Results
Projections of anterior VMHvlPR+ neurons
To investigate the output connectivity of the aVMHvl PR+ subpopulation of neurons, we
unilaterally injected Cre-dependent adeno-associated vectors (AAV) carrying
synaptophysin tagged with GFP (SynGFP, a synaptic vesicle protein present in axonal
terminals)31 in the anterior VMHvl of PR-Cre female mice (Fig. 1A). A quantitative
whole-brain analysis of the density of SynGFP+ puncta revealed that the terminals of
aVMHvlPR+ neurons are present in more than 150 brain regions (Table S1), strongly
projecting to hypothalamic, midbrain and thalamic regions (Fig. 1B). The output
connectivity of aVMHvl PR+ neurons differs from that of pVMHvl PR+ neurons, whose
terminals are mainly present in hypothalamic regions (Fig. S1A,B). Importantly, 17 out of
the 161 identified outputs of the aVMHvl PR+ neurons are specific outputs for this
subpopulation (for detail see Table S1 and Table S2). These aVMHvl PR+ specific targets
include areas within the thalamus, such as some nuclei of the geniculate complex (IntG,
IGL, SGN and LGd) and ventral posterolateral nucleus of the thalamus (VPLpc), or
within the cerebral cortex, such as perirhinal area (PERI), postrhinal area (VISpor), key
structures for multisensory integration32–35.
Despite the differences in connectivity between the anterior and posterior neurons,
these two subpopulations innervate many shared regions. However, within these shared
regions some are anterior-preferred outputs, such as the PAG, the anterior
hypothalamic nucleus (AHN), the accessory supraoptic group (ASO), the
subparaventricular zone (SBPV) and the precommissural nucleus (PRC) (Fig. 1C-E,
Table S1, Fig. S1E-F), while others are posterior-preferred, such as the posterodorsal
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preoptic nucleus (PD), the medial preoptic nucleus (MPN), the medial preoptic area
(MPOA), and the ventral premammillary nucleus (PMv) (Fig. S1C-F, Table S1 and S2).
Figure 1 - Outputs of anterior VMHvl PR+ neurons. (A) Schematic of virus injection aVMHvl (left) and
representative histological section showing PR-Cre neurons expressing Synaptophysin-GFP (SynGFP) at
the injection site (right). Scale bar: 500 μm. (B) Broad quantification of the projections of aVMHvl PR+
neurons to main brain divisions: thalamus (Tha), striatum/pallidus (Stri/Pall), olfactory (Olf),
midbrain/hindbrain/medulla (Mid/Hind/Med), hypothalamus (Hyp), hippocampus (Hippo), cortex (Cort),
cerebellum (Cereb). (C) Quantification of the projections of aVMHvl PR+ neurons (N = 5). The analysis of
the signal across 30 principal targets revealed strong projections from the aVMHvl PR+ neurons to
hypothalamic regions, including the anterior hypothalamic nucleus (AHN), retrochiasmatic area (RCH),
accessory supraoptic group (ASO), subparaventricular zone (SBPV), medial preoptic nucleus (MPN),
medial preoptic area (MPOA), ventral premammillary nucleus (PMv), dorsal premammillary nucleus
(PMd); to midbrain regions, such as the periaqueductal gray (PAG), precommissural nucleus (PRC),
5
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nucleus of the posterior commissure (NPC); to thalamic regions, such as the peripeduncular nucleus
(PP); and bed nucleus of the stria terminalis (BNST). (D) Schematic summary with the main output
regions of the aVMHvl PR+. Arrow thickness represents relative projection strength. (E) Representative
images of Synaptophysin-GFP signal, Scale bar: 500 μm (top) with inset on regions of interest (below).
Scale bar: 200 μm.
