INTRODUCTION

Attention-deficit/hyperactivity disorder (ADHD) is commonly diagnosed during childhood, affecting around 8% of school-aged children worldwide (Biederman and Faraone, 2004). Psychostimulant medications are effective for the treatment of ADHD, and methylphenidate (MPH; Ritalin) is one of the most prescribed therapeutic agents (Arnsten, 2006; Zito et al, 2000). Despite its well-documented efficacy in the control of ADHD-related symptoms (Biederman and Faraone, 2005), little is known about the long-term consequences resulting from early-life exposure to MPH (Carlezon and Konradi, 2004; Vitiello, 2001).

Similar to the neurobiological actions of cocaine and amphetamine (Koob et al, 1998), MPH increases dopamine in brain reward-related regions, namely the ventral tegmental area (VTA) and the nucleus accumbens (NAc) (Federici et al, 2005), enhances locomotor activity (Askenasy et al, 2007), and regulates sensitivity to abused drugs (Crawford et al, 2007; Wooters et al, 2008). Because prolonged exposure to stimulants results in long-lasting neural adaptations that consequently increase vulnerability to compulsive drug use, stress, and related disorders (Nestler and Carlezon, 2006; Volkow, 2004), research has began to focus on assessing the long-term consequences of developmental exposure to MPH.

Recent studies show that exposing rats to MPH during postnatal days (PD) 20–35, a period approximating preadolescence (ie ages 4–12 years) in humans (Andersen and Navalta, 2004; Spear, 2007), results in decreased sensitivity to cocaine and morphine in adulthood (Andersen et al, 2002; Bolaños et al, 2008). Interestingly, these rats also show increased stress reactivity when confronting adverse situations, and reduced responsivity to various rewards (Bolaños et al, 2003; Mague et al, 2005). The mechanism(s) underlying these effects are unknown. However, it has been proposed that these MPH-induced effects may be partly mediated by increases in dynorphin (Carlezon and Konradi, 2004), the endogenous ligand for κ-opioid receptors (KORs) (Chavkin et al, 1982; Corbett et al, 1982).

Similar to other psychostimulants, MPH also increases dynorphin within the NAc in young rats (Yano and Steiner, 2005). There is extensive evidence demonstrating that increased dynorphin and its subsequent KOR stimulation causes aversive and depression-like states (Carlezon et al, 2006; Land et al, 2008; Shippenberg and Herz, 1986), whereas KOR antagonism induces antidepressant-like effects (Mague et al, 2003; Zhang et al, 2007). Given the degree of prescribed use of MPH and the potential for treating individuals not meeting the criteria for this disorder (Rey and Sawyer, 2003), it is essential to characterize the long-term consequences associated with developmental stimulant exposure. Accordingly, these studies were designed to assess whether the MPH-induced behavioral effects are regulated by subsequent KOR stimulation in adulthood. We hypothesized that MPH exposure would result in increased sensitivity to U-50488, a κ-agonist, whereas treatment with the long-acting κ-antagonist nor-binaltorphimine (nor-BNI; Horan et al, 1992; Jewett and Woods, 1995) would normalize MPH-induced behavioral deficits.

MATERIALS AND METHODS

Animals

Litters containing Sprague–Dawley male rat pups with their dams were obtained from Charles River Laboratories (Raleigh, NC) at PD14. Rats were housed in clear polypropyline boxes containing wood shavings in an animal colony maintained at 23–25°C on a 12 h light/dark cycle in which lights were on between 07:00 and 19:00 hours.

Drugs

Methylphenidate hydrochloride (MPH), cocaine hydrochloride (COC), (±)-trans-U-50488 methanesulfonate (U50), and nor-BNI, were obtained from Sigma (St. Louis, MO). Each drug was dissolved in 0.9% saline (VEH) and administered in a volume of 1 ml/kg. Doses are based on the salt form of each drug.

Drug Treatments

MPH (2 mg/kg) or VEH intraperitoneal (i.p.) injections were given between PD20 and 35 twice daily (4 h apart). From PD20 to 23, MPH- and VEH-treated rats were kept together in the same cage with their dams. At PD24 (weaning), rats were separated by treatment condition into groups of four per cage. At PD45, rats were further separated into groups of two per cage, and were left undisturbed until adulthood (ie 8 weeks after the last injection), when they were divided into subgroups receiving a subcutaneous (s.c.) injection of U50 (0 or 5 mg/kg), or nor-BNI (0 or 20 mg/kg). Behavioral testing started 15 min after U50, and 24 h after the nor-BNI injection. The dose of MPH approximates clinically relevant doses in pediatric patient population (Gualtieri et al, 1982; Kuczenski and Segal, 2005), whereas the dose of nor-BNI (20 mg/kg) was chosen based on published reports demonstrating that this dose is selective for KORs (Endoh et al, 1992; Takemori et al, 1988). Because κ-agonists can induce aversive states (Shippenberg et al, 2007), we used separate groups of control (ie no developmental treatment) rats (275–325 g) to determine the dose of U50 that would prevent COC-induced place conditioning without inducing place avoidance (see Supplement 1). Except for place conditioning and sucrose preference, behaviors were recorded with a video camera located on the ceiling of separate testing rooms. Behavioral observations and analyses were done by observers with no knowledge of the treatment conditions of each rat. Rats were provided with food and water ad libitum. Experiments were conducted in compliance with the Guidelines for the Care and Use of Laboratory Animals (National Institute of Health, 1996), and approved by Florida State University animal care and use committee.

