporte et al., 2002) and to clathrin itself (Krupnick et al., 1997). This process triggers clathrin-mediated endocytosis of the receptor and either its subsequent recycling to the cell surface or degradation (Figure 2; Ferguson et al., 1996; Ferguson, 2001; Claing et al., 2002; Claing and Laporte, 2005). Dopamine receptor activity is modulated by desensitization via βArr1 and βArr2. Evidences that support the involvement of βArr1 in the regulation of D1R and D2R, come from in vitro studies (Kim et al., 2001; Oakley et al., 2001). Furthermore, research conducted in heterologous cellular systems also indicates a role for βArr2 in desensitization of D1R, D2R, and D3R (Kim et al., 2001; Oakley et al., 2001; Gainetdinov et al., 2004; Lan et al., 2009). Thus, βArr proteins could serve as key regulators in dopamine receptor activity.

Figure 2

Schematic representation of dopaminergic desensitization and signaling. (A) After stimulation, GPCR/DAR regulates different second messengers like adenylate cyclase (AC), cyclic adenosine monophosphate (cAMP), protein kinase A (PKA) in a G protein-dependent way (step1). Signaling induces the recruitment of G protein-receptor kinases family (GRK) and of multifunctional scaffolding protein βarrestin, which induce the formation of the receptor/protein complex (GPCR/AP2/βarrestin/clathrin; step2). GPCR-associated protein complex is internalized in clathrin coated-pits and complex is disassembled (step3). Internalized GPCR is recycled to membrane or degradated by proteasome (step4). (B) D1 and D2 receptors can regulate several molecular pathways through different G protein-independent signalling. D1 receptor (D1R) may regulates protein complex composed of βarrestin 2/Erk/Raf/MEK and induces Erk activation. D2 receptor (D2R) modulates the Akt/βarrestin 2/PP2A protein complex and the Akt downstream substrate GSK3 that is inhibited by Akt.

In vivo studies using different enhancers of dopamine neurotransmission (cocaine and amphetamine) and dopamine agonists (apomorphine), have resulted in a more complex picture of the role of arrestins in dopamine receptor functions (Gainetdinov et al., 2004; Beaulieu et al., 2009). The psychostimulants cocaine and amphetamine both affect the functions of the dopamine transporter (DAT) and induce an increase of extracellular dopamine levels, resulting in over-stimulation of dopamine receptors. In normal mice, enhancement of striatal dopaminergic activity following acute administration of these drugs leads to a hyperactive locomotion phenotype. Impairment of desensitization by deleting one of its mediators, GRK6, in GRK6-knock-out mice (GRK6-KO), exacerbates psychostimulant-induced hyperactivity as compared to wild-type (WT) animals (Gainetdinov et al., 2003). Furthermore, characterization of dopamine receptor functions in these mice has shown that a lack of GRK6 results in reduced D2R desensitization. This indicates that impaired desensitization of dopamine receptors in mice lacking GRK6 actively contributes to enhanced locomotor response to psychostimulants acting on dopaminergic neurotransmission.

Surprisingly, inactivation of other components of the desensitization machinery such as βArr1 and βArr2 does not reproduce the behavioral effects observed in GRK6-KO mice after dopaminergic drugs exposure. Indeed, βArr1-KO and βArr2-KO mice both display a reduced behavioral responsiveness to the non-selective dopamine agonist apomorphine (Gainetdinov et al., 2004; Beaulieu et al., 2005). In addition, reduced locomotor responsiveness to amphetamine has also been reported in βArr2-KO mice (Beaulieu et al., 2005) while behavioral responsiveness to cocaine does not appear to be affected by an absence of either βArr1 or βArr2 (Bohn et al., 2003; Gainetdinov et al., 2004). βArr2 also appears to contribute to the dopamine-dependent effect of the opiate drug morphine. Administration of morphine in mice produces locomotor hyperactivity by increasing dopamine release from the presynaptic terminals (Kuschinsky and Hornykiewicz, 1974). Interestingly, this behavioral effect of enhanced dopamine neurotransmission resulting from morphine administration has also been reported to be reduced in mice deficient for βArr2 (Bohn et al., 2003). Finally, the locomotor consequences of a genetic enhancement of dopamine tones also appear to be partially counteracted by a loss of βArr2. In mice, genetic deletion of the DAT abolishes dopamine reuptake (Jones et al., 1998). This induces an increase of extra synaptic dopamine levels and subsequent hyperactive phenotype (Giros et al., 1996; Gainetdinov et al., 1999). However, double mutant mice lacking both βArr2 and the DAT display a reduction in this novelty-induced locomotor hyperactivity phenotype (Beaulieu et al., 2005). Overall, results from these different studies indicate that a lack of βArr1 or βArr2 leads to a reduction in the locomotor response to dopamine receptor stimulation. The only major exception is locomotor response to acute cocaine, which is not overtly affected by a lack of either βArr1 or βArr2. The reasons these discrepancies remain obscure. One possibility is that acute cocaine administration may trigger locomotors responses by acting also on other neurotransmitter systems. In line with this, it is of interest that acute but not chronic locomotors response to cocaine has been shown to be severely reduced in mice expressing low levels of the glutamate/NMDA receptor subunit NR1 while locomotors responses to amphetamine were left essentially unaffected in these mice (Ramsey et al., 2008).

