Mediodorsal thalamic nucleus mediates resistance to ethanol through Ca_v3.1 T-type Ca²⁺ regulation of neural activity

Reviewer #1 (Public Review):

Summary:
This an interesting and valuable study that uses multiple approaches to understand the role of bursting involving voltage-gated calcium channels within the mediodorsal thalamus in the sedative-hypnotic effects of alcohol. Given its unique functional roles and connectivity pattern, the idea that the mediodorsal thalamus may have a fundamental role in regulating alcohol-induced transitions in consciousness state would be both important for researchers investigating thalamocortical dynamics and more broadly interesting for understanding brain function. In addition, the author's examination of the role of the voltage-gated calcium channel Cav3.1 provides some evidence that burst-firing mediated by this channel in the thalamus is functionally important for behavioral-state transitions. While many previous studies have suggested an analogous role for sleep-state regulation, the evidence for an analogous role of this type of bursting in sedative-induced transitions is more limited. Despite the importance of these results, however, there is some concern that the manipulations and recording approaches employed by the authors may affect other thalamic nuclei adjacent to the MD, such as the central lateral nucleus, which has also been implicated in controlling state transitions. The evidence for a specific role of the mediodorsal thalamus is therefore somewhat incomplete, and so additional validation is needed.

Strengths:
This study employs multiple, complementary research approaches including behavioral assays, sh-RNA-based localized knockdown, single-unit recordings, and patterned optogenetic interventions to examine the role of activity in the mediodorsal thalamus in the sedative-hypnotic effects of alcohol. Experiments and analyses included in the manuscript generally appear well conceived and are also generally well executed. Sample sizes are sufficiently large and statistical analysis appears generally appropriate though in some cases additional quantification would be helpful. The findings presented are novel and provide some interesting insight into the role of the thalamus as well as voltage-gated calcium channels within this region in controlling behavioral state transitions induced by alcohol. In particular, the observed effects of selective knockout along with recordings in total knockout of the voltage-gated calcium channel, Cav3.1, which has previously been implicated in bursting dynamics as well as state transitions, particularly in sleep, together suggest that the transition of thalamic neurons to a bursting pattern of firing from a more constant firing is important for transition to the sedated state produced by ethanol intoxication. While previous studies have similarly implicated Cav3.1 bursting in behavioral state transitions, the direct optogenetic interventions and single-unit recordings provide valuable new insight. These findings may also have interesting implications for the relationship between sleep process disruption associated with ethanol dependence, although the authors do not appear to examine this directly or extensively discuss these implications of their findings.

Weaknesses:
A key claim of the study is that the mediodorsal thalamus is specifically important for the sedative-hypnotic effect of ethanol and that a transition to a bursting pattern of firing in this circuit facilitates these effects due to a loss of a more constant tonic firing pattern. Despite the generally clear observed effects across the included experiments, however, the evidence presented does not fully support that the mediodorsal thalamus, in particular, is involved. This distinction is important because some previous studies have suggested that another thalamic nucleus which is very close to the mediodorsal thalamus, the central-lateral thalamus, has previously been suggested to play a role in preventing sedative-induced transitions. Despite its proximity to the mediodorsal thalamus, the central-lateral thalamus has a substantially different pattern of connectivity so distinguishing which region is impacted is important for understanding the findings in the manuscript. While sh-RNA knockdown appears to be largely centered in the mediodorsal thalamus in the example shown, (Figure 2) this is rather minimal evidence and it is also not well explained (indeed, the relevant panels do not even appear to be referenced in the text of the manuscript) and the consistency of the knockdown targeting is not quantified. Additional evidence should be provided to validate this approach. Similarly, while an example is shown for the expression of ChR2 (Fig. 5) there seems to be some spread of expression outside of the mediodorsal thalamus even in his example raising a concern about how regionally specific this effect.

