Abstract
The reinforcing properties of nicotine and psychomotor stimulants are thought to be mediated through the mesolimbic dopamine (DA) system. This study investigates the role of high affinity nicotinic acetylcholine receptors (nAChRs) in cocaine place preference and examines some neurochemical changes in the mesolimbic DA system that might account for the interaction between nicotine and cocaine. 5 mg/kg is the lowest dose of cocaine able to condition a place preference in C57Bl/6 mice. Co-treatment with the nicotinic antagonist mecamylamine (1.0 mg/kg) disrupted place preference to 5 mg/kg cocaine. In addition, mice lacking the high affinity nAChR containing the β2 subunit showed decreased place preference to 5 mg/kg cocaine, although higher doses of cocaine could condition a place preference in these knock out animals. In contrast, co-administration of a low dose of nicotine (0.2 mg/kg) potentiated place preference to a subthreshold dose of cocaine (3 mg/kg). DA turnover was monitored in several brain regions using tissue levels of DA and its primary metabolite DOPAC as an indication of DA release. Wild type mice showed decreased DA turnover following treatment with 5 mg/kg cocaine; whereas, this response was not seen in mice lacking the β2 subunit of the nAChR. Induction of chronic fos-related antigens by cocaine was also reduced in mutant mice as compared to their wild type siblings, implying that downstream actions of cocaine were also affected by inactivation of the high affinity nAChR. These data indicate that activation of the high affinity nAChR may contribute to cocaine reinforcement.
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Nicotine, the primary addictive substance in tobacco (Stolerman and Jarvis 1995), exerts its psychoactive effects through stimulation of a number of neurotransmitter pathways (Picciotto 1998). In particular, the reinforcing effects of nicotine are thought to be mediated through activation of the mesolimbic dopamine (DA) system (Corrigall et al. 1994, 1992; Pontieri et al. 1996). Mice lacking the β2 subunit of the nicotinic acetylcholine receptor (nAChR) have been used to help elucidate the mechanisms underlying the actions of nicotine on the dopaminergic system. These animals are healthy, reproduce, appear normal in many behaviors, but lack high affinity binding sites for nicotine in the brain (Picciotto et al. 1995, 1997). In contrast to wild type mice, knock out mice lacking the β2 subunit of the nAChR show no increase in the firing rate of dopaminergic neurons upon stimulation with nicotine (Picciotto et al. 1998). Furthermore, unlike what is seen in wild type animals, no increase in extracellular DA levels is seen following systemic treatment with nicotine in these knock out mice, and nicotine self-administration is disrupted (Picciotto et al. 1998). Although these experiments demonstrate a role for the β2 nAChR subunit in neurochemical and behavioral processes associated with nicotine reinforcement, it is not clear whether nAChRs containing the β2 subunit contribute to control of the dopamine system under physiological conditions in the absence of nicotine. We hypothesize that tonic stimulation of the high affinity subclass of nAChRs by acetylcholine physiologically regulates dopaminergic neurotransmission. Indeed, the source of acetylcholine impinging on the terminals of these neurons are the large, striatal interneurons; whereas, the peduncuplopontine tegmental nucleus innervates the cell bodies in the ventral tegmental area (VTA). Both these populations of cholinergic neurons have been shown to be tonically active (Di Chiara et al. 1994). Thus, removing the regulation of dopamine neurons through high affinity nicotine receptors should result in decreased basal activity of the DA system that can be revealed by pharmacological challenges that affect this system.
Like nicotine, cocaine and other drugs of abuse can increase levels of extracellular DA in the nucleus accumbens (NAc) through different molecular mechanisms (Dani and Heinemann 1996; Koob 1992; Pontieri et al. 1996). Several studies support a link between nicotine treatment and cocaine reinforcement. For example, pre-exposure of rats to nicotine increased self-administration of cocaine (Horger et al. 1992) and nicotine has been shown to enhance (Reid et al. 1998), and mecamylamine can attenuate (Reid et al. 1999) cue-induced craving of cocaine in human subjects. It is, therefore, possible that interaction between these drugs may occur in the mesolimbic DA pathway. Because cocaine exerts its effects through inhibition of DA reuptake, its efficacy is limited by the amount of DA released and available in the extracellular space. Thus, inactivation of nAChRs should result in less DA in the extracellular space for cocaine to act upon. Cocaine reinforcement could, thus, be used as a marker of DA regulation by activation of nAChRs.