Place Conditioning

Experiment 1

Adult rats pretreated with MPH or VEH during preadolescence were used to assess place conditioning to COC in a three-compartment apparatus (Bolaños et al, 2008). Compartments differed in floor texture, wall coloring, and light intensity. On the preconditioning day (day 0), rats were allowed to freely explore the apparatus for 20 min to obtain baseline preference to any of the three compartments (side compartments: 35 × 27 × 25 cm; middle compartment: 10 × 27 × 25 cm, l × w × h). Only rats showing no spontaneous preference to either compartment were used (unbiased procedure); this accounted for more than 90% of all of the rats tested. Conditioning trials were given on two consecutive days (day 1 and 2). During these trials, rats received saline (SAL) and were confined to one of the large size compartments of the apparatus for 30 min. After 4 h, rats received COC (0, 5, 10, or 20 mg/kg, i.p.), and were immediately confined to the opposite side compartment for 30 min. On the final day (day 3; test day), rats received an injection of SAL and were again allowed to freely explore the apparatus for 30 min. Time spent in the drug-paired compartment(s) was assessed during this 30 min period.

Experiment 2

We determined the dose of U50 that would prevent cocaine-induced place conditioning without inducing place avoidance in naïve (ie no developmental treatment) adult rats. This experiment was performed as described above, with the exception that rats were divided into groups receiving (1) U50 (0, 2.5, 5, or 10 mg/kg) 15 min before receiving SAL, or (2) U50 (0, 2.5, 5, or 10 mg/kg) 15 min before COC (0 or 10 mg/kg), and were confined to one of the side compartments of the apparatus for 30 min.

Experiment 3

Results from experiment 2 demonstrated that 5 mg/kg U50 attenuated COC-induced place conditioning without inducing place avoidance. Thus, adult VEH- and MPH-pretreated adult rats were used to assess the effects of U50 (5 mg/kg) or nor-BNI (20 mg/kg) on COC-induced (10 mg/kg) place conditioning. VEH- and MPH-pretreated rats were divided into groups receiving SAL/SAL, SAL/COC, U50/SAL, U50/COC, nor-BNI/SAL, nor-BNI/U50, or nor-BNI/COC. U50 was administered 15 min prior COC, whereas nor-BNI was administered 24 h before the start of the experiment.

Sucrose Preference

This test consisted of a two bottle choice paradigm in which rats are given the choice between consuming water vs sucrose (dissolved in water). This paradigm has been used extensively to assess the effects of stress-induced anhedonia (Sampson et al, 1992). Rats were habituated to drink water from two bottles for 5 days. At the start of the experiment (day 6), rats were exposed to ascending concentrations of sucrose (0, 0.25, 0.5, and 1%) for 2 days per concentration (Bolaños et al, 2003). Water and sucrose consumption were measured at 08:00 and 17:00 hours each day, at which time the position of the sucrose bottle (left or right) was switched. For the experiments involving the KOR drugs, separate groups of VEH- and MPH-pretreated rats were habituated as described. Rats received nor-BNI (0 or 20 mg/kg) 24 h before the start of the experiment. The water bottles were removed 2 h (17:00 hours) before the beginning of the dark phase and rats were left with access to food. Rats then received U50 (0 or 5 mg/kg) or SAL 15 min before the start of the dark phase (19:00 hours) at which time were given access to sucrose (0.5%) or water for 2 h. Testing duration was chosen based on previous reports assessing the acute effects of U50 on sucrose intake (Badiani et al, 2001; Ruegg et al, 1997). The position of the water and sucrose bottles (left or right) was switched every 30 min for the duration of the procedure. After the 2 h test, rats were left undisturbed and their overnight fluid consumption was measured the next morning (08:00 hours). The preference for sucrose over water was used as a measure for rats’ sensitivity to reward.

Elevated Plus Maze

VEH- and VEH-pretreated rats were tested for 5 min on the elevated plus maze (EPM), a behavioral model of anxiety-like behavior. The maze was made of gray plastic and consisted of two perpendicular, intersecting runways (12 cm wide × 100 cm long). One runway had tall walls (40 cm high) or ‘closed arms,’ whereas the other one had no walls or ‘open arms.’ The arms were connected together by a central area, and the maze was elevated 1 m from the floor. Testing was conducted between 09:00 and 13:00 hours under controlled light conditions (90 lux). At the beginning of the test, rats were placed in the central area, facing one of the open arms, and total time spent in the open arms was videotaped. We also assessed self-grooming in the ‘closed arms’ because rats engage in repetitive grooming in response to anxiogenic stimuli (Spruijt et al, 1988). Separate groups of VEH- and MPH-pretreated rats received nor-BNI (20 mg/kg) 24 h, or U50 (5 mg/kg) 15 min prior the start of the experiment.

