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The Journal of Neuroscience, November 15, 1999, 19(22):9780-9787
Amphetamine Depresses Excitatory Synaptic Transmission via
Serotonin Receptors in the Ventral Tegmental Area
Susan
Jones and
Julie A.
Kauer
Department of Neurobiology, Duke University Medical Center, Durham,
North Carolina 27710
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ABSTRACT |
The ventral tegmental area (VTA) is the origination zone for
dopaminergic neurons involved in reward and addictive properties of a
variety of abused substances. A major excitatory projection to VTA
neurons originates in the medial prefrontal cortex, and several lines
of evidence suggest that glutamatergic synapses on VTA neurons are
activated and modified during exposure to psychostimulant drugs. Here,
we report for the first time that amphetamine depresses excitatory
glutamatergic synaptic transmission onto VTA neurons in the midbrain
slice preparation. Unexpectedly, this depression is mediated not by
activation of dopamine receptors, but instead by activation of
serotonin receptors. Our findings suggest that an acute effect of
amphetamine exposure is the release of serotonin in the VTA, which in
turn modulates excitation of VTA neurons. This process may be an
important early component of permanent changes occurring in the reward
pathway that contribute to drug addiction.
Key words:
ventral tegmental area (VTA); amphetamine; psychostimulants; excitatory synaptic transmission; serotonin; glutamatergic
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INTRODUCTION |
The ventral tegmental area (VTA) of
the midbrain is the source of dopaminergic neurons that form the
mesocorticolimbic projection, a major limb of the reward pathway and a
target for drugs of abuse. Glutamatergic afferents originating in
medial prefrontal cortex (PFC) drive VTA neurons and control their
firing patterns (Gariano and Groves, 1988 ; Svensson and Tung, 1989 ),
and thus glutamatergic synaptic transmission in VTA represents a
possible site of action of addictive drugs. Here, we have directly
tested the effects of amphetamine on excitatory synaptic transmission
onto VTA neurons in vitro.
The increased drug craving that accompanies compulsive drug taking in
human drug addiction has been modeled experimentally as behavioral
sensitization, a progressive and permanent augmentation of behavioral
responses to drugs of abuse, including psychostimulants such as
amphetamine and cocaine (Kalivas and Stewart, 1991 ; Robinson and
Berridge, 1993 ). Initiation of sensitization occurs in the VTA (Kalivas
and Weber, 1988 ; Vezina and Stewart, 1990 ; Vezina, 1993 ). Moreover,
glutamatergic input from the PFC to VTA is required for the initiation
of sensitization to amphetamine (for review, see Kalivas, 1993 ; White,
1996 ; Wolf, 1998 ). Thus, excitatory afferents from the PFC and
consequent excitatory synaptic transmission in the VTA are necessary
and perhaps sufficient to trigger sensitization.
Substantial evidence supports the involvement of VTA dopamine cells and
dopamine release in drug addiction and behavioral sensitization
(DiChiara and Imperato, 1988 ; Kalivas, 1993 ; White, 1996 ). Amphetamine
releases dopamine from somatodendritic sites in the VTA (Kalivas and
Duffy, 1993 ) by inhibiting reuptake of dopamine via the transporter and
by promoting nonvesicular release of dopamine (Seiden et al., 1993 ).
Psychostimulants can also increase extracellular serotonin levels by
binding to the serotonin transporter present on serotonergic terminals
originating in the raphe nucleus (Ritz et al., 1987 ; Vertes, 1991 ), and
there is growing evidence for an involvement of serotonin systems in
drug addiction. Serotonin mediates some physiological effects of
cocaine on VTA dopamine cells via presynaptic regulation of GABA
release (Cameron and Williams, 1994 , 1995 ) and
methylenedioxy-methamphetamine (or "ecstasy") on dopamine
cell spontaneous activity (Obradovic et al., 1996 ). Moreover,
5-HT1B serotonin receptor knock-out mice have an
increased likelihood to self-administer cocaine (Rocha et al.,
1998b ).
