Abstract
The significant heterogeneity in smoking behavior among smokers, coupled with the inconsistent efficacy of approved smoking cessation therapies, supports the presence of individual variations in the mechanisms underlying smoking. This emphasizes the need to shift from standardized to personalized smoking cessation therapies. However, informed precision medicine demands precision fundamental research. Tobacco smoking is influenced and sustained by diverse psychopharmacological interactions between nicotine and environmental stimuli. In the classical experimental rodent model for studying tobacco dependence, namely intravenous self-administration of nicotine, seeking behavior is reinforced by the combined delivery of nicotine and a discrete cue (nicotine+cue). Whether self-administration behavior is driven by the same psychopharmacological mechanisms across individual rats remains unknown and unexplored. To address this, we employed behavioral pharmacology and unbiased cluster analysis to investigate individual differences in the mechanisms supporting classical intravenous nicotine self-administration (0.04 mg/kg/infusion) in male outbred Sprague–Dawley rats. Our analysis identified two clusters: one subset of rats sought nicotine primarily for its reinforcing effects, while the second subset sought nicotine to enhance the reinforcing effects of the discrete cue. Varenicline (1 mg/kg i.p.) reduced seeking behavior in the former group, whereas it tended to increase in the latter group. Crucially, despite this fundamental qualitative difference revealed by behavioral manipulation, the two clusters exhibited quantitatively identical nicotine+cue self-administration behavior. The traditional application of rodent models to study the reinforcing and addictive effects of nicotine may mask individual variability in the underlying motivational mechanisms. Accounting for this variability could significantly enhance the predictive validity of translational research.
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Introduction
Nicotine is the principal psychoactive alkaloid responsible for the reinforcing properties of tobacco and the development of dependence [1]. Clinical and preclinical studies have consistently shown that nicotine strongly modulates responses to environmental stimuli, which can subsequently evolve into complex interactions between nicotine and these stimuli [2,3,4,5,6,7,8,9,10,11]. These interactions are deemed as a major factor in smoking cessation failure, despite 70% of smokers wanting to quit [12].
The significant heterogeneity in smoking behavior and motives for smoking urges [13], along with the inconsistent success of approved tobacco cessation therapies [14], suggest that these interactions do not contribute uniformly among all smokers and are mediated by distinct psychobiological mechanisms. Notably, even with one of the most effective approved pharmacotherapies [15, 16], Varenicline (Champix® or Chantix®), only 40% of treated patients achieve abstinence after a 12-week treatment [17,18,19]. Collectively, the evidence strongly supports the adoption of precision medicine and a departure from the “one-size-fits-all” approach toward personalized smoking cessation therapy [20].
Despite their value and effectiveness in clarifying translatable mechanisms of nicotine seeking [2,3,4,5,6,7,8,9,10,11], animal models of nicotine dependence exhibit restricted therapeutic predictive validity [21,22,23,24]. A possible explanation could be that most of these animal models do not investigate the potential variations in how individuals might be affected by the intricate nature of interactions between nicotine and its surrounding stimuli. This becomes evident with intravenous (i.v.) nicotine self-administration methods, which are the standard procedures used to study the reinforcing and motivational impacts of nicotine in animal research. These methods typically involve the simultaneous presentation of a cue [3,4,5], primarily visual, alongside nicotine delivery [25]. Our findings, along with those of others [26,27,28,29,30], have demonstrated that this type of visual stimulus is not as motivationally neutral as previously believed, as it can support instrumental responding, thus acting as a mild primary reinforcer whose value can be enhanced by nicotine [2,3,4,5,6,7,8,9,10,11]. Now, whether individual rats maintain instrumental responding to nicotine, the visual reinforcer, or an interaction between both, has remained unknown and largely unexplored.
In this study, we investigated qualitative disparities in the interactions between nicotine and the associated discrete cue as possible sources of individual variations in the psychopharmacological mechanisms underlying classical nicotine self-administration in rats. Through an unbiased cluster analysis that considered the behavioral outcomes during the selective omission of either nicotine or the cue, we identified two clusters of rats that exhibited distinct contributions of nicotine and the cue to instrumental responding during classical nicotine self-administration.
Subsequently, we compared these clusters in terms of their sensitivity to the reinforcing properties of nicotine, their response to the disruption of the nicotine-cue contingency, and the impact of Varenicline on instrumental responding to the cue in the absence of nicotine. The observed distinctions between the two clusters lend support to the idea that they pursue nicotine through distinct psychopharmacological mechanisms. One cluster primarily sought nicotine for its inherent reinforcing effects, whereas the second cluster sought it for its ability to enhance the reinforcing effects of the discrete cue. Notably, Varenicline reduced cue-seeking behavior in the former cluster, while tending to augment it in the latter cluster.
Our findings demonstrate that conventional rodent models, used to study the reinforcing and addictive effects of nicotine, potentially mask individual variability in the motivational and psychopharmacological mechanisms underlying nicotine seeking and consumption.
Materials and methods
Animals
Male Sprague–Dawley rats (Charles River, France), weighing 280–300 g (10 weeks of age) at the beginning of the experiments, were singly housed under a 12 h reverse dark/light cycle. In the animal housing room, temperature (22 ± 1 °C) and humidity (60 ± 5%) were controlled. Rats were familiarized with environmental conditions and experimental handling for 15 days before initiation of the experimental procedure. Standard chow food and water were provided ad libitum. All procedures involving animal experimentation and experimental protocols were evaluated by the Animal Care Committee of Bordeaux (CEEA50, N° 50120168-A), approved by the French MESRI (Ministry of Higher Education, Research and Innovation), and conducted in accordance with the guidelines of the European Union Directive 2010/63/EU regulating animal research.
