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Previous Article
The Journal of Neuroscience, May 1, 2000, 20(9):3504-3511
Dual Effects of D-Amphetamine on Dopamine Neurons
Mediated by Dopamine and Nondopamine Receptors
Wei-Xing
Shi,
Chen-Lun
Pun,
Xue-Xiang
Zhang,
Michelle D.
Jones, and
Benjamin S.
Bunney
Department of Psychiatry, Yale University School of Medicine, New
Haven, Connecticut 06510
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ABSTRACT |
By increasing dopamine (DA) release and activating feedback
mechanisms, amphetamine and related psychostimulants are known to
inhibit DA cell firing. Here, we report that D-amphetamine also has an excitatory effect on DA cells, which under control conditions, is masked by the inhibitory effect of
D-amphetamine and is revealed when D2-like receptors are
blocked. Thus, using in vivo single-unit recording in
rats, we found that the selective D2 antagonist raclopride not only
blocked the inhibition induced by D-amphetamine but also
enabled D-amphetamine to excite DA cells. The excitation,
expressed as an increase in both firing rate and bursting, persisted
when both D1- and D2-like receptors were blocked by SCH23390 and
eticlopride, suggesting that it is not mediated by DA receptors. The
norepinephrine uptake blocker nisoxetine mimicked the effect of
D-amphetamine, especially the increase in bursting, whereas
the 5-HT uptake blocker fluoxetine produced no significant effect.
Adrenergic 1 antagonists prazosin and WB4101 and the nonselective
antagonist phenoxybenzamine completely blocked increase in bursting
induced by D-amphetamine and partially blocked the increase
in firing rate. The 2 antagonist idazoxan and the antagonist
propranolole, however, failed to prevent D-amphetamine from
producing the excitation. Thus, revising the traditional concept, this
study suggests that D-amphetamine has two effects on DA
cells, a DA-mediated inhibition and a non-DA-mediated excitation. The
latter is mediated in part through adrenergic 1 receptors.
Key words:
amphetamine; drug abuse; addiction; psychostimulant; dopamine; norepinephrine; prazosin; adrenergic; 1; substantia
nigra; ventral tegmental area; burst; single-unit recording
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INTRODUCTION |
Amphetamine and related
psychostimulants, including cocaine, are known to block dopamine (DA)
re-uptake and to increase DA release. Because of activation of
DA autoreceptors and long-loop feedback pathways from DA-innervated
areas, these drugs also inhibit DA cell firing (Bunney et al., 1973 ;
Einhorn et al., 1988 ; Shi et al., 2000 ). This DA-mediated feedback
inhibition has been shown to be altered after chronic treatment with
amphetamine or cocaine and has been suggested to play an important role
in the development of behaviors associated with the abuse of these
drugs (White and Wang, 1984 ; Wolf et al., 1993 ; Gao et al., 1998 ; Henry
et al., 1998 ; Lee et al., 1999 ).
In the course of characterizing D-amphetamine-induced
inhibition of DA neurons, we found that the selective D2 antagonist raclopride, injected after D-amphetamine, not only reversed
the inhibition induced by D-amphetamine but further
increased the activity of the cell to above baseline. Initially, this
increase was thought to be a "rebound" phenomenon of the
cell or to be attributable to blockade of a tonic DA inhibition induced
by spontaneous DA release. When analyzing burst activity, we noticed
that the level of bursting of the cell was increased several fold after raclopride. This large increase led us to suspect that
mechanisms other than the two proposed above may be involved. In this
report, we present evidence suggesting that D-amphetamine
has, in addition to its well known inhibitory effect, an excitatory
effect on DA cells. Under control conditions, this
excitatory effect is masked by the inhibitory effect of
D-amphetamine. Raclopride, by blocking the inhibitory
effect, reveals the excitatory effect of D-amphetamine.
Parts of this work have been published previously in abstract form (Shi
et al., 1997a , 1998 , 1999 ; Zhang et al., 1999 ).
