Tiny Brain Structure Reveals New Paths to Treat Addiction, Depression

Summary: New research spotlights the habenula, a tiny but powerful brain region, as a key player in addiction, motivation, and emotional regulation. Studies show that the habenula’s circuitry influences how the brain processes rewards, disappointment, and drug cravings, offering potential drug targets like the GPR151 receptor.

Scientists are now working to develop compounds that could modulate habenula function, aiming to reduce chemical dependency and ease withdrawal. These discoveries could also lead to new treatments for depression, highlighting the habenula’s wider impact beyond addiction.

Key Facts:

  • Habenula’s Role: This tiny brain structure regulates reward, motivation, and disappointment, influencing addiction and emotional resilience.
  • New Drug Target: Researchers are developing drugs targeting the GPR151 receptor in the habenula to reduce opioid and nicotine dependence.
  • Beyond Addiction: Findings suggest habenula-based therapies could also help treat chronic depression and motivational disorders.

Source: Rockefeller University

Major scientific discoveries can arise from simple decisions: say, by simply looking where virtually no one else has.

Such was the case for Ines Ibañez-Tallon, a research associate professor in the Laboratory of Molecular Biology at The Rockefeller University, who over the past decade has revealed how one small, understudied region of the brain plays an outsized role in addiction and substance abuse—work that’s sparked a federally funded search for new medications that may help people beat chemical dependencies.

This shows a brain.
She’s also documented that the habenula helps regulate emotional states and cognitive behaviors, including motivation, disappointment, depression, and stress. Credit: Neuroscience News

Known as the habenula, this narrow strip of gray and white matter—so tiny it’s considered a microstructure—is an ancient piece of the brain, first appearing in vertebrates about 360 million years ago.

Digging deep into this little node, Ibañez-Tallon uncovered an extremely complex and highly connected command center—one that’s part finely tuned sensor and part lightning-fast switchboard, detecting and sending chemical signals to other brain regions, including those that produce pleasure-inducing and modulatory neurotransmitters such as dopamine, acetylcholine, serotonin, and norepinephrine.

She’s also documented that the habenula helps regulate emotional states and cognitive behaviors, including motivation, disappointment, depression, and stress.

In addition to identifying a potential drug target that could directly address opioid addiction, her insights also point to how positive behaviors could boost healthy reward responses. We spoke to her about how she brought this little-known brain region to light.

How did you first link the habenula to addiction?

Initially I was studying nicotinic receptors, which—as you can tell from the name—pick up chemical signals from nicotine sources like tobacco, but their primary job is to mediate the responses to acetylcholine, which is involved in different essential functions, including memory and attention.

Around that time, genome-wide studies had found that about 37% of people of European descent—and a lower prevalence in other populations—carry specific variants in nicotinic receptor genes, and that these people had an especially difficult time quitting smoking. But no one knew why. So my team put these mutated genes into mice, and they started to really like to drink nicotine.

To investigate that, we used a technique we developed that uses what we call tethered toxins, which can turn switches in the neural circuitry on or off. Manipulating the circuitry led us to the problem: a mutated nicotinic receptor subunit called alpha five (α5) located in a region connected to the habenula called the interpeduncular nucleus (IPN).

That was an intriguing discovery, so we started delving more deeply into the habenula’s structure, circuitry, and molecular dynamics.

Later we discovered that it has a very high concentration of opioid receptors as well.

Is the high concentration of nicotinic and opioid receptors in the habenula the root of the problem?

That’s part of it, but the habenula’s location is key too. It’s found in the epithalamus, which is just above the thalamus. This region is known for linking the forebrain, brainstem, and hindbrain together.

So the habenula is like a well-positioned antenna receiving really fast signals from the central nervous system that it then sends to connected parts of the brain, which respond with either aversion or reward mediated by specific neurotransmitters.

What we think this adds up to is that the habenular circuit provides a very basic learning mechanism that allows for fast adaptation to behaviors. So, for example, the first time you have a cigarette, your body has an aversive reaction to it.

