EFFECTS OF THE SELECTNE D3 RECEPTOR ANTAGONIST, NAFADOTRIDE, ON THE DEVELOPMENT OF BEHAVIORAL SENSITIZATION TO COCAINE

A Thesis Presented to

the Faculty of the College of Science and Technology

Morehead State University

In Partial Fulfillment

of the Requirement for the Degree

Master of Arts

by

Yu Liu

March, 2003 rnsu ,HfS&S lo\'.). 20LJ.Q L.783e Accepted by the faculty of the College of Science and Technology, Morehead State University, in partial fulfillment of the requirements for the Master of Arts Degree.

Director of Thesis

Master's Committee

Date EFFECTS OF THE SELECTIVE DOPAMINE D3 RECEPTOR ANTAGONIST, NAFADOTRIDE, ON THE DEVELOPMENT OF BEHAVIORAL SENSITIZATION TO COCAINE

YuLiu,M.A. Morehead State University, 2003

ABSTRACT

It has recently been proposed that the development of behavioral sensitization to psychostimulant drugs is mediated by a repeated drug-induced alteration in dopamine D3 receptors. Consistent with this hypothesis, concurrent treatments with the preferential dopamine D3 receptors antagonist, nafadotride, has been reported to prevent the development of behavioral sensitization to amphetamine. This dopamine D3 hypothesis was further tested in the present study by determining whether nafadotride would also prevent the development of behavioral sensitization to cocaine.

At the beginning of this experiment, male Wistar rats (250-300g) were tested for activity after a saline injection on two days. Based on the distance traveled on the second day, the subjects were divided into four drug treatment groups: vehicle-vehicle, vehicle-cocaine, nafadotride-vehicle, and nafadotride-cocaine. From Day 3 to Day 6 (drug treatment phase), the subjects received daily I. P. injection with vehicle, cocaine, nafadotride, or cocaine+ nafadotride, respectively. Five minutes after each daily injection, the rats were placed into the activity boxes (Med-Associates model OFA-163) for 40 minutes. On the 7th and 8th days

(conditioning test phase), all rats received saline ittjections prior to activity testing. On the last day (Day 9), each subject was given a challenge injection of cocaine followed by activity testing.

The results indicated that repeated cocaine treatments produced a progressively greater increase in activity (i.e. behavioral sensitization). In contrast, repeated nafadotride treatments did not significantly affect locomotor activity. More important, concurrent treatment ofnafadotride with cocaine did not affect either the cocaine-induced acute or chronic locomotor effect. On the drug-withdrawal days, rats previously treated with cocaine displayed a conditioned hyperactivity response, which was not prevented by concurrent nafadotride treatment. Further, the cocaine challenge injection produced a significantly greater increase in activity in rats previously treated cocaine, compared to rats injected with cocaine for the first time. Finally, pretreatment with nafadotride and cocaine did not block the development of sensitization to cocaine. In fact, concurrent nafadotride-cocaine pretreatments tended to produce an even greater increase in cocaine-induced activity than the cocaine pretreatments alone. Thus, if anything, nafadotride treatments tended to enhance the development of the behavioral sensitization to cocaine.

These findings clearly do not support the hypothesis that the development of behavioral sensitization to cocaine is mediated through changes in dopamine D3 receptors.

Furthermore, these findings suggest that the development of behavioral sensitization to different psychostimulant"drugs may be mediated by different neurochemical mechanisms. - Accepted by: --Ld.~~f=.-,~~~~, Chair ttfio✓ ACKNOWLEDGMENTS

The first person I would like to thank is Dr. Bruce Mattingly, who patiently taught me throughout this whole project. Secondly, I also appreciate the help of my fellow graduate students (John Dunkrnan and Angela Duke) who assisted with the behavioral testing. Without their support, this project could not have been successfully completed. Finally, but most of all, I want to thank to my family, who support me with unconditioned and continuous love.

Morehead State University Y.L. TABLE OF CONTENTS

Page

Chapter I Introduction ...... I

Chapter 2 Method ...... 9

Chapter 3 Results ...... 13

Chapter 4 Discussion ...... 34

Chapter 5 Reference ...... 42

Appendix A: ANOVA Summary Tables ...... 48

Appendix B: Counterbalancing ...... 61

I LIST OF FIGURES

Figure Page

1. Med-Associates Activity Chamber ...... 10

2. Mean distance traveled (± SEM) across blocks of 10 min

on Day 1 and 2 for rats treated 5 min before each session

with saline (YEH) injection ...... 14

3. Mean number ofrears (± SEM) across blocks of 10 min

on Day 1 and 2 for rats treated 5 min before each session

with saline (YEH) injection ...... 15

4. Mean number of stereotypic counts (± SEM) across blocks

of 10 min on Day 1 and 2 for rats treated 5 min before each session

with saline (YEH) injection .. ·: ...... 17

5. Mean distance traveled(± SEM) across blocks of 10 min

on Day 3, 4, 5 and 6 for rats treated 5 min before each session

with saline (YEH), 15mgik:g Cocaine (COC),

0. lmgik:g Nafadotride (NAF) or 15mgik:g COC + 0. lmgik:g NAF ...... 18

6. Mean number ofrears.(± SEM) across blocks of 10 min

on Day 3, 4, 5 and 6 for rats treated 5 min before each session

with saline (YEH), 15mgik:g Cocaine (COC), 0.lmgik:gNafadotride

(NAF) or 15mgik:g COC + 0.lmgik:g NAF ...... 20

11 Figure

7. Mean number of stereotypic counts (± SEM) across blocks

of 10 min on Day 3, 4, 5 and 6 for rats treated 5 min

before each session with saline (YEH), 15mg/kg Cocaine (COC),

0.lmg/kgNafadotride (NAF) or 15mg/kg COC + 0.lmg/kgNAF ...... 22

8. Mean distance traveled(± SEM) across blocks of 10 min

on Day 7 and 8 for rats treated 5 min before each session

with saline (YEH) injection ...... 24

9. Mean number of rears(± SEM) across blocks of 10 min

on Day 7 and 8 for rats treated 5 min before each session

with saline (YEH) injection ...... 26

10. Mean stereotypic counts(± SEM) across blocks of 10 min

on Day 7 and 8 for rats treated 5 min before each session

with saline (YEH) injection ...... 28

11. Mean distance traveled(± SEM) after a cocaine challenge injection

(Day 9) for rats previously treated with either saline (YEH) or 15mg/kg

Cocaine (COC) in combination with either saline (YEH) orO.lmg/kg

Nafadotride (NAF). The left panel represents the total day activity and

the right panel presents the same data as a function of four IO min

blocks within the day ...... 29

lll Figure

12. Mean numbers of rears(± SEM) after a cocaine challenge injection

(Day 9) for the animals previously treated with either saline (VEH) or

15mgikg Cocaine (COC) in combination with either saline (YEH)

or 0. lmgikg Nafadotride (NAP). The left panel represents

the total day activity and the right pane) presents the same data as a

function of four 10 min blocks within the day ...... 31

13. Mean stereotypic counts (± SEM) after a cocaine challenge injection (Day 9)

for the animals previously treated either saline (VEH) or 15mgikg Cocaine

(COC) in combination with either saline (YEH) or 0.lmgikg Nafadotride

(NAP). The left panel represents the total day activity and the right panel

presents the same data as a function of four IO min blocks within the day...... 33

IV •

LIST OF TABLES

Table • 1. Experimental Design ...... 10

2. Summary of Analysis of Variance Performed on

Mean Distance Traveled: Habituation Phase, Days 1-2 ...... 49

3. Summary of Analysis of Variance Performed on

Mean Number of Rears: Habituation Phase, Days 1-2 ...... 50

4. Summary of Analysis of Variance Performed on

Mean Stereotypic Counts: Habituation Phase, Days 1-2 ...... 51

5. Summary of Analysis of Variance Performed on

Mean Distance Traveled: Drug Treatment Phase, Days 3-6 ...... 52

6. Summary of Analysis of Variance Perfo1med on

Mean Number of Rears: Drug Treatment Phase, Days, 3-6 ...... 53

7. Summary of Analysis of Variance Perfo1med on

Mean Stereotypic Counts: Drug Treatment Phase, Days, _3-6 ...... 54

8. Summary of Analysis of Variance Performed on

Mean Distance Traveled: Conditioning Test Phase, Days, 7-8 ...... 55

9. Summary of Analysis of Variance Perfo1med on

Mean Number of Rears: Conditioning Test Phase, Days, 7-8 ...... 56

10. Summary of Analysis of Variance Performed on

Mean Stereotypic Counts: Conditioning Test Phase, Days, 7-8 ...... 57

V Table Page

11. Summary of Analysis of Variance Performed on

Mean Distance Traveled: Cocaine Challenge Test, Day 9 ...... ;.... 58

12. Summary of Analysis of Variance Performed on

Mean Number of Rears: Cocaine Challenge Test Day 9 ...... 59

13. Summary of Analysis ofVariance·Perfo1med on

Mean Stereotypic Counts: Cocaine Challenge Test Day 9 ...... 60

VI Chapter 1

Introduction

Drug addiction

Drug abuse is a global phenomenon. It affects almost every country. Drug

abuse trends around the world, especially among youth, have become a very serious

issue in the last a few decades. For example, heroin abuse is reported in three-quarters

of all countries and abuse of cocaine is reported in two-thirds. Drug-related problems

include increased rates of crime and violence, susceptibility to HIV/AIDS and

hepatitis, demand for treatment and emergency-room visits and a breakdown in social

behavior (UNODCCP report, 2001 ).