In this study, we investigate the effects of nAChRs on cocaine reinforcement. We have also investigated the molecular mechanism underlying this interaction using knock out mice lacking the high affinity receptor for nicotine. The data presented here indicate that activity of the endogenous nicotinic acetylcholine system may contribute to the reinforcing effects of cocaine, even in the absence of exogenous nicotine. In these studies, cocaine place preference was significantly attenuated by inactivation of nAChRs. In contrast, morphine place preference was not altered in mice lacking the high affinity receptor for nicotine. These experiments support the hypothesis that the endogenous cholinergic system might contribute to tonic regulation of the DA system.
MATERIALS AND METHODS
Animals
Male and female C57Bl/6J mice (24–28g), obtained from Jackson Laboratories, Bar Harbor, ME, were used in the present study. β2 subunit knock out mice were bred in the laboratory from animals back-crossed for more than 10 generations to C57Bl/6J mice, and wild type siblings were used as controls. Mice were 3–5 months old at the time of testing. Both male and female β2−/− and β2+/+ knock out mice were used for place preference testing. No differences in cocaine or morphine place preference were observed between genders (cocaine 5 mg/kg: males = 227 ± 76, females = 224 ± 53; cocaine 20 mg/kg: males = 244 ± 64, females = 243 ± 64), thus behavioral data from male and female animals were pooled. Mice were housed in a temperature and humidity controlled vivarium, provided food and water ad libitum and were maintained on a 12-hour dark/light cycle, and behavioral experiments were performed during the light cycle. All experiments were conducted in accordance with the NIH Guide for the Care and Use of Laboratory Animals.
Place Preference
A clear plastic cage 25.4 cm high × 50 cm long × 25.4 cm wide was used to construct the place preference apparatus, which consisted of a 25-cm square compartment with white smooth plastic flooring and white walls and a second 25-cm square compartment with black-mesh flooring and black and white striped (3-cm wide) walls (Zachariou et al. 1999). The two compartments were separated by a 10-cm wide aluminum platform and a divider separated the two compartments during training sessions. On test days, a door in the divider was raised to allow access to both compartments. To provide dim illumination and prevent interference from other environmental cues in the room, the Lucite cover of each cage was wrapped in waxed paper. Movement between compartments was detected by infrared photobeam detectors and transducers set 1.5 cm above the floor of the apparatus, and activity was monitored using an IBM computer and custom software designed for measuring place preference. Animals were considered to be on one side once no beams were blocked in either the opposite compartment or the aluminum platform in the center of the apparatus.
Animals were moved into the testing room immediately before the beginning of a conditioning or testing session. On day 1, animals were weighed and placed in cages without floors for 5 min for habituation to handling and the test environment. On day 2, animals were placed on the central aluminum platform and allowed to explore both compartments for 30 min to determine their initial preference between the two compartments. The same test was repeated on day 3, and the initial preference was calculated as the average time spent in each compartment on day 2 and day 3. Animals that spent more than 10 minutes on the central aluminum platform or more than 75% of the time in the preferred compartment during initial preference determination were excluded from the study. The remaining animals were randomly assigned to two groups. On days 4–9, animals received drug injections and were immediately confined to the less preferred compartment (group 1: days 4, 6, 8; group 2: days 5, 7, 9) or received vehicle injections and were immediately placed in the preferred compartment (group 1: days 5, 7, 9; group 2 days 4, 6, 8). Conditioning sessions lasted 15 minutes. On day 10, the animals were placed on the central platform and were allowed to explore both compartments again for 30 min. The time spent in the drug-paired compartment on the final test day was then compared to the time spent in that compartment before conditioning. Each animal received only one drug treatment. Cages were washed thoroughly with water and 70% ethanol between each session.