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MATERIALS AND METHODS |
Single-unit recordings in vivo. All procedures were
performed in accordance with those outlined in the Guide for the
Care and Use of Animals U.S. Government Principles, with Public
Health Service Policy and the Animal Welfare Act, and approved by the Yale Animal Care and Use Committee. Male Sprague Dawley rats weighing between 250 and 400 gm were used. Most experiments were performed in
chloral hydrate-anesthetized rats (400 mg/kg, i.p., with supplemental doses administered via a lateral tail vein). A few experiments were
performed in nonanesthetized rats (low cerveau isolé
preparations), which were prepared as described previously (Shi et al.,
1997b ). Briefly, rats were initially anesthetized with halothane
(Halocarbon Laboratory, River Edge, NJ). All pressure points and
incision sites were infiltrated with the long-acting, local anesthetic lidocaine hydrochloride, and the brain stem was transected using a
blunt, flattened syringe needle. Halothane anesthesia was discontinued for at least 30 min before beginning experiments. Throughout the experiment, body temperature was maintained at 36-38°C with a heating pad.
DA cells in the substantia nigra (SN) and ventral tegmental area (VTA)
were identified and recorded extracellularly as described previously
(Bunney et al., 1973 ; Grace and Bunney, 1980 , 1983 ). Glass
microelectrodes were made using a Narishige (Tokyo, Japan) electrode
puller, filled with 0.5 M NaCl, and had an impedance between 5 and 15 M . The electrode was lowered through a small burr
hole drilled above the SN and the VTA (3.0 mm anterior to the lamboidal
suture and 0.5-2.5 mm lateral to the midline) using a hydraulic
microdrive. DA cells were normally found between 6.5 and 8.5 mm below
the cortical surface. Interspike intervals (ISI) and firing rates were
collected on-line via an interface
(Lab-PC+; National Instrument, Austin,
Taxes) to a personal computer (DECpc 450ST) using software written in
LabView for Windows (National Instrument, Austin, TX). The number of
bursts, the total number of spikes in bursts, and variation coefficient
of ISI were calculated every 10 sec using Visual Basic macros. The
onset of a burst was identified as the concurrence of two spikes with
an ISI <80 msec, and the termination of a burst was defined as an ISI
>160 msec (Grace and Bunney, 1984 ). Only one cell was studied in each rat.
Drugs. All drugs were administered intravenously through a
lateral tail vein. Doses were given as salts. Prazosin and
phenoxybenzamine were dissolved in 25-30% polyethylene glycol (PEG)
(average molecular weight of 200 kDa) at 2.5 mg/ml and 30 mg/ml,
respectively. Immediately before injection, the solution was diluted
with distilled water so that the final volume of injection was either
0.05 or 0.1 ml. Depending on the weight of the animal, the final
concentration of PEG ranged from 4.0 to 20%. All other drugs were
dissolved in distilled water.
Drugs used in this study and their sources were
D-amphetamine sulfate [Research Biochemicals (RBI),
Natick, MA], apomorphine HCl (RBI), raclopride tartrate (Astra,
Sodertalje, Sweden), eticlopride HCl (RBI), (+)-SCH-23390 HCl
(RBI), prazosin HCl (RBI), WB4101 HCl (RBI), phenoxybenzamine HCl
(RBI), idazoxan HCl (Sigma, St. Louis, MO), propranolole HCl
(RBI), nisoxetine HCl (Tocris Cookson, Ballwin, MO), fluoxetine HCl
(RBI), and phenylephrine HCl (RBI).
Statistics. The statistical significance of the effect of a
drug was determined by comparing the activity of the cell before and after drug injection using ANCOVA followed by a post
hoc Tukey test. The covariate was the average of 3 min recordings
before the first drug injection (i.e., baseline activity). All
numerical data were expressed as mean ± SEM.