Curativeness, religion, and recreation have been the main reasons for people

to use psychoactive drugs for many years. However, at the end of the last century, due

to the development of science, especially in the field of chemistry and pharmacology,

stronger, more pure and highly addictive substances such as cocaine and heroin were

synthesized. In addition, the invention of hypodermic syringes enabled people to

inject these drugs, making their effects more powerful and the risk of addiction more

serious (UNOCCP report, 2001).

Currently, the mechanism mediating drug addiction has become a major focus in the area of psychology and neuroscience. "The central feature of drug addiction is compulsive drug use-loss of control over apparently voluntary acts of drug seeking

1 and drug taking" (Goldstein, 1994). Drugs have both acute and chronic effects on

behavior. If they are used repeatedly, some acute drug effects may become less,

which is called tolerance; while others become higher which is considered

sensitization. Generally, drug addiction studies include drug-conditioning effect and

drug-brain adaptation. The former focuses on the role of classical and operant

conditioning mechanism in mediating drug addiction. The latter stresses on the role of

specific brain mechanisms to drug addiction. Two different types of brain responses

to drug addiction have been proposed for: 1) neural adaptations, which includes

homeostatic response to excessive stimulation; and 2) synaptic plasticity, which

associates drug related stimuli with specific learned behavior (Berke' & Hyman,

2000).

Behavioral Sensitization

Initially, repeated drug use produces withdrawal effects, such as craving in humans. In turn, addiction is observed, which is represented by the. compulsive drug seeking behaviors (Robinson & Berridge, 1993; Robinson & Becker, 1986).

However, it is difficult to experimentally study the neural and behavioral mechanism

of drug addiction in humans. Therefore, many researchers have developed animal models to study the different aspects of the drug addiction process. Behavioral sensitization is one of the most frequently observed behavioral effects with the repeated administration of psychostimulant drugs in animals (Kalivas & Stewart,

1991 ). Behavioral sensitization refers to "the finding that animals given several drug

2 injections spaced out at intervals of a day or more tend to show sensitized locomotor

activity and stereotypy, progressively increasing with each injection" (Goldstein,

1994). Due to the similarities between the drug addiction in humans and the

behavioral sensitization in animals, behavioral sensitization has become a widely

used model to study the mechanisms of drug addiction, particularly craving

(Robinson & Berridge, 1993).

Dopamine Receptor and Behavioral Sensitization

Dopamine is crucial to a wide variety of behaviors and functions, which

include the behavioral changes from sensitization to addiction, from movement to

emotion, and development to plasticity (Joyce, 2001). "In part, this diversity reflects

multiplicity of the organization and types of dopamine receptors, the neurons that

express those receptors, and their source of dopamine innervations" (Joyce, 2001).

Thus, dopamine receptors receive a lot of attention in drug abuse research.

There are at least five types of dopamine receptors in the vertebrate CNS, and

these fall into two classes: DI-type (DI and D5) and D2-type (D2, D3 and D4).

Dopamine DI-type receptors are localized on the membrane of postsynaptic neurons, while the D2-type receptors are found on the membrane of both pre and post synaptic neurons. Early research suggested that stimulation of dopamine receptors was crucial to the development of behavioral sensitization, particularly the repeated stimulation of DI-type receptors (Henry & White, 1991). For example, concurrent treatment with selective DI-type (SCH 23390), but not D2-type (Sulpride), dopamine antagonists prevents the development of behavioral sensitization to the direct ,

3 (Mattingly, Rowlett, Graff & Hatton, 1991) and the indirect agonist,

amphetamine (Stewart & Vezina, 1989; Drew & Glick, 1990). In.addition, animals

repeatedly treated with the selective DI-type dopamine agonist, SKF 38393,

subsequently show a sensitized locomotor response to apomorphine (Mattingly,

Rowlett & Lovell, 1993). These and other similar findings led to the view that the

development of behavioral sensitization to different drugs was mediated by a

commpn neurochemical mechanism, especially stimulation of dopamine DI receptors

(White, Joshi, Koeltzow & Hu, 1998). However, recent studies with cocaine have

questioned this assumption. For example, concurrent treatment with the DI receptor

antagonist, SCH 23390, has consistently failed to prevent the development of the

cocaine-induced behavioral sensitization (Mattingly, Hart, Lim & Perkins, 1994;

Mattingly et al., 1996; White et al., 1998). Moreover, neither the D2 receptor

antagonist ( ) nor concurrent treatment with both DI and D2 receptor

antagonists (SCH 23390 + eticlopride) prevent the development of behavioral

sensitization to cocaine (White et al., 1998). Thus, treatments with DI-type, D2-type

or a combination ofDI- and D2-type antagonists failed to prevent the development of behavioral sensitization to cocaine. These findings suggest that the development of behavioral sensitization to different drugs, such as cocaine, amphetamine, or apomorphine, may be mediated by different neurochemical mechanisms.

4 Dopamine D3 receptors and Behavioral Sensitization

. As mentioned previously, three individual dopamine receptors (D2, D3 and

D4) have been classified as D2-type receptors (Berke & Hyman, 2000). Recent

research suggests that these subtypes are differentially expressed in the regions of

human brain, providing a rationale for how they could mediate different actions of

dopamine (see Berke & Hyman, 2000, for review). For example, D3 receptors, in

contrast to D 1 and D2 dopamine receptors, have a restricted pattern of expression in

the nucleus accumbens, which appears to be a critical structure in the control of

motivation and the effects of drug-conditioned cues (Bouthenet, Souil, Martres,

Sokoloff, Giros & Schwartz, 1991 ). Because of this unique distribution, dopamine D3

receptors have been proposed to play a major role in various neuropsychiatric and

neurological disorders (Joyce, 2001).

Recently, it has been hypothesized that the development of behavioral

sensitization to psychostimulant drugs may be related to the differential down­

regulation of dopamine D3 receptors compared to D 1/D2 receptors (Richtand, Logue,

Welge, Perdiue, Tubbs, Spitzer, Sethuraman & Geracioti, 2000). This hypothesis is

based upon several converging lines of evidence. First, considerable evidence exists

which suggests that dopamine D 1/D2 and dopamine D3 receptors play opposing roles

in the regulation oflocomotor behavior. Specifically, the selective stimulation of

dopamine D 1/D2 receptors results in the stimulation oflocomotor activity in rodents, whereas the selective stimulation of dopamine D3 receptors inhibit locomotor activity

(Ekman, Nissbrandt, Heilig, Dijkstra & Erikson, 1998; Sautel, Griffon, Sokoloff,

5 Schwartz, Launay, Simon, Costentin, Schoenfelder, Garrido & Mann, 1995). Thus,

the level of locomotor activity is dependent upon the relative levels of stimulation of