All drugs were administered IP except morphine, which was administered SC. For chronic-intermittent nicotine administration, animals were injected once per day for 10 days in the home cage with either nicotine (0.7 mg/kg, Sigma, St. Louis, MO) or saline in a volume of 100 μl. After 10 days, place preference testing was initiated, and nicotine was injected at least 6 h following training throughout the remaining days of the experiment. No change in baseline preference was seen in mice that received chronic nicotine treatment as compared to other groups of mice.
Groups were as follows:
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a)
Cocaine and morphine dose response study: (1) saline (cocaine group: n = 10, morphine group: n = 13); (2) 3 mg/kg (cocaine: n = 12, morphine: n = 14); (3) 5 mg/kg (cocaine: n = 12, morphine: n = 12); (4) 7 mg/kg (morphine: n = 10); (5) 10 mg/kg (cocaine: n = 7, morphine: n = 9); (6) 20 mg/kg (cocaine: n = 15).
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b)
Cocaine–mecamylamine studies: (1) 1 mg/kg mecamylamine (n = 12); (2) 5 mg/kg cocaine (n = 13) (3) 5 mg/kg cocaine + 1 mg/kg mecamylamine (n = 12); (4) 10 mg/kg cocaine (n = 8); (5) 10 mg/kg cocaine+ 1 mg/kg mecamylamine (n = 11).
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c)
Cocaine place preference study in β2 subunit knock out mice: (1) saline (β2+/+, n = 12; β2−/−, n = 11); (2) 5 mg/kg cocaine (β2+/+, n = 13; β2−/−, n = 12); (3); 10 mg/kg cocaine (β2+/+, n = 16; β2−/−, n = 14).
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d)
Morphine place preference study in β2 subunit knock out mice: saline (n = 6 β2+/+ and 6 β2−/−) and 5 mg/kg morphine, SC. (β2+/+, n = 12; β2−/−, n = 11).
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e)
Cocaine-chronic-intermittent nicotine studies: (1) chronic saline/5 mg/kg cocaine acutely (n = 10); (2) chronic nicotine (0.7 mg/kg)/5 mg/kg cocaine acutely (n = 8);
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f)
Cocaine+nicotine place preference studies: (1) nicotine 0.2 mg/kg+saline (n = 8); (2) cocaine 3 mg/kg+saline (n = 8); (3) cocaine 3 mg/kg+nicotine 0.2 mg/kg (n = 8).
DA Turnover
β2+/+ and β2−/− mice (n = 10 per group) were injected with either saline or 5 mg/kg cocaine. Thirty min after injection, mice were sacrificed by rapid decapitation, and brains were dissected into cortex, striatum/telencephalon, and brainstem, frozen on dry ice, and stored at −70°C for later high-performance liquid chromatography (HPLC) analysis of monoamine concentrations. DA and its major metabolite, dihydroxyphenylacetic acid (DOPAC), were quantitated using HPLC with electrochemical detection (HPLC-ED) with a glassy carbon electrode set at +0.7 V and an Ag/AgCl reference electrode. The procedure involved homogenization of frozen tissue by sonication in 0.3 ml of 0.1M perchloric acid containing 8 ng of 3,4-dihydroxybenylzamine (DHBA), followed by alumina extraction on microcolumns. Catecholamines are retained on the alumina microcolumns and then eluted with 0.1 M oxalic acid. The oxalic acid eluates were then injected onto a reverse phase 3-micron C18 HPLC column (Rainin Instruments, Woburn, MA). The mobile phase, delivered at 0.65 ml/min, was composed of sodium citrate (30 mM), sodium dihydrogen phosphate (14 mM), sodium octanesulphonate (2.3 mM), EDTA (0.025 mM), acetonitrile (6.5%), tetrahydrofuran (0.6%), and diethylamine (0.1%), adjusted to pH 3.10 with concentrated phosphoric acid. Dihydroxybenzamine was used as an internal standard and used to calculate percentage recovery of DOPAC and DA. Results are expressed as the ratio of DOPAC to DA, with tissue levels calculated in ng/mg protein. Protein concentrations were determined by the method of Lowry (Lowry et al. 1957). Three independent experiments were performed with very similar results, and data were pooled for statistical analysis.