In conclusion, while βAR and GRK appear to play a role in dopamine receptor desensitization and internalization in cultured cells systems, this role is only clearly supported at the behavioral level by data obtained in GRK6-KO mice. In contrast, lack of βArr has either a minimal effect or reduced the behavioral responsiveness to certain drugs acting on dopamine functions therefore suggesting that βArr may be implicated in different cellular processes regulating dopaminergic signaling and locomotor behaviors (Beaulieu et al., 2005, 2007a; Urs et al., 2011).

Regulation of ERK/MAP Kinase Signaling by βArr2 and D1R

Dopamine receptor-regulated behaviors are frequently associated to the activation of extracellular-signal-regulated kinases (ERK)/MAP kinase signaling (Beaulieu et al., 2006; Girault et al., 2007; Beaulieu and Gainetdinov, 2011). The serine threonine kinase ERK is positively regulated following its phosphorylation by the MAP kinase–kinase, MAPK/ERK kinase (MEK) that is itself activated by the MAP kinase–kinase–kinase RAF following the activation of different types of receptors including several receptor tyrosine kinases (RTK) and GPCR (Girault et al., 2007). Different lines of evidence have demonstrated the importance of ERK-mediated signaling in the maintenance of dopamine receptor functions. For instance, activation of D1R has been shown to activate ERK in the mouse striatum while conversely inhibition of ERK leads to reductions of hyper-locomotor responses in DAT-KO mice or following administration of amphetamine or cocaine (Berhow et al., 1996; Valjent et al., 2000, 2006a; Beaulieu et al., 2006; Girault et al., 2007). Furthermore, activation of ERK by dopamine receptors also appears to play an important role in long-term changes in synaptic plasticity in response to drug of abuse (Miller and Marshall, 2005) or in response to l-DOPA therapy for Parkinson’s disease (Santini et al., 2007).

In transfected cells, βArr2 can support the formation of a mitogen activated protein kinase (MAP kinase) complex composed of βArr2 and the MAP kinase pathway kinases RAF, MEK, and ERK in response to GPCR activation (Ahn et al., 2004; Shenoy and Lefkowitz, 2005) resulting in an activation of ERK (Luttrell et al., 2001; Wei et al., 2004; Luttrell and Gesty-Palmer, 2010). Therefore, βArr2 may serve to promote ERK-mediated signaling underlying dopamine-regulated behaviors. Recent evidence suggests that βArr2 may participate in locomotor response and activation of ERK in response to D1R stimulation. Urs et al. (2011) have reported that acute morphine administration increases the interaction between βArr2 and ERK in the striatum of WT but not of D1R-KO mice as measured by co-immunoprecipitation assays. In addition, morphine-dependent locomotion and activation of striatal ERK2 by morphine were curtailed in mice lacking either the D1R or βArr2. Finally, co-administration of the indirect ERK inhibitor SL327 along with morphine to WT mice also reduced the locomotor response to morphine. This suggests that the D1R may regulate ERK signaling and may contribute to the dopamine-mediated locomotor responses to morphine by acting via a βArr2-dependent mechanism. However, there is also strong evidence for a role of canonical G protein/cAMP-mediated mechanisms in the regulation of ERK activity by D1R (Girault et al., 2007). Therefore, results obtained in this study following administration of SL327 or in D1R-KO mice may also reflect an effect of these experimental conditions on other D1R receptor signaling mechanisms and further studies are needed to establish the contribution of G protein and βArr2 in the regulation of ERK activity and behavior by D1R.