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RESULTS |
The initial finding: rebound of DA neurons after raclopride
reversal of D-amphetamine-induced inhibition
In the course of characterizing feedback control of DA neurons, we
studied the effect of the selective D2 antagonist raclopride (50 µg/kg) on D-amphetamine (1-2 mg/kg)-induced inhibition
of nigral DA neurons (Shi et al. 2000 ). As expected, raclopride
reversed the inhibition in every cell tested. However, after
raclopride, the firing rate of DA cells was always increased to above
baseline (Fig. 1). On average, the firing
rate was increased from 47.1 ± 5.2 spikes/10 sec measured before
D-amphetamine to 69.1 ± 4.8 spikes/10 sec after
raclopride (n = 8). Other measures of DA cell activity,
including the number of bursts, the number of spikes in bursts, and ISI
variation coefficient, were also increased (Fig. 1). Of the four
measurements, the number of spikes in bursts was increased the most
(from 3.8 ± 1.6 to 34.4 ± 7.5 spikes/10 sec;
n = 8). These increases were even more significant in
nonanesthetized (low cerveau isolé) rats (Fig.
2A). On average, the
firing rate and the number of spikes in bursts were increased from
44.8 ± 6.1 to 76.2 ± 8.7 spikes/10 sec and from 4.2 ± 2.5 to 48.1 ± 13.4 spikes/sec, respectively (n = 6). However, when DA cells were inhibited by the direct DA agonist
apomorphine (20-40 µg/kg; n = 5), raclopride (100 µg/kg) simply reversed the inhibition and restored the activity of DA
cells to baseline (Fig. 2B). These observations
suggest that the increase in DA cell activity, seen after raclopride
reversal of D-amphetamine-induced inhibition, is
not a rebound phenomenon. Instead, it may be an effect of
D-amphetamine revealed by D2 receptor blockade.
To further test this conjecture, we performed the following
experiments.

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Figure 1.
Excitation of DA neurons after
raclopride reversal of D-amphetamine-induced inhibition.
A, Representative recordings from a nigral DA neuron
showing that raclopride (Rac) not only reversed the
inhibition induced by D-amphetamine (Amph)
but further increased the activity of the cell to above baseline. Four
different parameters were measured: firing rate (spikes/10 sec), number
of spikes in bursts (spikes/10 sec), number of bursts (bursts/10 sec),
and ISI variation coefficient (percent of mean ISI/10 sec). Of
the four measurements, the number of spikes in bursts was increased
most significantly. B, Summary of data from eight cells
tested with D-amphetamine followed by raclopride. After
raclopride, both firing rate and the number of spikes in bursts were
significantly increased compared with predrug baseline
(F(18,268) = 26.914, p < 0.0005; and
F(18,268) = 17.434, p < 0.0005, respectively).
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Figure 2.
D-Amphetamine excites DA
neurons when D2-like receptors are blocked. A, Typical
recordings showing that, in a nonanesthetized rat, the activity of a DA
cell was also increased after raclopride (Rac) reversal
of D-amphetamine (Amph)-induced inhibition.
B, Recordings from a different DA neuron showing no
significant increase in the activity of the cell after raclopride
reversal of the direct DA agonist apomorphine
(Apo)-induced inhibition. C, Recordings
from another DA cell showing that raclopride alone produced only a
small increase in firing. After raclopride, however,
D-amphetamine significantly increased both firing rate and
bursting. D, Recordings from still another DA
neuron showing that the excitatory effect of D-amphetamine
persisted after both D1- and D2-like receptors were blocked by SCH23390
(SCH) and eticlopride
(Etic).
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Raclopride alone produces only a small increase in DA
cell activity
To test whether raclopride, by blocking the inhibition induced by
spontaneously released DA, can lead to a significant excitation of DA
cells, rats were given raclopride (100-200 µg/kg) before D-amphetamine. In most cells tested (16 of 22), raclopride
produced only a small effect (<10% of baseline) (Fig. 2C).
