Abstract
Cortical processing is dynamically modulated by different neuromodulators. Neuromodulation of the cerebral cortex is crucial for maintaining cognitive brain functions such as perception, attention and learning. However, we do not fully understand how neuromodulatory projections are organized in the cerebral cortex to exert various functions. The basal forebrain (BF) cholinergic projection and the locus coeruleus (LC) noradrenergic projection are well-known neuromodulatory projections to the cortex. Decades of studies have identified anatomical and physiological characteristics of these circuits. While both cholinergic and noradrenergic neurons widely project to the cortex, they exhibit different levels of selectivity. Here, we summarize their anatomical and physiological features, highlighting selectivity and specificity of these circuits to different cortical regions. We discuss the importance of selective modulation by comparing their functions in the cortex. We highlight key features in the input-output circuits and target selectivity of these neuromodulatory projections and their roles in controlling four major brain functions: attention, reinforcement, learning and memory, sleep and wakefulness.
Introduction
The cerebral cortex is divided into distinct areas that compute specific sensory, motor, or other cognitive information. As the cortex develops into a wide and thick structure, each sub-region of the cortex can work as a module. Depending on the task demand, an animal needs to devote a particular cortical region to process specific information. Neuromodulatory inputs to the cortex are known to play important roles in guiding the transition of cortical processing (McCormick, 1992; Hasselmo, ; Gu, ; Lee and Dan, 2012). Neuromodulation of the proper cortical region is critical for an animal to perform optimal behaviors (Hasselmo, ; Harris and Thiele, ; Lee and Dan, 2012). For example, attention modulates a subset of cortical modules that receive and process the attended stimuli selectively. In contrast, global modulation of the cortex is more important for the transition from sleep to wakefulness. How does this cortical modulation occur in distinct patterns in different brain states? To answer this, we need to explore how neuromodulatory projections are organized in the cortex. The mammalian brain has an increased capacity and performs many cognitive functions. Accompanying the larger brain, is a larger cerebral cortex with thick cortical layers and complex circuits. Mediating transitions in cortical processing is a complicated multi-modal function, thus necessitating an intricate structure of neuromodulatory projections.
Among the many neuromodulatory projections, cholinergic and noradrenergic inputs to the cerebral cortex have been studied extensively. Both neuromodulators are critical for cognitive behaviors in mammals, such as attention, arousal, learning and memory (Hasselmo, , ; Sara, 2009; Sarter et al., 2009; Sara and Bouret, 2012; Schwarz and Luo, 2015; Ballinger et al., ). Interestingly, within the cortex, these two neuromodulatory systems show distinct characteristics in their anatomical and physiological features, even though they have common target regions from prefrontal to sensory cortices (Loughlin et al., 1986; Woolf, 1991). Here, we summarize and compare the anatomical and functional features of cholinergic and noradrenergic projections in the cortex (Figure 1). We first discuss how selective these projections are in terms of their axonal divergence in the cortex, target cell and receptor types. We further compare input convergence to the cholinergic and the noradrenergic systems and their mutual connectivity. At the end, we examine important functions of these two modulatory systems in relation to the selectivity of their projections to the cortex.
Figure 1
Acetylcholine
Anatomical Organization of the Cholinergic System
Central cholinergic systems in the mammalian brain are largely divided into the basal forebrain (BF) and the midbrain cholinergic nuclei. The BF cholinergic neurons send projections to the entire cerebral cortex in both primates and rodents (Mesulam et al., 1983; Rye et al., 1984; Woolf, 1991). The BF encompasses several nuclei of the medial septal nucleus (MS), the vertical diagonal band nucleus (VDB), the horizontal diagonal band nucleus (HDB), the nucleus basalis (NB) and the substantia innominata (SI). Different nuclei send cholinergic projections to distinct cortical areas. For example, VDB cholinergic neurons project to the medial part of the cortex including the cingulate and retrosplenial cortex (Rye et al., 1984; Woolf, 1991; Mechawar et al., 2000). The HDB sends cholinergic projections to the cingulate, the retrosplenial, the entorhinal, the perirhinal and the visual cortex (Rye et al., 1984; Woolf, 1991; Kim et al., 2016). The medial and rostral parts of the NB project to the cingulate and the somatosensory cortex, and the posterior part projects to the temporal area and auditory cortex (Woolf, 1991; Kim et al., 2016; Chavez and Zaborszky, ). The HDB cholinergic neurons mainly project to the visual cortex, while the anterior and posterior parts of the NB project to the somatosensory and the auditory cortex, respectively (Eggermann et al., ; Kim et al., 2016). Thus, BF cholinergic projections to the cortex seem to be topographically segregated within the selective projection to the discrete area in the cortex.