The Regulation of Akt and GSK3 by Dopamine and Beta-Arrestin 2

Over the years, several lines of evidence have pointed toward the contribution of βArr-mediated mechanisms in the regulation of Akt and GSK3, two serine/threonine kinases, by dopamine.

Akt, also termed protein kinase B, is known to be involved in various cellular processes such as transcription, glucose metabolism, proliferation, migration, and with insulin and neurotrophin action through the stimulation of RTK (Cross et al., 1995; Alessi et al., 1996; Scheid and Woodgett, 2001). Activation of RTK and some GPCR regulates the phosphoinositol-3 kinase (PI3K), which converts phophatidyl-inositol-2-phosphate (PIP2) to phosphatidyl-inositol-3-phosphate (PIP3; For review, Martelli et al., 2010). Then, the newly formed PIP3 interacts with the pleckstrin homology domain of Akt, inducing its recruitment to the plasma membrane. This cellular process results in the phosphorylation of Akt at threonine 308 and serine 473 residues by two phosphatidyl-dependent kinases, PDK1 and PDK2/rictor-mTOR, respectively (Scheid and Woodgett, 2001; Jacinto et al., 2006). Once activated, Akt phosphorylates in turn several substrates including GSK3 (Rossig et al., 2002).

Originally known for its role in the control of glycogenesis in response to insulin, GSK3 is implicated in numerous physiological processes such as embryonic development, cell differentiation, cell survival, Wnt signaling, apoptosis as well as serotonin, and dopamine receptor signaling (Woodgett, 2003; Beaulieu et al., 2004, 2008b; Li et al., 2004). Mammalian cells express two isoforms of GSK3, GSK3α, and GSK3β, which are constitutively active and can phosphorylate several cellular substrates (Woodgett, 1990). GSK3α and GSK3β are negatively regulated by several kinases involved in PI3K and MAP kinases signaling pathways (Frame and Cohen, 2001). Additionally, Akt phosphorylation inhibits the two isoforms of GSK3 in response to growth factors and hormones, including BDNF, IGF, and insulin (Yamada et al., 2002; Altar et al., 2008). Specifically, Akt phosphorylates specific residues serine 21 for GSK3α and serine 9 for GSK3β that are located in the N-terminal domains of both GSK3 isoforms (Stambolic and Woodgett, 1994; Frame and Cohen, 2001). Therefore, Akt is an important regulator of various signaling cascades involving GSK3.

Experiments using DAT-KO mice, dopamine depletion or dopamine receptors agonist/antagonists have provided converging evidence for a negative regulation of Akt resulting in an activation of GSK3 isoforms by D2-class receptors in mammals and other vertebrates (Beaulieu et al., 2004; Bychkov et al., 2007; Chen et al., 2007; Souza et al., 2011). Consequently, pharmacological D2-class receptors antagonists induce Akt activation and subsequent GSK3 inhibition (Beaulieu et al., 2004; Emamian et al., 2004). Furthermore, experiments conducted using mice lacking different dopamine receptors showed that a loss of D2R but not D1R prevented the inactivation of striatal Akt by drugs acting on dopamine neurotransmission (Beaulieu et al., 2007b). In contrast, mice deficient for the D3R exhibit a reduced responsiveness of Akt phosphorylation to dopaminergic drugs. Therefore, D2R would be crucial for the inhibition of Akt by dopamine, while the D3R appears to potentiate the D2R dopamine response (Beaulieu et al., 2007b).

It has been demonstrated that βArr2 is actively involved in dopamine-regulated Akt inhibition (Beaulieu et al., 2004, 2005). The role of βArr2 in mediating the regulation of Akt and GSK3 by D2R is supported both by behavioral and direct in vivo biochemical observations in pharmacological and genetic models of enhanced dopamine neurotransmission. At the behavioral level, βArr2-KO mice present lower locomotor activity in response to the dopamine-dependent action of amphetamine and apomorphine (Gainetdinov et al., 2004; Beaulieu et al., 2005). In line with this, increased locomotor activity observed in mice lacking the DAT is also antagonized by the absence of βArr2 in double knock-out animals (Beaulieu et al., 2005). At the biochemical level, both amphetamine and apomorphine have been shown to inhibit the phosphorylation and activation of Akt in the striatum of WT mice while these two drugs failed to inhibit Akt in βArr2-KO mice. Furthermore, genetically increased dopaminergic tones were also shown not to affect Akt activity in mice deficient for both DAT and βArr2, suggesting an important role of this scaffolding protein in Akt regulation by dopamine. Further characterization of the molecular mechanisms underlying the regulation of Akt by D2R following receptor stimulation has shown that βArr2 is involved in the formation of a protein complex composed of Akt, βArr2, and protein phosphatase 2A (PP2A; Beaulieu et al., 2005). Once in the complex, PP2A dephosphorylates and deactivates Akt, resulting in the activation of GSK3 (Beaulieu et al., 2004, 2005).