Despite considerable evidence that glutamatergic afferents control the
firing of VTA neurons and that this pathway is essential in the
development of sensitization, the effects of psychostimulants on
excitatory synaptic transmission have never been tested. Here, we
directly examined the acute effects of amphetamine on glutamatergic synaptic transmission, using whole-cell patch-clamp recordings from VTA
neurons in midbrain slices. We also explored the hypothesis that
dopamine and/or serotonin alter excitatory synaptic transmission in the
VTA. We report that amphetamine directly depresses glutamatergic synaptic transmission onto VTA neurons. This is a consequence of
serotonin release and does not involve dopamine receptors. The
depression of excitatory synaptic transmission is a likely early event
following psychostimulant administration in the naïve brain.
Our results implicate serotonin in the modification of dopaminergic
function in the reward pathway.
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MATERIALS AND METHODS |
Preparation of brain slices. Sprague Dawley rats, 16- to 23-d-old, were anesthetized with halothane and quickly decapitated. The brain was rapidly removed into ice-cold artificial CSF
(ACSF) containing (in mM): NaCl 119, KCl
2.5, MgSO4 1.3, CaCl2 2.5, NaH2PO4 1.0, NaHCO3 26.0, and glucose 11, continuously gassed
with 95% O2-5% CO2, pH
7.4, osmolarity of 290 mOsm. Kynurenic acid (1 mM) was included in the ACSF during slice
preparation and storage. Horizontal midbrain slices (250 µm thick),
dorsal to the interpeduncular fossa and containing the VTA, were cut
using a vibratome, transferred to a submersion chamber at 30°C
containing ACSF, and used for recordings from 1 to 6 hr after preparation.
Electrophysiology. Midbrain slices were continuously
perfused with ACSF (without kynurenic acid) and warmed to 28-32°C at a flow rate of 2-4 ml/min. Picrotoxin (100 µM) was added to block GABAA receptors, to study excitatory
synaptic transmission in isolation. Under low-power magnification, the
location of the VTA was identified medial to the substantia nigra pars
compacta and the medial terminal nucleus of the accessory optic tract. Using a 40× water immersion objective with differential interference contrast and a CCD camera, individual cells in the VTA were visualized on a monitor for whole-cell patch-clamp recordings.
Patch pipettes had resistances of 2-4 M when filled with (in
mM): potassium gluconate 100, MgCl2
5, HEPES 40, EGTA 0.6, Na2-ATP 2, and
Na2-GTP 0.3, pH 7.25, osmolarity of 280 mOsm.
Biocytin (0.4%) was added to allow post hoc identification
of recorded cells for immunolabeling experiments (see below). Signals
were amplified through an Axoclamp 2B amplifier (Axon Instruments, Foster City, CA) used in either bridge mode to record voltage signals or continuous single electrode voltage-clamp mode to record evoked EPSCs. In bridge mode, cells were allowed to fire
spontaneous action potentials from their resting potential of between
50 and 30 mV for 1 sec sweeps to allow estimation of spontaneous firing rates. To investigate the presence of the
hyperpolarization-activated nonselective cation conductance
characteristic of dopamine cells (IH) (Grace and Onn, 1989 ;
Johnson and North, 1992 ), cells were injected with sufficient negative
current to set the membrane potential to 50 mV, and hyperpolarizing
current steps (700 msec duration) were passed to activate
IH. This conductance was considered to
be present if, during hyperpolarizing current steps to between 90 and
110 mV, the membrane potential depolarized by the end of the step by
>25%. This voltage "sag" response was taken to indicate the
presence of IH, characteristic of VTA
dopamine cells; many of these cells, when tested, were found to stain
for tyrosine hydroxylase (TH) (see below). An end-of-step
depolarization of <15% (no voltage sag) was considered to indicate a
nondopamine cell, whereas an end-of-step depolarization of between 15 and 25% (intermediate voltage sag) was taken to indicate a third cell type.