Forced Swimming

The forced swim test (FST) is a 2-day procedure in which rats are forced to swim under inescapable conditions. On day 1, rats are forced to swim for 15 min. Initially, they engage in escape-like behaviors, but eventually adopt a posture of immobility, making only the movements necessary to maintain their head above water. When retested 24 h later, rats become immobile more quickly (Lucki, 1997); however, antidepressant treatment between forced swim exposures can significantly increase their escape-like behaviors, an effect that has been correlated with antidepressant activity in humans (Cryan et al, 2002). Rats were placed in plastic cylinders (30 × 75 cm) filled to 54 cm depth with 25°C water and forced to swim for 15 min. At the end of this period, rats were removed from the water, dried with towels and kept in a warm enclosure for 30 min, and received nor-BNI (20 mg/kg) or SAL. Cylinders were emptied and cleaned between rats. Twenty-four hours after the forced swim rats were retested 15 min after receiving SAL or U50 (5 mg/kg), for 5 min under identical conditions, and sessions were videotaped. Latency to become immobile, total immobility time, and swimming counts were the dependent variables. Swimming counts were rated at 5 s intervals during the 5 min retest. Latency to immobility was defined as the time at which the rat first initiated a stationary posture that did not reflect attempts to escape from the water (Lucki, 1997). To qualify as immobility, this posture had to be clearly visible and maintained for 2.0 s.

Locomotor Activity

VEH- and MPH-pretreated rats were also tested to examine the effects of U50 (5 mg/kg) on locomotor activity as indexed by distance traveled (cm) in an open field apparatus (63 × 63 × 26 cm) for 2 h. In addition, distance traveled was assessed in separate VEH- and MPH-pretreated groups 24 h after the first exposure to forced swimming.

Statistical Analysis

Statistical significance was measured using mixed-design (between and within variables) analysis of variance (ANOVA) followed by Tukey post hoc test. VEH and MPH exposure was considered the pretreatment, whereas subsequent SAL, COC, and KOR drug exposure (U50 and nor-BNI) the post-treatment variable(s). When appropriate, Student's t-test was used to determine statistical significance of preplanned comparisons. Data are expressed as the mean±SEM. Statistical significance was defined as p<0.05.

RESULTS

Effects of MPH Exposure on Cocaine-Induced Place Conditioning in Adulthood

No conditioning effects were observed in VEH (n=32)- or MPH (n=35)-pretreated rats conditioned with SAL (Figure 1). Time spent in the COC-paired compartments varied as a function of pretreatment and post-treatment (interaction: F(3,59)=9.298; p=0.0001). VEH-pretreated spent significantly more time in COC-paired environments (10 (p<0.05), 20 (p<0.05), mg/kg), whereas MPH-pretreated rats did not develop place conditioning to COC (p>0.05). In fact, exposure to 10 mg/kg COC induced place avoidance in MPH-pretreated rats.

Figure 1
figure 1

Developmental exposure to MPH regulates COC-induced place conditioning (n=67). MPH-pretreated spent significantly less time in COC-paired environments, whereas VEH-pretreated rats spent significantly more time in COC-associated environments in a dose-dependent manner. *p<0.05: vs VEH/SAL and VEH/COC 5 mg/kg conditions. p<0.05: vs VEH/SAL, VEH/COC 5 mg/kg, and the VEH/COC 10 mg/kg conditions. **p<0.05: vs VEH/COC 10 mg/kg; ***p<0.05: vs VEH/COC at 20 mg/kg. Data are presented as the difference in time spent in the COC-paired minus time spent in the SAL-paired compartments during testing day (mean±SEM, in seconds).

Effects of U-50488 on Place Conditioning in Treatment Naïve Adult Rats

Figure 2 shows the effects of U50/SAL (left panel; n=32), and U50/COC on place conditioning (right panel; n=32). Time spent in the compartments varied as a function of drug exposure (U50 × COC interaction: F(3,56)=2.98; p=0.03). Rats receiving U50/SAL (0, 2.5, and 5 mg/kg) did not show place conditioning (p>0.05), whereas those treated with U50 (10 mg/kg) developed place avoidance (p<0.05). The right panel shows that rats receiving SAL/COC (10 mg/kg) developed place conditioning (p<0.05). A low dose of U50 (2.5 mg/kg) did not block, whereas a moderate dose (5 mg/kg) attenuated COC-induced place conditioning (p<0.05).

Figure 2
figure 2

Determination of U50-induced place preference/avoidance in pretreatment naïve rats (n=64). Left panel: U50 induced place avoidance at 10 mg/kg dose (*p<0.05: vs 0, 2.5, and 5 mg/kg). Right panel: **p<0.05: vs the U50/SAL condition. U50 (5 mg/kg) blocked COC-induced place conditioning: ***p<0.05 vs rats receiving 0, 2.5 and 10 mg/kg U50 before 10 mg/kg COC. Data are presented as time spent in the cocaine−time spent in the SAL-paired compartments after conditioning (mean±SEM, in seconds).