One interesting observation emerging from the regulation of this pathway is a difference of kinetics that points toward the existence of two modalities of cell signaling responses to slow synaptic neurotransmission. Indeed, inhibition of Akt is a slower and more persistent phenomenon than events mediated by the cAMP–PKA pathway (Beaulieu et al., 2004, 2005, 2007a). On the one hand, administration of amphetamine in mice induces a cAMP-dependent phosphorylation of ERK and DARPP-32 during the first 30 min after drug administration (Valjent et al., 2005). On the other hand, Akt inhibition following acute treatment with amphetamine becomes significant after 30 min and persists over the duration of the drug behavioral effects (Beaulieu et al., 2007a, 2005). These different kinetics suggest that dopamine-regulated behaviors and action of dopaminergic drugs depend, at least in part, from different and temporally successive waves of GPCR signaling mediated respectively by G proteins and the βArr2.

Arrestin/Akt/GSK3, Dopamine Signaling as a Target for Mood Stabilizers

The most prescribed and studied mood stabilizer, lithium, is known for its therapeutic effects in the treatment of bipolar disorders (Cade, 1949; Schou et al., 1954; Phiel and Klein, 2001; Blanco et al., 2002). However more than 60 years after its introduction, the molecular mechanisms underlying the therapeutic actions of lithium are still unknown. Among other proposed mechanisms, lithium can directly and indirectly inhibit the activity of GSK3 (Stambolic et al., 1996; O’Brien and Klein, 2009). In mice, indirect inhibition of GSK3 occurs following the activation of its direct regulator Akt (Chalecka-Franaszek and Chuang, 1999; Beaulieu et al., 2004, 2008a). It has recently been demonstrated that this effect of lithium on the activity of Akt could be mediated by βArr2, at least in the mouse striatum (Beaulieu et al., 2008a). Biochemically, lithium disrupts the βArr2/Akt/PP2A signaling complex that is regulated by D2R (Figure 3). This leads to an overactivation of Akt and subsequent indirect GSK3 inhibition. In βArr2-KO mice, lithium fails to inhibit GSK3 and to activate Akt as it does in the striatum of WT mice (Beaulieu et al., 2008a). Furthermore, in these mutant mice, chronic treatment with lithium does not exert antimanic and antidepressant-like effects seen in control animals. This finding provides strong correlative evidence that lithium could exerts some of its biochemical and behavioral effects by interfering with the dopamine associated-βArr2 signaling complex involved in the regulation of Akt and GSK3. This possible mechanism of action is further supported by recent observations indicating that expression of the Akt isoform Akt1 is also essential for the regulation of some behaviors by lithium in mice (Pan et al., 2011). Interestingly, other mood stabilizers such as valproic acid and lamotrigine might also modulate Akt/GSK3 signaling (Chen et al., 1999; Li et al., 2002; Beaulieu and Caron, 2008). Indeed, both mood stabilizers decrease the phosphorylation of GSK3 substrates (Gould and Manji, 2005). However, these different drugs have to be further studied to investigate a possible involvement of Akt/GSK3 signaling in their therapeutic effects.

Figure 3

The mood stabilizer lithium disrupts the D2R-associated protein complex composed of Akt, PP2A, and beta-arrestin 2. The consequences are an overactivation of Akt, inhibition of GSK3 and correlated Akt/GSK3-regulated behaviors.