Surgery
A silastic catheter (internal diameter = 0.28 mm; external diameter = 0.61 mm; dead volume = 12 μL) was implanted in the right jugular vein under ketamine/xylazine anesthesia. The proximal end reached the right atrium through the right jugular vein, whereas the back-mount passed under the skin and protruded from the mid-scapular region. Ketamine hydrochloride (80 mg/kg) (Imalgène 1000; Rhône Mérieux, Lyon, France) and xylazine hydrochloride (16 mg/kg) (Rompun; Rhône Mérieux, Lyon, France) were mixed in sterile 0.9% physiological saline (saline) and administered intraperitoneally (i.p.) in a volume of 2 mL/kg of body weight.
Experimental timeline
After 5–7 days of post-surgical recovery, rats were trained for intravenous nicotine + cue (n = 62) or intravenous saline + cue (n = 8) self-administration, according to the experimental timeline depicted in Fig. 1. Rats were randomly assigned to the saline+cue and nicotine+cue groups, while ensuring that the two groups were balanced in terms of average body weight. The sample size for the nicotine+cue group was chosen, considering that the goal of the study was to conduct clustering analysis and subsequently run additional tests on independent subgroups of the identified clusters. The sample size of the saline+cue group, used as control for the procedure was chosen based on previous experiments from the research group [28] and was in accordance with those estimated by power analysis using G∗power software [31].
Nicotine intravenous self-administration
The self-administration setup consisted of 48 self-administration chambers made of plexiglas and metal (Imetronic, France). Each chamber (40 cm long × 30 cm width × 36 cm high) was located in an opaque sound-attenuating cubicle equipped with an exhaust fan to assure air renewal and mask background noise. Each chamber was equipped with: (a) two holes, located at opposite sides of the chamber at 5.5 cm from the grid floor; (b) a common white light (white LED, Seoul Semiconductor, South Korea, 5 Lux), 1.8 cm in diameter, located 8.5 cm above one hole, and commonly designed as cue light; (c) a pump driving a syringe (infusion speed: 20 μL/sec) located outside the chamber on the opaque cubicle. Nose-poke visits to the two holes were recorded. (-)-Nicotine-hydrogen-tartrate (Glentham, UK) was dissolved in sterile 0.9% physiological saline and pH adjusted to 7.0 for a final training dose of 0.04 mg/kg free base, which was self-administered by the rats via intravenous route in a volume of 40 µL per self-infusion. Nicotine solutions with concentrations different (0.02 mg/kg and 0.06 mg/kg free base) than the training dose were prepared afresh and used instead of the training dose where indicated.
Self-administration standard protocol
At the start of the session, each rat was placed inside one chamber and connected to the pump-driven syringe through its chronically implanted i.v. catheter. Rats were trained for i.v. nicotine + cue or i.v. saline + cue self-administration on daily 3-hour sessions, running 5 days a week (Monday to Friday), except for the first session, which took place on a Tuesday. Sessions began two hours after the onset of the dark phase. Nose-poke in the active hole under an FR3 schedule produced the simultaneous activation of the infusion pump (40 μL over 2 s) and the cue light located above it (over 4 sec). Nose-pokes at the inactive hole were recorded but had no scheduled consequences. Rats were placed under an FR3 schedule of reinforcement from the first session onwards. No food training was used. Rats had no limit to the number of self-infusions available. To maintain catheter patency, catheters were flushed with ~10 µL of heparinized saline (30 IU/mL) after each self-administration session, and before the self-administration sessions run on Monday. During the standard nicotine self-administration sessions, two variables were measured: (1) the total number of infusions per session and (2) the loading proportion, calculated as the percentage of infusions achieved within 60 min. Given that rats within the same population may vary in the total amount of infusions they consume per session, we opted to normalize the initial loading to the total number of infusions [Loading proportion = (Infusions at time 60 min/total infusions) × 100]. The loading proportion captured the speed at which rats load infusions at the beginning of the session. The 60-minute time threshold was selected as it corresponds to the time when the population entered in a regular level of infusions (see Fig. S1).
Cue omission and nicotine omission tests
After the initial training involving 12 standard protocol sessions, we conducted cue omission (CueOm) and nicotine omission (NicOm) tests. In session 13, we assessed self-administration behavior when the cue was omitted, and in session 18, we replaced nicotine with 0.9% physiological saline to evaluate self-administration behavior during nicotine omission. Standard self-administration sessions were conducted between these two tests. For each rat, the effect of cue or nicotine omission on self-administration was evaluated using two variables: (1) The Omission Global Effect (Om-GE), calculated as the percentage change in the total number of infusions caused by the omission: [CueOm- or NicOm-GE = ([total infusions in omission test–total infusions in baseline]/total infusions in baseline) × 100]. This provides quantitative information about the overall impact of the omission test on the infusions typically achieved during baseline sessions. (2) The Omission Loading Effect (Om-LE), calculated as the difference in the loading proportion produced by the omission: [CueOm- or NicOm-LE = loading proportion in omission test–loading proportion in baseline]. This provides insights into the influence of omission on the initial loading of infusions, which can reveal temporary increases in instrumental responding known as “extinction bursts” when access to the reinforcer is suddenly removed [32, 33]. Baseline values for each type of omission effect were determined based on the two standard protocol sessions preceding the test (sessions 11 and 12 for CueOm, sessions 16 and 17 for NicOm).