D l/D2 vs. D3 receptors. Second, a great deal of evidence suggests that repeated

stimulation ofreceptors results in a homeos!atic down-regulation in proportion to the

degree of overstimulation (Richtand, Woods, Berger & Strakowski, 200 I). Since

dopamine has been reported to have a 70-fold g_reater affinity for D3 receptors

compared to D 1/D2 receptors (Sololoff, Martres, Giros, Bouthenet & Schwartz,

1992), it has been hypothesized that D3 receptors should undergo greater down­

regulation than D 1/D2 receptors with repeated psychostimulant treatments (Richtand

et al., 2000). Thus, the progressive increase in locomotor activity (i.e., sensitization)

observed with repeated psychostimulant administration might be due to a progressive

decrease in DJ-mediated behavioral inhibition (i.e., disinhibition) resulting from D3

receptor tolerance or down-regulation (Richtand et al., 2000). Consistent with this

hypothesis, Richtand et al. (2000) reported that concurrent treatment with the

selective dopamine D3 receptor antagonist, nafadotride, along with amphetamine

blocked the development of behavioral sensitization to amphetamine. Presumably,

nafadotride blocked the development of amphetamine-induced behavioral

sensitization by preventing the down-regulation of D3 receptors. In addition,

Mattingly, Fields, Langfels, Rowlett, Robinet and Bardo (1996) found that co­

administration of cocaine and the dopamine D3 receptor agonist, 7-OH-DPAT

acutely attenuated cocaine-induced increases in motor behavior but enhanced the development of behavioral sensitization to cocaine. Based upon the above hypothesis,

6 this could be attributed to a 7-OH-DPAT-induced enhancement ofD3 receptor down­

regulation or tolerance.

Although Richtand et al. (2000) present a persuasive argument for a role of

dopamine D3 receptors in the development of behavioral sensitization, a number of

findings.are inconsistent with their hypothesis. For example, the number of binding

sites for D3 receptors has been reported to· be significantly elevated, rather than

diminished, in cocaine-overdose victims (Staley & Mash, 1996). Furthermore, the

locomotor inhibitory effect ofa low dose of the selective D3 agonist PD128, 927 was

unaffected by prior sensitization to cocaine (Prinssen, Koek and Kleven 1998). In

addition, concurrent treatment with the selective dopamine D3 receptor antagonist

U99194A and cocaine does not affect the development of behavioral sensitization to

cocaine (Mattingly, Caudill, Abel, Sutherland, & Dong, 2000). Finally, repeated

treatment with the selective dopamine D3 receptor agonist 7-OH-DPAT does not

produce sensitization or cross-sensitization to cocaine or apmorphine (Mattingly et

al., 1996). Thus, the involvement of dopamine D3 receptors in the development of

behavioral sensitization to psychostimulant drugs remains unclear.

Purpose of Current Experiment

As noted previously, it has been reported that concurrent treatment with the

putatively selective dopamine D3 receptor antagonist nafadotride blocks the develqpment of behavioral sensitization to amphetamine (Richtand et al., 2000). The purpose of the present study, therefore, was to determine whether nafadotride

7 treatment would also block the development of behavioral sensitization to cocaine.

Consequently, groups ofrats were treated daily with cocaine or saline combined with either saline or nafadotride, and tested for activity. Following the chronic treatment and a withdrawal interval, all rats were tested for activity after a challenge injection of cocaine. If the dopamine D3 receptors stimulation is crucial the development of behavioral sensitization.to cocaine, then concurrent nafadotride treatment should block this effect.

8 Chapter 2

Method

Subjects

Thirty-one male Wistar albino rats (Harlan, Spraque Dawley, Indianapolis,

IN) weighing between 250-300g at the beginning ofthe experiment, served as

subjects. The rats were housed individually in standard wire-mesh cages in a colony

room, which was temperature-controlled, and maintained on a 12-hour light dark

cycle. All behavioral tests were conducted during the light cycle. Food and water

were available continuously.

Apparatus

Behavioral activity was measured in four open field chambers (see Figure 1, ' . Med Associates model OFA-163), and each chamber was located in an individual sound attenuated experimental cubicle. Each chamber was equipped with a 16 X 16 array of photocell beams and detectors that were 2.5cm above the floor respectively.

Another set of eight photocell beams and detectors were mounted 16 cm above the floor to measure rearing behavior. Signals from each individual photocell array were delivered to a Gateway-2000 computer with Med-Associate software placed in an adjacent room. Distance traveled (cm), number ofrears, and stereotypic counts

(small movements) were recorded at 10 min intervals.

9 Figure 1: Med-Associates locomotor activity testing chamber

Drug

Nafadotride was generously provided by Dr. Pierre Sokoloff (INSERM, Paris,

France) and was dissolved in 0.9% saline. Nafadotride concentration was described as free base. Cocaine hydrochloride was also dissolved in 0.9% saline. Cocaine concentration was described as chlorinate salt. All injections were I. P. in a final volume of 1 ml/kg. 0.9% saline was used as vehicle injection.

Design and Procedure

This experiment was a 2 (cocaine dose: 0 or 15 mg/kg) X 2 (nafadotride dose:

0 or 0.1 mg/kg) factorial design (see Table 1).

Table 1 Experimental Design Cocaine (I. P.) Vehicle Nafadotride Nafadotride (I.Pl Vehicle N = 7 N=B Cocaine N=B N=B

10 The experiment was conducted in four phases: the habituation phase, the drug

treatment phase, the conditioning test phase, and the cocaine challenge test.

The habituation phase lasted two days. Each animal received a saline

injection and 5 minutes later was placed in the activity chamber for 40 minutes. . . Animals were immediately returned to the home cages after the behavioral test. Based I on the distance traveled on day 2, the animals were assigned into the four drug I

treatment groups: vehicle (saline), cocaine (15mg/kg), nafadotride (0.lmg/kg), and

cocaine (15mg/kg) + nafadotride (0.lmg/kg).

The drug treatment phase was conducted from Day 3 to Day 6. The procedure

for this phase was the same as the habituation phase, except that the animals were

injected with the assigned drugs 5 minutes prior to behavioral testing.

th The conditioning tests were conducted on the ?1h and s day. The procedure

was the same as the habituation phase in that all the animals were injected with saline

before activity testing.

The cocaine challenge test was conducted on Day 9. All subjects were

injected with cocaine (15mg/kg). Five minutes after the injection, all the subjects

were placed into the activity chambers.

Data analysis

Significant differences among the groups in mean distance traveled, the i i number of rears, and stereotypic counts during the habituation, drug treatment, i conditioning phase, and the cocaine challenge day were analyzed using 2 X 2 multi I I factorial analyses of variance (ANOVA). Drug treatment conditions were used as the

11 between factors; days and blocks of 10 min within each day were used as the within factors. Significant interactions were analyzed with additional ANOVAs performed on individual session and/or block data, followed by Newman-Keuls tests.

12 Chapter3

RESULT

Habituation Phase: Day 1 and 2

Mean Distance Traveled

The mean distance traveled across blocks of ten minutes on the two habituation days for the four drug treatment groups is shown in Figure 2. A summary of the ANOVA performed on these data is displayed in Table 2 (Appendix A). As may be seen in Figure 2, the animals assigned to the four drug treatment conditions did not differ in distance traveled following the saline injection on Day 1 and 2. The

ANO VA performed on these data revealed no significant drug effects (nafadotride effect: F < 1.00, and cocaine effect: F < 1.00; Nafadotride X Cocaine interaction effect: F < 1.00). In addition, all the subjects tended to show declines in distance traveled across days (day effect: F (1, 27) = 3.88, p = 0.06). As expected, there was a significant decrease in mean distance traveled across blocks and days on some blocks

((block effect: F (3, 27) = 275.07, p < 0.001; Day X Block interaction effect: F (3, 27)

= 4.06, p < 0.05).

The mean number of rears for each of the four drug treatment groups across the four 10 min blocks of Day 1 and 2 is presented in Figure 3. A summary of the

ANOVA performed on both days is presented in Table 3 (Appendix A). As may be seen in Figure 3, the groups assigned to the four drug treatment conditions did not

13 HABITUATION SESSIONS

-O·VEH-VEH ---VEH-COC C w -O·NAF-VEH ..J w --e-- NAF-COC 1000

~1- w (J ~ I- 500 SQ C

w~ :5

01'------''------'------'--~---' 1 2 BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 2. Mean distance traveled (+ SEM) across blocks of 10 min on Day 1 and 2 for rats treated 5 min before each session with saline (VEH) injection. HABITUATION SESSIONS 100 -O·VEH-VEH -a-VEH-COC -O·NAF-VEH 75 ....,.NAF-COC U) 0:: <( w 0:: 50 _. z CJ1 <( w \ \ \,_ \ ' ~ \ 25

1 2 BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 3. Mean number of rears (+ SEM) across blocks of 1 O min on Day 1 and 2 for rats treated 5 min before each session with saline (VEH) injection. differ during these two sessions (nafadotride effect: F (1, 27) = 2.35, p > 0.05;

cocaine effect: F < 1.00; Nafadotride X Cocaine interaction effect: F < 1.00).