A Role for Akt and GSK3-Mediated Dopamine Signaling in the Action of Antipsychotics

Antipsychotics are a heterogeneous family of drugs used for the treatment of several psychiatric disorders, mostly schizophrenia. Among these drugs, so called first generation or “typical” antipsychotics like haloperidol and chlorpromazine are believed to exert most of their therapeutic action in schizophrenia by blocking D2-class receptors (Snyder, 1976). In addition, more recent second generation or “atypical” antipsychotics (AA) like clozapine have been shown to retain D2-class receptor antagonist functions while also acting on other “non-dopamine” receptor types (Meltzer, 1991; Kapur and Remington, 2001). Considering the role of D2R in regulating the βArr2/Akt/GSK3 pathway, it is not surprising that antipsychotics with D2R antagonist properties have been reported to activate Akt and inhibit GSK3 in vivo (Emamian et al., 2004; Alimohamad et al., 2005; Beaulieu et al., 2007a; Li et al., 2007). Among these, haloperidol prevents the inhibition of Akt and concomitant activation of GSK3 by dopamine (Beaulieu et al., 2004; Emamian et al., 2004). Similarly AA such as clozapine, olanzapine, risperidone, quetiapine, and ziprasidone, have been shown to activate Akt or mimic its activity by increasing GSK3α and GSK3β phosphorylation in the striatum, cortex, and hippocampus (Alimohamad et al., 2005; Li et al., 2007; Beaulieu et al., 2009). Unfortunately, the functional involvement of βArr2 has not been explored in these in vivo studies. However, in vitro experiments using bioluminescent resonance energy transfer (BRET) have suggested that both typical and AA may induce some of their effects by antagonizing the recruitment of βArr2 to the D2R long isoform (D2LR; Masri et al., 2008). More specifically, this study has shown three different effects of antipsychotics on the inhibition of cAMP-synthesis and arrestin recruitment in response to D2LR stimulation. Some drugs, like haloperidol, antagonized both the regulation of cAMP and the recruitment of βArr2 to the D2LR with a similar efficacy. In contrast, other drugs like clozapine appeared to be stronger antagonists of βArr2 recruitment than of cAMP modulation. Finally, other antipsychotics like aripiprazole acted as partial antagonists of cAMP regulation while fully inhibiting βArr2 recruitment. Taken together, these results suggest that antipsychotics share common antagonistic properties toward D2R/βArr2-mediated signaling while having different effects on the control of cAMP production by this same receptor, at least in transfected cells. It would thus be interesting to explore the physiological action of each of these drugs on Akt and GSK3 in vivo to establish whether the effects of these psychoactive drugs are closely related to D2R/βArr2/Akt/GSK3 signaling.

It should be noted however, the implication of D2R in the regulation of Akt and GSK3 by AA can also be explained by other mechanisms. One alternative could involve serotonin neurotransmission. Indeed, most AAs are 5-HT2A receptors antagonists (Kapur and Remington, 2001). Interestingly, the 5-HT2A agonist 2,5-dimethoxy-4-iodoamphetamine (DOI) activates GSK3 in vivo (Li et al., 2004) while AA have the opposite effect on the activity of this kinase (Li et al., 2007). Furthermore, enhancers of serotonin neurotransmissions like serotonin reuptake inhibitors and fenfluramine or genetic manipulations decreasing serotonin synthesis have also been shown to affect GSK3 activity in vivo (Li et al., 2007; Beaulieu et al., 2008b; Figure 4). Additional characterization is therefore needed to determine the relative contribution of dopamine and serotonin receptors in the modulation of Akt/GSK3 by AA drugs and to define the roles that they may have in psychotic disorders.

Figure 4

Regulation of Akt/GSK3 signaling by drugs affecting dopamine and 5-HT neurotransmitter systems. Monoamines-dependent behaviors have been discovered in Akt1- and βArr2-KO mice and in GSK3β heterozygous mice.

Molecular Targets of Dopamine Regulated by βArr2, Akt, and GSK3 Signaling

While several lines of evidence indicate a role for βArr2, Akt, and GSK3 in dopamine receptor signaling, there is little information on the nature of the molecular targets of these kinases that are affected by dopamine receptors in the basal ganglia or other brain regions. Akt and GSK3 have various substrates involved in numerous cellular processes linked to mental illnesses-associated physiological functions like cytoskeleton organization, trafficking, cell survival, apoptosis, and DNA transcription (Frame and Cohen, 2001; Woodgett, 2001). Here, we present three different molecular systems that are regulated by GSK3 and for which there are some evidences for direct involvement of dopamine receptor signaling: the direct GSK3 substrate β-catenin, ionotropic glutamate receptors, and the regulation of circadian rhythms.