Dimensional analysis and cluster identification based on nicotine and cue omission tests
Z score normalization of cue omission and nicotine omission variables
Dimensional analysis such as principal component analysis (PCA) and clustering algorithms are sensitive to the scale of the variables. Normalizing the data using z-scoring ensures that each variable contributes equally to the analysis and prevents scale-related biases. Z score normalization was performed for the four variables of interest (CueOm-GE, CueOM-LE, NicOm-GE, NicOm-LE). The z score formula for a given individual and a given variable is the following: zi = (xi-µ)/σ, where xi is the value of the data point of the individual for the given variable, μ and σ are respectively the mean and the standard deviation of all dataset (n = 62 rats) for this variable. The z score normalization transforms the data in such a way that each variable has a mean of 0 and a standard deviation of 1.
Principal component analysis (PCA)
Using Bartlett’s test of sphericity and Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy, we first assessed that our set of variables justified the use of multivariate analysis methods, such as PCA, which we performed to analyze the underlying dimensionality of the normalized CueOm and NicOm variables in our i.v. nicotine+cue group dataset (n = 62).
Ascending hierarchical clustering (AHC)
We investigated the grouping patterns based on the scores of the four normalized variables of interest (CueOm-GE-zscore, NicOm-GE-zscore, CueOm-LE-zscore, and NicOm-LE-zscore) using AHC. AHC does not require specifying the number of clusters beforehand and is generally less sensitive to outliers compared to other clustering algorithms like K-means. Secondly, we analyzed how the clusters identified by AHC relate to the components identified through PCA.
Behavioral characterization of the identified clusters
The two AHC-identified clusters A and B underwent additional tests to assess their sensitivity to the primary reinforcing effects of nicotine, the reliance of instrumental responding on the contingency between nicotine and cue (disconnection test), and the impact of Varenicline on their seeking behavior.
These behavioral tests were conducted in two stages. During the first stage (session 19 to session 28), rats underwent the following tests:
Varenicline effect on self-administration behavior supported by the cue, conducted during session 23. Varenicline is a smoking cessation aid used to support abstinence and prevent cravings and relapse. We evaluated how Varenicline affected instrumental responding driven by the cue in the absence of nicotine (NicOm). Rats (n = 29 Cluster A, n = 26 Cluster B) participated in a NicOm session after receiving an intraperitoneal (i.p.) injection of Varenicline (1 mg/kg) 30 min before the session began. 7,8,9,10-Tetrahydro-6,10-methano-6H-pyrazino[2,3-h] [3]benzazepine tartrate (Varenicline, Tocris, UK) was dissolved in sterile 0.9% physiological saline for a final dose of 1 mg/kg free base, and administered i.p. in a volume of 2.5 mL/kg. To habituate them to i.p. injections, rats were handled and received dummy i.p. injections 30 mins before the session during the two days immediately preceding the Varenicline session.
Motivation for nicotine self-administration through a progressive ratio, conducted during sessions 26 and 27: We assessed the strength of the primary reinforcing effects of nicotine by measuring the rats’ motivation to self-administer nicotine (n = 34 Cluster A, n = 27 Cluster B). These sessions were similar to the CueOm session, except that the response-to-nicotine infusion ratio increased after each infusion (see SI for details). The breakpoint, which represents the maximum number of responses a rat performed to obtain one infusion (the last completed ratio), was the variable of interest. In all other sessions during this stage, rats performed the standard nicotine+cue self-administration sessions.
During the second stage (sessions 29–38), 45 rats were selected based on catheter patency and cluster membership, and then were assigned to one of two experiments: Behavioral impact of altering the contingency between nicotine and cue (disconnection test) (n = 22). Rats participated in five consecutive sessions where nicotine and cue were no longer contingent. Instead, each was independently accessible through different operanda. Nose-pokes at the previously active hole under the FR3 schedule activated only the cue light, while nose-pokes at the previously inactive hole under the FR3 schedule activated the pump-associated syringe, resulting in the delivery of a nicotine infusion. In order to facilitate the rats’ learning that the previously inactive hole was now reinforced by nicotine infusions, nose-pokes at the active holes were not reinforced for the first 20 min of the initial disconnection session, encouraging exploration of the inactive hole. Sensitivity to the primary reinforcing effects of nicotine through dose-response for nicotine self-administration (n = 23). Rats participated in sessions that were identical to the CueOm session, except that the training nicotine solution (0.04 mg/kg) was replaced by a solution containing either 0.02 or 0.06 mg/kg of nicotine-free base. Rats completed at least three consecutive sessions with each new dose. Rats from the saline+cue group underwent the same tests as the nicotine+cue group until session 28.
Quantification of plasma nicotine and metabolites
Immediately after the end of session 21, 400 µL blood was gently collected from the catheter and immediately replaced with an equivalent volume of 0.9% saline, in 12 nicotine + cue rats. Blood was put in heparin-containing microtubes (Sarsted 41.1393.005), mixed and placed immediately on ice. Samples were kept on ice until centrifuged (760 G, 10 min, 4 °C). Once plasma was separated, 100 µL were carefully pipetted out, placed in 500 µL Eppendorf tubes and stored at −80 °C up to quantification. Nicotine (NIC) together with its main metabolites, cotinine (COT) and 3 hydroxycotinine (OHCOT), were measured in these plasma samples using a liquid chromatography with tandem mass spectrometry detection (LC-MS/MS) method (see SI for details). In line with the literature, we utilized the ratio of the main metabolite (cotinine) to the parent drug (nicotine) as an index for metabolism. Unlike in humans, where the two primary metabolites, cotinine (COT) and hydroxycotinine (OHCOT), are found in close range, rats exhibit low levels of OHCOT compared to COT. This disparity makes the OHCOT/COT ratio (referred to as the nicotine metabolite ratio or NMR) less relevant in rats.
