Enduring Changes in Brain and Behavior Produced by Chronic Amphetamine Administration: a Review and Evaluation of Animal Models of Amphetamine Psychosis

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Enduring Changes in Brain and Behavior Produced by Chronic Amphetamine Administration: a Review and Evaluation of Animal Models of Amphetamine Psychosis Brain Research Reviews, 11 (1986) 157-198 157 Elsevier BRR 90048 Enduring Changes in Brain and Behavior Produced by Chronic Amphetamine Administration: A Review and Evaluation of Animal Models of Amphetamine Psychosis TERRY E. ROBINSON and JILL B. BECKER Department of Psychology and Neuroscience Laboratory Building, The University of Michigan, Ann Arbor, M148104-1687 (U.S.A.) (Accepted December 31st, 1985) Key words: amphetamine -- sensitization -- reverse tolerance -- dopamine -- catecholamine -- schizophrenia -- amphetamine psychosis -- animal model -- striatum-- stress-- sex difference -- conditioning-- neurotoxicity -- stereotypy -- autoreceptor CONTENTS 1. Introduction ............................................................................................................................................ 158 2. The effects of continuous amphetamine administration on brain and behavior (amphetamine neurotoxicity) ..................... 159 3. The behavioral consequences of repeated intermittent amphetamine administration (behavioral sensitization) ................. 160 3 1. The major characteristics of behavioral sensitization .................................................................................... 161 3.1.1. Behavior .................................................................................................................................. 161 3.1.2. Injection paradigm ..................................................................................................................... 163 3.1.3. Sex differences ........................................................................................................................... 163 3.1.4. Summary .................................................................. "................................................................ 164 4. Behavioral sensitization and amphetamine neurotoxicity as animal models of amphetamine psychosis ............................. 164 5. The biological basis of behavioral sensitization .................................................................................................. 167 5 1. Drug dispositional/peripheral hypotheses .................................................................................................. 167 5_2 Drug-environment conditioning hypotheses ............................................................................................... 167 5.3. Neural hypotheses ............................................................................................................................... 169 5.3.1. The nigrostriatal dopamine system .................................................................................................. 169 5.3_1.1. Evidence for postsynaptic changes ....................................................................................... 169 5.3.1_2. Evidence forpresynapticchanges ........................................................................................ 172 5.3.1.3_ Dopamine autoreceptor subsensitivity ................................................................................. 176 5.3.1.4. Other hypotheses ............................................................................................................ 179 5.3.2. The mesolimbic and mesocortical dopamine systems ........................................................................... 179 5.3.3. Other neurotransmitter systems ..................................................................................................... 182 5.3.3 1. Opiate peptide-dopamine interactions ................................................................................ 182 5.3.3_2. Norepinephrine .............................................................................................................. 182 5.3.3.3. Serotonin ...................................................................................................................... 183 5.3.3.4. Amino acids ................................................................................................................. 183 5.4. The neural basis of behavioral sensitization: conclusions and a hypothesis .......................................................... 184 6. Generalizability of sensitization ..................................................................................................................... 185 6.1. Stimulants and stress ............................................................................................................................ 185 6.2. Sex differences, stimulants and stress ........................................................................................................ 186 7. Conclusions ............................................................................................................................................. 187 Correspondence." T.E. Robinson, The University of Michigan, Neuroscience Laboratory Building, 1103 E. Huron St., Ann Arbor, MI 48104-1687, U.S.A. 0165-0173/86/$03.50 © 1986 Elsevier Science Publishers B.V. (Biomedical Division) 158 8. Summary ................................................................................................................................................ 188 Acknowledgements ........................................................................................................................................ 188 References ................................................................................................................................................... 189 1. INTRODUCTION nence 248'3°2 (cf. ref. 99). There are also anecdotal re- ports that 'physical or psychological stress' can pre- The use of stimulant drugs to decrease fatigue and cipitate a psychotic episode in 20-25% of former to heighten physical and mental abilities began when AMPH addicts 3°2'3°3. This suggests that chronic people first identified plants with these properties. AMPH use produces a very long-lasting change in For example, in ancient China herbal teas were some neural system(s) involved in the psychotomi- brewed with plants containing ephedrine, and coco metic effects of AMPH. leaves, the source of cocaine, were chewed in South These clinical observations generated considera- America by the ancestors of the Incas (see ref. 12 for ble interest in the effects of chronic AMPH adminis- an excellent historical review of central nervous sys- tration on brain and behavior in non-human animals, tem stimulants). Today, stimulant drugs such as the and in the development of animal models of AMPH- amphetamines remain among the most widely used induced psychosis. There are now many studies and abused of the many psychoactive compounds showing that chronic AMPH administration has en- available. Although at one time amphetamine during consequences for behavior and brain function (AMPH) was prescribed in great numbers, for exam- in non-human animals, and one purpose of this paper ple as an anorexic in the treatment of obesity, its is to review this literature. However, even a cursory medical use has been greatly curtailed in recent examination of the literature reveals that at least two years. AMPH is now usually prescribed only for the different paradigms have been used to study the ef- treatment of narcolepsy and childhood hyperkinesis. fects of chronic AMPH administration. With one Nevertheless, illicit AMPH is still widely available paradigm, elevated brain concentrations of AMPH and extensively used for its ability to decrease fa- are maintained for a few days, either by the continu- tigue, elevate mood and produce euphoria 96 (AMPH ous administration of AMPH or by multiple repeated will be used to refer collectively to D-, L-, DL- and injections of high doses. The other paradigm involves meth-amphetamine). the repeated intermittent administration of AMPH, However, it is not fully appreciated that AMPH is usually by discrete daily injections of relatively low also a potent psychotomimetic. In some schizophren- doses. Since it will become obvious that these two ics it can rapidly intensify psychotic symptoms, and if paradigms produce different effects on brain and be- a patient is in remission AMPH may precipitate a havior, studies relevant to each will be reviewed sep- psychotic episode 265,275. In fact, an AMPH-induced arately. exacerbation of symptoms in medicated schizophren- Continuous AMPH administration produces a syn- ics is predictive of relapse following neuroleptic with- drome that will be called 'AMPH neurotoxicity'. The drawal 3°5. Perhaps the most dramatic effect of literature on AMPH neurotoxicity has been re- AMPH has been described in people who chronically viewed recently (e.g. ref. 81), and therefore will be use the drug. It has been well documented that non- only briefly summarized to provide a comparison psychotic individuals who repeatedly use AMPH with the effects of repeated intermittent AMPH ad- sometimes develop a psychosis that is very similar to ministration. The major portion of this paper will fo- paranoid schizophrenia ~s,32° (for reviews of AMPH cus on a phenomenon that will be called 'behavioral psychosis see refs. 124, 213, 264, 268, 275). This sensitization', which is produced by repeated inter- AMPH-induced psychosis usually dissipates upon mittent AMPH administration. In particular, an in- withdrawal from the drug, but former AMPH addicts depth and critical analysis of hypotheses concerning are reported to remain hypersensitive to the psycho- the biological basis of behavioral sensitization is pre- tomimetic
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