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Vol. 295, Issue 1, 58-66, October 2000
Division of Substance Abuse (T.P.G.), Department of Psychiatry (T.P.G., M.R.P., R.H.R.), and Departments of Pharmacology (C.D.V., M.R.P., R.H.R.) and Neurobiology (M.R.P.), Yale University School of Medicine, New Haven, Connecticut
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Abstract |
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Schizophrenics have cortical dysfunction that may involve
mesoprefrontal dopamine (DA) systems. Rates of nicotine dependence approach 90% in schizophrenia, and nicotine administration through cigarette smoking may ameliorate cognitive dysfunction, which may be
related to cortical DA dysregulation. We have shown that repeated, but
not acute, nicotine pretreatment (0.15 mg/kg daily s.c.) reduces
footshock stress-induced mesoprefrontal DA metabolism and immobility
responses. This effect of repeated nicotine is dependent on
mecamylamine (MEC)-sensitive nicotinic acetylcholine receptor (nAChR)
stimulation and endogenous opioid peptides. In the present study, we
have further characterized these effects of repeated nicotine on the
stress reactivity of mesoprefrontal DA neurons by using the following:
1) local infusion of MEC into cell bodies (ventral tegmental
area) and terminal fields (medial prefrontal cortex) to
determine the site of action of nicotine; and 2) systemic
administration of selective nAChR antagonists. Results of bilateral
local infusions of MEC (0.1-1.0 µg/side) into ventral tegmental area
or medial prefrontal cortex in saline- and nicotine-pretreated rats
suggests a modulatory role for somatodendritic versus terminal field
nAChRs on mesoprefrontal DA neurons under stress-induced states.
Experiments with dihydro-
-erythroidine (a
2-subunit-selective
blocker; 0.0-3.0 mg/kg) and methylycaconitine (an
7-subunit-selective blocker; 0.0-8.4 mg/kg) suggest that both
4
2- and
7-containing nAChRs modulate mesoprefrontal DA neurons. Thus, complex regulation of mesoprefrontal DA neurons by
nAChRs is suggested, which may have relevance to prefrontal cortical DA
dysfunction and the high comorbid rates of nicotine dependence in schizophrenia.
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Introduction |
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Nicotine
exerts diverse psychopharmacologic effects and is thought to be the key
component in tobacco responsible for habitual smoking (Balfour and
Fagerstrom, 1996
). The initial site of nicotine's actions is nicotinic
acetylcholine receptors (nAChRs). Nicotine's diverse
psychopharmacologic effects likely relate to nAChR modulation of
dopaminergic, serotonergic, adrenergic, glutamatergic, and endogenous
opiate peptide pathways (McGehee and Role, 1995
; Picciotto, 1998
). In
particular, the effects of nicotine on the dopamine (DA) system and its
relationship to psychiatric disorders, including schizophrenia, has
received considerable attention (Nisell et al., 1995
; Ziedonis and
George, 1997
; George et al. 1998
, 2000
). Schizophrenia is thought to be
mediated, at least in part, by dysregulation of mesolimbic and
mesocortical DA pathways, and clinically, prevalence rates of nicotine
dependence in schizophrenic patients approach 90% in some studies
(Hughes et al., 1986
; Ziedonis and George, 1997
).
In particular, schizophrenia is associated with cognitive deficits
related to prefrontal cortical dysfunction, and schizophrenics may
smoke heavily to ameliorate such cognitive dysfunction (George et al.,
1998
). There is evidence that auditory gating deficits (P50 responses)
that are normalized by cigarette smoking are linked to defects in the
7 nAChR (Freedman et al., 1997
). Furthermore, mice with knockout of
the
2 subunit of the nAChR have deficits in associative memory and
nicotine-stimulated mesolimbic DA release (Picciotto et al., 1998
).
