

We describe a neurobiological link between cognitive flexibility and pathological weight loss (in rats



Cognitive inflexibility is a key hallmark of #anorexia nervosa - it leads to strict, *unyielding* adherence to diet & exercise regimes, which makes it possible for patients to “override” the evolutionary survival mechanisms that should prevent starvation. [2/9]
This is a real problem for #treatment & #recovery - it’s not enough to say that patients with anorexia are “recovered” when they gain weight - many will experience chronic, relapsing & life threatening illness unless they are able to fundamentally change the way they think. [3/9]
We use the activity-based anorexia rat
model to study the neurobiology of anorexia. We want to understand why some rats are #susceptible to rapid & precipitous weight loss, while #resistant rats are able to maintain body weight under the same experimental conditions
. [4/9]


In combination with pathway-specific #DREADDs and #touchscreen cognitive tests, we exposed rats to the activity-based anorexia paradigm to investigate how activity in a cortico-striatal circuit influences cognitive flexibility & adaptation to time-limited food access. [5/9]
We found that *suppression* of neurons in the prefrontal cortex that project to the ventral striatum (mPFC-AcbSh) *improved* cognitive #flexibility in a reversal learning task & allowed rats to #adapt to activity-based anorexia in order to maintain a healthy body weight. [6/9]
In other words, when we “slam the breaks on” cognitive control from the prefrontal cortex, these rats can more *quickly* adapt to changing reward contingencies & are able to learn compensatory behaviours to *prevent* pathological weight loss. [7/9]
Our study highlights the utility of the activity-based anorexia rat model
for understanding the biological bases
of cognitive deficits in patients with #anorexia nervosa & provides context for new treatment strategies targeting flexibility and control. [8/9]


And here is a link to the paper. Thanks to everyone involved
, especially @LauraKMilton who spent a big chunk of her PhD doing these experiments 
#FoldiLab @MonashBDI (click
)[9/9] https://www.biologicalpsychiatryjournal.com/article/S0006-3223(20)31711-X/pdf



