In the current study, we examined the impact of 5-HT4R blockade in the dorsal caudate nucleus (dCDh) on temporal discounting in macaques. PET imaging results confirmed dense expression of 5-HT4Rs in the dorsal striatum, including dCDh. Consistent with previous studies, the proportion of correct trials for delayed rewards was well described by a model with hyperbolic discounting. We found that 5-HT4R blockade in dCDh significantly increased error rates in the delayed-reward task, indicating an increased rate of temporal discounting that determined how rapidly reward value declined with increased delay. These results, together with our previous findings, suggest that dCDh provides a critical contribution to the modulation of temporal discounting, at least in regards to regulating motivation for action, and probably also for decision making.
Previous studies suggested that serotonin levels are associated with impulsivity in decision making, particularly striatal information processing. For example, human imaging studies emphasize that serotonin controls the time scale of reward prediction by differentially regulating activities within the striatum23,24. Neuronal activity in the striatum has been suggested to represent the discounted value of delayed rewards, which combines information about the amount of reward and the delay in delivery16,17. In addition, local injections of muscimol and chemogenetic inactivation of dCDh significantly distorted linear error patterns without increasing errors, specifically disrupting the process integrating reward size and delay duration, thereby suggesting a causal contribution of dCDh on neuronal activity to compute the discounted values of delayed rewards. In contrast, the current study showed that infusion of 5-HT4R antagonist into the dCDh enhances temporal discounting without disrupting linear relationships. This treatment did not significantly affect reaction times, error patterns, or total reward earned — behavioral indices of attention/motor preparation, motor impulsivity, and general motivation, respectively. These results strongly suggest that 5-HT4R-mediated serotonin transmission in this region modulates neuronal activity and plays a crucial role in the computation of temporal discounting. Hence, our data provide new insights into the function of the serotonergic system in reward valuation and decision making, especially in the context of delay discounting.
How then does serotonin influence striatal neuronal activity through 5-HT4Rs? In the dorsal striatum, 5-HT4Rs are found primarily at postsynaptic sites25. One possibility is the involvement of dopamine-mediated effects. Microanalysis studies in rats showed that administration of a systemic 5-HT4R antagonist reduced the enhancement of both striatal dopamine release and nigral dopamine neuron impulse flow only under conditions in which nigrostriatal dopamine transmission was activated26,27. Conversely, intrastriatal administration of 5-HT or 5-HT4R agonists stimulates striatal dopamine release, which is blocked by 5-HT4R antagonists28,29. Given that dopamine neurons signal temporally discounted values30, reduced 5-HT4R stimulation may lead to decreased phasic dopamine signaling in the striatum, thereby resulting in steeper temporal discounting. Another possible explanation is an alteration in long-term plasticity, to which the 5-HT4R is thought to contribute. It was shown that 5-HT4Rs are densely localized in both axo-spinous and axo-dendritic sites of thalamostriatal synapses of projection neurons in the dorsal striatum, and that reduced 5-HT signaling attenuates activation of the 5-HT4R subtype, thereby promoting spike-timing-dependent long-term depression (t-LTD) preferentially at thalamic afferents to striatal neurons31. Given that the thalamostriatal projections are critical for interrupting ongoing behavior and redirecting attention to salient stimuli32,33, serotonin-dependent gating mechanisms of t-LTD may affect striatal information processing. Future studies including a combination of electrophysiological and pharmacological manipulations are needed to investigate the precise mechanisms linking these scenarios to steep delay discounting behavior.
Our findings also have some clinical relevance. PET imaging suggests that the 5-HT4R is involved in a neurobiological mechanism underlying a risk for depression, with lower striatal 5-HT4R binding being associated with increased risk9. Given the established association between steep delay discounting and depression, our findings on the modulatory role of 5-HTR in dCDh in temporal discounting may offer new perspectives on serotonergic mechanisms in depression, particularly regarding decision abnormalities and impulsivity. In addition, maladaptive plasticity due to decreased 5-HT signaling is implicated in the pathophysiology of depression34 and OCD35. As mentioned above, serotonergic signaling via 5-HT4R plays a critical role in regulating input-specific synaptic plasticity in the dorsal striatum31. Given that 5-HT4R is considered a promising target for the treatment of depression10,36,37, further research to fill the gaps in knowledge on the molecular mechanisms at the cellular, information processing, and behavioral levels is important.
In summary, this study demonstrates the important role of 5-HT4R in the dorsal head of the caudate nucleus in modulating temporal discounting in non-human primates. These findings contribute to our understanding of the serotonergic modulation of motivational regulation, and presumably decision making, and have potential implications for psychiatric disorders characterized by altered reward processing, such as depression.