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The Journal of Neuroscience, September 1, 1998, 18(17):7033-7039
Increased Opioid Inhibition of GABA Release in Nucleus Accumbens
during Morphine Withdrawal
Billy
Chieng and
John T.
Williams
The Vollum Institute, Oregon Health Sciences University, Portland,
Oregon 97201
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ABSTRACT |
The nucleus accumbens is a key component of the reward pathway that
plays a role in addiction to many drugs of abuse, including psychostimulants and opioids. The effects of withdrawal from chronic morphine were examined in the nucleus accumbens using brain slices from
morphine-treated animals. Recordings were made from interneurons in the
shell of nucleus accumbens, and the presynaptic inhibition of GABA-A
IPSCs by opioids was examined. In slices from control animals,
opioids caused a maximal inhibition of 50%, forskolin increased the
IPSC amplitude by less than twofold, and the maximal inhibition by
opioids in the presence of forskolin was not changed. During
withdrawal, however, forskolin caused approximately a fourfold increase
in the amplitude of the IPSC, and the maximal inhibition by opioids was
increased to 80%. The results indicate that transmitter release is
increased during opioid withdrawal, particularly after the activation
of adenylyl cyclase. The cAMP-dependent increase in transmitter release
is potently inhibited by opioids, such that the overall effect of
opioids is augmented during withdrawal. The induction of an
opioid-sensitive cAMP-dependent mechanism that regulates transmitter
release may be a critical component of acute opioid withdrawal.
Key words:
µ-opioid; adenosine; cAMP; adenylyl cyclase; electrophysiology; A-kinase
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INTRODUCTION |
The nucleus accumbens plays an
important role in the process of opioid addiction and withdrawal, as
indicated by behavioral, biochemical, and molecular studies (Wise,
1987 ; Koob and Bloom, 1988 ; Maldonado et al., 1992 ; Harris and
Aston-Jones, 1994 ; Self and Nestler, 1995 ). Opioids inhibit the
activity of medium spiny output neurons in the nucleus accumbens by
presynaptic inhibition of EPSPs (Martin et al., 1997 ). A similar
presynaptic inhibition of EPSPs was observed in striatum, as well as a
direct hyperpolarization of a subpopulation of neurons (Jiang and
North, 1992 ). Thus, opioids have presynaptic and postsynaptic actions
in the nucleus accumbens mediated by both µ- and -subtype
receptors. Little is known, however, about the effects of chronic
morphine treatment on the excitability or synaptic regulation of
neurons within the nucleus accumbens.
Chronic morphine treatment results in an upregulation of the
cAMP-dependent cascade in opioid-sensitive cells that is most evident
during acute withdrawal (Sharma et al., 1975 ; Terwilliger et al., 1991 ;
Avidor-Reiss et al., 1996 , 1997 ). One physiological consequence of this
upregulation is an increased release of transmitter (Bonci and
Williams, 1997 ). The nucleus accumbens is an area enriched in type V
adenylyl cyclase (Glatt and Snyder, 1993 ; Mons and Cooper, 1995 ). This
isoform belongs to a group of adenylyl cyclases (isoforms I, V, VI, and
VIII) that are acutely inhibited by opioid receptor activation and
upregulated with chronic morphine treatment (Avidor-Reiss et al., 1996 ,
1997 ). The inhibition of adenylyl cyclase by opioids has been known
since the early 1970s (Sharma et al., 1975 ); however, there are few
reports of the physiological consequences of this action (Ingram and
Williams, 1994 ). For example, inhibition of synaptic transmission by
opioids appears to be cAMP-independent (Schoffelmeer et al., 1986 ),
although activation of adenylyl cyclase increases transmitter release
at many synapses (Cameron and Williams, 1993 ; Chavez-Noriega and
Stevens, 1994 ; Salin et al., 1996 ; Bonci and Williams, 1997 ; Chen and
Regehr, 1997 ; Kondo and Marty, 1997 ).