Statistics
Self-administration behavior was analyzed using one-way or repeated measures ANOVA with Time [sessions or time (min) within session], Hole (active vs inactive), treatment (NicOm vs NicOm+VAR) as within-subject factor, and Cluster (Cluster A vs Cluster B) as between-subject factor. Significant main effects or interactions were explored by pairwise comparisons of means using the Duncan post hoc test. A linear regression was performed to test the relationships between the cotinine/nicotine ratio and the number of nicotine self-infusions. A Grubbs test was performed to statistically verify the existence of an outlier for one of the variables of the disconnection test.
ANOVAs, linear regression and Grubbs test were performed using the STATISTICA 13.3.0 (2017) data analysis software (TIBCO Software Inc, Palo Alto, CA, USA). XLSTAT was used to run PCA and AHC (Data Analysis and Statistical Solution for Microsoft Excel, Addinsoft, Paris, France, 2017). Significance was set as p < 0.05.
Results
Acquisition of self-administration
All nicotine+cue rats successfully acquired and stabilized their self-administration behavior during the initial 12 sessions (Fig. S2a, b, and detailed results in SI). The behavior was dependent on nicotine, as it differed significantly from the behavior observed in the saline+cue group (Fig. S2e, f, and detailed results in SI). Additionally, the plasma cotinine/nicotine ratio, measured in a subset of rats after a standard self-administration session, exhibited a positive correlation with the number of self-infusions (r = 0.92, r2 = 0.85, p < 0.0001) (Fig. S2c, and detailed results SI). This finding is consistent with a faster nicotine metabolism (indicated here by a higher cotinine/nicotine ratio) promoting a higher nicotine intake, as shown previously [34, 35].
Contribution of nicotine and cue to self-administration
Both nicotine and the nicotine-paired cue contributed to self-administration behavior. The omission of the cue (CueOm) during session 13 (Fig. 2a) and the omission of nicotine (NicOm) during session 18 (Fig. 2b) led to modifications in instrumental responding when compared to the baseline, although in distinct ways. Specifically, CueOm resulted in an ~40% reduction in total self-infusions, while NicOm tended to increase self-infusions (Fig. 2c-left), resulting in an opposed global effect (GE) for CueOm and NicOm [Global_Omission type effect, F(1,61) = 83.7, p < 0.00001] (Fig. 2c-right). The Loading proportion increased in both conditions (Fig. 2d-left), but with a higher loading effect (LE) in response to NicOm [Loading_Omission type effect, F(1,61) = 7.39, p < 0.01] (Fig. 2d-right). Large individual variations were observed in the effects of CueOm (Fig. S3a, b) and NicOm (Fig. S3c, d), including variations of opposed directions. These variations provide support for the hypothesis that individuals differ in how nicotine and the cue interact to influence their self-administration behavior.
The four variables of interest were normalized using Z scores before applying dimensional and clustering methods.
Principal component analysis (PCA)—components underlying the four variables of interest
The suitability of our variables and dataset for PCA was confirmed through the Bartlett test (p < 0.001) and the KMO value (>0.5) (Table S1). Initially, a Pearson correlation matrix (Table S2) was employed to explore the relationships between the original variables prior to conducting the PCA itself. The Global Effect (GE) and Loading Effect (LE) variables were identified as non-redundant and capable of capturing different aspects of the omission effect. Notably, there was no proportional relationship between CueOm-GE and CueOm-LE (r2 = −0.131, ns). Likewise, NicOm-GE and NicOm-LE displayed a weak association (r2 = −0.379, p < 0.05). This observation was further corroborated by the PCA analysis, which revealed four components. Among the four components identified by the PCA, the inflection point on the scree plot and the eigenvalues indicated three primary components (F or Factors) that collectively explained about 88% of the total variance (F1: 42.5%, F2: 25.4%, and F3: 20%) (Fig. 2e). For both NicOm and CueOm, the two types of variables (GE and LE) loaded differently on the different PCA factors (Fig. 2f, top) and their variance was differently explained by the different factors (Fig. 2f, bottom), underscoring their differences.
Analyzing the correlations between the original variables and the components, as well as the squared cosines of the variables for each factor, unveils distinct relationships (Fig. 2f). Specifically, F1 appears to capture the response to NicOm: this primary component (F1) displays substantial loadings for the two NicOm variables (Zscore_NicOm-GE and Zscore_NicOm-LE). F2 seems to encompass the loading effect regardless of the omission type: F2 is primarily associated with Zscore_CueOm-LE, while Zscore_NicOm-LE contributes nearly equally to both F2 and F1. Lastly, F3 seems to represent the global effect of CueOm, as indicated by its stronger correlation with Zscore_CueOm-GE.