Overall, there was a significant decline in the mean number ofrears across blocks and

days for some blocks (day effect: F (I, 27) = 21.22, p < 0.0001; block effect: F (3, 27)

= 215.03, p < 0.0001; Day X Block interaction effect: F (3, 27) = 6.4, p < 0.01).

Stereotypic Counts

The mean stereotypic counts for each of the four drug treatment groups across

the four 10 min blocks of Day 1 and 2 are presented in Figure 4. A summary of the

ANOV A performed on these two days is presented in Table 4 (Appendix A). As may be seen in Figure 4, the four groups did not show significant difference in stereotypic

counts (nafadotride effect: F < 1.00; cocaine effect: F < 1.00; Nafadotride X Cocaine interaction effect: F < 1.00). In addition, there were declines in stereotypic counts across days and blocks within each day (day effect: F (1, 27) = 9.90, p < 0.05; block effect F (3, 27) = 189.35, p < 0.0001). As expected, there was no significant difference in the stereotypic counts among these four groups before the drug treatment phase.

Drug Treatment Phase: Day 3 to Day 6

Mean Distance Traveled

Figure 5 displays the mean distance traveled (in cm) for the four drug treatment groups on Day 3, 4, 5 and 6. A summary of the ANOVA performed on these four days is presented in Table 5 (Appendix A). As may be seen in Figure 5, cocaine injection (15mg/kg) acutely stimulated locomotor activity as represented by

16 HABITUATION SESSIONS 2500 -D·VEi-1-VEH (I) 1-z ---VEH~COC ::, 2000 -O·NAF-VEH 0 (.) -+-NAF-C0C ~ C.. 1500 1->- ..... 0 ---1 w 0:: 1000 w I- m

500 ::iw ~

1 2 BLOCKS OF'10 MIN WITHIN EACH DAY

Figure 4. Mean number of stereotypic counts (+ SEM) across blocks of 10 min on Day 1 and 2 for rats treated 5 min before each session with saline (VEH) injection. DRUG TREATMENT SESSIONS

-0-· NAF-VEH :E -DVEH-VEH (.) -a-VEH-COC ..,.NAF-COC c 2500 w ...J w ~ 2000 0:: I- ~ 1500

!en 1000 C w~ 500 :E

3 4 5 6

BLOCKS OF 10 MIN WITHIN EACH DAY Figure 5. Mean distance traveled (± SEM) across of 10 min on Day 3, 4, 5 and 6 for rats treated 5 min before test session with saline (VEH), 15 mg/kg cocaine (COC), 0.1 mg/kg nafadotride (NAF) or 15 mg/kg COC + 0.1 mg/kg NAF injections. distance traveled (cocaine effect: F (1, 27) = 126.76, p < 0.0001). More important,

the animals injected with cocaine tended to show increasing activities across days

(Cocaine X Day interaction effect: F (3, 81) = 2.57, p = 0.06). Based on Newman­

Keuls"tests (p < 0.05), the subjects treated with cocaine produced a progressive

increase in distance traveled (i.e., sensitization), while the vehicle groups maintained

the same level of distance traveled. Although all drug treatments decreased distance

traveled across blocks within each day, and this decrease was greater for the animals

treated with cocaine (block effect: F (3, 27) = 201.91, p < 0.0001; Cocaine X Block

interaction effect: F (3, 81) = 23.22, p < 0.0001). In contrast, repeated treatment with

nafadotride did not significantly affect activity across either the days or blocks within

each day (nafadotride effect: F < 1.00; Nafadotride X Day interaction effect: F <

1.00; Nafadotride X Block interaction effect: F < 1.00). More important, nafadotride

did not significantly affect cocaine-induced changes in distance traveled (Cocaine X

Nafadotride interaction effect: F < 1.00).

Rears

Figure 6 shows the mean number ofrears for the four drug treatment groups on Day 3, 4, 5, and 6. A summary of the ANOVA performed on the four days is presented in Table 6 (Appendix A). As may be seen in Figure 6, there was an acute stimulation of the number of rears in the cocaine treatment groups, while injection with nafadotride did not significantly affect rearing behavior (cocaine effect: F (!, 27)

= 19.13, p < 0.01; nafadotride effect: F < 1.00). Further, the stimulating effects of cocaine on rearing tended to increase across days (Cocaine X Day interaction effect:

19 DRUG TREATMENT SESSIONS 120 -D-VEH-VEH -0-· NAF-VEH -a-VEH-COC -+-NAF-COC 100

. 0::en 80 <( .w ·. 0:: z 60 . <( w I\) 0 ::!: 40

20

0 3 4 5 6

BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 6. Mean rears (± SEM) across of 10 min on Day 3, 4, 5 and 6 for rats treated 5 min before test session with saline (VEH), 15 mg/kg cocaine (COC), 0.1 mg/kg nafadotride (NAF) or 15 mg/kg COC + 0.1 mg/kg NAF injections. F (3, 81) = 2.60, p < 0.06). Indeed, analysis of this interaction with Newman-Keuls

tests (p<0.05) indicated that the cocaine treatment groups increased rearing from Day

3 to Day 5. Repeated treatment with nafadotride did not significantly affect the

number ofrears across either days or blocks within each day (Nafadotride X Day

interaction effect: F (3, 81) = 1.21, p > 0.05; Nafadotride X Block interaction effect: F

< 1.00). More important, nafadotride did not significantly affect cocaine-induced

changes in the number ofrears (Cocaine X Nafadotride interaction effect: F < 1.00).

Although the mean numbers ofrears overall did not significantly change across days,

there was a decline in the number of rears across blocks within each day ( day effect:

F (3, 81) = 1.83, p > 0.05; block effect: F (3, 81) = 66.69, p < 0.0001).

Stereotypic counts

Figure 7 presents the stereotypic counts for the four drug treatment groups

from Day 3 to 6. A summary of the ANOVA performed on these four days is

presented in Table 7 (Appendix A). As may be seen in Figure 7, the treatment with

cocaine acutely stimulated stereotypic counts, while the injection with nafadotride did not display this effect (cocaine effect: F (1, 28) = 295.10, p < 0.0001; nafadotride effect: F< 1.00). Further, ANOVA analysis revealed a significant interaction effect between the cocaine and day (Cocaine X Day interaction effect: F (3, 81) = 2.88, p <

0.05). This interaction, however, was due to the decline in stereotypes counts for the vehicle rats across days (Newman-Keuls, p < 0.05), rather than to an increase in stereotypic counts for the cocaine rats (Newman-Keuls, p > 0.05). In addition, there was a decline in the stereotypic counts for the subjects across the four blocks within

21 DRUG TREATMENT SESSIONS

·D.YEH-VEH ·O-·NAF-VEH en ---VEH-COC -+-NAF-COC !z 2500 :::, 0 (.J u 2000 a: >- b 1500 w 0:: w ti 1000 z <( w 500 :E

3 4 5 6

BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 7. Mean stereotypic counts (± SEM) across blocks of 10 min on Day 3, 4, 5 and 6 for rats treated 5 min before test session with saline (VEH), 15 mg/kg cocaine (COG), 0.1 mg/kg nafadotride (NAF) or 15 mg/kg COG + 0.1 mg/kg NAF injections. each day, and this decrease was smaller for rats treated with cocaine (block effect: F

(3, 81}= 156.75, p < 0.0001; Cocaine X Block interaction effect: F (3, 81) = 22.93, P

< 0.0001 ). In contrast, repeated treatment with nafadotride did not significantly affect

stereotypic counts across either days or blocks within each day (Nafadotride X Day

interaction effect: F < 1.00, Nafadotride X Block interaction effect: F < 1.00). More

important, concurrent treatment of nafadotride and cocaine did not significantly affect

the cocaine-induced stereotypic counts of the animals (Cocaine X Nafadotride

interaction effect: F (1, 27) = 1.22, p > 0.05).