There is strong physical and functional evidence for the presence of
nAChRs on nigrostriatal and mesolimbocortical DA neurons (Clarke and
Pert, 1985
; Vezina et al., 1992
; George et al., 1998
; Picciotto et al.,
1998
).
Schizophrenic disorders are often exacerbated by stress, and the
mesoprefrontal DA in the rat is preferentially activated (increased DA
metabolism and release) by acute stress, including that induced by
acute inescapable electrical footshock stress (Horger and Roth, 1996
).
Furthermore, acute footshock stress leads to freezing behavior
(immobility responses) in rats. Nicotine appears to have anxiolytic
effects in smokers and in animal models as well as mood-elevating,
nociceptive-, and cognitive-enhancing effects (Aceto et al., 1993
;
Levin et al., 1996
; Salin-Pascual et al., 1996
; George et al.,
1998
). Given the hypothesized clinical relationships between
schizophrenia, the cortical DA system, stress, and nicotine use, we
have studied how nicotine administration could modify mesoprefrontal DA
responses to acute stress in rats.
In our previous studies (George et al., 1998
), we have examined the
effects of acute and repeated nicotine pretreatments on mesoprefrontal
and subcortical DA systems under basal (no stress) and stress-induced
states. Repeated, but not acute, nicotine pretreatment reduced
stress-induced cortical DA and immobility responses. These effects were
present at low (0.15 mg/kg), but were abolished with high dose (0.60 mg/kg) nicotine pretreatments, suggesting an "inverted-U" dose-response pattern. Experiments with the nonselective nAChR antagonist mecamylamine (MEC) suggested that the stress-reducing effects of nicotine were dependent on MEC-sensitive nAChR stimulation (George et al., 1998
). However, MEC is a nonselective nAChR antagonist and also may bind to
N-methyl-D-aspartate receptors
(O'Dell and Christensen, 1988
), and thus the role of subtype-specific
nAChR regulation of mesoprefrontal DA neurons in these studies was not addressed. In addition, nicotine could exert its modulatory effects on
the mesoprefrontal DA system by stimulation of nAChRs at the level of
DA cell bodies in the ventral tegmental area (VTA) or at DA terminals
in the medial prefrontal cortex (mPFC); hence, the site of action of
nicotine in these studies was also unclear.
Accordingly, the present study sought to answer two questions: 1) What is the site(s) of action of nicotine on the mesoprefrontal DA pathway through which repeated nicotine administration modulates cortical DA responses to stress? and 2) What subtypes of the nAChR may mediate the effects of repeated nicotine on the cortical DA stress response?
In the present experiments, we have used local infusions of the
nonselective nAChR antagonist MEC and systemic administration of the
more selective nAChR antagonists dihydro-
-erythroidine [DHBE, a
competitive antagonist of high-affinity (~
4
2
subunit-containing) central nAChRs; Stolerman et al., 1997
] and
methylycacontine (MLA, an antagonist of
7 nAChRs; Brioni et al.,
1996
) to characterize the pharmacology and site of action of repeated
nicotine's modulation of mesoprefrontal DA function.
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Experimental Procedures |
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General Procedures
Materials.
Male Sprague-Dawley rats initially weighing 250 to 274 g were obtained from Camm (Rutgers, NJ). The weights of
rats at the conclusion of the experiments was 300 to 350 g.
S-(
)-nicotine bitartarate and MEC hydrochloride were
obtained from Sigma Chemical Co. (St. Louis, MO). DHBE and MLA were
obtained from Research Biochemicals International (Natick, MA).
Treatment Paradigm. Rats were given daily injections for 5 days with either saline (1 ml/kg) or nicotine bitartarate (0.15 mg/kg, expressed as the freebase). All injection solutions were freshly prepared on a daily basis, and the pH of the saline and nicotine solutions was adjusted to 7.4 with NaOH. MEC, DHBE, and MLA were dissolved in saline. Biochemical measures were obtained 0.5 h after nicotine challenge injection.
Antagonist Studies.