Individual variations in the respective contribution of nicotine and the cue to self-administration: identification and characterization of two clusters (A and B) and relationships with the PCA factors
In order to explore whether distinct response patterns to CueOm and NicOm are present, we conducted Ascendant Hierarchical Clustering analysis (AHC) on the four normalized variables of interest. Our nicotine+cue dataset (n = 62) satisfied the requirements for minimum sample for clustering techniques (2d where d is the number of dimensions) [36]. AHC identified two clusters of individuals as the optimal choice, determined by the Hartigan method (Table S3 top). Cluster A included 39 rats, whereas Cluster B encompassed 23 rats. Analysis of variance reveals significant differences between the two clusters across the four variables of interest (Table S3 bottom). However, four rats classified in Cluster A were subsequently reclassified due to receiving a negative silhouette score, which indicated misclassification.
While the two clusters differed in their response to CueOm and NicOm (Fig. 3a–d, Fig. S4, SI), they did not exhibit differences in the acquisition and maintenance of nicotine+cue self-administration (Fig. 3e–g).
We analyzed how the members of the two AHC-generated clusters contributed to the three main components isolated by the PCA. The members of the two clusters best segregated according to F1 coordinates, a component that translates the response to NicOm, as mentioned above (Fig. 3h). To gain further insight into the qualitative differences between the two clusters, the average cos2 of observations for each main factor was compared between clusters (Fig. 3i). The two clusters exhibited differences in their fit with the three main factors [Cluster x Factor, F(2120) = 5.58, p < 0.005], with Cluster B fitting better than Cluster A with F1, representing the response to NicOm, and Cluster A fitting better than Cluster B with F2, representing the loading effect regardless of the omission type.
Altogether, the qualitative and quantitative differential effects of CueOm and NicOm observed in the two clusters (Fig. 3) suggest that their self-administration behavior is supported by different interactions between nicotine and the cue. In Cluster A, both nicotine and the cue contribute to, and are necessary, to support the behavior. In Cluster B, the cue alone is capable of supporting self-administration behavior. While an initial “extinction burst” is evident, the time course of infusions eventually follows a pattern similar to the baseline (Fig. 3d). Although nicotine alone (CueOm) in Cluster B exhibits an extinction-like profile (increased loading proportion and decreased maximal infusions) (Fig. 3c), this effect is less pronounced compared to Cluster A (Fig. 3a).
Psychopharmacological features of clusters A and B
Response to the reinforcing effects of nicotine: progressive ratio and dose-response curve for nicotine
To evaluate the primary reinforcing effects of nicotine, we conducted progressive ratio (PR) and FR3 dose-response tests in CueOm conditions.
Rats from Cluster B exhibited a higher breakpoint for nicotine self-administration (Fig. 4a-left) [Cluster, F(1,59) = 16.34, p < 0.0005] and sustained responding throughout the PR session (Fig. 4a-right). Data were averaged over the two sessions of PR as the difference between clusters was similar in the two sessions [Cluster x Session, F(1,59) = 0.37, p = 0.54, not shown].
Additionally, self-administration behavior, as measured through the mean number of injections per session, was dose-dependent [Dose effect, F(2,42) = 13.72, p < 0.0001]. The dose-relationship was different in the two clusters [Cluster, F(1,21) = 1.49, p = 0.23; Cluster x Dose, F(2,42) = 3.12, p < 0.05]. Cluster B maintained self-administration for the lower nicotine dose (Fig. 4b). These findings support the results from the CueOm test (Fig. 3c vs Fig. 3a), the loading of Cluster B rats on PCA factor F1 (Fig. 3h) and their highest mean squared cosine value for F1 as well (Fig. 3i), indicating that rats in Cluster B appear more sensitive to the reinforcing effects of nicotine.
Effect of altering the contingency between nicotine and cue (disconnection test)
To examine the nature of the interaction between nicotine and cue during self-administration, we conducted a disconnection test. In this test, the cue and nicotine delivery were dissociated and delivered through the active hole and previously inactive hole, respectively (Fig. 4c). Rats learned the new rule during the first 20 min of the first session when only the nicotine hole was active and delivered infusions, while visits to the cue hole had no scheduled consequence. During these initial 20 min, there were no significant differences between the two clusters in terms of total responding [Cluster effect, F(1,22) = 0.004, p = 0.95] and the time course of responding [Cluster x Time, F(1,22) = 0.32, p = 0.58] (Fig. S5). Notably, both clusters reached the same level of responding for the hole delivering nicotine. For this first session, there were no significant differences between the two clusters (Fig. S6).
Over the next five sessions, the two clusters did not differ for total nose-poking, including total responding over sessions [Cluster effect, F(1,20) = 0.09, p = 0.76; Cluster x Session, F(4,80) = 0.76, p = 0.55]. However, the distribution of the responses in the two holes progressed differently over sessions between the two clusters [Session x Hole x Cluster, F(4,80) = 2.69, p < 0.05] (Fig. 4d, e). Cluster B decreased responding in the hole delivering the cue light, with the opposite tendency for the hole delivering nicotine (Fig. 4e). Differently, Cluster A maintained a stable behavior in both holes from the first to the last session (Fig. 4d). This result further supports that standard nicotine+cue self-administration behavior in Cluster A is driven by nicotine-induced enhancement of cue reinforcing effects. Both the cue and nicotine are required for self-administration behavior to be maintained, but not necessarily in a contingent manner. In contrast, for Cluster B, when disconnected from nicotine delivery, self-administration of the cue alone progressively extinguishes over sessions, consistent with the cue exerting secondary reinforcing properties [37].