Conditioning Test Phase: Day 7 and 8

Mean Distance Traveled

The mean distance traveled for each of the four drug treatment groups across

the four 10 min blocks of Day 7 and 8 is presented in Figure 8. A summary of the

ANOVA performed on both two days is presented in Table 8 (Appendix A). As may

be seen in Figure 8, rats previously treated with cocaine were significantly more

active after the saline injection, compared to rats not previously exposed to cocaine

(cocaine effect: F (1, 27) = 33.15, p < 0.0001). As expected, this cocaine pre­ exposure effect was greatest during the first ten minutes of each session (Cocaine X

Block effect: F (3, 81) = 10.23, p < 0.0001), and greater overall on the first session than on the second conditioning test session (Cocaine X Day interaction effect: F (1,

27) = 36.35, p < 0.0001). Overall, nafadotride pretreatment did not significantly affect activity (nafadotride effect: F (1, 27) = 1.96, p > 0.05), but rats previously injected with nafadotride were more active than control rats on the first day (Nafadotride X

23 CONDITIONING TEST SESSIONS 1500 ~ (.) -D·VEH-VEH -C 1250 ---vEH-COC w ...I -O·NAF-VEH w ! 1000 ...... NAF-COC I- w (.) 750 z <( ~ I- 500 ~ ,, C \ ' ,, l\ ' ~- z \ ' \,\ <( \\~ \ w 250 :i!: \'b ,,,,. ,:a ----- ...... __ ',',, ~- 0 ------7 8

BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 8. Mean distance traveled (± SEM) across blocks of 1O min on Day 7 and 8 for rats treated 5 min before each session with saline (VEH) injection. Day interaction effect: F (1, 27) = 5.45, p < 0.05). More important, concurrent

pretreatment with nafadotride did not block the development of cocaine-induced

conditioned hyperactivity (Cocaine X Nafadotride interaction effect: F (1, 27) = 1.12,

p > 0.05).

The number of rears for each of the four drug treatment groups across the four

10 min blocks on Day 7 and 8 is presented in Figure 9. A summary of the ANOVA

performed on these data is presented in Table 9 (Appendix A). As may be seen in

Figure 9, the groups previously treated with cocaine displayed significantly higher

number ofrears, suggesting a cocaine conditioning effect (cocaine effect: F (I, 27) =

20.02, p < 0.001). In contrast, the groups with previous nafadotride treatment did not

show significant change in the number ofrears (nafadotride effect: F (1, 27) = 1.43, p

> 0.05). The animals tended to show declines in the number of rears across the four

blocks within each day, and the animals previously treated with cocaine displayed a

greater a decrease (block effect: F (3, 27) = 114.61, p < 0.0001; Cocaine X Block

interaction effect: F (3, 81) = 6.39, p < 0.001). However, the subjects did not display

significant changes in the number of rears across days (day effect, F < 1.00).

Furthermore, previous repeated treatment with nafadotride did not significantly affect

the cocaine-induced changes in the number of rears (Cocaine X Nafadotride effect: F

< 1.00).

25 CONDITIONING TEST SESSIONS 100,-----r---,------.----,------, -□ ·VEH-VEH ... VEH-COC 80 -o•NAF-VEH ~ ...... NAF-COC <( w 60. 0:: z N O'l ~ 40 :l:: 20

7 8 BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 9. Mean rears (± SEM) across blocks of 10 min on Day 7 and 8 for rats treated 5 min before each session with saline (VEH) injection. Stereotypic Counts

The mean stereotypic counts for each of the four drug treatment groups across these two days and four 10 min blocks within each day are presented in Figure 10. A summary of the ANOVA performed on both days is presented in Table 10 (Appendix

A). As may be seen in Figure 10, rats previously treated with cocaine displayed significantly greater stereotypic counts across both conditioning test days ( cocaine

effect: F (I, 27) = 55.42, p< 0.0001). As expected, this increased stereotypy decreased

across both days and blocks within sessions (Cocaine X Day X Block interaction effect, F (3, 81) = 3.40, p < 0.05). Interestingly, nafadotride pretreatment also

enhanced stereotypic counts (nafadotride effect: F (1, 27) = 3.98, p > 0.05), but only

on the first test session (Nafadotride X Day interaction effect: F (1, 27) =4.54, p <

0.05). Concurrent pretreatment with nafadotride and cocaine, however, did not affect the enhanced stereotypic response, compared to cocaine pretreatment alone

(Nafadotride X Cocaine interaction effect: F < 1.00).

Cocaine Challenge test: Day 9

Mean Distance Traveled

Figure 11 displays the mean distance traveled for the four pretreatment groups

after the cocaine challenge injection. A summary of the ANOVA performed on this

data is presented in Table 11 (Appendix A). Overall, as may be seen in the left panel, rats previously treated with cocaine were significantly more active following the

cocaine challenge injection than rats receiving cocaine for the first time, clearly

27 CONDITIONING TEST SESSIONS 2500.-----.--.-----.--.-----, u, -O·VEH-VEH l- -a-VEH-COC 2000 g -O·NAF-VEH (.) ~ -+-NAF-COC g:: 1500

!3w ~ I\) CXl w 1000 1- u,

w~ 500 ~

7 8 BLOCKS OF 10 MIN WITHIN EACH DAY

Figure 10. Mean stereotypic counts (± SEM) across blocks of 10 min on Day 7 and 8 for rats treated 5 min before each session with saline (VEH) injection. COCAINE CHALLENGE TEST 10000~------~ -O·VEH-VEH ---VEH-COC C -O·NAF-VEH ~ 7500 3000 w -+-NAF-COC

1-~ w 5000 2000 u ~ l'8 I­ SQ C 2500 1000

w~ ~

10 20 30 40 CHALLENGE DAY BLOCKS OF 10 MIN

Figure 11. Mean distance traveled (+ SEM) after a cocaine challenge injection (day 9) for the animals previously treated either saline (VEH) or 15mg/kg Cocaine (COG) in combination with either saline (VEH) or 0.1 mg/kg Nafadotride (NAF). The left panel represents the total day activity and the right panel presents the same data as a function of four 1O min blocks within the day. indicating the development of behavioral sensitization to cocaine ( cocaine effect: F

(1, 27) = 15.30, p < 0.00 I). Overall, nafadotride pretreatment did not significantly

affect responsiveness to the cocaine challenge injection (nafadotride effect: F (1, 27)

= 2.94, P > 0.05). However, as may be seen in the right panel of Figure 11,

nafadotride pretreated rats were more active than vehicle pretreated rats on the early

blocks of the test session (Nafadotride X Block interaction effect: F (3, 81) = 2.97, p

< 0.05). Indeed, Newman-Keuls analysis of this interaction indicated that nafadotride

pretreated rats were significantly more active than vehicle rats on the first three

blocks of this session (P < 0.05 in each case). Similarly, the effect of cocaine

pretreatment declined across blocks (Cocaine X Block interaction effect: F (3, 81) =

5.53, p < 0.01). Although rats pretreated with both cocaine and nafadotride displayed

the greatest responsiveness to the cocaine challenge injection, nafadotride did not

significantly enhance cocaine-induced sensitization (Nafadotride X Cocaine

interaction effect: F < 1.00; Nafadotride X Cocaine X Block interaction effect, F (3,

81) = 1.36, p > 0.05). It is clear from these results that concurrent pretreatment with

nafadotride did not block the development of behavioral sensitization to cocaine as

measured by horizontal locomotor activity.

Rears

Figure 12 displays the mean numbers ofrears for the four pretreatment groups

after the cocaine challenge injection. A summary of the ANOVA performed on this

data is presented in Table 12 (Appendix A). Overall, the animals treated previously with cocaine displayed an increase in subsequent behavioral sensitivity to cocaine on

30 COCAINE CHALLENGE TEST 400~------~ -□ ·VEH-VEH -e-VEH-COC 320 100 -O·NAF-VEH -+-NAF-C0C Cl) 0:: <( 240 75 w 0:: z <( t,)__,_ w 160 50 :e:

25

10 20 30 40 CHALLENGE DAY BLOCK OF 10 MIN

Figure 12. Mean rears(+ SEM) after a cocaine challenge injection (day 9) for the animals previously treated either saline (VEH) or 15mg/kg Cocaine (C0C) in combination with either saline (VEH) or 0.1 mg/kg Nafadotride (NAF). The left panel represents the total day activity and the right panel presents the same data as a function of four 1O min blocks within the day. the challenge day, while prior treatment with nafadotride did not significantly affect rearing behavior (cocaine effect: F (1, 27) = 4.16, p < 0.06; nafadotride effect: F <

1.00) .. As shown on the right panel, there tended to be declines in the number of rears among all the subjects across blocks (block effect, F (3, 27) = 27.47, p < 0.0001).