The membrane potential was then voltage clamped at 70 mV, and EPSCs
were evoked using a bipolar stainless steel stimulating electrode
placed rostral to VTA at least 100 µm from the cell. Paired stimuli
50 msec apart (100-400 µA for 100 µsec) were delivered every 10 sec. Series resistance was measured at the beginning of the experiment
and ranged from 15 to 25 M . Test pulses acquired throughout the
experiment enabled checks for series resistance stability. Experiments
were discarded if changes in series resistance >10% occurred. Signals
were filtered at 3 kHz and collected on-line to a computer using
Axobasic software (Axon Instruments) and programs kindly donated by
Drs. Daniel Madison (Molecular and Cellular Physiology, Stanford
University, Stanford, CA) and Felix Schweizer (Neurobiology, University
of California Los Angeles, Los Angeles, CA).
Pharmacology. All drugs were added directly to the ACSF
perfusing the slice chamber. Controls for solution switches were
routinely performed. All agonists were added for 10 min, allowing
adequate time for equilibration. Dopamine, norepinephrine, and
serotonin solutions were prepared immediately before use. All
antagonists were added at least 10-15 min before agonist application.
In dopamine depletion experiments, littermates were given either the
tyrosine hydroxylase inhibitor -methyl-para-tyrosine or
saline vehicle in double-blind experiments [200-300 mg/kg, i.p., at
least 2 hr before slice preparation (Spector et al., 1965 )].
Drug effects were assessed by averaging EPSC amplitudes for 5-10 min
during the peak response and comparing this value with 10 min of
averaged data just before drug application and are reported as
mean ± SEM throughout the text. Significance was measured using unpaired t tests.
Immunolabeling for tyrosine hydroxylase. Immediately after
recording, slices were fixed in 4% paraformaldehyde for at least 24 hr. Slices were immersed in a 30% sucrose solution and resectioned at
50-90 µm on a freezing microtome. Slices were then preincubated for
2 hr in 0.5% BSA with 0.1% Triton X-100 and incubated overnight in
mouse anti-tyrosine hydroxylase antibody (1:1000) at 4°C. This was
followed by incubation for 1 hr in cy3-conjugated goat anti-mouse secondary antibody (1:500) and then a 1 hr incubation in
FITC-conjugated extravidin (1:200).
Identification of dopamine neurons. To determine whether
cells used for recordings were dopamine cells or VTA interneurons, a
combination of physiology and immunohistochemistry was used (Table
1; Fig. 1).
Thirty-three percent (43 of 129) of biocytin-labeled cells were
recovered, and of these, 63% (27 of 43 cells) were positive for TH
(the rate-limiting enzyme in catecholamine synthesis). In general,
these TH-positive cells had clear dopamine cell physiological characteristics (described below), although four cells with nondopamine cell characteristics were also TH-positive. All cells showing TH-positive staining were considered to be dopamine cells, regardless of physiological characteristics. Cells were classified into three groups based on the presence of a depolarizing sag in response to
negative current step injections. Those showing a >25% end-of-step change in voltage were classed as dopamine cells (81%, 104 of 129 cells) (Fig. 1B). Those showing a <15%
end-of-step change in voltage, or no sag (6%, 8 of 129 cells), were
classed as nondopamine cells unless TH-positive (2 of 8 of these cells
were TH-positive). Those showing end-of-step voltage changes of between
15 and 25% (intermediate sags; 9%, 12 of 129 cells) were classed as
dopamine cells only if TH-positive (2 of 12 cells). In the dopamine
cell class, mean spontaneous firing rate was 1.5 ± 0.2 Hz in 87 cells tested (22% of these cells showed no spontaneous activity).
Cells showing no sag were either silent or fired at high frequency (>5 Hz). Intermediate cells spontaneously fired similarly to dopamine cells
(1.6 ± 0.5 Hz; n = 11; 36% showed no spontaneous
activity). All figure legends report the number of cells classed as
dopamine cells for each experimental group.

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Figure 1.
Characterization of VTA cells. A,
Left (i) shows biocytin fill of
the recorded cell, and right (ii) shows
that the same cell is TH-positive. B, Physiological
responses from the cell pictured in A showing typical
dopamine cell characteristics: spontaneous firing and a distinctive
voltage sag response to hyperpolarizing current.