To gain further insight into the timing of seeking cues and nicotine, we calculated two mean time intervals: one between each cue and the next nicotine infusion, and the second between each nicotine infusion and the next cue. The two clusters exhibited significant differences [Cluster effect, F(1,62) = 4.63, p < 0.05], and this difference was primarily driven by the INF-Cue interval [Cluster x Interval, F(1,62) = 4.06, p < 0.05] (Fig. 4f). In Cluster A, we observed a time-balanced distribution of cues and nicotine infusions. The Cue-INF and INF-Cue intervals were similar (Fig. 4f) and correlated with each other [r = 0.36, r2 = 0.13, p < 0.05], supporting the hypothesis that nicotine and cue were spaced evenly (Fig. 4g). The correlation was increased (r = 0.68, r2 = 0.47, p < 0.0001) after the exclusion of an outlier confirmed by a Grubbs test (Grubbs test statistic = 3.84, p < 0.0005 for INJ-Cue interval). This profile is in accordance with the reinforcement-enhancement tracking of the circulating levels of nicotine [38, 39].
In Cluster B (Fig. 4f–h), however, the time distribution of cues and nicotine infusion was unbalanced and depended on which occurred first. The mean INF-Cue interval was significantly longer than the Cue-INF interval and they were uncorrelated, suggesting that nicotine was more reinforcing than the cue.
Varenicline effect on nicotine seeking in Clusters A and B
Varenicline had a differential effect on seeking behavior in clusters A and B when nicotine was omitted [Cluster effect, F(1,53) = 38.84, p < 0.00001; Cluster x Treatment, F(1,53) = 8,85, p < 0.005] (Fig. 4i).
As mentioned earlier, during nicotine omission sessions (NicOm), Clusters A and B exhibited significant differences compared to their respective baselines. Cluster A showed a decrease in drug-seeking behavior, while Cluster B showed an increase (p < 0.001) (Figs. 3b, d and 4i). Varenicline reduced this increase (NicOm+Var) in Cluster B, but it had no significant effect in Cluster A (Fig. 4i-left). Varenicline acted in opposite ways on the two clusters [Cluster effect, F(1,53) = 8.85, p < 0.005], decreasing seeking in Cluster B and tending to increase it in Cluster A (Fig. 4i-right).
Discussion
In line with clinical studies, animal models used for studying tobacco addiction have consistently demonstrated the involvement of various psychopharmacological mechanisms in nicotine self-administration. However, it is important to note that animal models do not account for individual variations in the mechanisms underlying nicotine self-administration, which may limit their predictive validity [40].
To address this issue, we conducted a psychopharmacological profiling study in male Sprague–Dawley rats trained for intravenous nicotine self-administration. We employed an unbiased clustering method [41], and identified two distinct clusters (referred to as Clusters A and B) characterized by different psychopharmacological mechanisms driving their self-administration behavior. These distinct mechanisms were revealed by manipulating either nicotine or the cue in different test sessions. Furthermore, we examined the effects of Varenicline, a partial α4β2 nicotinic acetylcholine receptor agonist, on self-administration behavior supported by the nicotine-associated cue in these two clusters. Interestingly, Varenicline exerted opposing effects on self-administration behavior in the two clusters, highlighting the differential response to pharmacological interventions based on the underlying psychopharmacological mechanisms.
Contribution of nicotine and cue to self-administration
Acquisition of secondary reinforcing properties by the cue requires time [42], while nicotine-induced enhancement of cue-reinforcing effects is an acute immediate effect [43,44,45].
Nicotine omission (i.e., cue self-administration alone) is commonly used as a test to evaluate the secondary reinforcing effects of the cue. Already after 12 sessions, we observed a slight but significant increase in behavior by nicotine omission (Fig. 2b), similar to Cohen et al. [37] after 10 sessions of nicotine+cue self-administration, indicative of the cue acting as a secondary reinforcer. Differently, Clemens et al. observed a significant decrease in total active responses by nicotine omission after 10 standard self-administration sessions [42], similar to Caggiula et al. [2] after 20 sessions, while total active responses were no more affected by nicotine omission after 41 standard self-administration sessions [42].
Procedural differences can explain that the cue acquires secondary reinforcing properties at different speeds. Factors, such as session duration, nicotine dose, cue duration, food restriction, housing conditions, could play a role individually or in interaction. The procedural differences between these studies that could contribute to the faster acquisition of secondary reinforcing properties by the cue, are the cue duration in Cohen et al. (20 sec, instead of 1 sec and 3 sec for Caggiula et al. [2] and Clemens et al. [42], respectively) and session duration and dose in our study (3 h sessions and 0.04 mg/kg, instead of 1 hr sessions and 0.03 mg/kg for the three other studies).
Cue omission, i.e., nicotine self-administration alone, is less commonly tested. Differently from nicotine omission, Clemens et al. [42] and Caggiula et al. [2] had opposite results regarding the ability of nicotine alone to sustain self-administration. In Clemens et al., behavior was maintained by nicotine alone at the same level as compared to standard sessions. Caggiulia et al. [2] observed an ~55% decrease in nicotine infusions in response to cue omission, close to the 40% decrease we observed in our study. This supports that the contribution of nicotine and cue to self-administration at the population level are differentially influenced by experimental conditions. It is speculative to attribute a procedural difference as the explanation for the discrepancy with Clemens et al. regarding cue omission. Still, in Clemens et al., rats were trained at FR1, whereas they were trained at FR5 and FR3, in Caggiula et al. [2] and our study, respectively, making the maintenance of self-administration in the absence of the cue more challenging. Another distinction is housing: rats were housed four per cage and food-restricted in Clemens et al. [42], which could generate competition and stress. Eventually, it cannot be discarded that in Caggiula et al. [2], the population of rats would be enriched in Cluster A-type rats, leading to a decrease in behavior by both cue and nicotine omission.
