Introduction

In opiate-dependent rats, naloxone-precipitated withdrawal induces the emergence of a negative affective state1. A desire to avoid this aversive state is proposed to contribute to compulsive drug use2. The most sensitive behavioral index reflecting the negative motivational aspect of withdrawal is naloxone-induced conditioned place aversion (CPA)3, 4. CPA is a Pavlovian conditioning paradigm in which morphine withdrawal is paired with a particular environment, which triggers the onset of association between the negative affective consequences of withdrawal and the context. When the animals are re-exposed to the paired environment in a drug-free state, they avoid the paired environment due to the association between the context and aversive memories of drug withdrawal. CPA can be clearly elicited in both acute and chronic opiate-dependent rats by naloxone–precipitated drug withdrawal3, 4, 5, 6. Moreover, recent studies demonstrated that conditioned place aversion was elicited by low doses of naloxone following a single dose of morphine after only one pairing5, 6, 7. However, the neural substrates underlying the motivational component of opiate withdrawal remain unclear. An understanding of the neural substrates involved in the formation of negative affective memories of opiate withdrawal might provide important clues about opioid addiction.

Changes in synaptic plasticity are implicated in a range of adaptive brain responses, including memory formation, mood stability, and drug addiction8, 9. The expression of specific immediate-early genes (IEGs) is induced by neural activity that produces stable changes in synaptic plasticity10, 11 and by behavioral training12, 13, 14, 15. Increasing evidence suggests that the immediate early gene Arc, also termed Arg 3.116, is critically involved in processes of synaptic plasticity that are induced by activity and some forms of behavioral memory17. A specialized role of Arc in synaptic plasticity is implied by the fact that Arc mRNA is enriched in dendrites of neurons, where it associates with cytoskeletal proteins18, and that its mRNA and protein accumulate in dendrites at sites of recent synaptic activity19. Therefore, the Arc mRNA and protein are proposed as a marker of neuronal reactivity to map the neural substrates that are recruited by various stimuli.

To determine the neurobiological pathways underlying the motivational components of morphine withdrawal, we examined Arc protein expression in different rat brain regions (eg, prefrontal cortex, hippocampus, striatum, nucleus accumbens, amygdala, motor cortex and sensory cortex) in response to conditioned drug withdrawal of acute morphine-dependent rats by immunohistochemistry. We revealed the spatial profile of Arc expression in different brain regions induced by naloxone-precipitated drug withdrawal following acute morphine treatment. These results indicate that conditioned morphine withdrawal can drive activity changes in specific neuronal populations of interconnected limbic areas known to be involved in aversive motivational processes.

Materials and methods

Animals

Adult male Sprague Dawley rats weighing 180–300 g were provided by the Laboratory Animal Center, Chinese Academy of Sciences (Shanghai, China). All animals were housed in groups in a temperature-controlled room on a 12-h light/12-h dark cycle (lights on at 7:00 AM). Rats were allowed ad libitum access to food and water. All animals were treated strictly in accordance with the US National Institutes of Health Guide for the Care and Use of Laboratory Animals.

Drugs

Morphine hydrochloride (98% purification) was obtained from Qinghai Pharmaceutical General Factory (Qinghai, China). Naloxone hydrochloride was purchased from Sigma (St Louis, MO, USA). Both compounds were diluted in 0.9% sodium chloride solution and injected subcutaneously. Mouse anti-Arc antibody was purchased from Santa Cruz Biotechology, Inc (Santa Cruz, CA). Biotinylated goat anti-mouse IgG, the SABC kit and the DAB kit were purchased from Wuhan Boster Biological Technology, Ltd (Wuhan, China).

Apparatus

Conditioning occurred in a two-chamber apparatus consisting of two large compartments (55 cm×22 cm×27 cm) separated by a moving board (22 cm×27 cm). The two compartments had different tactile and visual cues: one chamber had a black plastic grid floor and gray walls; the other chamber had a flat black floor and white walls with black stripes. These distinctive tactile and visual stimuli served as the conditioning cues.