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Materials. Standard lab chemicals were obtained from
Mallinckrodt (St. Louis, MO), Aldrich (Milwaukee, WI), or Fluka (Buchs, Switzerland). Biocytin, extravidin, and BSA were obtained from Sigma
(St. Louis, MO), ATP and GTP were obtained from Boehringer Mannheim
(Indianapolis, IN), TH monoclonal antibody was obtained from DiaSorin
(Stillwater, MN), and goat anti-mouse IgG was obtained from Chemicon
(Temecula, CA). All agonists, antagonists, and amphetamine were
obtained from Research Biochemicals (Natick, MA).
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RESULTS |
Neurons recorded from within the VTA were classed as dopamine
cells or nondopamine cells based on their physiological and morphological characteristics; a typical dopamine cell is shown in
Figure 1. The data from all cells are summarized in Table 1. EPSCs
recorded from dopamine neurons at 70 mV were primarily mediated by
non-NMDA glutamate receptors (Fig. 2),
because they were almost completely blocked by
6,7-dinitroquinoxaline-2,3-dione (DNQX; 10 µM). A small
EPSC component remained at 70 mV; on depolarizing the cell to 20
mV, this component increased in amplitude and was blocked by
D,L-2-amino-5-phosphonovalerate (APV; 100 µM), indicating that a portion of the EPSC is mediated by
NMDA receptors. In the presence of both antagonists, the EPSC at 70
mV was blocked (data not shown).

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Figure 2.
Excitatory postsynaptic currents in a VTA dopamine
cell (TH-positive). Single records from one experiment showing (from
top to bottom) a typical EPSC recorded at
70 mV in the presence of 100 µM picrotoxin
(a), inhibition of the EPSC at 70 mV by 10 µM DNQX (b), a new, slow component
of the EPSC in DNQX when the cell is held at 20 mV
(c), blockade of the slow EPSC with 100 µM APV (d), and recovery of the
fast EPSC recorded at 70 mV on washing out the glutamate receptor
antagonists (e).
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Psychostimulants increase extracellular glutamate levels in the VTA
measured using in vivo microdialysis (Kalivas and Duffy, 1995 ; Xue et al., 1996 ). We therefore first tested whether amphetamine had any effect on glutamatergic synaptic transmission in the VTA. Surprisingly, we found that amphetamine caused a substantial depression of glutamate EPSCs (Fig. 3). Consecutive
applications of 10 µM amphetamine elicited
reproducible and reversible EPSC depression (Fig. 3A). The
effect of amphetamine was concentration-dependent; the threshold for
the response was 1 µM. In three cells tested, 0.1 µM amphetamine had no detectable effect on
EPSC amplitude. A robust depression of EPSC amplitude was seen with 10 µM amphetamine (30 ± 4%) (Fig.
3B), and because this response was on the linear part of the
dose-response curve (Fig. 3C), 10 µM amphetamine was used in subsequent
experiments to test the effects of antagonists.

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Figure 3.
Effect of amphetamine on EPSCs in VTA cells.
Aa, Time course data from one dopamine cell showing
reproducible depression of EPSC amplitude (normalized to predrug
values) in response to repetitive applications of amphetamine (10 µM, 10 min; bars). Ab,
Example records (average of 5-10 traces) showing control EPSCs and
EPSCs in the presence of amphetamine at the indicated times during the
experiment (1-3). B, Averaged time
course data from seven experiments showing the reversible depression of
the EPSC by amphetamine (10 µM, 10 min;
bar). For this and all figures showing averaged data,
only every third error bar is shown for clarity. Five of the seven
cells were dopamine cells. C, Concentration-response
graph for depression of EPSC amplitude (percentage) by amphetamine.
Nineteen of 26 cells included in this graph were dopamine cells.
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Having found that amphetamine decreases glutamate synaptic
transmission, we next tested the idea that amphetamine causes this depression of the glutamatergic EPSC via the release of dopamine. When
we examined the effect of exogenously applied dopamine, we found that,
at high concentrations, dopamine mimicked amphetamine, depressing the
amplitude of the EPSC (38 ± 5% depression) (Fig. 4A). The threshold for
the effect of dopamine was ~10 µM, with 100 µM causing a robust response (Fig.
