The Projection Targets of Medium Spiny Neurons Govern Cocaine-Evoked Synaptic Plasticity in the Nucleus Accumbens

We examine synaptic connectivity and cocaine-evoked plasticity at specific networks within the nucleus accumbens (NAc). We identify distinct subpopulations of D1+ medium spiny neurons (MSNs) that project to either the ventral pallidum (D1+^VP) or the ventral tegmental area (D1+^VTA). We show that inputs from the ventral hippocampus (vHPC), but not the basolateral amygdala (BLA), are initially biased onto D1+^VTA MSNs. However, repeated cocaine exposure eliminates the bias of vHPC inputs onto D1+^VTA MSNs, while strengthening BLA inputs onto D1+^VP MSNs. Our results reveal that connectivity and plasticity depend on the specific inputs and outputs of D1+ MSNs and highlight the complexity of cocaine-evoked circuit level adaptations in the NAc. Baimel et al. examine how cocaine exposure alters specific circuits in the nucleus accumbens medial shell. They find that D1-expressing (D1+) medium spiny neurons projecting to ventral tegmental area and ventral pallidum are distinct populations. These two cell types differ in both their baseline synaptic connectivity and cocaine-evoked synaptic plasticity.