In the remaining six cells, a >10% increase in firing rate was
observed (ranging from 11 to 29%). Overall, the firing rate was
increased from 48.1 ± 4.0 to 50.8 ± 4.0 spikes/10 sec after
raclopride, whereas the number of spikes in bursts was increased from
7.5 ± 2.8 to 9.7 ± 3.1 spikes/10 sec (n = 22). Both increases, although small, were significant (firing rate,
F(19.793) = 6.189, p < 0.0005; bursting, F(19,793) = 1.914, p = 0.011).
D-Amphetamine excites DA cells in
raclopride-pretreated rats
To confirm that D-amphetamine has an excitatory effect
on DA cells when D2-like receptors are blocked,
D-amphetamine (1 mg/kg) was administered after raclopride
(100-200 µg/kg). In nearly all cells tested (21 of 22),
D-amphetamine produced a marked excitation (Fig.
2C); most cells showed an increase in both firing rate and bursting (n = 15), whereas the remaining cells showed
ether an increase in bursting only (n = 4) or an
increase in firing rate only (n = 2). In one cell,
D-amphetamine produced no effect on firing rate
and decreased burst activity by 25%. Altogether, firing rate was
increased from 50.8 ± 4.0 to 62.3 ± 3.4 spikes/10 sec, and
the number of spikes in bursts was increased from 9.7 ± 3.1 to
27.3 ± 4.2 spikes/10 sec (n = 22). Both increases
were highly significant (firing,
F(19,793) = 26.9, p < 0.0005; bursting, F(19,793) = 9.5, p < 0.0005).
A similar excitatory effect of D-amphetamine was observed
in VTA DA neurons. Thus, after raclopride (50-100 µg/kg),
D-amphetamine (1 mg/kg) increased both firing rate and
bursting in seven of eight cells tested. In the remaining cell,
D-amphetamine produced no effect on either measurement. On
average, the firing rate was increased from 60.6 ± 6.6 to
73.2 ± 7.3 spikes/10 sec, and the number of spikes in bursts was
increased from 32.3 ± 10.6 to 52.3 ± 11.7 spikes/10 sec
(n = 8). Both changes induced by
D-amphetamine were statistically significant
(firing rate, F(19,275) = 5.015, p < 0.0005; bursting,
F(19,275) = 3.255, p < 0.0005).
D-Amphetamine-induced excitation persists after both D1
and D2-like receptors are blocked
By releasing DA, D-amphetamine activates all five
subtypes of DA receptors
(D1-D5). Raclopride,
however, blocks mainly D2 and
D3 receptors (Van Tol et al., 1991 ). To test
whether D-amphetamine excites DA cells through
D1, D4, or
D5 receptors, rats were pretreated with
eticlopride (0.1 mg/kg) and SCH23390 (0.1 mg/kg). The former blocks all
three subtypes of D2-like receptors (D2,
D3, and D4), whereas the
latter blocks both D1 and
D5 receptors. In all five animals tested,
D-amphetamine (1 mg/kg), injected after eticlopride and
SCH23390, markedly excited DA cells (Fig. 2D). On
average, the firing rate was increased from 47 ± 7 to 63 ± 6 spikes/10 sec, whereas the number of spikes in bursts was increased
from 6.6 ± 2.2 to 26 ± 8.2 spikes/10 sec. Both increases
were highly significant (firing rate,
F(19,164) = 17.7, p < 0.0005; bursting, F(19,164) = 14.1, p < 0.0005).
Adrenergic 1 antagonists partially blocks
D-amphetamine-induced excitation
To determine whether part of the excitation induced by
D-amphetamine involves activation of adrenergic receptors,
the effect of the 1 antagonist prazosin was examined. In five of
nine cells tested, prazosin alone (1 mg/kg) produced a small effect on
firing rate (<10% of baseline) (Fig.
3A). In three of nine cells,
prazosin increased firing 11, 12, and 30%, respectively. In the
remaining cell, the firing rate was decreased 10%. Overall, the firing
rate was changed from 46.1 ± 5.2 to 47.7 ± 4.7 spikes/10
sec after prazosin. The number of spikes in bursts was unchanged by
prazosin (from 1.1 ± 0.5 to 1.1 ± 0.6 spikes/10 sec;
n = 9).

