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Perineuronal nets in the insular cortex shape salience-related behaviour in diabetes
Giada Mascio1, Roxana Paula Ginerete2, Serena Notartomaso1
1IRCCS Neuromed, Pozzilli, Italy.
Neurobiology of Disease
|February 18, 2026
Summary
Diabetes alters brain connectivity, affecting behavior. Increased perineuronal nets (PNNs) in specific brain regions of diabetic mice correlated with behavioral changes, suggesting PNNs in the insular cortex drive negative salience attribution.
Area of Science:
- Neuroscience
- Metabolic Disorders
- Extracellular Matrix Biology
Background:
- Diabetes mellitus is linked to central nervous system (CNS) functional connectivity changes and behavioral abnormalities.
- Perineuronal nets (PNNs), crucial for CNS network activity, surround parvalbumin-positive interneurons.
- Alterations in PNNs may underlie diabetes-associated behavioral deficits.
Purpose of the Study:
- To investigate the role of perineuronal nets (PNNs) in the behavioral abnormalities associated with diabetes.
- To determine how PNN density changes in specific brain regions in a mouse model of diabetes.
- To explore the causal relationship between PNNs in the insular cortex and diabetes-related behaviors.
Main Methods:
- Comparative analysis of PNN density in key brain regions (somatosensory cortex, medial prefrontal cortex, insular cortex, amygdala, reticular thalamic nucleus) between diabetic and control mice.
- Enzymatic degradation of PNNs in the insular cortex of diabetic mice.
- Behavioral testing including mechanical pain thresholds, risk-taking behavior, social interaction, and Place Escape/Avoidance Paradigm.
Main Results:
- Diabetic mice exhibited reduced PNN density in the somatosensory cortex and medial prefrontal cortex.
- Conversely, PNN density was increased in the insular cortex, amygdala, and reticular thalamic nucleus of diabetic mice.
- Enzymatic PNN degradation in the insular cortex normalized social interaction and Place Escape/Avoidance behaviors without affecting pain or risk-taking.
Conclusions:
- Diabetes induces region-specific alterations in PNN density within the CNS.
- Increased PNNs in the insular cortex causally contribute to altered salience attribution towards negative values in diabetes.
- Targeting PNNs in the insular cortex may offer a therapeutic strategy for diabetes-related behavioral changes.
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