The recordings targeting the mediodorsal thalamus could provide evidence of a direct association between changes in activity specifically in this part of the thalamus with the behavioral measures but there are currently some issues with making this link. One difficulty is that, although lesions are shown in Figure S5 to validate recording locations, this figure is relatively unclear and the examples appear to be taken from a different anterior/posterior location compared to the reference diagram. A larger image and improved visualization of the overall set of lesion locations that includes multiple anterior/posterior coronal sections would be helpful. Moreover, even for these example images, it is difficult to evaluate whether these are in the mediodorsal thalamus, particularly given the small size of the image shown. Ideally, an example image that is more obviously in the mediodorsal thalamus would also be included. Finally, an assessment of the relationship between the approximate locations of recorded neurons across the tetrode arrays and the behavioral measures would be very helpful in supporting the unique role of the mediodorsal thalamus. The lack of these direct links, in combination with the histological issues, reduces the insight that can be gained from this study.

In addition to the key experimental issues mentioned above, there are often problems in the text of the manuscript with reasoning or at least explanation as well as numerous minor issues with editing. The most substantial such issue is the lack of clarity in discussing the mediodorsal thalamus and other adjacent thalamic nuclei, such as the central-lateral nucleus, in the author's discussion of previous findings. Given that at last one of the manuscripts cited by the authors (Saalman, Front. Sys. Neuro. 2014) has directly claimed that central-lateral, rather than the mediodorsal, thalamus is important for arousal regulation related to a conscious state, this distinction should be addressed clearly in the discussion rather than papered over by grouping multiple thalamic nuclei as being medial. As part of this discussion, it would be important to consider additional relevant literature including Bastos et al., eLife, 2021 and Redinbaugh et al., Neuron, 2020 which are quite critical but currently do not appear to be cited. Considering additional literature relevant to the function of the mediodorsal thalamus would also be beneficial.
While the methods employed generally seem sound, the description in the methods section is lacking in detail and is often difficult to follow. Analysis methods such as the burst index appear to only be given a brief explanation in the text and appear not to be mentioned in the methods section. Similarly, the staining method used in Figure 2 does not appear to be described in the methods section. The most substantial case is for the UMAP approach used in Figure 4-E which does not appear to be described in the methods or even described in the main text. The lack of detailed descriptions makes it difficult to evaluate the applicability and quality of the experimental and analytical approaches. Citations justifying the use of methods such as the approach to separate regular spiking and narrow spiking neuron subtypes are also needed.

Beyond the problems with content and reasoning discussed above, there are also some relatively minor issues with the clarity of writing throughout the paper (for example, in the abstract the authors refer to "the ethanol resistance behavior in WT mice" but it is difficult to parse what they mean by this statement. Similarly, the next sentence "These results support that the maintenance..." while clearer, is not well phrased. Though individually minor, issues like this re-occur throughout the manuscript and sometimes make it difficult to follow so the text should be revised to correct them. There are also some problems with labels such as the labels of A1/A2 in Figure 4, which appear to be incorrect. Also, S7 has no label on the B panels. Finally, some references are not included (only a label of [ref]).

Reviewer #2 (Public Review):

In the current study, Latchoumane and collaborators focus on the Cav3.1 calcium channels in the mediodorsal thalamic nucleus as critical players in the regulation of brain-states and ethanol resistance in mice. By combining behavioural, electrophysiological, and genetic techniques, they report three main findings. First, KO Cav3.1 mice exhibit resistance to ethanol-induced sedation and sustained tonic firing in thalamocortical units. Second, knocked-down Cav3.1 mice reproduce the same behaviour when the mediodorsal, but not the ventrobasal, thalamic nucleus is targeted. Third, either optogenetic or electric stimulation of the mediodorsal thalamus reduces ethanol-induced sedation in control animals.

Overall, the study is well designed and performed, correctly controlled for confounds, and properly analysed. Nonetheless, it is important to address some aspects of the report. The results support the conclusions of the study. These results are likely to be relevant in the field of systems neuroscience, as they increase the molecular evidence showing how the thalamus regulates brain states.