Bed nucleus of the stria terminalis (BNST) neurons that synthesize and release the stress neuropeptide corticotropin-releasing factor (CRF) drive binge alcohol drinking and anxiety, behaviors that are primary risk factors for alcohol use disorder (AUD) and comorbid neuropsychiatric diseases more common in women than men. Here, we show that female C57BL/6J mice binge drink more than males and have greater basal BNST CRF neuron excitability and synaptic excitation. We identified a dense VGLUT2+ glutamatergic synaptic input from the paraventricular thalamus (PVT) that is anatomically similar in males and females. These PVT BNST neurons release glutamate directly onto BNST CRF neurons but also engage a large BNST interneuron population to ultimately provide a net inhibition of BNST CRF neurons, and both components of this polysynaptic PVT VGLUT2 -BNST CRF circuit are more robust in females than males. While chemogenetic inhibition of the general PVT VGLUT2 neuron population suppressed binge alcohol drinking in both sexes, chemogenetic inhibition specifically of the PVT BNST projection promoted this behavior in females without affecting males; chemogenetic activation of the pathway was sufficient to reduce avoidance behavior in both sexes in anxiogenic contexts. Lastly, we show that withdrawal from repeated binge drinking produces a female-like phenotype in the male PVT-BNST CRF excitatory synapse without altering the function of PVT BNST neurons per se. Our data describe a complex and unique behavioral role of the feedforward inhibitory PVT VGLUT2 -BNST CRF glutamatergic circuit that is more robust in females and undergoes sex-dependent alcohol-induced plasticity.
Fig. 1: Females display higher binge alcohol drinking and have greater BNST CRF neuron excitation. a,Average 2-hr alcohol consumption across cycles of the Drinking in the dark (DID) binge drinking paradigm showing higher binge drinking in females than males (n = 10 male mice, 10 female mice). Two-way RM-ANOVA: main effect of sex (F1,18 = 21.62, *** P = 0.0002) and cycle (F4,73 = 6.34, P = 0.0002, not indicated), but no interaction (P > 0.05); direct comparisons within-cycle show sex differences on cycle 2 (t15.8 = 1.58, adjusted *P = 0.037), cycle 5 (t16.3 = 4.71, adjusted **P = 0.001), and cycle 6 (t14.5 = 4.96, adjusted **P = 0.001), with trends on cycle 3 (t17.9 = 2.32, adjusted $ P = 0.063) and cycle 4 (t13.9 = 2.67, adjusted $ P = 0.054). b, Schematic of whole-cell patch clamp recordings of CRF+ neurons in the BNST (BNST CRF neurons, left) and representative 10x confocal image of a coronal BNST section from a CRF-Cre x Ai9 reporter (CRF-reporter) mouse. c, Proportion of BNST CRF neurons sampled that fire in their basal state is greater in females than males (n = 10 male mice, 18 cells; 8 female mice, 19 cells). d-f, spontaneous excitatory and inhibitory synaptic transmission in male and female BNST CRF neurons (males: n = 8 mice, 17 cells; females: n = 8 mice, 21 cells; unpaired ttests). d, Top: representative traces of spontaneous excitatory postsynap...