Anterior VMHvlPR+ neurons innervate specific subregions of the PAG
As previously shown 28,36, the PAG is one of the main output regions of the VMHvl, and
of its PR+ subpopulation in particular 20,21. Here, we sought to investigate in more detail
the projection patterns of aVMHvl PR+ within the PAG (Fig. 2A,B). To do so, we quantified
the synaptophysin-GFP density along the AP axis of the PAG after specifically
transfecting aVMHvlPR+ neurons (Fig. 2C,D).
We observed that aVMHvl PR+ neurons project to the entire AP extent of the PAG, with
stronger density in its medial and posterior portions (Fig. 2C,D). When investigating
each AP level in detail, we observe a high density of aVMHvl PR+ projections to the
dmPAG, dlPAG and lPAG columns in the dorso-ventral and medio-lateral axis (Fig. 2C).
Interestingly, we observed that the projection pattern of aVMHvl PR+ neurons differs from
that of pVMHvl PR+ neurons, since the posterior population projects mainly to the most
posterior region of the PAG (Fig. S2A-D), preferentially targeting the lPAG and the
vlPAG (Fig. S2C).
Activation of anterior VMHvlPR+ somas lead to localized activation of the PAG
To determine if and how the anatomical connectivity between the aVMHvl PR+ neurons
translates into the activation of the PAG, we optogenetically activated the somas of
aVMHvlPR+ neurons in vivo and used immunohistochemistry to detect the presence of
the cFos protein, a proxy for neuronal activation, in brain sections spanning the whole
AP axis of the PAG (Fig. 2E).
We observed that the artificial activation of aVMHvl PR+ neurons induces a visible
increase in cFos positive somas across the AP axis of most PAG columns. However, the
cFos increase on the medial part of the dmPAG was particularly high, reaching
statistical significance when compared to control animals (Fig. 2F-J, Fig. S2E-L) and
suggesting that this region of the PAG might be involved in sexual rejection behavior.
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Figure 2 - Optogenetic activation of aVMHvl PR+ neurons elicited an increase in cFos expression in
the medial region in the AP axis of the dorsomedial column of the PAG (dmPAG). (A) Schematic of
the quantified projections from the aVMHvl PR+ neurons to the PAG. (B) Representative image showing
SynGFP expression in the PAG. Scale bar: 1000 μm (inset: scale bar 250 μm). (C) Heatmaps of binned
SynGFP signal across different AP levels, normalized to injection size and averaged across mice (N=5).
Scale bar: 1000 μm. (D) Quantification of aVMHvl PR+ to PAG projections shown in C. (E) Schematic
representation of the optogenetic activation of aVMHvl PR+ neurons (top left), an example histological
image of the injection site and fiber placement (bottom left), and the light stimulation protocol (right). Scale
bar: 400 μm. (F) Representative histological images showing a cFos increase in the dmPAG of ChR2
females compared to the control group. Scale bar: 500 μm. (G-J) cFos density in the different columns of
the medial PAG. (G) Mann-Whitney test, p = 0.04 and (J-L) posterior. *p < 0.05, Mann-Whitney test. Gray:
Ctrl, N = 6, blue: ChR2, N = 8.
In vivo optogenetic manipulation of anterior VMHvlPR+ axon terminals in the
dmPAG elicits rejection behavior in sexually receptive females
To investigate the role of the aVMHvl PR+ - dmPAG pathway in female sexual rejection
behavior, we optogenetically activated the axon terminals of aVMHvl PR+ neurons
projecting to the dmPAG of naturally cycling, sexually receptive females
(proestrous-estrous, PE) during a sexual encounter. To do so, adult PR-Cre females
were bilaterally injected in the aVMHvl with a viral construct carrying either ChR2
(ChR2) or YFP (Ctrl), and implanted with a single fiber-optic cannula above the dmPAG
(Fig. 3A, Fig. S3A). After at least 3 weeks of recovery, PE females were allowed to
interact with a stud male. The stimulation pattern consisted of cycles of 1 s light ON (20
Hz, 5 ms, 3-4 mW) and 4 s light OFF (stimulation protocol based on Ahmadlou et al.,
2024; Cao et al., 2025, see Methods for details, Fig. 3B) 37,38. To assess the efficiency of
our stimulation protocol, we unilaterally injected a viral construct expressing ChR2 in the
aVMHvl of PR-Cre females and performed ex vivo whole-cell patch clamp recordings in
brain slices containing the PAG (Fig. 3C). The stimulation reliably evoked EPSCs in
PAG neurons with high fidelity ex vivo (Fig. 3D).