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Figure 3.
The 1 antagonist prazosin
blocks D-amphetamine-induced bursting of DA cells.
A, Typical recordings from a DA neuron showing that
pretreatment with prazosin (Praz) completely blocked the
ability of D-amphetamine [Amph; injected
after raclopride (Rac)] to increase bursting. In the
same cell, however, D-amphetamine was still able to induce
a small increase in firing rate. B, Recordings from a
different DA cell showing that prazosin completely reversed
D-amphetamine-induced increase in bursting and transiently
reversed the increase in firing rate. C, Summary of data
showing the differences between the effects of
D-amphetamine in control (filled
circles; n = 22) and prazosin-pretreated
rats (open circles; n = 7). Prazosin
pretreatment partially blocked the increase in firing rate
(left) and completely blocked the increase in bursting
(right) induced by D-amphetamine (1 mg/kg,
injected after 50-200 µg/kg of raclopride; see Results for
detailed statistics).
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Pretreatment with prazosin, however, blocked the burst increasing
effect of D-amphetamine (Fig.
3A,D). In all seven
prazosin-treated rats, D-amphetamine (1 mg/kg),
injected after raclopride (100 µg/kg), produced no effect on bursting
(from 7.3 ± 4.5 to 7.3 ± 2.9 spikes in bursts/10 sec;
F(19,238) = 0.696; p = 0.821; n = 7) (Fig. 3C). In the same cells,
D-amphetamine was still able to induce a small
increase in firing rate (50.7 ± 3.9 to 55.1 ± 4.0 spikes/10
sec; F(19,238) = 2.2;
p < 0.005) (Fig. 3C).
In 10 other cells, prazosin (1 mg/kg) was given after
D-amphetamine (1 mg/kg, after 50-100 µg/kg of
raclopride). In 7 of 10 cells, the increase in firing induced by
D-amphetamine was unaffected or only transiently reversed
by prazosin (Fig. 3B). In two cells, the increase was
completely reversed by prazosin. In the remaining cell, prazosin
partially reversed D-amphetamine-induced increase in firing (69%). The increase in bursting, however, was completely reversed by prazosin in most cells tested (8 of 10) (Fig.
3B). In the remaining two cells, a partial reversal was
observed (37 and 64%, respectively).
Similar blocking effects were observed with another 1 antagonist,
WB4101. In seven rats pretreated with WB4101 (0.2 mg/kg), D-amphetamine (1 mg/kg) after raclopride (100 µg/kg)
increased the firing rate in four cells (ranging from 11 to 25% of
baseline), decreased the rate in one cell (11%), and produced no
effect in the remaining two cells. Overall, the firing rate was
increased from 49 ± 4 to 53 ± 4 spikes/10 sec
(F(19,238) = 0.673; p = 0.844). In all seven cells, the effect of
D-amphetamine on bursting was completely blocked
(from 6 ± 3 to 4 ± 2 spikes in bursts/10 sec; F(19,238) = 0.985; p = 0.48). In 10 other cells, WB4101 (0.05-0.2 mg/kg) was given after
raclopride (0.1 mg/kg) and D-amphetamine (1 mg/kg). In 6 of 10 cells, the increase in firing induced by D-amphetamine was completely reversed by WB4101.
In two cells, the increase was partially reversed (77 and 79%,
respectively). In the two remaining cells, only a transient reversal
was observed. In all cells, the increase in bursting was completely
reversed by WB4101.