Western Blotting
β2+/+ and β2−/− mice (n = 9 per group) were treated with cocaine (20 mg/kg) or saline once a day for 6 days and were sacrificed 20–24 hours after the last injection. Brains were dissected and nucleus accumbens was isolated from a 1-mm slice using a 14-gauge needle. Tissue was homogenized in 1% sodium dodecyl sulfate (SDS), and protein concentration was measured using the Lowry method. One hundred μg protein per lane was separated on a 10% acrylamide gel by sodium dodecyl sulfate-poly-acrylamide gel electrophoresis (SDS-PAGE) and transferred to nitrocellulose for western blotting. The nitrocellulose membrane was blocked with 2% nonfat dry milk and incubated with primary antiserum at the appropriate concentration (1:1000 for fosB antiserum (Santa Cruz sc048, Santa Cruz, CA) and 1:5000 for GluR1 antiserum (Chemicon AB1504, Temecula, CA) at 4°C overnight. Each membrane was divided in two parts, one part (below 56 kDa) was incubated using the fosB antiserum, and the other part was incubated using the GluR1 antiserum. Following overnight incubation, membranes were washed 3 × 20 min in TBS-Tween buffer and then incubated for 2 hours with horseradish peroxidase conjugated goat antirabbit IgG (1:3000, Vector, Burlingame, CA). Immunoreactivity was detected using chemiluminescence (Amersham, Piscataway, NJ). Levels were quantified by measuring the optical density of specific bands (35 kDa for fosB and 108 kDa for GluR1) using NIH image.
Statistical Analysis
Data for place preference and biochemical experiments are presented as average ±SEM. For the biochemical studies, statistical analysis was performed using Student's t-test or analysis of variance (ANOVA) for repeated measures followed by the least-significant difference multiple range post-hoc test. For place preference studies, statistical analysis was performed using ANOVA for repeated measures followed by the least-significant difference multiple range post-hoc test. The level of significance was set at p < .05.
RESULTS
The ability of 3, 5,10, and 20 mg/kg of cocaine to condition a place preference in C57Bl/6 mice is shown in Figure 1A. The lowest dose of cocaine that could condition a place preference in these animals was 5 mg/kg. Data are expressed as time spent in the drug-paired side before and after conditioning. The lowest morphine dose that was able to condition a place preference in C57Bl/6 mice was 5 mg/kg SC (Figure 1B).
To investigate whether inactivation of nAChRs affects cocaine reinforcement, an acute dose (1 mg/kg) of the nicotinic antagonist mecamylamine was co-administered with each injection of 5 or 10 mg/kg cocaine (Figure 2). Mecamylamine alone did not condition a place preference or a place aversion, but when co-administered with 5 mg/kg cocaine, 1 mg/kg mecamylamine decreased cocaine place preference. A higher cocaine dose (10 mg/kg) overcame the effect of mecamylamine and conditioned a place preference when co-administered with the nicotinic antagonist.
The nicotinic subtypes that might be involved in this interaction were determined using mice lacking the β2 subunit of the nAChR. The responses of β2−/− mice and their β2+/+ siblings to cocaine conditioning is shown in Figure 3. Cocaine at 5 mg/kg significantly increased the time spent in the drug-paired side by an average of 170 s in β2+/+ mice but did not condition a significant place preference in β2−/− mice. At a higher dose of cocaine (10 mg/kg), no significant difference was seen between β2−/− and wild type mice, although there was a trend for the β2−/− mice to show decreased place preference at this dose as well. These data indicate that the dose-response curve for cocaine place preference is shifted to the right in mice lacking the high affinity receptor for nicotine. Locomotor activity was stimulated by 5 and 10 mg/kg cocaine, but no differences were seen between wild type and knock out animals (Figure 4). In contrast, β2−/− animals respond to a threshold dose of morphine similarly to β2+/+ animals, indicating that this effect is unlikely to be attributable to inability to acquire a place preference or a generalized abnormality in the pathways underlying this behavior (Figure 5).