For MEC infusion experiments, rats were
given an infusion of MEC (0.1-1.0 µg/side) or saline over a 1-min
period at the time of nicotine challenge, 0.5 h before sacrifice.
DHBE (0.0-3.0 mg/kg) was injected s.c. 0.5 h before challenge
injection, and MLA (0.0-8.4 mg/kg) was injected i.p. at the time of
challenge injection. Doses of DHBE (Stolerman et al., 1997
) and MLA
(Brioni et al., 1996
) chosen were based on published reports with
systemic administration of these antagonists.
Surgical Procedures
Rats were anesthetized by using an i.p. injection of 1 ml/kg
equithesin (9.72 mg/ml phenobarbital, 44.4 mg/ml chloral hydrate in
44% propylene glycol carrier). Body temperature was maintained at
37°C by a thermoregulated electric heating pad. Surgical procedures have been described in details elsewhere (Murphy et al., 1997
). Guide
cannulae were prepared by using 25-gauge tubing (Small Parts, Inc.,
Miami, FL) and inserted bilaterally into the VTA (from bregma,
5.3 mm AP; ±2.0 mm ML;
6.7 mm DV at an 8° angle) or mPFC (from bregma, +2.2 mm AP; ±1.0 mm ML;
3.2 mm DV). After surgery, animals were housed individually in Plexiglas cages until local infusion experiments were performed. Saline or MEC (0.1 µg/side) was infused by using a Hamilton syringe connected to a Harvard Apparatus infusion pump at a rate of 2.0 µl/min over a 1-min period. After decapitation and fresh tissue dissection for biochemical analysis of mPFC, brains were then fixed for 24 h in 4% paraformaldehyde. Regions of interest (i.e., PFC and brainstem) were cut into 50-µm coronal sections with a vibratome. These sections were then stained with cresyl
violet to facilitate visualization of cannulae tracks for cannulae tip localization.
Behavioral Procedures
Acute Footshock Stress Procedure. On day 5, rats were given a final injection of saline and nicotine, and then placed in a sound-attenuated chamber in which the grid floor of the chamber was connected to a shock generator (BRS/LVE Division of Tech Serv Inc., Beltsville, MD) and a pulse stimulator (Grass Medical Instruments, Quincy, MA) that delivered mild footshocks (0.8-mA shocks of 160-ms duration, every 10 s for 20 min). Rats received either the footshock paradigm or no shocks.
Behavior Ratings.
All footshock sessions were recorded by
videotaping. The percentage of time spent immobile (% immobility)
during each 1-min interval of the footshock session was scored by
blinded examiners (T.P.G., C.D.V.) who manually rated the taped
sessions post hoc. There was excellent inter-rater reliability
(
= .80) in the scoring of immobility. Results for immobility
responses in MEC, DHBE, and MLA experiments are presented for the 1-min
period, where effects of nicotine on immobility responses were maximal.
Neurochemical Procedures
At the conclusion of the footshock period, rats were sacrificed
by decapitation. Samples of mPFC (+2.7 to 1.7 mm from bregma) were
harvested by block dissection (Fig. 1;
adapted from Paxinos and Watson, 1986
).
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DA and its major metabolite, dihydroxyphenylacetic acid (DOPAC), were
quantitated by using HPLC with electrochemical detection with a glassy
carbon electrode set at +0.7 V and an Ag/AgCl reference electrode. The
procedure involved alumina extraction before HPLC analysis as
previously described (Morrow et al., 1995
). A reversed phase 3-µm C18
HPLC column (Ranin Instruments, Woburn, MA) was used. The mobile phase,
delivered at 0.65 ml/min, was comprised of sodium citrate (30 mM),
sodium dihydrogen phosphate (14 mM), sodium octanesulphonate (2.3 mM),
EDTA (0.025 mM), acetonitrile (6.5%), tetrahydrofuran (0.6%), and
diethylamine (0.1%), adjusted to pH 3.10 with concentrated phosphoric
acid. Dihydroxybenzamine was used as an internal standard and was used
to calculate percentage of recovery of DOPAC and DA. Results are
expressed as the ratio of DOPAC to DA, with levels in nanograms per
milligram of protein. Protein determination was done with the method of
Lowry et al. (1957)
with BSA as standard.