4A, inset). To determine which dopamine
receptors might mediate the effect of amphetamine, selective agonists
and antagonists for D1 and
D2 dopamine receptors were used. Although
dopamine depressed the EPSC, the D1 antagonist SCH 23390 (2 µM), the D2
antagonist sulpiride (10 µM), or a combination of both antagonists did not affect the ability of amphetamine to
depress the EPSC (Fig. 4B,C); this
result suggested that dopamine receptors are not involved in depressing
excitatory synaptic transmission. In agreement with this
interpretation, the D1 agonist SKF 82958 (10 µM) and the D2 agonist
quinpirole (30 µM) evoked only very small
depressions of the EPSC amplitude (SKF 82958, 8 ± 3%;
n = 4; quinpirole, 14 ± 4%; n = 5) (data not shown).

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Figure 4.
Dopamine does not mediate the effect of
amphetamine. A, Time course data from eight experiments
showing the reversible depression of EPSC amplitude (normalized to
control values) by a high concentration of dopamine (100 µM, 10 min). Seven of the eight cells were dopamine
cells. Inset shows concentration dependence of the
depression of EPSC amplitude by dopamine. Thirteen of 15 cells used for
this bar chart were dopamine cells. B, Time course data
showing the combined data from four cells (open symbols)
illustrating that the effect of amphetamine on EPSC amplitude in the
presence of both 2 µM SCH 23390 and 10 µM
sulpiride is superimposable with the control response
(filled symbols; from Fig. 3A).
C, Bar chart summarizing the lack of effect of the
dopamine D1 and D2 antagonists SCH 23390 (2 µM) and sulpiride (10 µM) on the response
to amphetamine (patterned bars). Thirteen of 16 cells used for the dopamine antagonist studies were dopamine cells. The
filled bar illustrates that pretreatment of animals with
the tyrosine hydroxylase inhibitor -methyl-p-tyrosine
has no effect on the response to amphetamine compared with saline
pretreated animals (dotted bar). Eleven of 11 cells in
this study were dopamine cells.
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As a control to ensure that amphetamine was able to release dopamine in
our slices, we monitored the effect of amphetamine on the spontaneous
activity of dopamine cells, in either cell-attached patch mode or
whole-cell current-clamp mode, allowing the cells to fire action
potentials. In both configurations, amphetamine (10 µM)
completely suppressed spontaneous firing in two cells (data not shown);
in two other cells, this effect of amphetamine on spontaneous activity
was prevented by sulpiride (10 µM) (data not shown),
demonstrating that D2 receptors are responsible,
as reported previously (Seutin et al., 1991 ). These data suggest that
amphetamine can indeed release dopamine within our slices and also that
sulpiride is effective at blocking D2 receptors under our recording conditions; however, the depression of excitatory synaptic transmission is not mediated by released dopamine. As a
further test for the involvement of dopamine in mediating the effect of
amphetamine, animals were given -methyl-p-tyrosine to
deplete dopamine. The effect of amphetamine was not significantly different in slices from animals given the dopamine depletor compared with littermate controls given saline injections (Fig. 4C).
Together, these unexpected results indicate that endogenous dopamine
released by amphetamine is unlikely to mediate the depression of
excitatory synaptic transmission observed with amphetamine. We
suspected, therefore, that exogenously added dopamine depresses the
EPSC (Fig. 4A) via effects on nondopamine receptors.
Consistent with this hypothesis, SCH 23390 (2 µM) and sulpiride (10 µM) also failed to block the depression of the
EPSC produced by exogenously applied dopamine (data not shown).
Because the effect of amphetamine on glutamate synaptic transmission
does not appear to be via dopamine release and activation of dopamine
receptors, this suggested that it might be via the known effect of
amphetamine on transporters for either norepinephrine or serotonin.