You become nauseated, your lungs burn—but at the same time, the nicotine activates a neural pathway in the habenula, which causes the release of different neurotransmitters—acetylcholine, which makes you feel alert; dopamine, which feels like a reward; and serotonin, which is an antidepressant.

So now you feel alert and focused, but also calm and relaxed. That initial physical aversion has been turned into a reward for the brain. That’s why it’s so hard to quit.

Opioid receptors function slightly differently. Because they’re associated with pain processing, at first they suppress activation of the neural pathway rather than stimulate it.

But that changes with the second consumption of an opioid like oxycodone or fentanyl. Then the habenula sends messages to the IPN, which leads to inhibited release of neurotransmitters that would signal that a change has occurred.

Without negative feedback from the IPN back to the habenula, opioid consumption escalates and leads to increased intake and maladaptive mechanisms.

Can we use these insights into the habenula help stop chemical dependency?

That’s our hope. For many years I have collaborated on habenula research with Paul Kenny at the Icahn School of Medicine at Mount Sinai, and about a decade ago we discovered a receptor called GPR151.

We think it has a lot of potential as a drug target. It’s an orphan receptor, which means we don’t currently know what it’s supposed to bind with. But our research has shown that if we delete it from mice, they are less sensitive to opioids and nicotine. The downside is that they take more of the drug because they have less sensitivity to it.

They’re looking for their missing high.

Exactly.

So how might GPR151 alleviate this problem?

GPR151 is located by the synapses of habenula neurons that release neurotransmitters to postsynaptic neurons in the IPN. So we’re on the hunt for a ligand—a molecule GPR151 can bind with. We could use this ligand to modulate opioid sensitivity so that people feel satiated by a much lower amount of the drug. They’d stop seeking their missing high.

Would this approach reduce the intake of opioids, or would it end it completely?

We hope it’s a first step to quitting entirely. The pain of withdrawal is so intense, many people find it just too difficult to get through—so that’s when they’re most likely to relapse. And because the habenula has learned from prior experience, using the addictive substance will give them instant relief due to the release of the neurotransmitters. It’s this feedback loop that we want to disrupt.

What’s also appealing about this approach is how precise we can be. Opioid receptors are found throughout the body and have a range of functions, but GPR151 is mainly expressed in the habenula. That means we could regulate it without having an impact on the other receptors.

How is your search for that missing ligand going?

For the past four years, we’ve been supported by a substantial grant from the NIH’s Helping to End Addiction Long-term Initiative, or HEAL. A team at NIH is helping us to screen tens of thousands of potential drugs. We’ve already assessed a million chemical compounds and natural products.

Thus far, we’ve narrowed it down to seven chemotypes. The HEAL team and Ted Kamenecka at Scripps Florida are synthesizing approximately a hundred analogs of these selected chemotypes to enhance activity and stability. From these, the most effective compounds are identified through cell assays, and further evaluated using mouse brain tissue samples.

The next phase will be to explore the pharmacodynamics in vivo—meaning we’d look into how the drug affects the body. And then eventually, with FDA approval, it could go on the market.

Earlier you said that the habenula provides a basic learning loop for quickly adapting to behaviors. Do your findings have implications beyond addiction?

Absolutely. We’re just beginning to understand the huge impact of this tiny structure. For instance, we now know that it’s helping to regulate your motivational states. Broadly speaking, the habenula assesses an input on a very fast, very elemental level, and teaches you something for the next encounter with it.

The habenula gets activated by disappointment— or an anti-reward— when you do not receive the reward you were expecting. Thus, if you previously got an anti-reward signal from something, the habenula is primed to alert you again by changing the levels of serotonin, dopamine, acetylcholine, etc.

We’re finding that this is true not just with regard to chemical dependency but also to everyday actions. If you don’t get what you hoped for—whether it’s the lead role in a play or certain high off a hit of fentanyl—you’ll feel disappointment. Now the habenula will actively suppress the neurotransmitter surge you expected.