Statistical Procedures
One- and two-factor ANOVAs were used to analyze main effects, whereas repeated measures ANOVA with one within- and one between-factors comparison used to analyze dose-response data in DHBE and MLA experiments. Post hoc testing with Fisher's least-significant difference procedure was done when interactions were significant; post hoc differences were considered significant when P < .05.
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Results |
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Verifiction of Cannulae Placement (Fig. 1).
In VTA-cannulated
rats analyzed for cortical DA biochemistry and behavior, tips of
bilateral cannulae were located within 2 mm of the VTA (
5.3 mm from
bregma; Fig. 1, top). Animals with cannulae tips more than 2 mm from
the VTA were excluded from further analysis. Similar localizations were
obtained in the target area for the mPFC (+2.2 mm from bregma; Fig. 1, bottom).
Biochemical Analysis. Baseline metabolite levels (mean ± S.E.) for DOPAC and DA in mPFC were 0.234 ± 0.025 and 0.679 ± 0.071, respectively (DOPAC/DA ratio, 0.344 ± 0.007). Data are expressed as percentage of saline controls for the DOPAC/DA ratio. There were no differences in DA levels between treatment groups in all regions examined (data not shown), indicating that changes in DOPAC/DA ratios reflect true DA utilization.
Effects of MEC Infusion into the VTA on Repeated Nicotine
Modulation of Stress-Induced Cortical DA and Immobility Responses (Fig.
2).
In experiments involving
infusion of the nonselective nAChR antagonist MEC into VTA-cannulated
rats, there were no significant effects of pretreatment
(F = 0.89; df = 1,24; P = .36) or
antagonist (F = 3.14; df = 1,24; P = .09), but there was a significant pretreatment × antagonist
interaction (F = 9.91; df = 1,24;
P < .01) on stress-induced cortical DA utilization.
Repeated nicotine (0.15 mg/kg s.c.) reduced stress-induced
mesoprefontal DA responses by 25 to 30% (P < .05). MEC infusion (0.1 µg/side) was without effects in saline-pretreated rats, but at higher doses (1.0 µg/side) reduced stress-induced mesoprefrontal DA responses by itself (data not shown). In rats pretreated with repeated nicotine, MEC infusion into the VTA blocked the reduction in the cortical DA stress response by repeated nicotine administration (P < .05 versus nicotine controls).
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Effects of MEC Infusion into mPFC on Repeated Nicotine Modulation
of Stress-Induced Cortical DA and Immobility Responses (Fig.
3).
In experiments involving
infusion of MEC into mPFC-cannulated rats, there was a significant
effect of pretreatment (F = 15.19; df = 1,24;
P < .01), but not antagonist (F = 0.52; df = 1,24; P = .48) and no significant
pretreatment × antagonist interaction (F = 0.15;
df = 1,24; P = .90) on stress-induced cortical DA
utilization. Repeated nicotine (0.15 mg/kg s.c.) significantly reduced
stress-induced mesoprefontal DA responses (P < .05).
MEC (0.1 µg/side) infusion into the mPFC was without effects in
saline-pretreated rats, but at higher doses (1.0 µg/side) reduced
stress-induced mesoprefrontal DA responses by itself (data not shown).
In rats pretreated with repeated nicotine, MEC infusion into the mPFC
did not block the reduction in the cortical DA stress response by
repeated nicotine administration (P = .58 versus
nicotine controls).
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Effects of DHBE on Repeated Nicotine Modulation of Stress-Induced
Cortical DA and Immobility Responses (Fig.
4).