This study examines the action of opioids on GABA-A IPSCs on
interneurons in the nucleus accumbens during withdrawal. Interneurons of the nucleus accumbens play a key role in the integration of afferent
input and regulation of the output of the nucleus (Heimer et al.,
1995 ). Anatomical data indicate that interneurons not only innervate
but receive collateral innervation from the GABAergic medium spiny
projection neurons (Wilson, 1990 ; Meredith et al., 1993 ). Thus, this
GABA input onto interneurons regulates intrinsic excitability within
the nucleus accumbens and may indicate how GABA release is affected in
projection areas. The purpose of this study was as follows: (1) to
determine whether the cAMP-dependent increase in GABA IPSCs during
withdrawal (Bonci and Williams, 1997 ) is common to opioid-sensitive
synapses, and (2) to examine the mechanism of presynaptic inhibition by
opioids during withdrawal in the absence and presence of agents that
stimulate adenylyl cyclase.
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MATERIALS AND METHODS |
Unless otherwise stated, the following protocol was used to
treat animals chronically with morphine. Male Wistar rats (150-250 gm)
were anesthetized with halothane, and morphine pellets (75 mg
each) were implanted subcutaneously, one on day 1 and two on days 3 and 5. Experiments were done 7-10 d after the start of treatment (2-5 d after the last set of pellets). This treatment protocol has been shown to produce strong opioid dependence (Chieng and
Christie, 1995 ). On the day of the experiment, rats were anesthetized with halothane and killed. Horizontal brain slices containing the
nucleus accumbens (250 µm) were cut with a vibratome at 4°C and
maintained in physiological saline. Slices were then transferred to a
bath and superfused with physiological saline (morphine-free) at 34°C
(1.5 ml/min); the tissue content of morphine after 1-2 hr in
morphine-free solutions is negligible (Chieng and Christie, 1995 ). The
physiological saline contained (in mM): 126 NaCl, 2.5 KCl,
1.2 NaH2PO4, 1.2 MgCl2, 2.4 CaCl2, 11 glucose, and
24 NaHCO3; it was gassed with 95%
O2-5% CO2. Drugs were applied to the slice by
superfusion.
Whole-cell recordings were made using a patch-clamp amplifier (Axopatch
1D). Cells were visualized with a 40× water immersion lens
using Normaski optics and infrared illumination. All neurons were
sampled close to the medial boundary of the nucleus accumbens just
lateral to the "islands of Calleja" ("major island") and were
considered to be primarily in the shell region of the nucleus accumbens
(Paxinos and Watson, 1986 ). Patch pipettes of 1.5-2.5 M resistance
were filled with intracellular solution containing (in mM):
120 KCl, 0.3 CaCl2, 1 MgCl2, 1 EGTA, 2 MgATP, 0.25 GTP, and buffered with 10 HEPES, pH 7.3. Acceptable
access resistance was <10 M and was periodically monitored with
repetitive 10 mV steps (20 msec duration), and membrane potential was
voltage clamped at 70 or 80 mV. Series resistance compensation of
80% was used throughout experiments. Synaptic currents were evoked
with bipolar tungsten stimulating electrodes placed near (100-200
µm) the cell body. Such stimulation most likely activated local
fibers rather than afferent pathways. Electrical stimulation (1 msec
duration) was applied at 20 sec intervals. The intensity of stimulation was adjusted to obtain initial IPSCs having an amplitude of 200-400 pA, such that both inhibition and augmentation could be observed with
the superfusion of drugs. The stimulus intensity was not changed once
the amplitude of the IPSC was adjusted to obtain a steady value.
Iontophoreses of GABA was done with an Axoclamp 2 using glass
microelectrodes (30 M ; 0.1 or 1 M GABA in water) placed near (15-30 µm) the cell. The iontophoretic current used was
adjusted (30-100 nA, with pulse durations of 50-200 msec) to result
in GABA currents that were reproducible with repeated applications over
the course of a 30 min experiment. The amplitude (800-1200 pA)
and duration (0.5-2 sec) of the resulting GABA currents were somewhat
larger and longer than IPSCs but were a reasonable approximation. GABA
currents were more consistent when no backing current was applied.
Current balancing was not used. Data were acquired using pClamp6 and
analyzed with Axograph 3.0 (Axon Instruments). Summarized results were
presented as mean ± SEM, with statistical significance at
p < 0.05.
Morphine base pellets and morphine sulfate were obtained from National
Institute on Drug Abuse (Bethesda, MD).