β-catenin

β-catenin has multiple roles in the cell. This protein functions as a transcription factor and a scaffolding protein, which anchors the actin cytoskeleton as a mediator of adherent junctions. β-catenin is a common component of the Wnt and Akt/GSK3 signaling pathway (For review: Freyberg et al., 2010). In the absence of Wnt stimulation, β-catenin forms a complex with GSK3 and several other proteins. This induces the phosphorylation of β-catenin by GSK3 and then its ubiquitination and proteasomal degradation (Doble and Woodgett, 2003). Conversely, activation of the Wnt receptor Frizzled leads to the disruption of this complex by the protein Disheveld (Dvl). Free β-catenin can then translocate to the nucleus and affect gene expression (Fukumoto et al., 2001). Interestingly, the regulation of the Akt/GSK3 signaling cascade by D2R and βArr2 may affect β-catenin activity. Interestingly, chronic treatment with the mood stabilizer lithium in mice increases β-catenin levels in different brain regions such as the amygdala, striatum, hypothalamus, and hippocampus (O’Brien et al., 2004; Beaulieu et al., 2008a). It is has been shown that increased levels of striatal β-catenin in response to lithium is dependent upon the expression of βArr2 therefore suggesting that changes in β-catenin in response to lithium may arise from a disruption of βArr2-mediated D2R signaling (Beaulieu et al., 2008a). In addition, overexpression of β-catenin in mice reproduces the behavioral effects of the GSK3 inhibition by lithium on dopamine-dependent locomotor hyperactivity and in tests evaluating antidepressant and anxiolytic effects of drugs in rodents (Gould et al., 2008). The functional consequences of these drugs could be mediated by the striatum, since the β-catenin forebrain-specific conditional knock-out mouse shows little behavioral changes (Gould et al., 2008). However, this still has to be established.

Glutamate receptors

The modulation of GSK3 signaling by dopamine receptors also appears to regulate some functions of NMDA ionotropic glutamate receptors and associated synaptic plasticity (Chen et al., 2007). In particular, GSK3 activity modulates the development of long-term depression (LTD) in rat hippocampal slices, two processes regulated by ionotropic glutamate receptors (Zhu et al., 2007; Peineau et al., 2008). Furthermore, Akt/GSK3-mediated signaling appears to be responsible for the regulation of NMDA receptors by D2R in response to high levels of dopamine in the rat frontal cortex (Li et al., 2009). Briefly, application of high concentrations of dopamine induces a reduction of NMDA current associated with the internalization of the NMDA receptor subunit NR2B both in cortical slice preparations and in vivo. The effect of elevated dopamine on NMDA receptor functions is dependent of D2R, GSK3, and PP2A and is not affected by inhibition of G proteins, therefore suggesting an involvement of βArr2-mediated signaling (Li et al., 2009). However, the contribution of βArr2 to the regulation of NMDA receptor functions as a result of elevated dopamine levels has not been confirmed. Also, it remains unclear whether this type of regulation occurs in the striatum or if it is restricted to cortical neurons.

Regulation of clock gene signaling

The deregulation of circadian rhythm is thought to be an integral part of human mental diseases like bipolar disorders and in particular seasonal affective disorders (Benedetti et al., 2004; Mansour et al., 2005). One of the first studies associating GSK3 to the regulation of circadian rhythm has been made in drosophila. Yuan et al. (2005) have shown that the fly GSK3 ortholog, Shaggy, is regulated by serotonin and affects the circadian cycle. Then, numerous studies have demonstrated the regulation of clock genes by GSK3 in mammals (Iitaka et al., 2005; Lamont et al., 2007). For example, the GSK3 inhibitor lithium affects the transcription of the clock gene Bmal1 (Lamont et al., 2007). In line with this, GSK3β can also regulate mammalian circadian protein functions in vitro (Iitaka et al., 2005). Interestingly, circadian rhythm-regulated gene expression and associated-behaviors can also be modulated by the D2R, which is known to regulate GSK3 (Doi et al., 2006; Yujnovsky et al., 2006). D2R is highly expressed in the retina and plays an important role in neural adaptation to light (Doi et al., 2006). Accordingly, activation of D2R stimulates CLOCK:BMAL1 functions through MAP Kinases pathways and could possibly regulate circadian gene expression through βArr2/Akt/GSK3 signaling (Sahar et al., 2010). This suggests a putative relevant link between circadian rhythm and dopamine receptor functions.