In experiments with the
competitive high-affinity nAChR antagonist DHBE, repeated measures
ANOVA revealed significant effects of pretreatment (F = 4.87; df = 1,44; P < .05) and dose
(F = 3.27; df = 2,44; P < .05),
and a significant pretreatment × dose interaction (F = 8.73; df = 2,44; P < .01)
for data on stress-induced cortical DA utilization. Repeated nicotine
significantly decreased stress-induced DA metabolism (P < .05). DHBE pretreatment (1.0-3.0 mg/kg s.c.) was without effect on
stress-induced cortical DA responses. A single DHBE pretreatment
0.5 h before the saline or nicotine challenge injection
dose-dependently blocked the effects of repeated nicotine on the
stress-induced cortical DA response, with a significant blockade of the
effects of repeated nicotine administration at the 3.0-mg/kg, but not
the 1.0-mg/kg DHBE dose (P < .05 versus nicotine
controls).
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Effects of MLA on Repeated Nicotine Modulation of Stress-Induced
Cortical DA and Immobility Responses (Fig.
5).
In experiments with the
competitive low-affinity nAChR antagonist MLA, repeated measures ANOVA
revealed significant effects of pretreatment (F = 135.35; df = 1,56; P < .01) and dose
(F = 8.86; df = 2,56; P < .01),
and a significant pretreatment × dose interaction
(F = 42.55; df = 2,56; P < .01)
for data on stress-induced cortical DA utilization. Repeated nicotine
significantly reduced stress-induced cortical DA responses
(P < .05). A single MLA cotreatment (4.2-8.4 mg/kg
i.p.) with the saline or nicotine challenge injection was without
effect on stress-induced cortical DA responses by itself, but
dose-dependently blocked the suppressive effects of repeated nicotine
administration on cortical DA stress responses with significant effects
at both the 4.2- and 8.4-mg/kg doses (P < .05 versus
nicotine controls).
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Discussion |
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Our previous studies have found that pretreatment with the
nonselective nAChR antagonist MEC blocks repeated nicotine's reduction of the stress-induced mesoprefrontal DA and immobility responses (George et al., 1998
). This suggests that these modulatory effects of
repeated nicotine pretreatment are dependent on MEC-sensitive nAChR
stimulation. In the present study, we sought to define the site of
action of nicotine in modulation of stress-induced mesoprefrontal DA
activation. Our experiments with local infusions of MEC into the VTA or
mPFC suggest that MEC-sensitive somatodendritic nAChRs in the VTA, but
not in the mPFC terminal fields, mediate these actions of repeated
nicotine administration. These results are consistent with the findings
of Nisell et al. (1994)
who implicated nAChRs in the VTA versus nucleus
accumbens terminal fields in mediating the effects of nicotine's
enhancement of DA release in the nucleus accumbens. The dose of MEC
infused (0.1 µg/side, ~250 µM) in the present studies is within
the MEC concentration range used by Nisell et al. (1994)
(100-1000
µM), which did not affect nucleus accumbens DA release by itself, but
blocked nicotine augmentation of DA release. Higher doses of MEC (1.0 µg/side, ~2500 µM) inhibited stress-induced cortical DA
utilization by itself, and is consistent with MEC interacting with
other neuroreceptors (e.g.,
N-methyl-D-aspartate receptors;
O'Dell and Christensen, 1988
), which have been show to reduce the
cortical DA stress response (Goldstein et al., 1994
; George et al.,
1998
).
Furthermore, studies with systemic pretreatment with the selective
nAChR antagonists DHBE and MLA suggest that repeated nicotine's effects on mesoprefrontal DA neurons involve stimulation of both high-affinity (
4
2 subunit-containing) and low-affinity (
7
subunit-containing) nAChRs, respectively. It is important to note that
because these antagonists were administered systemically, effective
drug concentrations at central nAChRs are not known, and because both
of these agents are less selective for nAChR subtypes at higher
concentrations (Williams and Robinson, 1984
; Yum et al., 1996
), our
results with DHBE and MLA should be interpreted cautiously.