The selective projection of BF cholinergic neurons has a high potential for selective modulation of the cortex. For example, it has been shown that acetylcholine (ACh) concentration in the sensory cortex of the anesthetized rat increases when the animal receives sensory stimuli whereas ACh concentration in the medial prefrontal cortex (mPFC) does not show any changes (Fournier et al., ). On the other hand, when the animal performs a detection task that requires high levels of attention, ACh concentration increases selectively in the mPFC but not in the motor cortex (Parikh et al., 2007). These results suggest the sensory stimuli can drive cholinergic neurons that innervate a particular sensory cortex, while the top-down attention to the potential stimuli can drive the cholinergic neurons that innervate the mPFC. Interestingly, the cholinergic projection to the PFC is less selective than the cholinergic projection to the sensory cortices (Figure 2). The sensory cortex receives modality-selective inputs from the BF cholinergic neurons (Kim et al., 2016). On the contrary, more than 80% of the NB cholinergic neurons project to multiple areas in the PFC including the anterior cingulate cortex (ACC), the mPFC, and the orbitofrontal cortex (OFC; Chandler et al., ). However, this study did not examine the projection of cholinergic neurons in other BF nuclei, and it is possible that the anterior BF nuclei such as the VDB or the HDB might show selective projection to the sub-regions in the PFC (Gaykema et al., ).
Figure 2
Cholinergic Transmission in the Cerebral Cortex
There are two modes of cholinergic transmission in the cortex. One is the classical synaptic transmission, which mediates specific and tight modulation of the postsynaptic neurons. The other is the volume transmission, which can occur more globally and slowly in the cortex. It is still controversial which type of transmission is predominant in the cortex (Sarter et al., 2009; Ballinger et al.,
Transmission selectivity in the cortical space is also tightly related to the distribution of ACh receptors (AChRs; Figure 3A). The metabotropic AChR (mAChR) has five subtypes, m1–5. The m1, m3 and m5 subtypes are coupled with Gq proteins that trigger the inositol phosphate pathway. The m2 and m4 subtypes are coupled with Gi proteins, which suppress adenylyl cyclase activities (Felder,
Figure 3

Modulatory effects of acetylcholine (ACh) and Noradrenaline (NA) on cortical processing through different types of receptors. (A) Schematic description of cholinergic modulation in the primary sensory cortex. ① Broad distribution of metabotropic ACh receptor (mAChR) mediates modulation of both excitatory and inhibitory neurons across the layers (Alitto and Dan,
The nicotinic AChRs (nAChRs) are ionotropic receptors that can generate fast excitatory postsynaptic potentials. In the macaque primary visual cortex (V1), nAChRs are found in thalamic axons of excitatory neurons in layer 4c as well as in inhibitory interneurons (Disney et al.,
Noradrenaline (Norepinephrine)
Anatomical Organization of the Noradrenergic System
Noradrenaline (NA) regulates a number of brain functions, such as sleep/wakefulness and attention, and it has the potential of modulating wide brain regions including the hippocampus, the amygdala, the thalamus, and the cerebral cortex (Foote et al.,
Early anatomical studies identified the axonal projections of the LC neurons by injecting radioisotopes or anterograde tracers into the LC and via immunostaining of the noradrenergic fibers against the dopamine-beta-hydroxylase (DBH; Morrison et al., 1978, 1982; Verney et al., 1984; Audet et al.,
Does a single LC noradrenergic neuron project to multiple cortical areas? Retrograde tracing studies have shown divergence of noradrenergic efferent fibers and proved that substantial amounts of LC noradrenergic axons bifurcate to different cortical regions (Figure 2; Swanson and Hartman, 1975; Porrino and Goldman-Rakic, 1982; Kim et al., 2016). Recent viral tracing results also confirmed diverging projections of the noradrenergic LC neurons (Schwarz et al., 2015). In contrast, Waterhouse et al. (1990) proposed the possibility of selective projections of LC neurons. By injecting retrograde tracers into different sub-regions of the PFC, they found only 4% of the LC neurons send diverging projections into the PFC sub-regions (Chandler and Waterhouse,
Noradrenergic Transmission in the Cerebral Cortex
Efferent noradrenergic axon terminals arising from the LC release NA, which binds to adrenergic receptors composed of the α1, α2 and β receptor families (Molinoff, 1984; Ramos and Arnsten, 2007). These receptors co-exist across the cortical areas, showing overlapping expression patterns. These receptor families, which are all classified as G-protein coupled receptors (O’Donnell et al., 2012), have several subtypes showing distinct expression patterns in the CNS (Ramos and Arnsten, 2007). First, the α1 family of receptors show an intermediate binding affinity to NA and are coupled to Gq proteins (Hieble et al.,
In addition to the classical synaptic transmission, NA is also released non-synaptically and diffuses across the broad extracellular space (Agnati et al.,