Conditioned place aversion

The aversive conditioning procedure used has been described previously4, 7. Animals experienced a pre-conditioning habituation to the apparatus. During the habituation, baseline preferences were assessed by placing the rats in the apparatus and allowing free access to all compartments for 15 min. The amount of time spent in each compartment was recorded. The initial bias for either compartment was eliminated from the study. Conditioning occurred over the next 2 days. Rats were divided into a saline/saline-paired group and a morphine/naloxone-paired group, such that each group had an equal mean initial time spent in each compartment. The saline/saline-paired group served as a control.

On the first day, the morphine/naloxone-paired rats were assigned to receive saline and then returned to the home cage. Four hours later, they were given saline and then immediately confined to one of the two compartments, either the grid-floor chamber or the flat-floor chamber (in a counterbalanced manner), for 30 min. This compartment was referred to as the “nontreatment-paired compartment”. On d 2, rats were injected with 10 mg/kg of morphine (sc) and then returned to the home cage. Four hours later, they were given 0.3 mg/kg naloxone (sc) and immediately placed in the compartment opposite to that used on d 1 for 30 min. This compartment was referred to as the “treatment-paired compartment”. Twenty-four hours after the conditioning trial, all rats were allowed to freely explore the entire apparatus for 15 min, and the amount of time spent in each compartment was measured. CPA scores represented the time spent in the treatment-paired compartment minus the time spent in the nontreatment-paired compartment during the place aversion test.

For immunohistochemical detection, rats were perfused immediately when they were removed from the treatment-paired compartment on the second day of CPA conditioning.

Immunohistochemistry of Arc

Brain sections from different groups were processed in parallel to minimize the variations in immunohistochemical labeling. Rats were quickly anesthetized with sodium pentobarbital (55 mg/kg) before perfusion. For light microscopy, deeply anesthetized rats were perfused with saline and then 4% cold paraformaldehyde in 0.1 mol/L phosphate buffer. Brains were removed from the skulls and post-fixed in 4% paraformaldehyde overnight at 4 °C. The next day, the brains were transferred to a solution of 30% sucrose overnight until they sank. Cryostat sections of the brain were then cut at a thickness of 30 μm and processed using standard immunocytochemical methods, as previously described in detail18. All washes were conducted in 0.1 mol/L phosphate buffer, and sections were blocked with 10% normal goat serum for 2 h at room temperature. Sections were incubated overnight in primary antibody (mouse anti-Arc antibody, 1:500 dilution in 10 % normal goat serum) at 4 °C. Then sections were incubated with secondary antibody (biotinylated goat anti-mouse IgG, 1:200 dilution in 10% normal goat serum) for 2 h at room temperature. Arc-positive sites were visualized using a SABC kit and a DAB kit employing 0.1% 3,3′-diaminobenzidine as the chromogen. In control sections in which the primary antibodies were omitted or replaced by nonimmune rabbit or goat serum, no stained cells were seen. The brain slices were subsequently dehydrated in alcohol and xylene and coverslipped. Finally, they were imaged on an Olympus IX51 microscope.

In order to quantitatively examine the protein expression data, fields measuring 200×magnification in the brain slices were digitally captured and the integrated optical density (IOD) of positive cells was automatically counted using Image Pro Plus software.

Statistical analysis

All data are represented as the mean±SEM. Statistical comparisons between two experimental groups were conducted using unpaired Student's t tests. When more than two groups were compared, a one-way analysis of variance (ANOVA), followed by Newman-Keuls test, was used. The significance level was set at P<0.05.