Cluster A: the reinforcement-enhancing effect (REE) of nicotine as a primary driver of nicotine self-administration
Our findings indicate that rats belonging to Cluster A (comprising 55% of the tested rats) are primarily motivated by the ability of nicotine to enhance the reinforcement value of the cue light. The omission tests revealed that instrumental responding in these rats relied on the presence of both nicotine and the cue (Fig. 3a–c), even when they were independently accessible through different operanda (Fig. 4d–f).
Importantly, their behavior in the disconnection test aligns with previous studies demonstrating that the REE of nicotine can be observed without the need for prior learning associations or contingency with nicotine [4, 44,45,46,47,48].
The REE of nicotine, initially observed in animal models [4, 26, 46, 49], has been substantially documented in human studies [45, 48, 50,51,52,53]. However, the neurobiological mechanisms underlying the REE are still not fully understood [54]. It is considered one of the key factors contributing to the addictive properties of tobacco [11, 44]. Furthermore, it may be involved in withdrawal-induced sensory anhedonia, which strongly promotes relapse [55,56,57,58]. The REE hypothesis also supports the notion of “self-medication,” whereby individuals with socioeconomic or health conditions associated with limited opportunities for reward may be more prone to seeking nicotine as a means of alleviating their reward deficits [59,60,61,62].
Cluster B: nicotine and the ‘classical’ nicotine-cue conditioning as a primary driver for nicotine self-administration
Rats in Cluster B (constituting 45% of the tested rats) appeared to be primarily driven by a combination of the primary reinforcing effects of nicotine and the nicotine-paired cue acting as a conditioned reinforcer, capable of driving self-administration even in the absence of nicotine [37, 44, 63, 64]. The omission tests revealed that their instrumental responding can be partially maintained by either nicotine or cue (Fig. 3c, d). Also, Cluster B rats demonstrated greater sensitivity to the reinforcing effects of nicotine alone compared to Cluster A rats, as evidenced by their performance in progressive ratio and dose-response tests (Fig. 4a, b). Additionally, disrupting the nicotine-cue contingency led to a decrease in instrumental responding for the cue in Cluster B rats (Fig. 4e), contrasting with the behavior of Cluster A rats (Fig. 4d). This finding supports the notion that the cue in Cluster B rats has acquired conditioned reinforcing properties that gradually extinguish over time [37, 65].
In humans, the environmental stimuli that become conditioned reinforcers due to their association with nicotine are major sources of craving in some individuals [66, 67], and thus contribute to relapse [68]. Some smokers who have been switched to de-nicotinized cigarettes report lower cravings to smoke [64, 69, 70], suggesting that the conditioned stimuli associated with smoking, such as rolling a cigarette [71], or the oropharyngeal sensations of smoking [72, 73], have become strong reinforcers. Similarly, some smokers report an increase in craving after observing friends smoking, or when visiting the places associated with smoking [9, 74,75,76].
Further studies would need to explore whether the observed psychopharmacological profiles remain the same after protracted nicotine exposure, and whether Cluster B-like rats would be more prone to cue-induced reinstatement.
Varenicline can have different behavioral outcomes depending on the psychopharmacological profile of nicotine-seeking
Consistent with its nature as a partial agonist at the α4β2-containing nicotinic cholinergic receptors [77,78,79], we report that Varenicline can moderately enhance cue-reinforcing effects in rats self-administering i.v. saline+cue (Fig. S7), and antagonize nicotine-induced enhancement of cue reinforcing effects (Fig. 4i), consistent with a previous study done in our laboratory [28]. We also observed relevant differences in response to Varenicline between the clusters. In Cluster B rats, Varenicline strongly diminished the increased seeking behavior observed during NicOm, suggesting that the partial pharmacological agonism by Varenicline was enough to compensate for the removal of nicotine, bringing the seeking behavior closer to baseline. Varenicline slightly increased seeking behavior in Cluster A (Fig. 4i), consistent with a reinforcement-enhancement effect.
Varenicline was used here as a tool to explore interactions between nicotine and the cue in the observed clusters. The aim of our study was not to test Varenicline with a view to therapeutic use, i.e., applied chronically [80]. However, our data confirm that animal models such as nicotine self-administration could prove useful for precision pharmacology.
Individual differences in nicotine seeking: an opportunity to improve preclinical models of nicotine reinforcement
Clinical data strongly suggest that individuals differ as regards the breadth of motives and mechanisms that determine the urge to smoke [for review (40)], warranting the emergence of research in precision medicine for tobacco addiction. A systematic exploration of individual variations in behavior or pharmacological responses could help improve the translational and predictive value of preclinical models of nicotine reinforcement. Exploration of individual variations in nicotine self-administration is at an early stage [35, 81, 82], but our study, together with few others, supports consistent individual differences in nicotine psychopharmacology [35, 82].
In recent years, nicotine metabolism has attracted interest as a phenotypic biomarker of heavy smoking [34] and therapeutic response [83]. While fast metabolizers are at risk for heavy smoking [34], slow metabolizers benefit from nicotine replacement therapies, and normal metabolizers benefit from treatments such as Varenicline [83]. Consistently, in rats, the rate of nicotine clearance predicted the threshold of nicotine reinforcement [35], and Varenicline reduced nicotine self-administration more in rats with a higher demand for nicotine [84]. Interestingly, while in our protocol nicotine demand was positively related to the cotinine/nicotine ratio (Fig. S2c), our two clusters expressed the same self-administration behavior in standard protocol sessions (Fig. 3e–g). It thus remains unlikely that the observed behavioral differences are due to individual differences in nicotine metabolism. However, the study by Grebenstein et al. [35] suggests that nicotine seeking might be controlled by pharmacokinetics factors in some individuals, and less so in others. Echoing the fast/slow metabolizer phenotypes in humans [34], these observations offer interesting perspectives for studying how individual differences in nicotine metabolism could drive variations in the primary reinforcer and reinforcer enhancer properties of nicotine.