[D-Ala2,MePhe4,Gly5-ol]enkephalin
(DAMGO), 1,9-dideoxyforskolin, forskolin, GABA, kynurenic acid,
[Met5]enkephalin (ME), picrotoxin,
isoproterenol, and staurosporin were obtained from Sigma (St Louis,
MO). 8-Cyclopentyl-1,3-propylxanthine (DPCPX), RO201724, SKF82958,
SCH23390, Sp-cAMPS, and naloxone were obtained from Research
Biochemicals (Natick, MA).
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RESULTS |
Whole-cell recordings were made from visually identified
interneurons, and GABA-A IPSCs were electrically evoked. All
experiments were done in the presence of kynurenic acid (1 mM) to block
ionotropic glutamate receptors. GABA-A-mediated IPSCs were completely
blocked by picrotoxin (100 µM). In addition to the
distinctive size and shape (Phelps and Vaughn, 1986 ; Meredith et al.,
1989 ) (Fig. 1), interneurons were
identified physiologically. All cells were spontaneously active
(2.8 ± 0.5 Hz; n = 19), had a membrane potential
of 54 ± 1 mV (n = 10), and had an
Ih current at negative potentials. These
observations were consistent with reports describing the membrane
properties of interneurons (Wilson, 1990 ; Wilson et al., 1990 ;
Kawaguchi et al., 1995 ). Unless otherwise stated, chronic morphine treatment was performed using subcutaneous implantation of
time-released morphine pellets. All experiments were done in the
absence of morphine such that slices from morphine-treated animals were
termed opioid-withdrawn.

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Figure 1.
Interneurons were identified visually. A typical
brain slice showing images in two different focal planes. Many medium
spiny cells are visible (asterisks), and one single
interneuron (arrow) is shown. Scale bar, 10 µm.
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Superfusion with a high concentration of ME (10 µM) did
not affect the holding current but decreased the GABA-A IPSC by ~50% (Fig. 2). When a paired pulse protocol
was used (two stimuli separated by 100 msec), the second IPSC was
smaller than the first, indicating a paired pulse depression. As shown
in Figure 2, the paired pulse ratio was shifted toward facilitation in
the presence of ME, suggesting a presynaptic mechanism for the
depression of the IPSC (Mennerick and Zorumski, 1995 ). In addition, the
GABA current induced by iontophoretically applied GABA was not affected
by ME. Therefore, the release of GABA at the synapse between medium
spiny cells and interneurons in the nucleus accumbens is depressed by
opioids.

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Figure 2.
Opioids inhibit GABA-A IPSCs by a presynaptic
mechanism. Top left, IPSC, Representative
current records of IPSCs evoked using a paired pulse protocol. The
depression of IPSC in the presence of ME is accompanied by a shift in
the paired pulse ratio to facilitation. Top right,
GABA iontophoresis, Current traces resulting from
iontophoretic application of GABA. The GABA currents were not affected
by ME but were blocked by picrotoxin (data not shown).
Middle, IPSC, Summary of results
demonstrating the inhibition of the IPSC by ME (10 µM).
The inhibition was the same in control and withdrawn slices. In this
and other plots, the amplitude of the IPSC is normalized for each cell
using the mean amplitude recorded during the first 10 min and is
plotted as a function of time. Bottom, GABA
iontophoreses, Summary of results indicating that ME had no
effect on exogenously applied GABA.
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Increased IPSCs with adenylyl cyclase stimulation
The amplitude of the IPSC measured in interneurons in the nucleus
accumbens was increased by activation of adenylyl cyclase using
forskolin (10 µM), the D1 agonist SKF82958 (1 µM), and the -adrenoceptor agonist isoproterenol (1 µM) (Fig. 3). The
augmentation caused by SKF82958 was completely blocked by the D1
receptor antagonist SCH23390 (1 µM) (Fig. 3). In
addition, the inactive analog of forskolin, 1,9-dideoxyforskolin (10 µM), had no effect (1 ± 20%; n = 3) (Fig. 3b). The increase in the ISPC caused by forskolin, SKF82958, and isoproterenol were all significantly greater in withdrawn
slices than in controls. The postsynaptic sensitivity of GABA in the
absence and presence of forskolin was tested with iontophoretic
application of GABA (Fig. 3c). The current induced by
iontophoretic application of GABA was not affected by forskolin (control, 6 ± 4%; n = 3; withdrawn, 6 ± 10%; n = 7), indicating that the postsynaptic
sensitivity to GABA was not affected by forskolin. Superfusion with
picrotoxin (100 µM; n = 5) completely blocked the GABA-induced current. Two conclusions can be drawn from
these results. First, presynaptic facilitation of transmitter release
mediated by the activation of adenylyl cyclase is augmented during
acute opioid withdrawal. Second, the cAMP-dependent increase in release
is functionally coupled to receptor activation. This mechanism appears
to be common to many opioid-sensitive synapses. Forskolin was used for
further characterization of this augmentation of transmitter release,
because it caused the most robust facilitation.