Results

Place aversion induced by naloxone in single-dose morphine-treated rats

Previous studies showed that a significant place aversion could be conditioned by naloxone-precipitated withdrawal following either acute or chronic morphine treatments. Recent studies demonstrated that conditioned place aversion was elicited by low doses of naloxone following a single dose of morphine after only one pairing5, 6, 7. In the present study, we employed a similar training paradigm, in which CPA was induced by administration of naloxone (0.3 mg/kg, sc) 4 h after a single exposure to morphine (10 mg/kg, sc), as reported in previous studies4, 5, 6, 7. Consistent with previous studies, one pairing with naloxone following a single dose of morphine exposure produced significant aversion for the withdrawal-associated environment in morphine-treated rats. In Figure 1, rats pretreated with a single dose of morphine followed by one pairing with naloxone spent significantly less time in the compartment that was paired with morphine withdrawal compared with rats pretreated with saline followed by a pairing with saline (aversion score: −407±27 vs −70±52 s, P<0.01). Such enhanced aversion is thought to reflect the negative motivational and affective state associated with morphine withdrawal20. However, rats pretreated with a single dose of saline followed by one pairing with naloxone did not demonstrate a significant place aversion compared with rats pretreated with saline followed by a pairing with saline. Additionally, rats pretreated with a single dose of morphine followed by one pairing with saline also failed to demonstrate a significant CPA (data submitted to another journal). Previous studies have also demonstrated that naloxone administration in the absence of morphine pretreatment and morphine treatment without naloxone precipitation failed to produce place aversion4, 5, 6, 7.

Figure 1
figure 1

Bar graph showing place aversion produced by one pairing with naloxone in acute morphine treated rats. Each bar represents the aversion score (mean±SEM) in seconds spent in the treatment-paired compartment minus the mean time in seconds spent in the nontreatment-paired compartment during the place preference test. Animals spent significantly less time in the naloxone-paired chamber after one pairing with naloxone at dose of 0.3 mg/kg, n=8. cP<0.01 vs saline/saline.

Arc expression in different brain regions in response to naloxone-precipitated morphine withdrawal from single-dose morphine-treated rats

To identify the neural circuits that are recruited by conditioned naloxone-precipitated morphine withdrawal, we examined the effects of conditioned naloxone-precipitated morphine withdrawal on Arc protein expression in the brains of acute morphine-dependent rats by immunohistochemistry (Figure 2). Because previous studies have suggested that the timepoint of 30 min is optimal for detecting Arc mRNA and protein expression21, 22, 23, we used this timepoint in the present study. A representative immunohistochemical staining of Arc protein is shown in Figure 3. Positive staining of Arc protein was clearly visualized at the dendrites and soma of neurons (Figure 4). Quantitative analysis was performed on the PFC, cortex, striatum, nucleus accumbens, amygdala, and hippocampus (Figure 5), which were selected on the basis of their possible involvement in the motivational components of the opiate withdrawal syndrome. Conditioned naloxone-precipitated morphine withdrawal induced an increase in Arc protein expression in a number of brain regions (Figure 3A; Table 1). However, the degree of increase varied across these brain regions. For instance, a remarkable increase of Arc protein expression was detected in the lPFC, DLS, BNST, CeA and sensory cortex after an injection of naloxone of 0.3 mg/kg (P<0.01), and a significant increase in Arc protein expression was detected in the BLA and mPFC (P<0.05, Figure 3A; Figure 5; Table 1). In contrast, a number of other brain regions, including vPFC, NAc, DMS, the hippocampus, and motor cortex, showed undetectable changes in Arc protein expression in response to naloxone-precipitated morphine withdrawal (Figure 3B; Figure 5; Table 1). Administration of morphine (10 mg/kg) alone without conditioned naloxone precipitation or injection of naloxone (0.3 mg/kg) without pretreatment with morphine failed to induce an increase in Arc protein expression in detected brain regions (Figure 6). These results clearly indicate that conditioned naloxone-precipitated morphine withdrawal results in an alteration of Arc protein expression.

Figure 2
figure 2

Brain areas of rat analyzed in this study: mPFC, lPFC and vPFC of prefrontal cortex; AcbC and AcbSh of nucleus accumbens; medial and lateral striatum, BNST, CeA and BLA of amygdala; CA1 and DG of hippocampus; motor cortex and sensory cortex. Bregma coordinates were inferred from the brain atlas of Paxinos and Wastson (1997).