We then tested the effect of repeated nicotine treatment on cocaine-conditioned place preference. Chronic-intermittent nicotine treatment was chosen, because it mimics some features of the pattern of nicotine exposure of cigarette smokers. When C57Bl/6 mice were pretreated for 10 days with 0.7 mg/kg nicotine, 5 mg/kg of cocaine did not condition a significant place preference (Figure 6). Mice that received the 10-day nicotine pretreatment showed tolerance to the locomotor depressant effects of an acute injection of 1 mg/kg nicotine (not shown), possibly indicating that this treatment leads to progressive inactivation of nAChRs (Marks et al. 1991, 1993) resulting in perturbation of the mechanisms which mediate cocaine-conditioned place preference.
If inactivation of nAChRs can shift the cocaine dose response to the right, we hypothesized that activation of nAChRs should shift the cocaine dose response to the left in the place preference paradigm. Because 5 mg/kg of cocaine was the lowest dose that conditioned a place preference in our paradigm, we investigated whether place conditioning could be produced by 3 mg/kg cocaine co-administered with a low nicotine dose (0.2 mg/kg). These low doses of nicotine and cocaine do not condition a place preference on their own (Figure 7), but co-administration of 0.2 mg/kg nicotine with 3 mg/kg cocaine resulted in a significant place preference. This finding further supports the hypothesis that the cholinergic system modulates cocaine reinforcement.
The interaction between nicotine and cocaine could take place at the level of the dopaminergic system. To investigate the mechanism underlying the cocaine–nicotine interaction, mice were sacrificed 30 min following an acute cocaine (5 mg/kg) or saline injection, and striatum/telencephalon, cortex, and brainstem extracts were assayed for DOPAC and DA levels using HPLC (Figure 8). Acute treatment with 5 mg/kg cocaine would be analogous to the dose used to condition a place preference to a threshold dose of cocaine in behavioral experiments. Striatal/telencephalic DOPAC/DA ratios were significantly reduced (p = .01) following cocaine administration in β2+/+ mice (saline: 0.070±0.001; 5 mg/kg cocaine: 0.060±0.001), as has been seen in other mouse strains (Hadfield 1995; Hadfield and Milio 1992). In contrast, no significant difference was seen in the ratio of DOPAC/DA following cocaine treatment in β2−/−mice (saline: 0.062±0.001; 5 mg/kg cocaine: 0.060±0.001). The baseline ratio of DOPAC/DA in striatum/telencephalon and cortex showed a nonsignificant trend to being higher in β2+/+ mice than in β2−/−mice, suggesting that baseline DA utilization may be decreased in knock out mice. No significant differences were seen in DOPAC/DA ratios in brainstem, or in DA levels across genotypes and treatments in each brain area (Table 1).
One of the downstream effects of chronic cocaine administration is the induction of a long-lasting activation protein 1 (AP-1) DNA-binding complex in the NAc and dorsal striatum, which is manifested by the expression of the 35- and 37-kDa Fos-related proteins (chronic fras) derived from a splice variant of the Fos-B gene (Hiroi et al. 1997). Although induction of chronic fras by chronic injections of cocaine was significantly increased in wild type mice, no change in chronic fras induction was seen following cocaine treatment in β2−/− mice, implying that some downstream neurochemical effects of cocaine, perhaps mediated through activation of the DA system, are decreased as a result of nAChR inactivation (Figure 9A). Basal levels of chronic fras were not different between wild type and knock out animals. Levels of the GluR1 subunit of the AMPA receptor, which do not change in the NAc following cocaine administration (Fitzgerald et al. 1996; Ghasemzadeh et al. 1999), were used as an internal control on the same blots and did not change across any of the treatments or genotypes of mice in this study (Figure 9B).