Conclusion and Perspectives

The relatively recent identification of G protein-independent βArr-mediated signaling of GPCR has radically changed our perception of the roles played by these molecules in dopamine receptor functions. From simple desensitization molecules, βArr are now seen as polyvalent GPCR-associated scaffolding proteins having complex and multiple functions in regulating the final outcome of receptor stimulation (Wei et al., 2003; Gesty-Palmer et al., 2006). Extensive and elegant research efforts have shown how downstream targets of dopamine receptors such as DARPP-32 can act as integrators and coincidence detectors modulating the outcome of dopamine receptor signaling in function of the activation of other neurotransmitter systems (Svenningsson et al., 2004). When put in this context, the dual functions of βArr add an extra layer of complexity to dopamine receptor signaling. Indeed the co-occurrence of G protein-dependent and βArr-mediated responses reveals that dopamine receptors also exhibit signaling diversity. Through such diversity, a given receptor may regulate several modalities of signaling under different conditions or during different periods of its activation cycle. This can have several important physiological consequences and raises many pending questions that will have to be addressed further in future research.

First, signal diversity downstream of dopamine receptors may have a considerable impact on the development of pharmacological approaches to manipulate dopamine receptor functions. The assumption that a receptor is engaged in exclusively one type of signaling event regardless of its cellular composition has been the basis of the definition of the intrinsic drug efficacy (Galandrin et al., 2007). However, a context where dopamine receptor can elicit different cell signaling responses involving G protein, βArr, or other signaling molecules has led to the suggestion that it may be possible to generate new biased ligands for dopamine receptors that would modulate one or another cell signaling mechanism preferentially (Beaulieu et al., 2007a). It is believed that such biased agonism can have important implications for drug development because intracellular signaling events mediated by these parallel pathways may have distinct physiological consequences. As discussed above, D2R has been shown to be one of the best examples of this duality in receptor signaling, because it is involved in the regulation of the G protein-mediated functions and the βArr2-mediated Akt/GSK3 signaling cascade (Beaulieu et al., 2009). Although there are no known D2R ligands affecting specifically one or the other of these signaling modalities, it may be possible to develop drugs to selectively target one of these pathways. In fact, the ability of the mood stabilizer drug lithium to disrupt βArr2-mediated Akt/GSK3 signaling and to suppress the behavioral effects that are related to enhanced dopaminergic transmission provides the first evidence for the activity of clinically effective compounds on βArr2 scaffolded signaling complexes downstream of the D2R (Beaulieu et al., 2008a, 2009; Rajagopal et al., 2010).

Prior to develop drugs acting preferentially on one or another cell signaling response, it would be important to decipher what is the relative role of these different modalities of signaling in regulating the final physiological outcome of dopamine receptor activation. This can be particularly important in the context of MAP kinase regulation. Indeed, ERK can be regulated by both G protein/DARPP-32 and βArr2-mediated signaling events downstream of D1R (Valjent et al., 2006b; Urs et al., 2011). Considering the important role of this kinase in regulating both acute and long-term consequences of dopamine receptor signaling (Beaulieu et al., 2006; Valjent et al., 2006b), it would be important to establish what is the level of segregation (if any) between the functions exerted by ERK when it is activated by either mechanisms. This can be important since association with a βArr signaling complex may affect the subcellular localization of activated ERK and therefore change the nature of its substrates (Pierce and Lefkowitz, 2001). The same observations can also be made for the regulation of Akt and GSK3 by D2R since alternative mechanisms such as the transactivation of the BDNF receptor TrkB by dopamine receptors (Swift et al., 2011) may also affect Akt and GSK3 activity in specific neuronal populations.

Another pending issue is the nature of the contribution of βArr1 in mediating dopamine receptor signaling. As of today, most of the attention has been focused on the role played by βArr2 in both D1R- and D2R-mediated signaling. However, behavioral evidence indicates that βArr1-KO mice also exhibit behavioral responses to dopamine drugs that are compatible with a major role of βArr1 in mediating some signaling responses in addition to its probable function in canonical homologous receptor desensitization (Gainetdinov et al., 2004).

In conclusion, the identification of cell signaling functions associated to βArr downstream of dopamine receptors underscores the intricate complexity of the intertwined mechanisms regulating and mediating neuronal communication in the basal ganglia. This is an essential step to understand the several roles played by these structures in the regulation of mood, cognition, affect, and movement. Furthermore, understanding these mechanisms may lead to the development of new drugs having the desired therapeutic effect and avoiding aversive and undesired side effects.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.