Figure 3
figure 3

Mapping of Arc protein expression in different regions of the rat brain after naloxone-precipitated acute morphine withdrawal and place aversion. (A) Areas where significant difference among groups was found. Acute withdrawal induced aversion increased Arc protein in mPFC, lPFC, DLS, CeA, BLA subregions of amygdala, BNST and sensory cortex. Scale bar, 10 μm. (B) No significant changes of Arc protein expression in vPFC, NAc (AcbC and AcbSh subregions), DMS, hippocampus (CA1 and DG subregions) and motor cortex between control group and acute withdrawal group. Scale bar, 20 μm. Images after immunohistochemistry showed the expression of Arc protein in the rat brain along the rostro-caudal axis. Withdrawal was precipitated with 0.3 mg/kg naloxone. The Arc protein expression appeared in dots.

Figure 4
figure 4

A and B: photomicrographs illustrated Arc immunostaining in neurons of the striatum following naloxone induced acute withdrawal. The cell bodies and dendrites of neurons were stained. In B, arrows indicated cell bodies and arrowheads indicated dendrites. Scale bar, 10 μm.

Figure 5
figure 5

Influence of acute morphine withdrawal on Arc protein expression in rats' different brain regions of the CPA model. Integrated optical density (IOD) values were measured of the Arc expression. We found marked up-regulation of Arc protein level in the mPFC and lPFC, the lateral striatum, the BLA, CeA subregions of amygdala, BNST and the sensory cortex of naloxone treated rats. Bars indicated mean±SEM. n=4. bP<0.05, cP<0.01 significant different between saline/saline-paired and morphine/naloxone-paired rats.

Table 1 Regional Arc protein expression 30 min after the conditioned place aversion training in groups of acute saline/saline paired and morphine/naloxone paired rats. Values-integrated optical density (IOD) represented mean±SEM. n=4. bP<0.05, cP<0.01 significant different from acute saline/saline paired and morphine/naloxone paired rats.
Figure 6
figure 6

The expression of Arc protein in different brain areas after single morphine (10 mg/kg) or single naloxone (0.3 mg/kg) treatment. (A) At 4.5 h after morphine injection, we could hardly find positive cells of Arc protein. (B) Little positive cells of Arc protein were found in the brain at 30 min after naloxone injection. Scale bar, 20 μm.

Discussion

Recently, the negative reinforcement mechanisms underlying opiate addiction have received considerable attention2, 24. It was suggested that the maintenance of compulsive drug use was substantially associated with the aversive properties of withdrawal in drug-dependent subjects2, 25. The desire to avoid and escape the aversive consequences of opiate withdrawal may contribute to compulsive drug use26, 27. In rodents, the negative affective component of opiate dependence was reflected by several behavioral alterations1, 5, 28. Of these behavioral alterations, CPA is the most sensitive index reflecting the negative motivational state produced by opioid withdrawal in both chronically dependent animals3 and acutely dependent animals4, 5, 6, 7.

Addiction is associated with neuroplasticity in the brain circuitry. Modulation of the expression of immediate early genes (eg, c-fos, and zif268) in certain brain regions may be involved in the alteration of neuroplasticity by addictive drugs7, 29. Increasing evidence suggests that Arc is critically involved in processes of synaptic plasticity that are induced by activity and some forms of behavioral memory17. A specialized role of Arc in synaptic plasticity is implied by the fact that Arc mRNA is enriched in dendrites of neurons18 and its mRNA and protein accumulate in dendrites at sites of recent synaptic activity19. These findings suggest that Arc could be used as a molecular marker to map the neural substrates that are recruited by various stimuli. In the present study, we revealed strikingly different activation of brain areas by conditioned drug withdrawal in acute morphine-dependent rats using quantitative immunohistochemical analysis of the Arc protein expression, which suggests that the PFC (mPFC, lPFC), striatum (DLS), amygdala (CeA, BLA), BNST and sensory cortex may be crucially involved in the formation of the negative withdrawal memory, leading to CPA behaviors when animals are re-exposed to the paired environment.