More important, the concurrent treatments of nafadotride and cocaine did not block the development of sensitization to cocaine (Nafadotride X Cocaine interaction effect:

F< 1.00).

Stereotypic Counts

Figure 13 displays the mean stereotypic for the four pretreatment groups after the cocaine challenge injection. A summary of the ANOVA performed on this data is presented in Table 13 (Appendix A). Overall, as may be seen in the left panel, prior treatment with cocaine also produced a significant increase in subsequent stereotypic counts, which was the proof of the behavioral sensitization to cocaine ( cocaine effect:

F (1, 27) = 4.31, p < 0.05). In addition, prior treatment with nafadotride also tended to increase cocaine-induced stereotypy (nafadotride effect: F (1, 27) = 4.13, P <

0.06). As shown on the right panel, each group tended to show a decrease in the stereotypic counts across blocks (block effect, F (3, 27) = 41.65, p < 0.0001 ). More important, concurrent treatments ofnafadotride and cocaine did not significantly block cocaine-induced sensitization of stereotypy (Nafadotride X Cocaine interaction effect: F < 1.00).

32 COCAINE CHALLENGE TEST 12000~------~ 4000,------,---,------,---,-----, en -O·VEH-VEH I- -a-VEH-COC ~ 9600 -O·NAF-VEH 0 3000 (.) -+-NAF-COC ~ a. 7200 1->- 0 2000 w w w 0:: 4800 w I­ t/) 1000 2400 ~w :!!:

10 20 30 40 CHALLENGE DAY BLOCK OF 10 MIN Figure 13. Mean stereotypic counts ( + SEM) after a cocaine challenge injection (day 9) for the animals previously treated either saline (VEH) or 15mg/kg Cocaine (COC) in combination with either saline (VEH) or 0.1 mg/kg Nafadotride (NAF). The left panel represents the total day activity and the right panel presents the same data as a function of four 1O min blocks within the day. Chapter4

Discussion

The current results clearly indicate that repeated exposure to cocaine results in

the development of behavioral sensitization. During the pretreatment sessions,

cocaine produced a progressive increase in distanced traveled and rearing, but not

stereotypic movements, compared to a steady decline in locomotor behaviors across

days for rats treated with only saline. Similarly, the subsequent challenge injection of

cocaine, after a two-day withdrawal interval, produced a significantly greater increase

in horizontal locomotor activity and rearing in rats previously treated with cocaine

compared to rats receiving cocaine for the first time. These results are consistent with

previous studies conducted in our laboratory (Mattingly et al., 1994; 1996) and others

(e.g., Kalivas, Duffy, DuMars & Skinner, 1988), suggesting that the development of

behavioral sensitization is a reliable and robust phenomenon.

In contrast to cocaine, the acute administration of the putative selective

dopamine D3 receptor antagonist, nafadotride, did not significantly affect any of the three measures of activity during the four pretreatment sessions. As noted previously, a great deal of evidence suggests that dopamine D3 receptors are inhibitory with respect to the generation oflocomotor behavior (Richtand, et al., 200 l ). Consistent with this view, a number of studies have reported that stimulation of dopamine D3 receptors with selective agonists such as 7-OH-DPAT (Mattingly et al., 1996) or PD

128, 907 (Prinssen et al., 1998), produced a significant suppression oflocomotor

34 activity. Based on these data, it would be predicted that selective antagonism of inhibitory dopamine D3 receptors with nafadotride should result in a significant increase in activity. However, this was not the case in the current experiment. In contrast to the lack oflocomotor effects with nafadotride, it has been reported that the putative selective dopamine D3 receptor antagonist U99194A does acutely increase locomotor activity (Kling-Petersen, Ljung & Svensson, 1995; Waters, Svensson,

Haadsma-Svensson, Smith & Carlsson, 1993; Mattingly et al., 2000). At present, the nature of this discrepancy is unclear. Although this conflict could be due to the different selective antagonists (i.e., nafadotride vs U99194A) used, it also could be due to the number of methodological differences among the studies reporting conflicting results. The current study used a dose of nafadotride slightly above that reported to block the development of behavioral sensitization to amphetamine

(Richtand et al., 2000). Unfortunately, in that study the effect of nafadotride alone on locomotor activity was not determined. It should be noted however, that although nafadotride did not enhance activity in the current study, unlike dopamine D2 receptor antagonist such as and eticlopride (Mattingly, Rowlett, Ellison &

Rase, 1996; White et al., 1998), nafadotride did not decrease activity, either. The lack of a nafadotride-induced decrease in activity is consistent with the view that the functional properties of dopamine D3 receptors differ significantly from dopamine

D2 receptors (See Ekman et al., 1998; Sautel et al., 1995 for review).

Consistent with the lack of effect of nafadotride alone, the concurrent treatment of nafadotride with cocaine during the pretreatment sessions did not

35 significantly affect the level of cocaine-induced activity either acutely or across sessions. Again, based upon the hypothesis that dopamine D3 receptors are inhibitory with respect to locomotor behavior, it was expected that nafadotride administered with cocaine should have increased the stimulating effects of cocaine. However, this was not the case. Further, this finding is inconsistent with the previous finding in this lab that the selective dopamine D3 agonist, 7-OH-DPAT, attenuates the acute effects of cocaine (Mattingly et al., 1996). Likewise, it has been reported that co­ administration of the dopamine D3 antagonist U99194A with amphetamine enhances the locomotor-stimulating effects of amphetamine (Kling-Petersen et al. , 1995). It is, of course, possible that the dose of nafadotride used in the current study was too low to significantly affect activity alone or to affect cocaine-induced activity.

However, a lower dose than used in the present study was reported to block the development of sensitization to amphetamine (Richland et al., 200 t ), and the dose used in the current study was the highest possible to maintain selectivity for D3 receptors (Levant & Vansell, 1997). Doses greater that 0.10 mg/kg have been reported to have significant effects on dopamine D2-type receptors (Levant &

Vansell, 1997).

During the two drug withdrawal days, rats previously treated with cocaine were hyperactive, compared to saline control rats, when placed into the activity test chambers without cocaine. Indeed, cocaine pretreated rats displayed significantly greater levels of all three measures of locomotor behavior (distanced traveled, rearing, and stereotypy) after the saline injections compared to control rats. This

36 finding is consistent with previous research with cocaine and other psychostimulants

(e.g., Carey, Damianopoulos & DePalma, 1999), and has usµally been interpreted

within the context of classical conditioning (Le Foll, Frances, Diaz & Schwartz,

2002). In this model, it is assumed that_ cocaine serves as an unconditioned stimulus

(UCS) that elicits an unconditioned response (UCR) of hyperactivity. With repeated

cocaine treatments, the activity test environment becomes a conditioned stimulus

(CS), which can then elicit a conditioned response (CR) of hyperactivity in the

absence of cocaine. Although the current results are consistent with this

interpretation, alternative explanations cannot be eliminated with the current design

(see, Carey et al., 1999, for review). For example, in the current study, rats previously

treated with nafadotride displayed a significant increase in distanced traveled and

stereotypy counts, after the saline injections during the conditioning test. It is hard to

argue that this nafadotride-induced increased activity response is due to classical

conditioning since nafadotride did not affect activity during the pretreatment sessions.

As discussed previously, rats previously treated with cocaine displayed

significantly greater horizontal activity (distance traveled), vertical activity (rears),

and stereotypic small movements after the cocaine challenge injection than rats

receiving cocaine for the first time. In contrast, prior treatments with nafadotride

alone did not significantly affect subsequent sensitivity to cocaine as measured by either distance traveled or rearing. Nafadotride pretreatments did, however, result in a slightly enhanced increase in cocaine-induced stereotypy counts during the cocaine challenge test. As previously mentioned, rats previously treated with nafadotride

37 alone also displayed an increase in stereotypy counts after saline injections during the

withdrawal interval. Neither of these effects was expected, and at present, the

mechanism responsible for these effects is not clear.