DISCUSSION
Cocaine can condition a place preference, and this is hypothesized to be a measure of the rewarding effects of the drug (Calcagnetti and Schechter 1993). We have shown that treatments that can inactivate nAChRs, including knock out of the high affinity subclass of the nAChR containing the β2 subunit, or acute co-treatment with 1 mg/kg mecamylamine, can inhibit place preference to a threshold dose of cocaine, and that higher doses of cocaine overcome this inhibition. Although many mice with constitutive knock outs show adaptation to the genetic lesion, the similarity of the effect of the β2 subunit knock out and acute mecamylamine treatment suggest that the effect on cocaine place preference is not simply the result of such an adaptation. In addition, acute administration of 0.2 mg/kg nicotine can cause a subthreshold dose of cocaine to condition a place preference. These findings demonstrate that activation of nAChRs potentiates cocaine reinforcement. Furthermore, these receptors contain the β2 subunit, similar to the nAChRs, which also mediate nicotine reinforcement (Picciotto et al. 1998). There may also be a contribution of homomeric nAChRs containing the α7 subunit to cocaine reinforcement, because direct infusion into the VTA of the nAChR antagonist methylycaconitine (which shows specificity for α7 subunit-containing nAChRs at low concentrations) can decrease the effects of cocaine on brain-stimulation reward thresholds (Panagis et al. 2000). These findings are in excellent correspondence with data from human subjects showing that mecamylamine reduces, and nicotine increases, cue induced cocaine craving (Reid et al. 1999, 1998).
The data shown here demonstrate that manipulations of the nicotinic system shift the threshold of cocaine place preference. Several groups have shown that place preference exhibits a very steep dose-response function, such that graded preference responses are not seen and a step-like response is seen to a dose above the threshold (Schechter and Calcagnetti 1993, 1998). Thus, a shift in the threshold dose of cocaine required to see the behavior is a sensitive measure of the efficacy of the drug.
In a previous study, β2-subunit mutant mice on the C57Bl/6 background were first trained to self-administer cocaine stably and were subsequently switched to self-administer nicotine (Epping-Jordan et al. 1999; Picciotto et al. 1998). The study was designed so that differences in learning the self-administration task would not confound the finding that β2 subunit knock out mice will not self-administer nicotine. Mice received IV injections of 0.8 mg/kg cocaine under a fixed ratio 1/timeout 20 s schedule for two to four sessions until stable responding was observed. The results of the self-administration study are consistent with the current study, because the cumulative dose of cocaine used in the training for IV self-administration is higher than the doses at which a significant attenuation of cocaine place preference was observed (three IP injections of 5 mg/kg cocaine over 6 days, which was overcome when higher cocaine doses were used). Thus, it is not surprising that the animals were able to acquire stable responding for cocaine. We might expect that differences in acquisition of cocaine self-administration could be observed between β2 knock out mice and their wild type littermates when lower doses of cocaine are used.