PFC plays an important role in a variety of cognitive and executive processes, including working memory, planning and decision making, and behavior inhibition30. It is also important for addiction-related behaviors such as impulsive31 and reward-related learning32. PFC can be divided into three distinct subregions in rats: mPFC, lPFC, and vPFC32. PFC is a richly interconnected system with widespread projections to and from almost all other parts of the brain32, 33 and forms a neural circuit implicated in certain cognitive and emotional processes34. In this study, we found that Arc expression was significantly elevated in both mPFC and lPFC in withdrawal rats, suggesting that these two regions were co-activated by morphine withdrawal. This finding is consistent with the emerging evidence that there are functional interactions between mPFC and lPFC35. The increase of Arc in the mPFC and lPFC may explain the fact that conditioned withdrawal rats could easily identify the naloxone-paired environment and showed a strong aversion to it because this cognitive ability requires the function of PFC. Therefore, mPFC and lPFC may be implicated in the formation of withdrawal memories. The remarkable increase of Arc protein also occurred in the sensory cortex, suggesting that this region was also involved in the formation of withdrawal memories.

The mammalian striatum is an important brain structure that is involved in controlling behavior output. It is generally divided into three regions: dorsal striatum, ventral striatum (nucleus accumbens, NAc), and olfactory tubercle36. In instrumental conditioning, procedural memory is often thought to depend on the integrity of the dorsal striatum, particularly of the lateral region of this area (DLS), which receives massive excitatory projections from the sensory-motor cortices and influences various motor systems via its projections to the brainstem and the motor thalamocortical pathways37. This study revealed that Arc remarkably increased in DLS but not in DMS following morphine withdrawal, supporting the involvement of DLS in habit learning and in the formation of persistent drug-related habits38. The activation of DLS by withdrawal suggests that this region might be involved in the negative reinforcing effect of abuse drugs.

The amygdala is a forebrain structure composed of several distinct subnuclei including CeA and BLA. Bed nucleus of the stria terminalis (BNST) is a component of the extended amygdala39. These brain regions are thought to be a key neural substrate underlying emotional responses such as anxiety and fear in both humans and animals40 and are suggested to be involved in both the acute positive reinforcing effects of abuse drugs and the negative reinforcing effect associated with drug withdrawal41, 42. Studies using brain lesions, intracerebral injections of opiate antagonists or immediate-early genes as markers of neuronal reactivity have shown that the negative motivational component of opioid withdrawal appears to be centrally mediated by the amygdala3, 43 and BNST44, 45, 46. The present study showed that morphine withdrawal elicited a significant increase in Arc protein expression in the CeA, BLA and BNST, suggesting that these brain regions might play important roles in the negative affective aspect of morphine withdrawal, which led to the induction of CPA behaviors in acutely dependent rats.

NAc is a key neural substrate that is implicated in reward learning and drug addiction32, 47. However, we did not detect a difference in Arc expression in NAc compared with saline-treated rats. In addition, we also failed to detect changes in Arc expression in the hippocampus. These results are distinct from previous observations employing the c-fos gene as a marker of neuronal reactivity to map the neural substrates that are recruited by conditioned drug withdrawal from chronic morphine-dependent rats45, 46. The discrepancy may be because our experiments differ in many ways, including: (1) the type of dependence (acute vs chronic); (2) the immediate early gene used as a molecular marker (Arc vs c-fos); and (3) test time after withdrawal.

All together, increasing evidence demonstrates that avoidance of the aversive aspects of opiate withdrawal is a significant motivating factor for drug seeking in addicts. Therefore, our results indicate that the PFC (mPFC, lPFC), striatum (DLS), amygdala (CeA, BLA), BNST and sensory cortex may be important components of brain regions involved in the maintenance of drug use and addictive behavior.

Author contributions

Mu LI designed and performed the research and wrote the paper; Bin LU assisted in the research and data analysis; Yuan-yuan HOU and Jie CHEN helped with animal training; Zhi-qiang CHI provided consultation; Jing-gen LIU designed the research and revised the paper.