During the pretreatment sessions, concurrent treatments with nafadotride and

cocaine did not attenuate or block the progressive increases observed in cocaine­

induced locomotor activity over the four pretreatment days. This finding suggests that

nafadotride did not block the development of behavioral sensitization to cocaine. The

results of the cocaine challenge test confirm this interpretation. That is, rats treated

with nafadotride and cocaine during the pretreatment sessions did not significantly

differ from rats previously treated with only cocaine on any measure oflocomotor

behavior during the cocaine challenge test. In fact, rats pretreated with both

nafadotride and cocaine displayed greater (but not significantly) distance traveled

after the cocaine challenge injection than rats previously treated with cocaine alone.

These findings clearly indicate that nafadotride did not block the development of

behavioral sensitization to cocaine.

The present study was designed to test the hypothesis that repeated dopamine

D3 receptor stimulation is a critical factor mediating the development of behavioral

sensitization to psychostimulant drugs (Richtand et al., 2001 ). Assuming that nafadotride effectively blocked dopamine D3 receptors in the current study, the present results are clearly inconsistent with this hypothesis. These results contrast with a recent study that reported that the co-administration of nafadotride with amphetamine blocked the development of behavioral sensitization to amphetamine

38 (Richtand et al., 2001 ). Although the discrepant findings between the current

experiment using cocaine compared to those of the previous study using

amphetamine may be related to methodological factors, the design of the present

study was modeled after the amphetamine experiment (Richland ~t al., 2000). Indeed,

the number and duration of the habituation, pretreatment, withdrawal, and challenge

sessions was the same as in the previous study. Similarly, it is possible that

nafadotride did not sufficiently block dopamine D3 receptors in the current study to

prevent sensitization to cocaine. But as noted 'previously, we used the highest dose

reported to be selective for dopamini;; D3 receptors (Sautel, et al., 1995). Moreover, in

a previous study, we found nearly identical results using the preferential dopamine

D3 receptor antagonist U99 l 94A (Mattingly et al., 2000). Thus, it seems likely that

the differential effectiveness ofnafadotride in blocking the development of behavioral

sensitization to amphetamine and cocaine may be more related to differences in the

mechanism of action of the psychostimulants than to methodological or other factors.

Assuming that nafadotride in the current study and U99 l 94A in our previous study

(Mattingly et al., 2000), effectively blocked dopamine D3 receptors, the results of

these two studies suggest that a differential down-regulation of dopamine D3 vs D2

receptors is not responsible for the development of behavioral sensitization to

cocame.

The differential effects of the preferential dopamine D3 receptor antagonist, nafadotride, on amphetamine- and cocaine-induced behavioral sensitization is not the

only reported differences in dopamine receptor involvement in the induction of

39 behavioral sensitization to these two drugs and other dopamine agonists. For example, the dopamine DI receptor antagonist SCH 23390 has been reported to block the development of behavioral sensitization to the indirect agonist amphetamine

(Stewart & Vezina, 1989; Drew & Glick, 1990), as well as to the direct nonselective dopamine agonist apomorphine (Mattingly et al., 199 I). In contrast, several studies have demonstrated that although SCH 23390 blocks the acute effects of cocaine, concurrent treatments with SCH 23390 and cocaine does not prevent the development of behavioral sensitization to cocaine (Mattingly et al., 1994; 1996; White et al.,

1998). Thus, at present, both selective DI and D3, but not D2, dopamine receptor antagonists have been found to block the development of amphetamine-induced behavioral sensitization (Drew & Glick, 1990; Richland et al., 2000). In contrast, selective D 1, D2, and D3 dopamine antagonists are not effective in attenuating or blocking the development of behavioral sensitization to cocaine (Mattingly et al.,

I 994; 1996; 2000). Taken together, these findings suggest that the stimulation of dopamine receptors may not be necessary for the development of behavioral sensitization to cocaine. Since cocaine blocks the reuptake of other monoamines (e.g., serotonin, norepinephrine) besides dopamine, it is possible that these other neurotransmitters play a more important role in the development of behavioral sensitization to cocaine. Currently, several laboratories are evaluating this possibility

(e.g., Muller, Carey, De Souza Silva, Jocham, & Huston, 2002).

In conclusion, the current findings clearly indicate that concurrent nafadotride treatment does not block the development of behavioral sensitization to cocaine. This

40 finding is inconsistent with the hypothesis that the development of behavioral sensitization to cocaine is mediated by dopamine D3 receptor stimulation. Assuming that dopamine D3 receptor stimulation is critical to the development of behavioral sensitization to amphetamine and other psychostimulant drugs, the current results suggest that the development of behavioral sensitization to different psychostimulant drugs is not mediated by common neurochemical mechanisms.

41 Chapters

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47 APPENDIX A

ANOVASUMMARYTABLES

48 Table 2

Summary of Analysis of Variance Performed on Mean Distance Traveled during the

Habituation Phase (Day 1 and 2)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) 1 55743 0.33 0.5710 Cocaine (C) 1 89156 0.53 0.4744 NXC 1 30042 0.18 0.6770 Error 27 169430

Within Groups Day(D) 1 160766 3.88 0.0593* NXD 1 2934 0.07 0.7923 CXD 1 440 0.01 0.9179 NXCXD 1 16742 0.40 0.5306 Error 27 41486

Block (B) 3 7771773 275.07 <.0001 * NXB 3 10336 0.37 0.7779 CXB 3 24757 0.88 0.4570 NXCXB 3 12957 0.46 0.7120 Error 81 28254

BXD 3 95905 4.06 0.0096* NXBXD 3 17798 0.75 0.5230 CXBXD 3 8586 0.36 0.7792 NXCXBXD 3 27141 1.15 0.3339 Error 81 23594

* Significant effect

49 Table 3

Summary of Analysis of Variance Performed on Mean Number of Rears during the

Habituation Phase (Day 1 and 2)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) 1 1662 2.35 0.1368 Cocaine (C) 1 5 0.01 0.9348 NXC 1 112 0.16 0.6935 Error 27 707

Within Groups Day(D) 1 4722 21.22 <.0001 * NXD 1 2 0.01 0.9309 CXD 1 0 0.00 0.9699 NXCXD 1 15 0.07 0.7973 Error 27 223

Block (B) 3 48573 215.03 <.0001 * NXB 3 80 0.35 0.7874 CXB 3 165 0.73 0.5361 NXCXB 3 91 0.40 0.7520 Error 81 226

BXD 3 752 6.40 0.0006* NXBXD 3 204 1.74 0.1658 CXBXD 3 1 0.01 0.9982 NXCXBXD 3 275 2.34 0.0793 Error 81 118

* Significant effect

50 Table4

Summary of Analysis of Variance Performed on Mean Number of Stereotypic Counts during the Habituation Phase (Day 1 and 2)

Source DF Mean Square FValue Pr

Between Groups Nafadotride (N) I 332047 0.64 0.4301 Cocaine (C) 1 195880 0.38 0.5435 NXC 1 312165 0.60 0.4441 Error 27 517399

Within Groups Day(D) 1 1574921 9.90 0.0040* NXD 1 37152 0.23 0.6328 CXD I 23168 0.15 0.7057 NXCXD 1 2162 0.01 0.9080 Error 27 159050

Block (B) 3 22541156 189.35 <.0001 * NXB 3 34663 0.29 0.8316 CXB 3 15487 0.13 0.9419 NXCXB 3 33215 0.28 0.8404 Error 81 119043

BXD 3 133016 1.49 0.2223 NXBXD 3 20001 0.22 0.8790 CXBXD 3 31269 0.35 0.7883 NXCXBXD 3 74782 0.84 0.4758 Error 81 89021

* Significant effect

51 Table 5

Summary of Analysis of Variance Performed on Mean Distance Traveled during the

Drug Treatment Phase (Day 3 to 6)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) I 91317 0.04 0.8406 Cocaine (C) I 280658911 126.76 <.0001 * NXC I 234854 0.11 0.7472 Error 27 2214097

Within Groups Day(D) 3 1014258 1.40 0.2478 NXD 3 512893 0.71 0.5490 CXD 3 1857080 2.57 0.0600* NXCXD 3 485236 0.67 0.5720 Error 81 722729

Block(B) 3 16377402 201.91 <.0001* NXB 3 37106 0.46 0.7128 CXB 3 1883520 23.22 <. 0001 * NXCXB 3 84108 1.04 0.3808 Error 81 81112