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Figure 3.
Upregulated adenylyl cyclase activity in
morphine-withdrawn slices. a, Summary of results showing
that forskolin (10 µM) caused a greater increase in the
amplitude of the IPSC in morphine-withdrawn slices than in untreated
controls. Inset, Two superimposed IPSCs from a withdrawn
slice indicating that forskolin increased the amplitude without
affecting the time course of the current. b,
Dideoxyforskolin had no effect on the IPSC amplitude in withdrawn
slices. c, Iontophoretic application of GABA induced
currents that were not changed during superfusion with forskolin (10 µM) from control or withdrawn slices. d,
IPSCs were increased by the D1 agonist SKF82958
(SKF) (1 µM) and the
-adrenoceptor agonist isoproterenol (1 µM). The
increase caused by each was greater in withdrawn slices than in
control. The D1 antagonist SCH23390 (SCH) (1 µM) completely blocked the augmentation caused by
SKF82958.
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Increased opioid inhibition
To determine how the upregulation of cAMP-dependent processes
during withdrawal affected the sensitivity to opioids, the inhibition by opioids was examined in the absence and presence of forskolin. For
these experiments, the selective adenosine A1 receptor antagonist DPCPX
was included in the superfusion solution to eliminate the effects of
increased extracellular adenosine after the activation of adenylyl
cyclase (Bonci and Williams, 1996 ; Brundege et al., 1997 ). In the
absence of forskolin, the maximum inhibition induced by ME (10 µM) was 48 ± 7% (n = 6) in
controls and 52 ± 5% (n = 8) in withdrawn slices
(Fig. 2). In the presence of forskolin, the inhibition caused by ME was
unchanged in control slices (45 ± 9%; n = 4)
(Fig. 4). In withdrawn slices, however,
the ME-induced inhibition was increased to 82 ± 7%
(n = 4; unpaired t = 3.17; p < 0.02) (Fig. 4). ME had no effect on the holding
current, nor did it affect the current induced by iontophoretic
application of GABA (control, 8 ± 8%; n = 3;
withdrawn, 8 ± 5%; n = 5) (Fig. 2). Thus, rather
than finding tolerance to opioids, treatment of withdrawn slices with
forskolin revealed an unexpected increase in the presynaptic inhibition
caused by ME.

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Figure 4.
The opioid-induced inhibition of IPSCs is larger
in morphine-withdrawn slices. a, i,
Superimposed traces of the IPSC in control and in the presence of
forskolin and forskolin plus DPCPX. a,
ii, Three superimposed traces of the same cell in
forskolin and DPCPX before and after the addition of ME (10 µM). b, Summarized results indicating the
augmented effect of forskolin and DPCPX and the increased inhibition
caused by ME in morphine-withdrawn slices.
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The augmented opioid inhibition was further characterized using the
metabolically stable µ-selective agonist DAMGO. In the absence of
forskolin, a maximal concentration of DAMGO (10 µM) caused an inhibition of 46 ± 4% (n = 4) in
control, the same as was found in withdrawn slices (46 ± 5%;
n = 6). In the absence of forskolin, the concentration
response curves to DAMGO were also the same in control and withdrawn
slices (Fig. 5a). In the presence of forskolin, however, the maximum inhibition induced by DAMGO
was significantly greater in morphine-withdrawn slices (control,
51 ± 7%; n = 5; morphine-withdrawn, 73 ± 6%; n = 7; unpaired t = 2.24;
p < 0.05) (Fig. 5b). The EC50
to DAMGO was unchanged (control, 60 ± 17 nM;
withdrawn, 65 ± 20 nM), and the inhibition was
completely antagonized by naloxone (1 µM;
n = 9). Thus, during withdrawal, the efficacy, but not
the potency, of DAMGO was increased.