Nonetheless, there is evidence for the presence of
4 and
2
subunits, and, to a lesser extent
7 subunits, on mesocorticolimbic
DA neurons (Picciotto, 1998
).
7 Subunits appear to be enriched in
the cortex, where there are also high levels of
4 and
2 nAChR
subunits (Hill et al., 1993
; Zoli et al., 1995
). Thus, it is possible
that MLA could exert its actions on nicotine's modulation of
stress-induced mesoprefrontal DA function at either the level of the
VTA or mPFC. Future studies with local infusions of these selective
antagonists into the VTA and mPFC are warranted to establish the exact
anatomic sites of action of these agents in nAChR subtype-specific
regulation of stress-induced mesoprefrontal DA function.
Our results suggest a complex regulation of stress-evoked
mesoprefrontal DA neuronal activity by multiple nAChR subtypes. There
is evidence for a role of high-affinity (
4
2) nAChRs in mediating
nucleus accumbens DA release (Nisell et al., 1994
), and low-affinity
(
7) nAChRs in nicotine-induced nucleus accumbens DA release
(Schilstrom et al., 1998
) and nicotine withdrawal-related changes in
accumbens DA release (Nomikos et al., 1999
) at the level of the VTA,
and such nAChR regulation appears to extend to mesoprefrontal DA
neurons, which also originate in the VTA. Our results also are
consistent with recent evidence suggesting interactions between
high-affinity (
4
2) and low-affinity (
7) nAChRs in the VTA
(Pidoplichko et al., 1997
) and hippocampus (Alkondon et al., 1999
).
These results may have implications for our understanding of the
interactions between nicotine use, acute stress, and prefrontal cortical DA deficits with disorders characterized by prefrontal cortical DA dysfunction, such as schizophrenia. Furthermore, our results suggest that selective pharmacologic treatments targeting nAChR
subtypes could be of importance for the treatment of both schizophrenia
and nicotine dependence.
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Acknowledgments |
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We thank Li Xu for expert technical assistance. We thank Sherry Leonard for insightful comments on this manuscript.
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Footnotes |
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Accepted for publication June 8, 2000.
Received for publication February 15, 2000.
1 This work was supported in part by the Lucille P. Markey Foundation, the National Alliance for Research on Schizophrenia and Depression, and U.S. Public Health Service Grants K12-DA-00167 (to T.P.G.), K02-DA-00436 (to M.R.P.), R37-MH-14092 (to R.H.R.), and P50-DA-84733.
Send reprint requests to: Tony P. George, Division of Substance Abuse, Department of Psychiatry, Yale University School of Medicine, Room S-109, Substance Abuse Center, Connecticut Mental Health Center, 34 Park St., New Haven, CT 06519. E-mail: tony.george{at}yale.edu
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Abbreviations |
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nAChR, nicotinic acetylcholine receptor;
DA, dopamine;
MEC, mecamylamine;
VTA, ventral tegmental area;
mPFC, medial
prefrontal cortex;
MLA, methylycacontine;
DHBE, dihydro-
-erythroidine;
DOPAC, dihydroxyphenylacetic acid.
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References |
|---|
|
|
|---|
7 nicotinic receptor antagonist methyllycaconitine.
Eur J Pharmacol
301:
1-5[Medline].
2 subunit.
J Neurosci
13:
1551-1568[Abstract].
7 nicotinic receptors in the ventral tegmental area.
Neuroreport
10:
697-702[Medline].
2 subunit are involved in the reinforcing properties of nicotine.
Nature (Lond)
391:
173-177[Medline].
7 nicotinic receptors in the ventral tegmental area.
Neuroscience
85:
1005-1009[Medline].
-erythroidine in rats.
Psychopharmacology
129:
390-397[Medline].This article has been cited by other articles:
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