Neurovascular Coupling is Required for Amygdala Neuronal Activation and Associated Emotional Behaviors in Mice, Depending on NMDA Receptor Subunit 2D-expressing Cerebral Arteriolar Smooth Muscle Cells

Emotion induces changes in regional cerebral blood flow (CBF), a manifestation of neurovascular coupling (NVC), yet whether NVC might feed back to modulate emotion actively remains unexplored. Here, we demonstrate that NVC actively and bidirectionally modulates stress-induced negative emotions. We established bidirectional manipulations of NVC in freely moving mice by employing integrated pharmacological, genetic, and arteriolar optogenetic approaches. Our results showed that both systemic and basolateral amygdala (BLA) region-specific NVC deficiencies heightened emotional responses when mice transitioned from a safe, familiar environment to anxiogenic environments, and local restoration of NVC in the BLA normalized these responses. Mechanistically, NVC dysfunction impairs the capacity of BLA neuronal scaling during state transitions, manifesting as a characteristic biphasic pattern of c-Fos topology. Namely, the NVC-deficient animal aberrantly adopts high-stress configurations under mild stress but regresses to low-stress templates during high-demand survival threats, thereby compromising defensive sustainability. Notably, the genetic NVC-enhancement model counteracts NVC impairments caused by chronic stress, thereby alleviating stress-driven emotional distress. These findings established NVC in the BLA as an allostatic program that fine-tunes neural circuit activity for emotional responses, with implications for understanding and treating emotional disorders.