Norepinephrine itself had little effect on EPSC amplitude, causing
11.3 ± 1.8% depression at 10 µM (n = 4). Furthermore, the effect of amphetamine was not significantly
inhibited by -adrenoceptor antagonists, causing 24 ± 5%
depression in the presence of the 1 antagonist prazosin (1 µM; n = 5) and 30.3 ± 3.5% inhibition in the presence of the 2 antagonist yohimbine (1 µM; n = 3). Therefore, we
tested the idea that amphetamine acts by releasing serotonin.
Exogenously applied serotonin caused a reversible, concentration-dependent depression of EPSC amplitude (39 ± 6%) (Fig. 5).

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Figure 5.
Serotonin mimics the effect of amphetamine.
A, Time course data from one dopamine cell showing
reversible depression of EPSC amplitude (normalized to predrug values)
in response to serotonin (10 µM, 10 min;
bar). Inset shows example records
(average of 5-10 traces) showing control EPSCs and EPSCs in the
presence of serotonin. B, Time course data from six
cells showing the reversible depression of EPSC amplitude (normalized
to control values) by serotonin (10 µM, 10 min;
5-HT). Four of six cells were dopamine cells.
Inset shows concentration dependence of the effect of
serotonin in depressing EPSC amplitude (percentage). Nine of 13 cells
used for this bar chart were dopamine cells.
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To elucidate the involvement of serotonin receptors in mediating the
effect of amphetamine, we examined the effects of amphetamine in the
presence of serotonin receptor antagonists. Ketanserin (100 nM), a selective 5-HT2 receptor
antagonist, did not block the effects of amphetamine
(amphetamine-induced depression of the EPSC, 32 ± 4%;
n = 3) (data not shown). However, two broad spectrum
serotonin receptor antagonists prevented amphetamine from depressing
excitatory synaptic transmission. Methysergide (10 µM) completely blocked the effect of
amphetamine on the EPSC (amphetamine-induced depression of EPSC in the
presence of methysergide, 3 ± 2%; n = 5) (Fig.
6A). Methiothepin (1 µM), a structurally distinct serotonin
antagonist, also significantly inhibited the effect of amphetamine on
EPSCs (amphetamine-induced depression of EPSC in the presence of
methiothepin, 11 ± 5%; n = 5) (Fig. 6B); in two of five cells, methiothepin caused a
complete block of the response to amphetamine. Methysergide also
inhibited the depressant effect of 10 µM
serotonin (to 18 ± 4%; n = 5). The effect of 100 µM dopamine was also blocked by methysergide
(to 15 ± 5%; n = 3), supporting the idea that,
at this high concentration, dopamine actually binds to serotonin
receptors to reduce the EPSC. These results strongly suggest that the
depression of excitatory synaptic transmission onto VTA dopamine
neurons by amphetamine is mediated by serotonin receptors.

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Figure 6.
Serotonin receptors mediate the effect of
amphetamine. A, Time course data from five cells
(open symbols) illustrating that the effect of
amphetamine is almost completely blocked in the presence of
methysergide (10 µM) compared with control data
(filled symbols; from Fig. 3A).
Four of five cells were dopamine cells. B, Time course
data from five cells (open symbols) showing that the
effect of amphetamine is inhibited in the presence of methiothepin (1 µM) compared with control data (filled
symbols; from Fig. 3A). Four of five cells were
dopamine cells.
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DISCUSSION |
This work is the first demonstration of the acute effects
of psychostimulants on excitatory synaptic transmission in the VTA. We
report that amphetamine produces a rapid and reproducible decrease in
excitatory synaptic transmission onto VTA neurons in slices from
drug-naïve animals. In general, previous work on
psychostimulant action has focused on dopaminergic mechanisms; our
results demonstrate that psychostimulant-mediated release of serotonin
importantly modulates excitatory synaptic transmission in the reward pathway.