Effects of U-50488 and Nor-BNI on Cocaine-Induced Place Conditioning in MPH-Treated Rats in Adulthood

Results from experiment 2 revealed that 5 mg/kg U50 blocked COC-induced place conditioning without inducing place avoidance. Thus, we assessed the effects of U50 (5 mg/kg), and nor-BNI (20 mg/kg), on COC (10 mg/kg)-induced place conditioning in VEH- and MPH-pretreated rats (n=119; 8–11 per condition; Figure 3). A three-way ANOVA indicated that place conditioning varied as a function of developmental pretreatment, KOR, and COC post-treatment (interactions: F(2,105)=3.21; p=0.04). For instance, VEH-pretreated spent significantly more time in the COC-paired environments (p<0.05), whereas the MPH-pretreated rats consistently avoided them (p<0.05). In addition, VEH-pretreated rats show no preference or avoidance for the U50-paired environments (p>0.05). Furthermore, U50 significantly attenuated COC-induced place conditioning in this group (p<0.05). On the contrary, MPH-pretreated rats avoided COC-paired environments (p<0.05: vs the VEH-pretreated rats in the SAL/COC condition), and showed place avoidance to U50 (p<0.05: vs the VEH-pretreated rats in the U50/SAL condition). MPH-pretreated rats receiving U50/COC demonstrated a greater magnitude of place avoidance than those receiving SAL/COC (p<0.05), or the VEH-pretreated rats receiving U50/COC (p<0.05). Exposure to 20 mg/kg nor-BNI reversed the effects of MPH on COC-induced place conditioning, as time spent in the COC-paired compartments did not differ from the VEH-pretreated rats (p>0.05). Moreover, and in line with KOR blockade, U50 did not induce place conditioning or avoidance in the VEH- or MPH-pretreated rats receiving nor-BNI (p>0.05).

Figure 3
figure 3

Effects of U50 and nor-BNI on COC-induced place conditioning in VEH- and MPH-pretreated rats (n=119). VEH-pretreated developed place conditioning (*p<0.05 vs VEH/SAL condition), whereas MPH-pretreated rats avoided COC-paired environments (**p<0.05 vs VEH/COC condition). MPH-pretreated rats appeared more sensitive to the effects of U50 (5 mg/kg): ***p<0.05 vs VEH-pretreated rats in the U50/SAL condition. Nor-BNI (20 mg/kg) reversed the place avoidance induced by COC and U50 in MPH-pretreated rats: p<0.05 vs MPH-pretreated rats in the SAL/COC condition. p=0.06: vs MPH-pretreated rats in the U50/SAL condition. Data are presented as time spent in the cocaine−time spent in the SAL-paired compartments after conditioning (mean±SEM, in seconds).

Effects of MPH and Subsequent U-50488 and Nor-BNI Exposure on Sucrose Preference in Adulthood

A mixed design, containing between (ie developmental pretreatment) and within (ie total liquid intake across days) variables repeated measures ANOVA indicated that MPH pretreatment did not affect the rats’ total fluid intake (water+sucrose; Figure 4b) at any of the sucrose concentrations tested. Sucrose preference varied as a function of pretreatment and sucrose concentration (interaction: F(5,190)=6.11; p=0.001). On the basis of previous observations (Bolaños et al, 2003), we hypothesized that MPH pretreatment would result in decreased sucrose preference when compared to VEH-pretreated rats (preplanned comparison). Unpaired t-tests demonstrated that MPH pretreatment (n=20) decreased preference for a 0.25 (t(38)=2.79; p<0.05), and 0.5% (t(38)=3.27; p<0.05) sucrose solution when compared to the VEH-pretreated rats (n=20; Figure 4a). Differences in sucrose preference between groups were not present at the 1% concentration.

Figure 4
figure 4

Developmental exposure to MPH and subsequent U50 and nor-BNI treatment on sucrose preference (a–d). (a) MPH-pretreated showed decreased sensitivity to the rewarding effects of sucrose when compared to the VEH-pretreated rats. *Different at 0.25% (p<0.05) and 0.50% sucrose (p<0.05). (b) VEH or MPH pretreatment did not affect total fluid (sucrose+water) intake. (c) U50 (5 mg/kg) reduced sucrose (0.5%) preference in both VEH- and MPH-pretreated rats given 2 h access to the solution. *p<0.05: vs MPH/SAL; p<0.07: vs VEH/SAL; #p<0.05: vs VEH/U50; §p<0.05: vs MPH/SAL. (d) U50 did not change overnight sucrose preference (0.5%). Nor-BNI restored sucrose preference in VEH- and MPH-pretreated rats. Data are presented as percent preference between MPH and VEH conditions (n=106).