Current hypotheses of the mechanisms underlying the reinforcing effects of nicotine and cocaine implicate the mesolimbic dopaminergic pathway as the best candidate site for nicotine–cocaine interaction (Koob and Nestler 1997). Other candidate systems include the limbic serotonin system, which contributes to the reinforcing action of cocaine (Rocha et al. 1998) and which is modulated by nicotine (Li et al. 1998; Mihailescu et al. 1998). Nicotine activates nAChRs located on dopaminergic neurons (Clarke and Pert 1985), increasing the firing rate of dopaminergic neurons through actions on the cell bodies (Grenhoff et al. 1986; Lichtensteiger et al. 1982; Mereu et al. 1987), and the release of DA from terminals in a synaptosome preparation (Grady et al. 1992). There is evidence for a consistent effect of nicotine on DA release through activation of nAChRs in the ventral tegmental area (Nisell et al. 1994). In contrast, mecamylamine can decrease the firing rate of mesolimbic DA neurons (Grenhoff et al. 1986) and can decrease the levels of extracellular DOPA as well as DA metabolites (Haikala and Ahtee 1988; Nakamura et al. 1992), implying that acetylcholine acting through nAChRs may contribute to the tonic activity of dopaminergic neurons. The effects of nicotine on the mesolimbic DA system are thought to mediate nicotine reinforcement, because a lesion of this brain area attenuates nicotine self-administration (Corrigall et al. 1992). Knock out mice lacking a single subunit of the neuronal nAChR (the β2 subunit) lack high affinity nicotine binding throughout the brain (Picciotto et al. 1995; Zoli et al. 1998). These mice no longer show an increase in DA levels in response to nicotine treatment and will not self-administer nicotine (Picciotto et al. 1998), implying that the β2 subunit is a necessary component of the nAChR mediating these effects. In contrast, cocaine acts in part by blocking the DA transporter, limiting reuptake of DA once it is released into the synapse upon firing of dopaminergic neurons (Koob 1992). Furthermore, D1 and D2 antagonists as well as lesions of the mesolimbic DA system are both able to disrupt cocaine place preference (Morency and Beninger 1986).
In this paper, we have examined the effects of nAChR inactivation on DA turnover and fos-related antigen expression in the basal ganglia, two parameters related to cocaine action on DA pathways. Low dose cocaine (5 mg/kg) is able to elicit a reduction in DOPAC/DA ratio in β2+/+ mice on the C57Bl/6 background, as has previously been shown in the ICR line of mice (Hadfield 1995; Hadfield and Milio 1992). In contrast, stimulation by 5 mg/kg cocaine is not sufficient to alter DA turnover in β2−/− mice. β2−/− mice also show a trend toward decreased basal DA turnover in the striatal/telencephalon regions of the brain, perhaps suggesting that DA utilization under basal conditions is altered in mice lacking the high affinity neuronal nAChR. Although this is still a hypothesis, these data may imply that altered DA utilization in mice lacking high affinity nAChRs could be the primary mechanism involved in the decreased cocaine place preference seen in these animals. An alternate hypothesis is that phasic release of ACh results from the manipulation and handling of the animals and that nAChR response to this phasic release is lost in knock out mice or wild type mice treated with mecamylamine.
Induction of fos-related antigens by chronic cocaine in the NAc and dorsal striatum has been demonstrated by several investigators (see e.g., Hiroi and Nestler 1998). Chronic fras induction has been shown to enhance sensitivity to cocaine, and thus when chronic fras are not induced normally, behavioral adaptations to chronic cocaine treatment may be attenuated (Kelz et al. 1999). This downstream response to cocaine is reduced in mice with a knock out of the β2 subunit of the nAChR, perhaps because of decreased activation of pathways downstream of the DA system following cocaine treatment in β2−/− animals. 20 mg/kg cocaine for 6 days seems to be the minimum dose that results in measurable induction of chronic fras (Hope et al. 1992), thus the loss of induction in the mutant animals is another indication that nAChR inactivation shifts the dose-response curve for cocaine to the right and results in decreased efficacy of threshold doses of cocaine.
Present and previous evidence on the actions of cocaine and nicotine suggest a hypothesis for the mechanism of how nAChRs might potentiate the effects of cocaine on the mesolimbic DA system. Activation of nAChRs in the mesolimbic DA system increases extracellular DA levels in the dorsal and ventral striatum. Acute nicotine administration can increase nAChR activation above that produced by endogenous ACh resulting in increased firing of mesolimbic DA neurons. As a result, more DA would be available in the extracellular space such that inhibition of the DA transporter by low doses of cocaine could result in increased cocaine reinforcement. Higher doses of cocaine result in increased extracellular DA levels to such an extent that, despite nAChR blockade, they are able to induce cocaine reinforcement.