Finding the right balance between being disappointed and being rewarded teaches us how to navigate the world.

Does that mean you can also boost the habenula’s reward response through positive behaviors, such as exercise?  

We’re actually looking into this right now, because it’s well known that exercise can induce the release of neurotransmitters like dopamine. We’re trying to understand how the habenula might be involved by studying mice that have a mutation in the GPR151 receptor—the same one we’re exploring for curbing addiction.

These mice don’t like to run, which on a survival level is a big problem, because a mouse’s first response to a predator is to flee.

Perhaps GPR151 enables a feeling of reward from movement that reinforces running behavior, and loss of function of this receptor disables that feeling.

The habenula has also been linked to depression. What’s the connection?

It’s possible that the habenula is picking up behavioral or chemical changes—both common in depression—and sharing them with its network, but we also discovered a set of unique pace-making neurons in the habenula that could be implicated.

These cells independently keep a regular beat, just like the heart, but they can be affected by inputs to the body.

Deep-brain stimulation of the habenula has been tried as a treatment for chronic, treatment-resistant depression, and it seems to work, though its use is still very limited. It’s possible that it restarts the system, a bit like electroshock therapy does.

Actually, a similar approach has been used to correct motor control issues in people with Parkinson’s, which affects a part of the brain near the habenula.

To go from identifying some receptors in a little-known part of the brain to potential treatment for chemical dependency and new insights into chronic depression is quite a scientific journey.

Yes, and all from basic research! At the beginning, we were just trying to understand a neural circuit. It’s amazing what we’ve learned since then thanks to the dedication and collaboration of our team.

About this addiction and depression research news

Author: Katie Fenz
Source: Rockefeller University
Contact: Katie Fenz – Rockefeller University
Image: The image is credited to Neuroscience News

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  1. Neuroscience to my understanding, is a distinct area of study dedicated to investigating the complexities of the nervous system. This system includes the brain, spinal cord, and a complex array of sensory and motor neurons that spread throughout the body. The main goal of this field is to understand how these different parts collaborate to influence behavior, cognitive abilities, and bodily functions. By analyzing the relationships and roles of these components, neuroscience aims to decode the intricacies of our thoughts, emotions, and actions, as well as how our bodies react to various stimuli.

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    Today, I am contributing as a champion here to delve into the most effective strategies and solutions for tackling mental health challenges, especially considering the significant obstacles that people in Kenya encounter when trying to access these essential services. The ability to obtain mental health care is vital for ensuring the stability and overall well-being of both individuals and communities. This issue is of utmost importance, as it directly impacts the prosperity of our society and the dignity of our citizens. Consequently, it is imperative that we prioritize mental health as a central focus within the public health agenda of our nation.
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    Considering these factors, it is vital that we direct our attention to the mental health sector, which is currently experiencing significant challenges. Just as it is crucial to tailor treatment plans to meet the unique needs of each individual client, there must also be a collective understanding within our community about effective mental health solutions. We cannot simply apply strategies that have been successful in other contexts and expect them to yield the same results in our own situation; this approach has unfortunately led to negative outcomes for our population. It is imperative that we address this issue with the seriousness it warrants, as ignoring it could lead to serious consequences for our overall well-being.
    After 28 years of drug use, I found myself in a dire situation when I decided to quit. My condition was diagnosed as critically acute, and I felt as though I was on the brink of death, isolated and without support. The very people I once used drugs with and thought were my family and friends, had turned their backs also on me due to the severity of my situation; I had become unmanageable to myself, my family, my drug-mates and, the community too. I had become a pariah in society, daily in and out of the legal arms but today I am grateful to God for recognizing my worth and giving me the great freedom to enjoy like every other being. I firmly believe that through His guidance, I was saved, and for the past 11 years, my mission has been to help others find sobriety, too. Since I quit in December 2013, I have not relapsed, although the journey has been far from easy. I have faced numerous challenges that nearly extinguished my commitment to sobriety, including the devastating loss of my husband during the COVID-19 pandemic on June 3, 2021 who had become my soul, body and mind companion and lover. He was my only one person who accepted me and reciprocated love to me the exact way I deserve without any judgment and within 5 years of our intimacy, he was gone, forever. I finally was admitted into therapy to work through my feelings of loss and grief, and this genuinely rejuvenated my spirit. I actually felt my mind and body in sync back again – Hallelujah!
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    The main aim of this entire narrative is to connect individuals to passionate learning and exploration into this innovative scientific concept. This initiative if specifically designed as a research project for the people of Kenya, with a focus on Nakuru County, I volunteer to make it a success. My vision for Nakuru County – Kenya will be to stand out from all the rest by demonstrating professionalism with ethics and true commitment to the mission.