We assessed the effects of U50 and nor-BNI on sucrose preference in VEH (n=30)- and MPH (n=36)-pretreated rats using the sucrose test modifications (ie 2 h access to the solution) as previously described (Figure 4c). A three-way ANOVA revealed that sucrose preference varied as a function of pretreatment (main effect: F(1,60)=19.45; p=0.0001) and post-treatment (main effect: F(2,60)=30.03; p=0.0001). As expected, MPH-pretreated rats (n=12) showed a decrease in sucrose preference (t(20)=3.3; p<0.05) as compared to the VEH-pretreated (n=12). U50 (5 mg/kg) significantly decreased sucrose preference in MPH-pretreated rats (t(19)=2.67; p<0.05), while having a tendency to also decrease sucrose preference in the VEH-pretreated group (p=0.07: vs VEH/SAL). However, nor-BNI (20 mg/kg) reversed the effects of MPH on sucrose preference. Because there was a nonstatistically significant tendency for U50 to decrease total fluid intake in VEH- and MPH-pretreated rats (data not shown), we also assessed sucrose preference overnight. Figure 4d shows that sucrose preference varied as a function of pretreatment and KOR post-treatment (interaction: F(2,66)=7.12; p=0.002). The MPH/U50 group had a significant decrease in sucrose preference (p<0.05: vs VEH/U50), but this decrease was not different from the MPH/SAL condition (p>0.05). Sucrose preference in the VEH/nor-BNI group was not different from the VEH/SAL condition (p>0.05); however, nor-BNI reversed the effects of MPH on sucrose preference.

Effects of U-50488 and Nor-BNI on MPH-Induced Anxiety-Like Behaviors in the EPM

We assessed the effects of MPH, and subsequent U50 or nor-BNI treatment, on anxiety-like behavior using the EPM (Figure 5a–c). A three-way ANOVA indicated that time spent in the open arms of the EPM was differentially affected by pretreatment (main effect: F(1,50)=43.21; p=0.0001) and post-treatment (main effect: F(2,50)=29.98; p=0.0001). On the basis of previous observations (Bolaños et al, 2003), we hypothesized that MPH-pretreated rats would spend less time in the open arms of the EPM when compared to VEH-pretreated rats (preplanned comparison). Unpaired t-tests demonstrated that MPH-pretreated rats (n=10; Figure 5a) spent less time in the open arms than the VEH-pretreated (n=10) rats (t(18)=5.3; p<0.05). Further analysis indicated that U50 decreased (t(16)=2.54; p<0.05) time spent in the open arms by VEH- (n=8) and MPH-pretreated (n=10) rats; whereas nor-BNI increased (t(16)=3.72; p<0.05) the time spent in the open arms by VEH- (n=8) and MPH-pretreated (n=10) rats. Although nor-BNI increased time in the open arms in both groups, MPH-pretreated rats spent less time than the VEH-pretreated rats (p<0.05) in the open arms. However, time spent in the open arms by rats in the MPH/nor-BNI condition was higher than that observed in the MPH/SAL group (p<0.05; Figure 5a). A separate three-way ANOVA revealed that entries into the open arms also varied as a function of pretreatment (main effect: F(2,50)=13.26; p=0.0006) and post-treatment (main effect: F(2,50)=14.61; p=0.0001). The VEH-pretreated had higher entries into the open arms than the MPH-pretreated rats (t(18)=2.55; p<0.05; Figure 5b). U50 did not affect the VEH-pretreated, but did induce a trend towards a decrease in open arm entries in the MPH-pretreated rats as compared to the MPH/SAL condition (p=0.07). Nor-BNI significantly increased entries into open arms by both VEH- and MPH-pretreated rats (p<0.05). Self-grooming behavior varied as a function of pretreatment and post-treatment (interaction: F(2,50)=7.15; p=0.002). The MPH-pretreated rats had higher self-grooming counts than VEH-pretreated rats (p<0.05; Figure 5c). There was a tendency towards an increase in self-grooming in VEH-pretreated (p=0.07), whereas self-grooming in the MPH-pretreated rats was significantly decreased by U50 (p<0.05: vs MPH/SAL). Nor-BNI decreased self-grooming in the VEH- and MPH-pretreated rats.