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Figure 5.
The maximum opioid inhibition is greater in
withdrawn slices after stimulation of adenylyl cyclase.
a, Concentration response curve to DAMGO measuring the
amplitude of the IPSC in the absence of forskolin. DAMGO caused an
inhibition that was the same in control untreated and
morphine-withdrawn slices. b, In the presence of
forskolin and DPCPX, DAMGO caused a larger inhibition of the IPSC in
morphine-withdrawn slices than in controls. The sensitivity to DAMGO
was not changed, whereas the maximum inhibition was increased. The
stimulus intensity was adjusted such that initial amplitude of the IPSC
was between 400 and 600 pA in each group.
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Kinase dependence
The increased sensitivity to opioids was dependent on kinase
activity, because when slices were pretreated with the nonselective kinase inhibitor staurosporin (3 µM), forskolin neither
increased the IPSCs (control, 24 ± 4%; n = 3;
withdrawn, 9 ± 25%; n = 5) nor changed the
maximal inhibition of the IPSC by ME (10 µM). In fact,
the inhibition caused by ME (10 µM) in staurosporin and forskolin (control, 45 ± 6%; n = 4;
morphine-withdrawn, 44 ± 9%; n = 6) was the same
as that caused by ME alone (control, 48 ± 7%; n = 4; withdrawn, 52 ± 5%; n = 8). Thus, ME
inhibited the IPSC by a kinase-independent mechanism in both control
and withdrawn slices. With the activation of adenylyl cyclase, however,
opioids caused an additional inhibition that was dependent on protein kinase activity. The necessity to stimulate adenylyl cyclase suggests that basal activity is relatively low in the slice preparation under
the conditions of this experiment.
Staurosporin alone had no effect on IPSCs in control slices (1 ± 11%; n = 3), whereas it caused an inhibition of
36 ± 8% (n = 5; unpaired t = 2.62; p < 0.05) in withdrawn slices. The inhibition in
withdrawn slices is comparable to that found in dopamine cells of the
ventral tegmental area (VTA) (45%) in withdrawn slices (Bonci and
Williams, 1997 ). This observation suggests that there was a small tonic
kinase-dependent effect on transmitter release during withdrawal.
cAMP, phosphodiesterase, and adenosine
If the increase in IPSC amplitude caused by forskolin was
dependent on an upregulation of protein kinase A (PKA), then
application of cAMP analogs should be more effective in withdrawn
slices than in controls. The cAMP analog Sp-cAMP-S, which
activates PKA directly produced inconsistent increases in the amplitude
of the IPSC in both control (13 ± 11%; n = 4)
and withdrawn slices (25 ± 10%; n = 4;
p > 0.05) that were not significantly different. This
result suggests that an increase in cAMP production rather than
augmented kinase activity may be the primary mechanism for the
increased transmitter release in withdrawn slices. This suggestion was
further examined with the use of a phosphodiesterase inhibitor to
reduce the metabolism of cAMP.
The phosphodiesterase inhibitor RO201724 (200 µM) had
little effect on the IPSC amplitude in control slices (3 ± 6%;
n = 5) but significantly increased the IPSC in
withdrawn slices (31 ± 6%; n = 9), suggesting
that adenylyl cyclase activity was elevated in withdrawn slices. The
action of RO201724 could result from two mechanisms: an increased
activation of PKA through increasing cAMP levels or a decrease in
adenosine tone by inhibition of cAMP metabolism to adenosine. The
results suggest the latter, because the increase in IPSC amplitude
caused by RO201724 was the same as that observed by blocking A1
adenosine receptors with DPCPX (Fig. 6).
In addition, the augmentation of the IPSC by DPCPX was occluded after
treatment of withdrawn slices with RO201724 (DPCPX alone, 39 ± 12%; n = 9; DPCPX after RO201724, 4 ± 5%;
n = 3) (Fig. 6). All effects appear to be presynaptic,
because the current induced by iontophoretically applied GABA was not
affected by DPCPX (control, 5 ± 13%; n = 4;
withdrawn, 2 ± 11%; n = 6).

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Figure 6.