Phenoxybenzamine blocks both 1 and 2 receptors. Like prazosin and
WB4101, phenoxybenzamine partially blocked the increase in firing rate
and completely blocked the increase in bursting induced by
D-amphetamine. Thus, in eight cells pretreated with phenoxybenzamine (1 mg/kg), D-amphetamine (1 mg/kg) after
raclopride (0.1 mg/kg) increased the firing rate in four cells (ranging
from 12 to 39%), decreased the rate in one cell (24%), and produced no effect in remaining three cells (<10% of baseline). In all cells,
the burst increasing effect of D-amphetamine was completely blocked (from 1 ± 1 to 1 ± 1 spikes/10 sec). In 10 other
cells, phenoxybenzamine (1-2 mg/kg) was administered after raclopride (0.1 mg/kg) and D-amphetamine (1 mg/kg). In three of the
cells, the increase in firing induced by D-amphetamine was
completely reversed by phenoxybenzamine. In the remaining cells, it was
either partially reversed (n = 5; ranging from 47 to
80%) or not affected by phenoxybenzamine (n = 1). In
nine cells in which D-amphetamine produced a
significant increase in bursting, phenoxybenzamine completely reversed
the effect in seven cells and partially reversed the effect in two
remaining cells (68 and 78%, respectively).
Both prazosin and phenoxybenzamine were dissolved in a PEG solution
(4-20%). To test whether PEG has an effect on
D-amphetamine-induced excitation, a solution containing PEG
only (25-30%, 0.1 ml) was injected after raclopride and
D-amphetamine. In all 10 cells tested, no significant
effect was observed. In the same cells, subsequent injection of
prazosin (n = 3) or phenoxybenzamine (n = 7) reversed the excitation, especially the increase in bursting.
Unlike 1 antagonists, the 2 antagonist idaxozan (2 mg/kg) and the
antagonist propranolol (2 mg/kg) failed to prevent
D-amphetamine from producing the excitation. In five cells
treated with idazoxan, D-amphetamine (1 m/kg) after
raclopride (100 µg/kg) increased firing rate from 48.3 ± 6.2 to
61.6 ± 7.3 spikes/10 sec and the number of spikes in bursts from
4.3 ± 2.7 to 22.1 ± 11.6 spikes/10 sec. In five other cells
treated with propranolol, D-amphetamine (1 mg/kg) increased
the firing rate from 40.9 ± 7.6 to 58.7 ± 14.3 spikes/10
sec and the number of spikes in bursts from 3.0 ± 1.4 to
28.4 ± 20.3 spikes/10 sec. These increases were
statistically not different from those observed in rats pretreated with
raclopride only (idaxozan: firing rate,
F(1,24) = 0.154, p = 0.7; bursting, F(1,24) = 0.008, p = 0.92; propranolole: firing rate,
F(1,24) = 0.593, p = 0.45; bursting, F(1,24) = 0.294, p = 0.59; all compared with corresponding measures in
rats pretreated with raclopride only).
The selective norepinephrine uptake blocker nisoxetine
mimics the excitatory effect of D-amphetamine
To test further whether selective blockade of norepinephrine (NE)
uptake mimics the effect of D-amphetamine, nisoxetine
(5-10 mg/kg, i.v.) was administered. In 8 of 12 cells tested,
nisoxetine alone increased the activity of the cell (Fig.
4A). In the four remaining cells, nisoxetine produced either a slight decrease or no
effect on the activity of the cell. Of the eight cells excited by
nisoxetine, five showed an increase in bursting only, two showed an
increase in both firing rate and bursting, and one in firing only.
Overall, the firing rate was unchanged by nisoxetine (from 49 ± 3.6 to 49 ± 3.9 spikes/10 sec;
F(19,423) = 0.38; p = 0.99; n = 12), whereas the number spikes in bursts was
significantly increased (from 4.5 ± 3 to 15 ± 4.8 spikes/10
sec; F(19,423) = 6.8;
p < 0.0005; n = 12) (Fig.
4C). Subsequent raclopride injection (0.2 mg/kg) further
increased both firing rate and bursting in five cells and bursting only
in three cells. On average, raclopride increased the firing rate from
49 ± 4.3 to 53 ± 3.8 spikes/10 sec
(F(19,423) = 1.9; p < 0.01; n = 12) and the number of spikes in bursts from
15 ± 4.9 to 22 ± 5.4 spikes/10 sec
(F(19,423) = 1.2; p = 0.23; n = 12).