BXD 3 42882 1.02 0.4218 NXBXD 3 13244 0.32 0.9693 CXBXD 3 36752 0.88 0.5463 NXCXBXD 3 43076 1.03 0.4181 Error 81 41902

* Significant effect

52 Table 6

Summary of Analysis of Variance Performed on Mean Number of Rears during the

Drug Treatment Phase (Day 3 to 6)

Source DF Mean Square FValue Pr>F

. Between Groups Nafadotride (N) 1 2 0.00 0.9887 Cocaine (C) 1 184291 19.13 0.0002* NXC 1 · 799 0.08 0.7756 Error 27 9636

Within Groups Day(D) 3 2224 1.83 0.1481 NXD 3 1472 1.21 0.3108 CXD 3 3160 2.60 0.0577* NXCXD 3 1423 1.17 0.3258 Error 81 1215

Block (B) 3 35172 66.69 <.0001 * NXB 3 83 0.16 0.9248 CXB 3 1251 2.37 0.0764 NXCXB 3 1285 2.44 0.0706 Error 81 527

BXD 3 535 2.83 0.0035* NXBXD 3 161 0.85 0.5898 CXBXD 3 49 0.26 0.9842 NXCXBXD 3 325 1.72 0.0853 Error· 81 189

* Significant effect

53 Table 7

Summary of Analysis of Variance Performed on Mean Number of Stereotypic Counts during the Drug Treatment Phase (Day 3 to 6)

Source DF Mean Square FValue Pr>F

Between Groups N afadotride (N) 1 34838 0.38 0,5415 Cocaine (C) I 268891784 295.10 <.0001 * NXC I 1109646 1.22 0.2795 Error 27 · 911189

Within Groups Day (D) 3 9181 0.02 0.9958 NXD 3 265896 0.61 0.6113 CXD 3 1259184 2.88 0.0408* NXCXD 3 537932 1.23 0.3037 Error 81 436841

Block (B) 3 18697052 156.75 <.0001 * NXB 3 87758 0.74 0.5337 CXB 3 2735617 22.93 <.0001 * NXCXB 3 307444 2.58 0.0594 Error 81 119281

BXD 3 79839 1.61 0.1138 NXBXD 3 52489 1.06 0.3960 CXBXD 3 16134 0.32 0.9664 NXCXBXD 3 106751 2.15 0.0263* Error 81 49687

* Significant effect

54 Table 8

Summary of Analysis of Variance Performed on Mean Distance Traveled during the

Drug Conditioning Test Phase (Day 7 and 8)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) 1 393209 1.96 0.1724 Cocaine (C) 1 6633233 33.15 <.0001 * NXC I 224251 1.12 0.2992 Error 27 200120

Within Groups Day (D) 1 87713 2.71 0.1110 NXD 1 176235 5.45 0.0272* CXD 1 20508 36.35 0.0180* NXCXD 1 26821 0.83 0.3703 Error 27 32315

Block (B) 3 5681737 149.91 <.0001 * NXB 3 12002 0.32 0.8133 CXB 3 387584 10.23 <.0001 * NXCXB 3 5060 0.13 0.9398 Error 81 37901

BXD 3 15286 0.93 0.4287 NXBXD 3 13715 0.84 0.4774 CXBXD 3 59258 3.62 0.0166* NXCXBXD 3 12608 0.77 0.5144 Error 81 16384

* Significant effect

55 Table 9

Summary of Analysis of Variance Performed on Mean Number of Rears during the

Conditioning Test Phase (Day 7 and 8)

Source DF Mean Square F Value Pr>F

Between Groups Nafadotride (N) 1 1240 1.43 0.2422 Cocaine (C) 1 17363 20.02 0.0001 * NXC I 330 0.38 0.5425 Error 27 867

Within Groups Day(D) 1 6 0.03 0.8550 NXD 1 317 1.92 0.1777 CXD 1 49 0.30 0.5910 NXCXD 1 1 0.01 0.9316 Error 27 166

Block(B) 3 20739 114.61 <.0001* NXB 3 72 0.40 0.7541 CXB 3 1133 6.26 0.0007* NXCXB 3 48 0.27 0.8484 Error 81 181

BXD 3 11 0.12 0.9458 NXBXD 3 44 0.50 0.6809 CXBXD 3 102 1.15 0.3326 NXCXBXD 3 ·176 2.00 0.1202 Error 81 '88

* Significant effect

56 Table 10

Summary of Analysis of Variance Performed on Mean Number of Stereotypic Counts during the Conditioning Test Phase (Day 7 and 8)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) I 1456187 3.98 0.0562* Cocaine (C) 1 20277548 55.42 <.0001 * NXC 1 242518 0.66 0.4227 Error 27 365857

Within Groups Day(D) 1 387366 3.90 0.0586* NXD 1 450729 4.54 0.0424* CXD 1 328433 3.31 0.0802 NXCXD 1 247486 2.49 0.1262 Error 27 99362

Block (B) 3 14032552 133.05 <.0001 * NXB 3 79067 0'.75 0.5257 CXB 3 121746 1.15 0.3324 NXCXB 3 50372 0.48 0.6987 Error 81 105468

BXD 3 5596 0.09 0.9664 NXBXD 3 47310 0.74 0.5288 CXBXD 3 215895 3.40 0.0217* NXCXBXD 3 38813 0.61 0.6101 Error 81 63574

* Significant effect

57 Table 11

Summary of Analysis of Variance Performed on Mean Distance Traveled during the

Challenge Test (Day 9)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) 1 6168669 2.94 0.0977 Cocaine (C) I 32072526 15.30 0.0006* NXC I 759789 0.36 0.5521 Error 27 2095596

Within Groups Block (B) 3 6494757 65.06 <.0001 * NXB 3 296209 2.97 0.0368* CXB 3 552306 5.53 0.0017* NXCXB 3 135897 1.36 0.2606 Error 81 99834

* Significant effect

58 Table 12

Summary of Analysis of Variance Performed on Mean Number of Rears during the

Challenge Test (Day 9)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) 1 1634 0.39 0.5383 Cocaine (C) 1 17508 4.16 0.0512* NXC 1 1 0.00 0.9887 Error 27 4204

Within Groups Block(B) 3 8717 27.47 <.0001 * NXB 3 292 0.92 0.4350 CXB 3 208 0.65 0.5826 NXCXB 3 82 0.26 0.8554 Error 81 317

* Significant effect

59 Table 13

Summary of Analysis of Variance Performed on Mean Number of Stereotypic Counts

the Conditioning Effect (Day 9)

Source DF Mean Square FValue Pr>F

Between Groups Nafadotride (N) 1 4458084 4.13 0.0521 * Cocaine (C) 1 4653111 4.31 0.0475* NXC 1 184 0.00 0.9897 Error 27 1079372

Within Groups Block (B) 3 3073021 41.65 <.0001 * NXB 3 25362 0.34 0.7938 CXB 3 · 21566 0.29 0.8309 NXCXB 3 80799 1.09 0.3561 Error• 81 73791

* Significant effect

60 APPENDIXB

COUNTERBANLANCING

61 Squad# Subject# Drug Treatment Group Chamber I I vehicle-vehicle 1 1 4 vehicle-cocaine 2 I 3 nafadotride-vehicle 3 1 2 nafadotride-cocaine 4 2 7 nafadotride-vehicle I 2 8 nafadotride-cocaine 2 2 6 vehicle-vehicle 3 2 5 vehicle-cocaine 4 3 11 vehicle-cocaine I 3 12 vehicle-vehicle 2 3 9· nafadotride-cocaine 3 3 10 nafadotride-vehicle 4 4 16 nafadotride-cocaine 1 4 15 nafadotride-vehicle 2 4 14 vehicle-cocaine 3 4 13 vehicle-vehicle 4 5 17 vehicle-cocaine 1 5 20 vehicle-vehicle 2 5 18 nafadotride-cocaine 3 5 19 nafadotride-vehicle 4 6 23 nafadotride-cocaine 1 6 21 nafadotride-vehicle 2 6 24 vehicle-cocaine 3 6 .22 vehicle-vehicle 4 7 26 vehicle-vehicle I 7· 27 vehicle-cocaine 2 7 28 nafadotride-vehicle 3 7 25 nafadotride-cocaine 4 8 29 nafadotride-vehicle 1 8 30 nafadotride-cocaine 2 8 31 vehicle-cocaine 4

62 ·