Adenosine tone is increased as a result of an
increase in cAMP during opioid withdrawal. a, Blockade
of adenosine A1 receptors with DPCPX (200 nM) caused an
increase in IPSC amplitude in withdrawn slices relative to the
untreated controls. b, IPSCs from a single cell.
Insets, IPSCs taken during the period indicated by
numbers. The amplitude of the IPSC was increased by
RO201724. Addition of DPCPX caused no further effect on the IPSC,
whereas forskolin caused a potent increase in the IPSC.
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Time course of withdrawal
The time course of withdrawal from chronic morphine treatment has
phases that are both acute (hours) and long-term (days to weeks)
(Nestler and Aghajanian, 1997 ). The duration of the upregulated adenylyl cyclase was examined in two additional groups of
morphine-treated animals. Both groups were given single daily
injections of morphine (20 mg/kg, i.p., for 7 d). In one group of
animals, experiments were done 1-2 d after the last morphine
injection. In this group, similar to animals treated with morphine
pellets, forskolin caused a larger increase in IPSCs (182 ± 7%;
n = 4) compared with controls (45 ± 9%;
n = 4; unpaired t = 3.17;
p < 0.02) (Fig. 7). In
the second group of morphine-injected animals, experiments were
performed 1 week after the last injection. The effect of forskolin in
this long-term (1 week) withdrawal group was the same as that in
untreated control animals (63 ± 35%; n = 4;
p > 0.05). Thus, the adaptation resulting from
morphine treatment is closely associated with the acute phase (hours to
days) of opioid withdrawal.

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Figure 7.
A summary of experiments indicating that the
increased effect of forskolin was greater in withdrawn slices from
animals treated with morphine pellets (withdrawn for 1-4 hr) and
single daily injections (withdrawn for 1-2 d), whereas 7 d after
the last morphine injection, the effect of forskolin returned to
control. The IPSC amplitude was plotted as percentage of change from
baseline, such that 0 indicates no change.
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DISCUSSION |
Together, the results suggest that the upregulation of adenylyl
cyclase during withdrawal is a key component in the modulation of GABA
release from these opioid-sensitive synapses. The primary observation
made in this study is that withdrawal from morphine reveals an new
opioid effector, inhibition of cAMP-dependent transmitter release, that
is not present in slices from control animals. This new effector links
opioid receptors, adenylyl cyclase, and PKA with an increased
inhibition of GABA release in the shell region of the nucleus
accumbens. The time course of the increased adenylyl cyclase activity
suggests that this mechanism plays a role in aspects of morphine
withdrawal that last for hours to days but that dissipate within 1 week
of the termination of drug treatment.
Opioids and adenylyl cyclase
Experiments investigating opioid inhibition of cAMP accumulation
often activate adenylyl cyclase with forskolin or PGE2 rather than
measuring basal activity, presumably to increase the sensitivity of the
assay (Sharma et al., 1975 ; Law et al., 1982 ; Puttfarken et al., 1988 ;
Terwilliger et al., 1991 ; Ammer and Schulz, 1996 ; Avidor-Reiss et al.,
1996 , 1997 ). Similarly, preactivation of adenylyl cyclase with
forskolin or PGE2 was required to observe an opioid modulation of the
cAMP-dependent current Ih in primary afferent
neurons (Ingram and Williams, 1994 ). These results suggest that opioid
actions mediated by inhibition of adenylyl cyclase depend on the
initial activity of adenylyl cyclase. The upregulation of adenylyl
cyclase in response to chronic morphine treatment increases both the
forskolin-mediated augmentation of GABA release and opioid inhibition
of that increased release. During acute opioid withdrawal, there is an
increase in noradrenaline release in terminal fields of the locus
ceruleus that results, at least in part, from an increase in
firing (Akaoka and Aston-Jones, 1991 ; Done et al., 1992 ). The
activation of -adrenoceptors resulting from this increased release
of noradrenaline could be one stimulus for cAMP-dependent effectors at
other opioid-sensitive sites in widespread areas of the CNS, although
the role of the locus ceruleus in the overt signs and symptoms of
opioid withdrawal is controversial (Christie et al., 1997 ).
cAMP and adenosine
The forskolin-induced rise of cAMP had two effects on the GABA-A
IPSC: a kinase-dependent increase in amplitude and a simultaneous decrease in amplitude resulting from an increase in adenosine tone.