Glutamatergic synaptic transmission is reduced by amphetamine
Based on previous findings using in vivo microdialysis,
we expected amphetamine to increase glutamate release rather than to
decrease it. Kalivas and Duffy (1995) reported an increase in
extracellular glutamate levels in the VTA in response to systemic cocaine, and Xue et al. (1996) reported a delayed increase in glutamate
efflux in response to systemic amphetamine. However, Wolf and Xue
(1998) found that, when amphetamine was administered directly into the
VTA, there was an initial decrease in glutamate efflux, followed by an
increase on removing the stimulant. The decrease in glutamate release
is in agreement with our observation that acute amphetamine decreases
glutamatergic synaptic transmission. Repeated applications of
amphetamine decrease the EPSC reproducibly, suggesting that
glutamatergic synaptic transmission in the isolated VTA is not
potentiated by amphetamine treatment, even after more than 1 hr.
Together, these observations suggest the possibility that the increase
in glutamate efflux observed in vivo results from
alterations in glutamate reuptake rather than an increase in
synaptically released glutamate.
Amphetamine does not depress EPSCs via dopamine receptors
Surprisingly, we found that dopamine receptors do not mediate the
depression of excitatory synaptic transmission by amphetamine. Amphetamine does release dopamine in the midbrain slice preparation used because, in a separate experiment, dopamine evoked
D2 receptor-mediated inhibition of spontaneous
firing. Dopamine at high concentrations also mimics the effect of
amphetamine on the EPSC amplitude. However, antagonists at
D1-type dopamine receptors [including
D1 and D5 subtypes; (Sibley
and Monsma, 1992 )] and D2-type receptors
[including D2, D3, and
D4 subtypes; (Sibley and Monsma, 1992 )] did not
attenuate the effect of amphetamine. This was surprising because it is
well established that psychostimulants evoke changes in dopamine
release and dopamine receptor sensitivity (Kalivas, 1993 ; White, 1996 ). We hypothesize that psychostimulants first alter glutamatergic activity
that in turn produces downstream changes in the dopaminergic axis. In
support of this, the NMDA glutamate receptor antagonist MK-801 prevents
changes in dopamine receptor sensitivity that accompany behavioral
sensitization (Wolf et al., 1994 ).
Amphetamine depresses glutamatergic transmission via serotonin
Amphetamine depresses excitatory synaptic transmission via
activation of serotonin receptors, as two different serotonin receptor antagonists block the effect. To account for this, it is possible that
amphetamine itself binds directly to serotonin receptors within the
slice to reduce the EPSC; amphetamine is known to bind with low
affinity to 5-HT2 receptors (Ritz and Kuhar,
1989 ). We think this explanation unlikely, because the
5-HT2 receptor antagonist ketanserin did not
block the effect of amphetamine. Instead, a more likely explanation for
our results is that amphetamine promotes serotonin release via its well
documented direct effects on the serotonin transporter (Scheel-Kruger,
1971 ; Ritz et al., 1987 ) and that released serotonin depresses the EPSC
via serotonin receptors. This is further substantiated by the finding
that neither dopamine or norepinephrine antagonists attenuate the
effect of amphetamine, ruling out an effect of amphetamine on
transporters for these neurotransmitters as a mechanism for depressing
EPSC amplitude. Historically, serotonin has received less attention
than dopamine as a mediator of psychostimulant effects. However,
lesions of serotonergic pathways increase rates of amphetamine
self-administration, and increasing recent evidence suggests that
serotonin may be an important player in the mechanisms underlying drug
addiction (Lyness et al., 1980 ; Leccese and Lyness, 1984 ; Cameron and
Williams, 1994 ; Obradovic et al., 1996 ; Parsons et al., 1998 ; Rocha et
al., 1998a ,b ).
Our findings emphasize that one acute effect of amphetamine in the
naïve VTA is activation of serotonin receptors, causing potent
depression of glutamatergic synapses in the VTA. This result was
unexpected, given the considerable evidence that dopamine mediates the
rewarding effects of amphetamine in many animal models of drug
addiction (Kalivas and Stewart, 1991 ; White, 1996 ). We speculate that,
by modifying glutamatergic drive to VTA dopamine neurons, serotonin
exerts important early modulatory effects on the mesocorticolimbic
dopamine system after amphetamine administration.