Contrary to the observed when optogenetically activating aVMHvl PR+ somas24, activation
of dmPAG terminals did not alter the behavior of test females during the Appetitive 1
phase of the social interaction (from male in until the first male mount attempt), when
compared to Ctrl animals (Fig. 3E-G). Males in both groups also investigated the female
at similar rates during the Appetitive phase 1 (Fig. 3H).
8
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The duration of the Appetitive phase 2 (from the first male mount attempt until the first
successful penile intromission) for ChR2 females showed a slight, not significant (Fig.
3I) increase compared to controls, and was not correlated with the number of rejections
(Fig. S3). The distance between the couple in the ChR2 group during this phase was
significantly increased (Fig. 3J), with no difference in the rate of male-directed
anogenital investigations by the females (Fig. 3K). The rate of male mount attempts was
significantly decreased in the ChR2 couples (Fig. 3L). These differences may arise from
the fact that a significantly higher proportion of ChR2 females (ChR2: 6 out of 9)
displayed sexual rejection (boxing and kicking) compared to Ctrl females (Ctrl 0 out of
7) (Fig. 3M), with a significantly higher rejection rate as well (Fig. 3N). No difference was
observed in the rate of escapes performed by the females of the two groups (Fig. 3O).
During the Appetitive phase 2, males in both groups also investigated the female at
similar rates (Fig. 3P), suggesting that the disruption in the social interaction is not
caused by a decrease in motivation from the males interacting with the ChR2 females.
Although the artificial activation of the aVMHvl PR+ - dmPAG pathway is sufficient to shift
the behavior of PE females towards sexual rejection, the manipulation was not sufficient
to prevent copulation (Fig. 3Q). All females, independently of displaying rejections
during the Appetitive phase 2 or not, accepted mounting by the male and allowed him to
ejaculate. However, when we examined the behavior during the Consummatory phase
(from the first successful penile intromission until the male ejaculates), we observed
differences between the behavior of the two groups. A larger percentage of ChR2
females performed rejection behavior during the Consummatory phase, compared to
the Ctrl females - 8 out of 9 ChR2 females displayed rejections, while only 2 out 7 Ctrl
rejected (Fig. 3R,S). Even though more ChR2 females rejected, the rejection rate
between the two groups was not different (Fig. 3S). The duration of the phase also did
not differ between the two groups (Fig. 3T), nor the distance (Fig. 3U). The rate of
male-directed anogenital investigations performed by the female also did not differ (Fig.
3V). However, in the ChR2 couples, the males performed a significantly higher rate of
mount attempts (Fig. 3W), even though a large percentage of those mounts attempts
did not end in penetration (Fig. 3X). The rate of successful mounts was not altered (Fig.
3Y), nor did the rate of anogenital investigations performed by the male (Fig. 3Z).
9
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Interestingly, we observed a positive correlation between the number of rejections
during the Consummatory phase and the duration of the phase (Fig. S3C), but no
relationship between the number of rejections during the Appetitive phase 2 and the
duration of the Consummatory phase (Fig. S3D). During the Consummatory phase, the
number of mount attempts performed by the male is positively correlated with the
number of rejections performed by the ChR2 females (Fig. S3E), suggesting that
rejection behavior leads to an increase in motivation of the male to mate (Fig. 3W).