Since α1 and α2 adrenergic receptors have different levels of affinity to NA, the local concentration of NA released from noradrenergic neurons can activate these receptors differentially (Figure 3B). More α1 receptors are activated at higher concentration of NA, while mild concentrations of NA preferentially activates α2 receptors (Ramos and Arnsten, 2007). As α1 adrenoceptors are excitatory, whereas α2 adrenoceptors are inhibitory and suppress the synaptic release (Szabadi, 2013), activation of different NA receptors in the cortex can induce quite opposite modulatory effects. Accordingly, when the NA neurons show high levels of tonic and phasic firing activity, such as when the animal is under strong stressors, high levels of NA can be released in the cortex. This can activate α1 adrenergic receptors, which can lead to the impairment of cortical function (Arnsten et al.,
Beyond the Selective Projections: Complete Understanding of the Input-Output Circuits
Although it has been known that BF cholinergic cells and LC noradrenergic cells receive inputs from diverse regions and show differential projection patterns, the exact input-output relation of each system has been ambiguous. As we discussed above, BF cholinergic neurons show selective projections to the cortex. If these selective projections indeed modulate the cortical sub-regions independently in the intact and naturally functioning brain, the inputs to BF cholinergic neurons must be segregated and activated in an output-specific manner. Supporting this idea, cortical inputs to the BF are segregated, as BF neurons show selective responses to electrical stimulation of the PFC (Golmayo et al.,
Similar to BF neurons, LC noradrenergic neurons receive converging inputs from various brain areas including the cortex, the amygdala, the hypothalamus, the thalamus, the pons, the medulla and the cerebellum (Aston-Jones and Cohen,
Figure 4

The input-output circuits of the BF-ACh neurons and the LC-NA neurons. (A) BF cholinergic neurons project selectively to different brain regions based on their input regions (Gielow and Zaborszky,
One interesting characteristic of the BF and the LC circuits is the unidirectional projection of LC noradrenergic neurons to the BF. In the BF, cholinergic neurons express both α1 and β1 adrenoceptors whereas GABAergic neurons express α2 adrenoceptors (Manns et al., 2003; Szabadi, 2013; Schwarz and Luo, 2015). The adrenergic activation of α1 receptors activates the neurons expressing the receptors, while the activation of α2 adrenoceptors suppresses the neurons. Thus, the net modulation effect by noradrenergic inputs to the BF is the enhancement of ACh release in the cortex (Schwarz and Luo, 2015). As the LC noradrenergic neurons play crucial roles in changing the global brain states, the BF cholinergic neurons receiving these noradrenergic inputs might contribute to the changes in global brain states. Supporting this, both the LC noradrenergic neurons and the BF cholinergic neurons are most active during wakefulness and play critical roles in controlling sleep (Carter et al.,
Functional Comparison of the Cholinergic and the Noradrenergic Projections
Attention
Visual attention is an important brain function that requires modulation of the sensory cortex. The ACh is proposed as one of the key modulators for modulation of the cortex during attention. Indeed, lesion on cholinergic neurons in the BF caused impairments of selective attention in animals performing tasks (Voytko et al., 1994; McGaughy et al., 2002). Treatments with cholinergic agonists or antagonists enhance or suppress visual attention in humans (Furey et al.,
In addition to the sensory cortices, the PFC is also known to be modulated by ACh during attention. In trials of a cued-appetitive response task with the reward delivered randomly into one of two reward ports, the ACh concentration is increased in the mPFC when an animals shows sustained attention (Parikh et al., 2007). Thus, unlike visual attention that modulates the visual cortex, sustained attention requires cholinergic modulation of the PFC. It is still unknown whether these two types of attentional modulation are mediated by the segregated BF cholinergic neurons. Similar to cholinergic modulation, several studies have shown that noradrenergic modulation is also important for attention (Smith and Nutt, 1996; Aston-Jones et al.,
Interestingly, the LC neurons exhibit phasic firing activity in most of the correct trials, whereas they show tonic discharges during the incorrect trials when the rat performs the attention tasks (Usher et al., 1999). Based on these results, the “inverted U-shape” response pattern of LC neurons has been proposed on the relationship between LC neuron activity and the level of attention: when the animal is more attentive, LC neurons show phasic activity, and when they are less attentive and possibly aroused, LC neurons maintain tonic firing activity (Aston-Jones et al.,
Reinforcement
Recent studies have proposed that BF cholinergic neurons might be more active during reinforcement rather than during attention (Hangya et al.,