Figure 5
figure 5

Developmental exposure to MPH and subsequent U50 and nor-BNI treatment regulate responses to anxiogenic stimuli (n=56). (a) Rats in the MPH/SAL condition spent significantly less time in the open arms of the EPM than rats in the VEH/SAL group (*p<0.05). U50 significantly decreased time in open arms in VEH- (p<0.05: vs VEH/SAL) and MPH-pretreated rats (**p<0.05: vs VEH/U50). Nor-BNI significantly increased time in open arms in VEH- (#p<0.05: vs VEH/SAL; §p<0.05: vs VEH/U50) and MPH-pretreated (***p<0.05: vs MPH/SAL) rats. (b) Rats in the MPH/SAL condition had significantly less entries into the open arms of the EPM than rats in the VEH/SAL group (*p<0.05). U50 had no effect in the VEH-pretreated rats, while inducing a trend towards a decrease in open arm entries in the MPH-pretreated rats. Nor-BNI increased open arm entries in VEH- (#p<0.05: vs MPH/Nor-BNI) and MPH-pretreated (**p<0.05: vs MPH/U50) rats. (c) Rats in the MPH/SAL condition spent significantly more time engaged in self-grooming in the closed arms of the EPM than rats in the VEH/SAL condition (*p<0.05). U50 treatment decreased grooming in MPH- (**p<0.05: vs MPH/SAL), while slightly increasing grooming in VEH-pretreated rats (p=0.07: vs VEH/SAL). Nor-BNI decreased grooming in VEH- (***p<0.05: vs VEH/U50) and MPH-pretreated rats (***p<0.05: vs MPH/SAL). Data are presented as percent time spent (mean±SEM) in the open arms, and as self-grooming counts (mean±SEM) in the closed arms.

Effects of U-50488 and Nor-BNI on MPH-Induced Effects on Forced Swimming Behavior

We used the FST to study rats’ responses to stressful conditions (Figure 6a–f). MPH-pretreated (n=10) had shorter latency to immobility on day 2 of the FST (F(1,16)=5.6; p=0.03) than the VEH-pretreated (n=8) rats (Figure 6a). MPH-pretreated had higher levels of total immobility (F(1,16)=6.7; p=0.01), and lower swimming counts (F(1,16)=5.8; p=0.02), than the VEH-pretreated rats (Figure 6b and c). The effects of the κ-drugs on latency to immobility varied as a function of pretreatment and post-treatment (interaction: F(1,40)=4.1; p=0.049; Figure 6a). U50 did not affect VEH-pretreated rats’ latency to immobility, total immobility, or swimming counts (n=20; Figure 6a–c), although there was a tendency for U50 to decrease swimming counts. However, rats in the MPH/U50 condition (n=24) showed shorter latencies to immobility (p<0.05), higher levels of total immobility (p<0.05), and decreased swimming counts (p<0.05) than the VEH/U50 group. U50 treatment resulted in even shorter latency to immobility when compared to the MPH/SAL condition (p<0.05). However, U50 did not affect total immobility or swimming counts when comparing the MPH-pretreated groups (p>0.05). Rats in the MPH/nor-BNI condition did not show differences in latency to immobility, total immobility or swimming counts when compared to the VEH/nor-BNI condition (Figure 6a–c). As can be seen in Figure 6d–f, the antidepressant effects of nor-BNI were still apparent 4-weeks after exposure to the κ-antagonist. Together, these findings indicate that κ-antagonist treatment can normalize the MPH-induced behavioral deficits.

Figure 6
figure 6

Developmental exposure to MPH and subsequent U50 and nor-BNI treatment regulate responsivity to forced swim stress (n=62). (a) Rats in the MPH/SAL condition had shorter latencies to immobility than rats in the VEH/SAL group on day 2 of the FST (*p<0.05). U50 further decreased, whereas nor-BNI treatment normalized latency to immobility in MPH-pretreated rats. (b) Rats in the MPH/SAL and MPH/U50 conditions showed increased total immobility, whereas nor-BNI treatment decreased total immobility. (c) Rats in the MPH/SAL and MPH/U50 conditions showed decreases in swimming behavior. Nor-BNI treatment did not affect swimming in either the VEH- or MPH-pretreated rats. (d–f) VEH/nor-BNI and MPH/nor-BNI treatments showed no differences in latency to immobility, total immobility, or swimming counts 4 weeks after treatment on day 2 of the FST. Data are presented as latencies to become immobile, total immobility (in seconds) or swimming counts (mean±SEM).

Effects of U-50488 on Locomotor Activity in VEH- and MPH-Treated Rats in Adulthood

MPH-pretreated had less spontaneous ambulatory counts in response to a novel environment (ie the open field) during the first 10 min of the session than the VEH-pretreated rats (t20=−5.3; p=0.04; n=22). However, an acute injection of U50 (5 mg/kg) did not affect locomotor activity in either of the groups (Figure 7a).

Figure 7
figure 7

Developmental exposure to MPH and subsequent U50 effects on locomotor activity. (a) MPH-pretreated rats showed lower motor activity when compared to the VEH condition during the first 10 min of the test (*p<0.05). Acute U50 treatment did not influence locomotion in either of the groups (n=22). (b) VEH- and MPH-pretreated rats had no differences in locomotor activity 24 h after exposure to day 1 of FST (n=12). Data are presented as mean total distance traveled (mean±SEM, in cm).

Because MPH-pretreated rats showed lower levels of locomotion for the first 10 min in the open field (Figure 7a), it is conceivable that the effects observed in the FST might be due to locomotor impairment in these rats. Thus, we had additional control groups in which VEH (n=6)- and MPH (n=6)-pretreated rats were exposed to the FST only on day 1. The following day, rats were placed in the open field for 1 h, instead. No changes in locomotor activity were evident in VEH- or MPH-pretreated rats (Figure 7b).