Our results highlight qualitative individual variations in the mechanisms supporting nicotine+cue self-administration behavior, with nicotine playing either a major role as primary reinforcer or enhancer, depending on the individuals. Sved et al. [85] recall that ‘These two actions of nicotine, primary reinforcer and reinforcer enhancer, undoubtedly relate to the high incidence of nicotine use disorder and they must also be taken into account when considering smoking cessation pharmacology.’ Although there is still a lot to investigate, these mechanisms appear to involve distinct molecular and neurobiological substrates (for review [85]). Notably, individual variations have been observed in incentive salience attribution to drug-associated cues, with nicotine-associated specificities. In the so-called sign trackers rats (STs), food- or drug-(cocaine, opioid)associated discrete cues are both more attractive (elicit approach) and more wanted (are conditioned reinforcers) than in goal trackers rats (GTs), in which presentation of reward-associated cues elicits approach to the location of reward delivery. Regarding nicotine, Yager and Robinson [82] showed that STs rats want more nicotine-associated cue, but they do not approach a nicotine-cue more than GTs rats, demonstrating nicotine-specific mechanisms of salience attribution. This model offers the opportunity to study how individual variations in salience attribution to nicotine cues relate to individual variations in the psychopharmacological mechanisms supporting nicotine+cue self-administration.
In the footsteps of oncology, precision medicine in tobacco dependence [86,87,88,89,90] focuses on pharmacogenetics-based markers, i.e., the identification of genetic makers that predict response to smoking cessation drugs. However, smoking is a complex behavior and data support a polygenic contribution to vulnerability and to treatment efficacy [89]. Interplay between genetic factors could shape dependence vulnerability and variations in nicotine psychopharmacology (e.g., [91]). Therefore, behavioral psychopharmacology-based markers could efficiently complement genetic markers, and precision psychopharmacology in animal models could help define such behavioral markers in humans.
The aim of this study was to question individual psychopharmacological profiles arising at the intersection of IV nicotine delivery and the presentation of a contingent visual stimulus, the most widely used model of nicotine self-administration. Since tobacco addiction is a complex phenomenon at the intersection of social, environmental and biological factors [92, 93], further studies would need to address whether the identified psychopharmacological profiles are differently modulated by sex, protracted nicotine use, access to alternative rewards, social interactions, and stress, all factors which are known to impact drug-seeking [22, 94, 95] and which are also sources of individual variability. Finally, and of special interest to translational approaches, whether these psychopharmacological profiles predict transitioning into addiction-like nicotine seeking, and whether approved cessation therapies, like Varenicline, are more beneficial to individuals fitting a particular profile compared to the other, remains to be explored.
In summary, the individual differences found in this study could contribute to the observed complexity in both human and animal studies. They have the potential to reshape current discussions on vulnerability to nicotine addiction and to open discussions about precision psychopharmacology from a translational perspective.
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Acknowledgements
This work was supported by La Fondation pour la Recherche Médicale (FRM; grant DPA20140629795 to V.D.-G.), l’Agence Nationale de la Recherche (ANR; grant ANR-10-EQX-008-1, EquipEx OptoPath to V.D.-G.), the Aquitaine Regional Council (grant 2015-1R30105, PhD fellowship to V.G.-R.), the LABEX BRAIN (ANR; grant ANR-10-LABX-43, 2019 extension grant fellowship to V.G.-R.), by INCa/IReSP 16130, by l’Institut National de la Santé et de la Recherche Médicale (INSERM), and the University of Bordeaux (UB). MC was supported by the DG-ARS/ CHU Bordeaux Année Recherche 2021-2022 program. We thank Mélodie Nachon-Phanithavong (CHU Lille, Unité Fonctionnelle de Toxicologie, F-59000 Lille, France) for her contribution to the analytical analysis, S. Laumond, J. Tessaire, and the technical staff of the housing and experimental animal facility of the Neurocentre Magendie Inserm U1215. Special thanks to Cédric Dupuy for the remarkable care of our rats. We thank Professor David Belin and Douglas S. Ramsay for their comments on earlier versions of this manuscript.
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Conception and design of experiments: V.G.-R. and V.D.-G. Performed the behavioral experiments: V.G.-R., J.-F.F. Provided systems and experimental support: J.-F.F., J.T. and G.d.M. Wrote Python code for behavioral pattern analysis: M.C. Run analytical chemistry experiment: J.-F.W. Supervised analytical chemistry experiment: J.-M.G. Run data analysis: V.G.-R. and V.D.-G. Wrote the manuscript: V.G.-R., J.-M.G. and V.D.-G.
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Garcia-Rivas, V., Fiancette, JF., Tostain, J. et al. Individual variations in motives for nicotine self-administration in male rats: evidence in support for a precision psychopharmacology. Transl Psychiatry 14, 85 (2024). https://doi.org/10.1038/s41398-024-02774-6
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DOI: https://doi.org/10.1038/s41398-024-02774-6