Inhibition of kinase activity with staurosporin decreased the IPSC in
withdrawn slices, indicating a kinase-dependent component of GABA
release. On the other hand, blocking A1 adenosine receptors with DPCPX
or decreasing adenosine tone by inhibition of phosphodiesterase activity with RO201724 increased the IPSC, suggesting a tonic adenosine-dependent inhibition of GABA release. The relative role that
each mechanism plays can vary considerably from site to site. For
example, GABA-A and GABA-B IPSPs are differentially affected in the
ventral tegmental area during withdrawal (Bonci and Williams, 1996 ,
1997 ). GABA-A IPSCs were augmented by a cAMP-dependent mechanism and
were not sensitive to adenosine antagonists during acute withdrawal (Bonci and Williams, 1997 ). In contrast, the amplitude of GABA-B IPSPs
was increased by DPCPX in slices taken from drug-treated animals (Bonci
and Williams, 1996 ). In fact, forskolin and D1 receptor agonists
depressed the GABA-B IPSP in slices from drug-treated animals before
treatment with DPCPX and increased the IPSP after blockade of A1
receptors. The balance between augmented release by a kinase-dependent
mechanism and depression by adenosine therefore appears to be dependent
on the receptors present at individual terminals.
Presynaptic or postsynaptic modulation
The results were interpreted to indicate that withdrawal from
chronic morphine changed the presynaptic regulation of GABA release
within the nucleus accumbens. The primary evidence supporting this
interpretation was that the currents induced by iontophoretic application of GABA were not affected by forskolin in cells from either
control or morphine-withdrawn slices. A further suggestion of a
fundamental change in presynaptic regulation was a significant shift in
the paired pulse ratio from depression in control slices and toward
facilitation in withdrawn slices (data not shown). An increase in GABA
release during acute withdrawal from morphine has also been found in
the VTA (Bonci and Williams, 1997 ) and periaqeductal gray area (S. L. Ingram and M. J. Christie, personal communication).
There is evidence, however, that the postsynaptic sensitivity to GABA
can be affected through a cAMP-dependent pathway in acutely isolated
striatal cholinergic interneurons (Yan and Surmeier, 1997 ). Activation
of D5 dopamine receptors increased GABA currents that were selectively
sensitive to Zn2+. Although this mechanism was not
detected in the present study, a postsynaptic increase in GABA
inhibition during opioid withdrawal would have the same qualitative
effect as an augmented presynaptic release of GABA.
cAMP and adenosine in acute opioid withdrawal
A role of both cAMP and adenosine in acute opioid withdrawal has
been suggested at the behavioral level. A series of symptoms were
induced in animals treated with theophylline, an inhibitor of
phosphodiesterase (Collier et al., 1974 ) and an adenosine receptor antagonist. These behaviors were termed the quasimorphine abstinence syndrome, because they appeared to mimic opioid withdrawal. More recently, selective adenosine antagonists were found to exacerbate some
signs and symptoms of morphine withdrawal, whereas agonists alleviated
others (Dionyssopoulos et al., 1992 ; Kaplan and Sears, 1996 ; Salem and
Hope, 1997 ). The present results provide a cellular mechanism that may
explain these results. The quasimorphine abstinence syndrome induced by
theophylline probably resulted from the blockade of adenosine receptors
rather than inhibition of phosphodiesterase activity. The increased
adenylyl cyclase activity observed during acute withdrawal not only
increases the sensitivity to opioids but indirectly increases
endogenous adenosine that acts to counteract some signs of
withdrawal.
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FOOTNOTES |
Received April 28, 1998; revised June 17, 1998; accepted June 22, 1998.
This work was supported by National Institutes of Health Grant DA08163
and a C. J. Martin Fellowship. We thank Drs. M. J. Christie,
C. D. Fiorillo, S. L. Ingram, and O. Manzoni for their helpful comments.
Correspondence should be addressed to Dr. John T. Williams, The Vollum
Institute, Oregon Health Services University, 3181 Southwest Sam
Jackson Park Road, Portland, OR 97201.
Dr. Chieng's present address: Division of Neuroscience, John Curtin
School of Medical Research, Mills Road, Acton ACT 2601, Australia.
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