Learning and Memory
A large body of literature has shown that there is a significant correlation between Alzheimer’s disease and degeneration of cholinergic fibers in the forebrain (Whitehouse et al., 1981; Coyle et al.,
In addition to the sensory cortex, cholinergic modulation of the PFC is important for working memory. Injection of mAChR antagonist scopolamine into the ACC and the prelimbic cortex (PL) of rats induces impairment of the working memory even though the rats detected the visual signal correctly (Chudasama et al.,
Sara and colleagues have shown the role of noradrenergic modulation of the cortex during learning and memory (Sara, 2009; Sara and Bouret, 2012). They found that local inactivation of the β adrenergic receptors in the PL of the rats after the operant learning induces memory deficits, suggesting that the noradrenergic modulation of the PL is necessary for memory consolidation (Sara et al., 1999; Tronel et al., 2004). Supporting this idea, they measured the extracellular NA level in the PL and found that it is increased in the learned animal (Tronel et al., 2004). Other studies have reported that working memory can be modulated by the NA in the PFC. Local infusion of the α2 agonist into the PFC of the rat enhances its performance in the working-memory task (Tanila et al., 1996), whereas microinjection of the α2 antagonist into the dorsolateral PFC disrupts spatial working memory of the monkey (Li and Mei, 1994). Conversely, the local infusion of the α1 adrenoceptor agonist into the PFC impairs spatial working memory in both monkeys and rats (Arnsten et al.,
Sleep and Wakefulness (Global Brain States)
Although the cholinergic neurons show selective innervation to the cortex, it has also been known that the cholinergic neurons can be involved in modulation of the global brain states during sleep. The BF cholinergic neurons are highly active during wakefulness and paradoxical sleep but show low activity during slow-wave sleep (Lee et al., 2005). Burst firing activity of cholinergic neurons induces broad theta oscillations in the hippocampus and the cortex (Lee et al., 2005). A recent study showed that the cholinergic neurons are active during wakefulness and rapid-eye-movement sleep in mice, and showed that artificial activation of cholinergic neurons in the BF induces the transition from sleep to wakefulness (Xu et al., 2015). However, it is still unclear whether any specific population of corticopetal BF cholinergic neurons is responsible for this induction of wakefulness. Furthermore, as shown in human studies, it might be critical to maintain the reduced level of ACh during slow-wave sleep for the consolidation of the declarative memory in rodents (Gais and Born,
The LC noradrenergic system is also known to be involved in controlling sleep (Aston-Jones and Bloom,
Conclusion
The BF cholinergic and LC noradrenergic systems share common features: broad cortical innervations and regulation of cognitive functions such as arousal, attention, learning, and sleep. However, they clearly show distinct anatomical and physiological characteristics. First, the BF is constructed with multiple sub-nuclei, which project to distinct regions in the brain (Figure 1A). The LC, however, is a small nucleus with noradrenergic neurons that project to wider brain areas (Figure 1B). Thus, the level of divergence of these projections must be different between the systems. Second, the topographic distribution of the axonal projections in the cortex is different between these two systems. Although both neuromodulatory systems modulate the sensory cortices (Figure 1; Waterhouse et al., 1990; McLean and Waterhouse, 1994; Manunta and Edeline, 1997; Disney et al.,
Statements
Author contributions
H-JR designed the figures and wrote the manuscript. J-HK wrote the manuscript. S-HL conceived the contents and wrote the manuscript. All authors discussed the contents and revised the manuscript.
Funding
This work was supported by grants to S-HL from the Korean government through the National Research Foundation of Korea funded by the Ministry of Science and ICT (2017R1A2B3008270, 2017M3C7A1030798).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
neuromodulation, cerebral cortex, cholinergic projection, noradrenergic projection, basal forebrain, locus coeruleus
Citation
Rho H-J, Kim J-H and Lee S-H (2018) Function of Selective Neuromodulatory Projections in the Mammalian Cerebral Cortex: Comparison Between Cholinergic and Noradrenergic Systems. Front. Neural Circuits 12:47. doi: 10.3389/fncir.2018.00047
Received
28 February 2018
Accepted
01 June 2018
Published
22 June 2018
Volume
12 - 2018
Edited by
Daniel B. Polley, Massachusetts Eye & Ear Infirmary, Harvard Medical School, United States
Reviewed by
Robert C. Froemke, New York University, United States; Matthew James McGinley, Yale School of Medicine, Yale University, United States
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© 2018 Rho, Kim and Lee.
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*Correspondence: Seung-Hee Lee shlee1@kaist.ac.kr
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