DISCUSSION

The present findings further show that early-life MPH exposure results in decreased responsiveness to rewarding stimuli while enhancing an emotional state characterized by increased sensitivity to aversive situations. These results also demonstrate that these MPH-induced deficits can be intensified, under certain conditions, by subsequent exposure to U50488, or normalized by nor-BNI. MPH-pretreated rats did not consistently approach environments associated with doses of cocaine that readily induced place preference in the VEH-pretreated rats, and showed attenuated preference for sucrose (Andersen et al, 2002; Bolaños et al, 2003; Carlezon et al, 2003). Cocaine has both rewarding and aversive properties, and it is possible that the place avoidance observed in the MPH-pretreated rats is caused by a decrement in cocaine's rewarding effects (ie tolerance to the rewarding effects of the drug), which, in turn, unmasks other aversive effects of cocaine (Ettenberg, 2004). Alternatively, it is conceivable that MPH-pretreated rats are more sensitive to cocaine, and that intermediate doses (ie greater than 5 mg/kg and lower than 10 mg/kg) could have induced place conditioning. Nevertheless, these findings are analogous with demonstrations that molecular manipulations that reduce the rewarding effects of cocaine often lead to cocaine-induced place aversions (Carlezon et al, 1998; Iñiguez et al, 2008; Olson et al, 2005). The decrease in sucrose preference is likely due to MPH's ability to alter responsiveness to the rewarding effects of the solution, because the total liquid intake during testing did not differ between treatment groups (Figure 4b). These results are consistent with demonstrations that developmental exposure to MPH leads to long-lasting neuroadaptations that result in diminished sensitivity to the rewarding effects of cocaine and morphine, and decreased motivation for natural rewards (Andersen et al, 2002; Bolaños et al, 2003, 2008; Mague et al, 2005).

MPH-pretreated rats appeared more sensitive to KOR activation as they reliably avoided environments paired with a dose of U-50488 (5 mg/kg) that did not induce place avoidance in VEH-pretreated rats. In addition, exposure to U-50488 attenuated cocaine place conditioning in VEH-pretreated rats (Crawford et al, 1995), while intensifying the MPH-induced avoidance for cocaine-paired environments, and their deficits in sucrose preference. It must be noted, however, that U-50488 also had a tendency to negatively influence sucrose preference in VEH-pretreated rats. The mechanism(s) underlying these effects are unknown. Rewarding stimuli increase dopamine in the VTA–NAc reward pathway, whereas attenuated dopamine transmission is associated with negative emotional states characterized by increased sensitivity to adverse situations (Nestler and Carlezon, 2006). Stimulation of KORs decreases the firing activity of dopamine neurons and inhibits dopamine release within the NAc (Di Chiara and Imperato, 1988; Manzanares et al, 1991). κ-Agonists do not induce reward, are not self-administered (Kuzmin et al, 1997) and, at high doses, induce aversive states (Land et al, 2008; Mucha and Herz, 1985). Thus, under normal conditions, U-50488 would attenuate cocaine and sucrose reward by stimulating KORs located in dopamine terminals within the NAc, thereby inhibiting dopamine release from these terminals (Di Chiara and Imperato, 1988; Spanagel et al, 1992). Accordingly, the enhanced behavioral reactivity observed in the MPH-pretreated rats could be indicative of heightened sensitivity of dynorphin/KOR systems because these rats showed robust place avoidance in response to a dose of U-50488 that had no significant behavioral effects in VEH-pretreated rats.

Decreased sensitivity to rewarding stimuli can be interpreted as a sign of anhedonia (inability to experience pleasure, a core symptom in human depression) in animal models (Nestler and Carlezon, 2006). These findings show that the MPH-induced deficits in cocaine and sucrose reward can be restored to normal levels by nor-BNI. Similar to the effects of some antidepressant drugs, nor-BNI increases dopamine transmission in the NAc and striatum (Maisonneuve et al, 1994; Shippenberg et al, 2007; You et al, 1999); therefore, given that depression and its deficits in appetitive motivation (anhedonia) are linked to impaired functioning of dopamine systems (Nestler and Carlezon, 2006), it is possible that nor-BNI enhances dopamine transmission in reward-related brain areas to reverse depression-like behaviors after developmental MPH exposure.

