Alzheimer’s pathology enhances excitatory synaptic input and integration in VTA dopamine neurons

  1. Michael J. Beckstead1,2,3,*
  1. 1Aging and Metabolism Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
  2. 2Department of Biochemistry and Physiology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
  3. 3Oklahoma City Veterans Affairs Medical Center, Oklahoma City, OK, USA.
  1. ↵*Correspondence should be addressed to Michael J. Beckstead at Mike-Beckstead{at}omrf.org; Harris E. Blankenship at Harris.E.Blankenship{at}gmail.com
  1. Author contributions: Conceptualization: HEB. Methodology: HEB, MHH, KyMH. Investigation: HEB, MHH, KyMH. Analysis: HEB, MHH, KyMH. Visualization: HEB, MHH, KyMH. Writing (original draft): HEB. Writing (review and editing): HEB, MHH, KyMH, KMH, MJB. Funding acquisition: HEB, KyMH, KMH, MJB. Supervision: MJB, KMH.

Abstract

In Alzheimer’s disease (AD) models, ventral tegmental area (VTA) dopamine neurons are intrinsically hyperexcitable, yet release less dopamine and exhibit dysfunctional downstream signaling. Synaptic transmission is broadly disrupted in AD, but it is not known to what extent excitatory and inhibitory inputs to the VTA are altered. Here we describe enhanced synaptic excitation in dopamine neurons from male and female 3xTg-AD mice (an amyloid + tau-driven model). AMPAR-mediated excitatory input was enhanced in a subset of connections, while GABAAR-mediated inhibition decreased as a function of dendritic atrophy. Protein phosphorylation analysis and pharmacology suggested that strengthened excitation depends on both presynaptic protein kinase C activity and postsynaptic enhancement of perisomatic AMPA receptor currents. Biophysical modeling predicted that enhanced excitatory synaptic input in 3xTg-AD dopamine neurons, combined with altered dendritic morphology and intrinsic hypersensitivity, produces increased firing and a steeper input-output relationship. These results suggest that AD pathology is associated with increased sensitivity of single dopamine neurons, which may serve to maintain phasic dopamine signaling in early stages of degeneration.

Significance Statement While recent studies describe a suspected role for VTA dopamine neurons in Alzheimer’s disease, the influence of excitatory and inhibitory input as well as single neuron morphology is not known. Using single-cell patch-clamp electrophysiology we find that 3xTg-AD dopamine neurons receive enhanced glutamatergic synaptic input and reduced inhibitory GABA input, thus tipping the balance further toward excitation. By combining this with morphological reconstructions, multicompartmental biophysical modeling, and past findings of intrinsic hypersensitivity, we predict that synaptic changes drive increased burst firing and convey a steeper input-output relationship in 3xTg neurons. These modifications likely alter downstream signaling or serve as a compensatory protective mechanism in the face of degenerative pathology in AD.

Footnotes

  • Authors declare they have no competing interests.

  • All data are available in the main text or the supplementary materials. Raw data files are available upon request.

  • This work was supported by: National Institutes of Health grants R21 AG072811 (MJB), R01 NS135830 (MJB), F31 AG079620 (HEB), F31 HL176095 (KyMH), P20 GM139763 (KMH), Department of Veterans Affairs grant I01 BX005396 (MJB), and the Presbyterian Health Foundation. We thank Kelsey Carter and Nicole Yates for their excellent technical support. We would like to thank the OMRF Imaging Core, especially Ben Fowler and Julie Crane, for their assistance imaging single, reconstructed neurons. We are immensely grateful to Alexander Lin and Kylie Handa, who worked to troubleshoot dopamine neuron filling, imaging, and reconstruction. We would like to also thank Dr. Holly Van Remmen for sharing research materials.

  • HEB is currently employed by Harvard Medical School.

  • Received November 3, 2025.
  • Revision received January 22, 2026.
  • Accepted February 7, 2026.