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Figure 4.
The selective NE uptake blocker nisoxetine
increases DA cell bursting. A, Typical recordings from a
DA cell showing that nisoxetine (Nis) alone produced a
significant increase in bursting and a small and transient increase in
firing rate. Raclopride (Rac) after nisoxetine further
increased firing rate and bursting. The 5-HT uptake blocker fluoxetine
(Flu) produced no further effect. Prazosin
(Praz) reversed the increase in DA cell activity induced
by both nisoxetine and raclopride. B, Recordings from a
different DA cell showing that the 5-HT uptake blocker fluoxetine
produced no significant effect on either firing rate or bursting.
Subsequent injection of raclopride also failed to produce a significant
effect. C, Summary of data from all 12 cells tested with
nisoxetine (2-5 mg/kg) followed by raclopride (0.1 mg/kg). Nisoxetine
had no significant effect on firing rate (left); it,
however, significantly increased the number of spikes in bursts
(right). Raclopride injection further increased both
firing rate and bursting (see Results for detailed statistics).
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In six other cells, raclopride was administered before nisoxetine. In
most cells (five of six), raclopride alone induced a small increase in
firing rate (<10% of baseline). In one cell, raclopride increased
bursting from 33 to 44 spikes/10 sec. In five of six raclopride-treated
cells, nisoxetine increased bursting. In four cells, this increase in
bursting was accompanied with no changes in firing rate. In one cell,
firing rate was also increased. In the remaining cell, nisoxetine
produced no significant effects. Overall, nisoxetine increased firing
rate from 46 ± 7.7 to 50 ± 7.9 spikes/10 sec
(F(19,201) = 1.4; p = 0.11) and the number of spikes in bursts from 8.5 ± 7.9 to
20 ± 9.5 spikes/10 sec
(F(19,201) = 3.9; p < 0.0005).
To test whether selective blockade of 5-HT uptake also mimics the
effect of D-amphetamine, fluoxetine (4 mg/kg) was
administered. Of the six cells tested, five showed no significant
changes after fluoxetine injection (Fig. 4B). The
remaining cell showed a decrease in both firing rate and bursting (from
67 to 56 and 44 to 16 spikes/10 sec, respectively). Overall, the firing
rate was reduced from 58 ± 6.2 to 56 ± 6.1 spikes/10 sec
(F(19,201) = 1.8; p = 0.024), and the number of spikes in bursts was also slightly reduced
from 18 ± 8.2 to 15 ± 6.7 spikes/10 sec
(F(19,201) = 0.75; p = 0.76).
In nine other cells, fluoxetine was administered after raclopride (0.2 mg/kg). Six of the cells showed no change, two showed an increase in
bursting (from 14 to 24 and from 1.4 to 5.9 spikes/10 sec,
respectively), and the remaining cell showed a decrease in bursting
(from 11 to 1.4 spikes/10 sec). On average, the firing rate was
slightly decreased by fluoxetine (from 57 ± 3.3 to 56 ± 3.1 spikes/10 sec), whereas the number spikes in bursts was slightly
increased (from 15 ± 2.8 to 16 ± 3.2 spikes/10 sec). Both
changes were statistically insignificant (firing rate,
F(19,312) = 0.56, p = 0.93; bursting, F(19,312) = 0.84, p = 0.66).
To test whether fluoxetine excites DA cells when both NE uptake and
D2-like receptors are blocked, rats were given nisoxetine (10 mg/kg)
and raclopride (0.2 mg/kg), and then fluoxetine (4-8 mg/kg). In seven
of nine cells tested, fluoxetine produced no significant effect (Fig.