MPH also rendered rats more vulnerable to adverse situations (Bolaños et al, 2003; Britton et al, 2007; Carlezon et al, 2003). MPH-pretreated rats spent significantly less time in the ‘open arms’ of the EPM, and significantly more time engaged in self-grooming, a well-known behavioral response to anxiety-eliciting situations. Further studies with the FST found that MPH exposure decreases latency to immobility, an effect opposite to those observed after antidepressant treatments (Cryan et al, 2002). Though similar to the findings with reward-related behaviors in that U-50488 intensified, whereas nor-BNI reversed the anxiogenic and depression-like behaviors induced by MPH, U-50488 also decreased the time spent in the open arms, and had a tendency to increase self-grooming in VEH-pretreated rats. The decreased latency to immobility observed in the MPH-pretreated rats did not result from impaired motor activity because these rats did not show deficits in locomotion 24 h after day 1 of forced swimming, or after U-50488 exposure (Figure 7a and b). U-50488 induces hyperlocomotion at low, and hypolocomotion at higher (ie greater than 5 mg/kg) doses in mice (Kuzmin et al, 2000). We observed increased locomotion after U-50488 treatment, however, the magnitude of the increase was not different between the groups (Figure 7a). The basis for U-50488's effects on motor activity is unknown. It is speculated that different KOR populations, located in different brain regions, may mediate U-50488 effects (Charntikov et al, 2008; Kuzmin et al, 2000). This notion is intriguing because U-50488 induces hyperactivity in developing rats, while inducing hypoactivity in adult rats (Collins et al, 1998; McDougall et al, 1997), yet it attenuates drug reward in developing and adult rats in a similar manner (Bolaños et al, 1996; Crawford et al, 1995).

The effects produced by nor-BNI are similar to those observed after treatment with antidepressants. Antidepressant medications exert their mood-elevating effects after prolonged (ie weeks) administration (Nestler et al, 2002), and preclinical studies show that depression-like behaviors can be reversed after prolonged treatment (Berton et al, 2006; Bolaños et al, 2008; Krishnan et al, 2008). Interestingly, the nor-BNI-induced antidepressant-like effect was still apparent 4 weeks after a single exposure to the drug (as measured in the FST; Figure 6d). The basis for nor-BNI-induced effects in the FST is unclear. Nor-BNI is known for its long-lasting antagonistic actions at KORs (Horan et al, 1992; Jewett and Woods, 1995), however, this κ-antagonist may not have long-term efficacy in the FST (Zhang et al, 2007). It is reasonable to assume that the discrepancies between Zhang et al, and our results are due to differences in experimental conditions. Nevertheless, these findings parallel those demonstrating that stimulation of KOR induces depression-like effects, whereas KOR antagonism produces anxiolytic and antidepressant-like effects (Knoll et al, 2007; Mague et al, 2003; McLaughlin et al, 2003; Pliakas et al, 2001).

The behavioral profile induced by early-life MPH exposure is indicative of long-lasting changes in reward pathways resulting in altered behavioral reactivity to drugs of abuse while concurrently inducing depression-like states (Nestler and Carlezon, 2006). It has been proposed that the mechanism(s) underlying these effects may be partly mediated by changes in CREB/dynorphin activity (Carlezon and Konradi, 2004). Our findings demonstrating enhanced behavioral responsivity to KOR stimulation, and reversal of MPH-induced effects by KOR antagonism, lend support to this notion. It must be noted, however, that we did not run U-50488 or nor-BNI dose–response experiments in MPH-pretreated rats, and it is possible that the doses used in this study were too high. It is also possible that different drug doses may have had varied effects because we noticed that although 5 mg/kg U-50488 did not influence locomotion in the VEH- or MPH-pretreated rats, it tended to negatively influence VEH-pretreated rats in the sucrose preference and EPM paradigms. Although 20 mg/kg nor-BNI may be high, this dose has been shown to be selective for KORs blockade (Endoh et al, 1992; Takemori et al, 1988), without influencing motor activity (Knoll et al, 2007). How MPH might increase KOR sensitivity is unknown. Exposure to cocaine and amphetamine increases dynorphin expression and decreases KOR expression, whereas prolonged exposure to these drugs decreases dynorphin, followed by KOR upregulation during drug cessation in the NAc and striatum (Spangler et al, 1996; Trujillo and Akil, 1990; Turchan et al, 1998; Unterwald et al, 1994). Given the psychostimulant-like properties of MPH, it is feasible that MPH exposure may result in upregulation/increased sensitivity of KORs.

To summarize, this study shows that treatment with MPH during development results in decreased sensitivity to rewarding stimuli while enhancing a negative emotional state characterized by increased sensitivity to adverse situations in adulthood. In addition, this study shows that KOR stimulation, under certain experimental conditions, can intensify, whereas KOR blockade reverses these behavioral deficits. However, it is imperative to recognize that the MPH-induced behavioral profile described here was derived from normal rats, and similar experimental design and MPH treatment using established animal models of ADHD might yield different, even contrary results. Thus, these results should not be overinterpreted, because MPH remains a safe and effective pharmacotherapy for ADHD (Biederman and Faraone, 2005; Hyman, 2003). Despite the inherent difficulties in extrapolating to the human condition, these results underline the importance in the accurate diagnosis of ADHD before stimulant medication is commenced (Volkow and Insel, 2003). Together these findings underscore the need for further assessment of potential long-term neurobiological adaptations induced by early-life experiences that may contribute to the pathophysiology of neuropsychiatric disorders later in life, and further indicate that drugs attenuating dynorphin/κ-receptor activity may be effective for the treatment of behavioral disorders associated with anxiety- and depression-like states.