Amphetamine modulates excitatory transmission onto both dopamine
and nondopamine neurons
Previous work has demonstrated that prefrontal cortical afferents
form excitatory synapses with both dopaminergic and nondopaminergic neurons within the VTA (Sesack and Pickel, 1992 ; Bonci and Malenka, 1999 ). In our study, evoked glutamatergic excitatory synaptic currents
were recorded from both VTA cell types (identified physiologically and
by TH immunoreactivity) after stimulation of presumed prefrontal cortical afferents to the VTA. Amphetamine depressed glutamatergic synaptic transmission onto both dopamine and nondopamine VTA neurons, indicating that overall excitatory drive to the VTA may be acutely depressed by psychostimulants.
Glutamatergic afferents drive VTA dopamine neurons
Glutamatergic afferents ordinarily have a profound effect on VTA
dopamine cell activity. Stimulation of medial PFC elicits burst firing
of midbrain dopamine cells in vivo (Gariano and Groves, 1988 ), and burst firing increases dopamine release at the terminal fields of VTA dopamine cells (Gonon, 1988 ; Bean and Roth, 1991 ). Conversely, blockade of glutamatergic synaptic transmission with kynurenic acid (Grenhoff et al., 1988 ) or cooling of the medial PFC
(Svensson and Tung, 1989 ) changes the activity of dopamine cells from a
burst firing pattern to a pacemaker pattern. Thus, stimulating
excitatory transmission enhances dopaminergic activity in the
mesocorticolimbic system, whereas depressing excitatory transmission
reduces dopaminergic activity. Our results therefore suggest that a
first exposure to amphetamine will reduce burst firing of dopamine
neurons because of the blockade of excitatory transmission. This
depression of excitatory transmission will act synergistically with the
acute depression of dopamine cell spontaneous firing because of
somatodendritic release of dopamine in the VTA (White, 1996 ) to
decrease dopaminergic activity in this system.
Effects of amphetamine change with multiple exposures
It will be particularly interesting to test whether the inhibitory
effects of an initial exposure to amphetamine will change during
subsequent drug exposures, because evidence supports the idea that the
effects of amphetamine are altered with repeated exposure. Thus,
whereas a sensitizing regimen of amphetamine had no effect on midbrain
dopamine cell firing or its modulation by PFC stimulation immediately
after withdrawal, at 10 d after withdrawal, dopamine cell firing
in response to PFC stimulation was potently enhanced (Tong et al.,
1995 ). This correlates well with a report that amphetamine-induced
dopamine release in the nucleus accumbens was not increased
immediately after withdrawal from a sensitizing regimen but was
increased 10-14 d later (Wolf et al., 1993 ). Intriguingly, a similar
case has been presented for GABAB
receptor-mediated inhibitory transmission in the VTA;
D1 agonists enhance IPSPs in naïve
animals but decrease IPSPs in sensitized animals (Cameron and Williams,
1993 ; Bonci and Williams, 1996 ). If depression of glutamatergic
transmission was also reversed to potentiate glutamatergic transmission, this would provide a synergistic physiological mechanism to enhance dopamine cell excitability. Future studies will address the
question of whether the effect of amphetamine changes as behavioral sensitization develops.
In conclusion, the present experiments demonstrate that amphetamine
substantially depresses glutamatergic synaptic transmission to VTA
cells via serotonin receptor activation. Our results suggest that
serotonin is an important modulator of excitatory drive to VTA neurons
and that a rapid early effect of psychostimulant exposure is release of
this modulator. These experiments emphasize the importance of
serotonergic systems in the complex modulation of elements in the
reward pathway and provide new insight into the cellular effects of a
drug abused by humans.
 |
FOOTNOTES |
Received May 25, 1999; revised Aug. 13, 1999; accepted Sept. 1, 1999.
This work was supported by National Institutes of Health Grant
DA11289.We thank Drs. Yong Li, Donald Lo, Lori McMahon, and Johanna
Kornblum for helpful comments and discussion of this manuscript, and
Andrew Pittman for excellent technical assistance.
Correspondence should be addressed to J. A. Kauer, Department of
Neurobiology, Duke University Medical Center, Box 3209, Durham, NC
27710. E-mail: juliek{at}neuro.duke.edu.
 |
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