Finally, a closer look at the pattern of mount attempts and rejections showed that the
Ctrl females rejected towards the end of the session, while the ChR2 females rejected
earlier, after the first mount attempt performed by the male (Fig. S3F). This observation
is supported by survival analysis of the latency to the first rejection - ChR2 females
exhibited a significantly higher probability of rejecting than Ctrl (~15-fold higher hazard),
shifted towards earlier time points (Fig. 3ZA).
The aVMHvl PR+ - medial dmPAG terminal stimulation did not have an effect in other
behavioral metrics, such as total distance traveled, speed and center occupancy when
the female was alone in the cage (Fig. S3G,H), suggesting it does not affect locomotion
and it is not anxiogenic; importantly, the stimulation of ChR2 females did not affect
social encounters with female conspecifics (Fig. S3I), supporting the specificity of the
manipulation to the mating context. In addition, activation of aVMHvl PR+ terminals in the
dmPAG did not increase cFos in aVMHvl PR+ neurons, suggesting that the change in
behavior is unlikely to be due to the recruitment of other output regions of the aVMHvlPR+
neurons via back propagation of action potentials (Fig. S3J-L).
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Figure 3 - Optogenetic activation of the aVMHvl PR+-dmPAG pathway leads to an increase in
rejection behavior during App2. (A) Schematic representations and representative histological sections
of the ChR2 virus injection in the aVMHvl (left) and the mono fiber-optic cannula implantation in the
dmPAG (dashed lines represent optical fiber placement). Scale bars: 250 µm. (B) Behavioral design (see
Methods). (C) Schematic representation of whole-cell recording of PAG neurons while stimulating
aVMHvlPR+ axons expressing ChR2 (top) with an example of evoked EPSCs with a 20 Hz, 5 ms, 4 mW
light stimulation protocol (bottom). (D) EPSC fidelity (EPSC per light pulse) during the light stimulation
protocol (n = 7 neurons from N = 4 mice). (E) Duration of Appetitive phase 1 (App1), equivalent to the
latency to the first mount attempt by the male from the moment he enters the experimental arena. (F)
Average distance between the couple. (G) Rate of male-directed anogenital investigations by the female
during App1. (H) Rate of female-directed anogenital investigations by the male. (I) Duration of Appetitive
phase 2 (App2), from the first mount attempt to the first successful mount by the male. (J) Average
distance between the couple during App2. Mann–Whitney U test, p = 0.023. (K) Rate of male-directed
anogenital investigations displayed by females during the App2 phase. (L) Rate of mount attempts
performed by the male. Unpaired t-test, p = 0.025. (M) Percentage of females that displayed at least one
rejection event during App2. N-1 Two-proportion test, two-tailed p = 0.008. (N) Rate of rejection events
during App2. Mann–Whitney U test, p = 0.015. (O) Rate of escapes performed by the female during
App2. (P) Rate of male-directed anogenital investigations by the female during App2. (Q) Percentage of
females that had sex. (R) Percentage of females that displayed at least one rejection event during
Consummatory phase (Cons). N-1 Two-proportion test, two-tailed, p = 0.017. (S) Rate of rejection events
during Cons. Mann–Whitney U test, p = 0.052. (T) Duration of the Cons phase, from the first successful
mount by the male to ejaculation or session termination. (U) Average distance between the couple during
Cons. (V) Rate of male-directed anogenital investigations displayed by females during the Cons phase.
(W) Rate of mount attempts performed by the male. Unpaired t-test, p = 0.018. (X) Percentage of
successful mounts during Cons. (Y) Rate of mount with thrusts (successful mounts) performed by the
male. (Z) Rate of male-directed anogenital investigations by the female during Cons. (ZA) Survival
analysis of the latency to the first rejection. ChR2 females showed a significantly higher probability of
rejecting earlier than controls (Cox proportional hazards model, HR = 15.0, 95% CI = 1.8–123.7, p =
0.01). *p < 0.05, **p < 0.01. Boxplots represent the median and interquartile range (IQR); whiskers extend
to 1.53 IQR. Gray: Ctrl N = 7, blue: ChR2 N = 9.
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