  2. What is tbi?? I struggle with addiction. I just went into detox from fentanyl and meth and I was extremely sick. On day 7 my release date the Dr gave me a Suboxone and it put me in presipitated withdrawals. It was awful. I believe it was bc Suboxone and sebutex was made for detox off heroin not fentanyl. All I know is it didn’t work. I lasted 11 days and then I had to use again bc I just couldn’t handle the sickness. I know this is TMI but the diahrea was constantly coming out I had no control. I can’t live like that. Please help

  3. I would like to learn more, and would like to give this a try when approved. I have been a cocain/crack addict for over 30 years.
    I’ve always worked and kept my health up. I have cancer now and a grandson and would like to be clean and healthy.

  4. I think it could also help all those people with meth addiction. There are so many who are getting sucked in to that world and can’t find a way out.

  5. My daughter is struggling with fentanyl addiction. She also suffers from anxiety and depression. We would be very interested in any trials studies you might have. Thank you!

  6. I’ve suffered from TRMD most of my life. I can’t remember ever really feeling truly happy. I also have type 1 narcolepsy. I always thought something would come out that helped at least enough to be able to have a career. I’m 60 yrs old now and knowing its not likely has made my depression hit new lows. What new medication that has come out in the last 20 years is nowhere near affordable. The only time i felt any relief is when i tried shrooms once in my early 20s. I laughed till I fell asleep and woke up feeling almost happy, calmer than i ever felt before or since. Smoking cigarettes does help somewhat. I’ve tried to quit but i feel like I’m completely losing it. My already sky high anxiety level goes up off the charts causing my BP to skyrocket. I really wish these treatments I read about were within reach and affordable. My entire life has been wasted in a bed.

  7. All involved in this project +study are awesome.. I love how you figure out all these awesome things… Keep on doing your thing!!!

  8. I’m suffering from a tbi and the loss of my son and my daughter and stabbed 7x in the past 3 years. I am so depressed I don’t even know how to smile again, not even if I try. I need all the help I can get. I read everything in the blog and it makes perfect since if you need someone to try surgery or medication I’m willing to.

    1. That’s a lot to be dealing with, Troy! I’m also going through some similarly heavy things, with multiple tbi’s. I definitely feel that the support/trauma-focused treatment persons with co-occuring or dual diagnosis-type would benefit from is hard to find, unfortunately. A tbi contributes to much more severe and specific symptoms and reactions to stress and typical therapies just aren’t addressing the right things. So, I hope you are able to take a step back, and take a nice deep breath, and at the very least know that you have the right to feel negatively about things are difficult. You are an extremely strong person to keep fighting and to continue to care, and to want to improve your life, and with a tbi it is twice the amount of work to get there, at the very least. People often have the tendency to be more harsh after you’ve had a tbi(which I will never understand), so I hope you don’t take it personally, or let it affect your self-worth. I’m not sure if this is relative at all to your situation, but knowing this when I went through all this years ago would have helped me. And if you haven’t yet, please join a survivor’s or grief support group. Being around others who understand is extremely healing. Hope that helps.

  9. This is an exciting article! Thanks for sharing this revolutionary new treatment method! I would love if there was something that could help those who suffering with addiction.. sounds like a really really complex idea with many layers!

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