Similar to what is observed in mice with genetic or pharmacological inactivation of nAChRs, the place preference induced by a low dose of cocaine was inhibited by chronic-intermittent administration of nicotine. Chronic and subchronic pretreatment with nicotine can result in either sensitization or tolerance to a nicotine challenge, depending on the dose and treatment regimen of nicotine, as well as the pharmacological effect considered (Benwell and Balfour 1992; Benwell et al. 1994). Neurochemical studies in vitro have shown long-term inactivation of nAChR-mediated DA release following exposure to micromolar nicotine concentrations (Rowell and Duggan 1998). The data reported here suggest that the mechanism underlying the effect of chronic-intermittent nicotine administration (0.7 mg/kg) on cocaine-related behaviors may be inactivation of nAChRs. Pretreatment with this dose of nicotine results in a similar effect on cocaine place preference to either administration of the nicotinic antagonist mecamylamine or knock out of the high affinity nAChR. This treatment results in tolerance to the locomotor depressant effect of nicotine, and C57Bl/6 mice do not develop locomotor sensitization under this drug regimen (unpublished observations). Although one injection of nicotine a day is not identical to the pattern of nicotine ingestion through smoking, the chronic-intermittent nature of the treatment might be expected to have similar effects on desensitization and inactivation of nAChRs (Changeux et al. 1998). Indeed, chronic infusion of nicotine or mecamylamine in the mouse (Pauly et al. 1996), twice a day injections of nicotine in rat (Flores et al. 1997; Ulrich et al. 1997), and smoking in humans (Benwell et al. 1988; Breese et al. 1997) can all induce upregulation of nicotine binding sites, perhaps implying that inactivation of nAChRs might be the mechanism underlying this increase in nicotine-binding sites.
In contrast to cocaine, we saw no difference in morphine place preference in mice lacking the high affinity receptor for nicotine. One possibility for the difference seen between cocaine and morphine place preference is that cocaine exerts its reinforcing effects at least in part through direct effects on DA reuptake. In contrast, opiates are likely to work through actions on many brain areas, and in part by direct inhibition of the GABAergic output neurons in the Nac, which are the targets of the DA neurons (Koob and Nestler 1997). Thus, alteration of nicotinic modulation of the DA system might have a greater effect on the processes affected by cocaine, rather than the downstream processes affected by opiates.
In conclusion, the present results show that co-activation of nAChR- and cocaine-dependent mechanisms favor cocaine reinforcement; whereas, inactivation of nAChRs decreases cocaine reinforcement. These results are consistent with the hypothesis that one of the functions of acetylcholine acting through high affinity nAChRs in brain is to provide a level of tonic regulation of the DA system. In addition, the current data also suggest that cholinergic agonists and antagonists could be used to alter the efficacy of cocaine in drug abusers. Recent studies in humans have shown that mecamylamine can reduce cue-induced craving for cocaine (Reid et al. 1999). Treatment with nicotinic antagonists might, therefore, decrease the rewarding efficacy of cocaine in patients attempting to stop using cocaine, and could be of use in a cessation program.
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Acknowledgements
The authors thank Diann Stedman, Li Xu and Feng-Pei Chen for expert technical assistance. Drs. M. Zoli, M. Epping-Jordan, S. L. King, and E. J. Nestler are thanked for critical reading of the manuscript and helpful conversations about the work. This work was supported by Grants DA10455, DA00167, DA84733, and DA07290 from the National Institutes of Health and by The Christiane Brooks Johnson Foundation, a NARSAD grant to T.P.G. and R37-MH-14092 to R.H.R.
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Zachariou, V., Caldarone, B., Weathers-Lowin, A. et al. Nicotine Receptor Inactivation Decreases Sensitivity to Cocaine. Neuropsychopharmacol 24, 576–589 (2001). https://doi.org/10.1016/S0893-133X(00)00224-4
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DOI: https://doi.org/10.1016/S0893-133X(00)00224-4
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