4A). In one cell, however, both firing rate and
bursting were increased after fluoxetine (firing rate, from 47 to 58 spikes/10 sec; bursting, from 21 to 45 spikes/10 sec). In the remaining
cell, fluoxetine increased firing rate only (from 58 to 71 spikes/10
sec). Overall, the effects of fluoxetine were insignificant (firing
rate, from 53 ± 4.1 to 56 ± 4.3, F(19,312) = 1.2, p = 0.25; bursting, from 21 ± 6.5 to 27 ± 7.4, F(19,312) = 0.697, p = 0.82).
The prepheral 1 agonist phenylephrine does not mimic the
excitatory effect of D-amphetamine
When administered systemically, D-amphetamine
increases NE release both peripherally and centrally. To test whether
peripheral 1 receptors play a role in
D-amphetamine-induced excitation of DA cells, phenylephrine
was administered intravenously. Unlike D-amphetamine,
phenylephrine (0.8 mg/kg), injected either alone or after raclopride
(0.1 mg/kg), produced only a small effect on DA cells (Fig.
5). On average, the firing rate was
slightly decreased (from 47 ± 6 to 46 ± 6 spikes/10 sec;
n = 6), whereas the number of spikes in bursts was
slightly increased (from 1 ± 0.4 to 3.1 ± 1.8 spikes/10
sec; n = 6). In these same cells, subsequent injection
of D-amphetamine (1 mg/kg) markedly increased both firing rate (from 46 ± 7 to 64 ± 9 spikes/10 sec;
F(19,201) = 13.9; p < 0.0005) and bursting (from 3.7 ± 2.2 to 28.7 ± 13.8 spikes/10 sec; F(19,201) = 3.9;
p < 0.0005).

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Figure 5.
Effects of peripheral activation of 1 receptors
on DA neurons. Typical recordings showing that intravenous injection of
phenylephrine (Phenyl) produced no effect on
bursting and a small decrease in firing rate. In the same cell,
subsequent injection of D-amphetamine (Amph)
markedly increased both firing rate and bursting. Rac,
Raclopride
|
|
 |
DISCUSSION |
The present study shows that systemic administration of
D-amphetamine has two opposing effects on DA neurons: a
DA-mediated feedback inhibition and a non-DA-mediated excitation.
Evidence further suggests that the excitatory effect is mediated in
part through adrenergic 1 receptors.
The inhibitory effect of D-amphetamine on DA cells has been
extensively studied. Evidence suggests that the effect involves release
of endogenous DA and activation of DA receptors (Bunney and Aghajanian,
1976 , 1978 ; Shi et al., 2000 ). Supporting the suggestion, DA
antagonists, such as raclopride, readily reverse the inhibition induced
by D-amphetamine. In this study, we found that, after
raclopride reversal of D-amphetamine-induced inhibition, the activity of DA cells, instead of returning to baseline, was markedly increased to above baseline. A similar increase has been observed previously with other DA antagonists (Bunney et al., 1973 ).
The effect, however, was not further characterized because it was
thought to be a simple rebound of the cell or to be attributable to
blockade of a tonic DA inhibition induced by spontaneous DA release.
The present study suggests that neither mechanism contributes significantly to the effect because (1) no significant rebound was
observed when raclopride was used to reverse the inhibition induced by
the direct DA agonist apomorphine and (2) raclopride alone, by blocking
the inhibition induced by spontaneous DA release, produced only a small
increase in DA cell activity. The finding that
D-amphetamine consistently and significantly excites DA
cells in raclopride-pretreated rats further suggests that the increase in DA cell activity, seen after raclopride reversal of
D-amphetamine-induced inhibition, is primarily mediated by
an excitatory effect of D-amphetamine revealed by raclopride.
D-Amphetamine, by releasing endogenous DA, should activate
all subtypes of DA receptors
(D1-D5). Raclopride,
however, blocks mainly D2 and
D3 receptors, raising the possibility that
D-amphetamine excites DA cells through DA receptors not
blocked by raclopride, i.e., D1,
D4, or D5 receptors. Our
results suggest, however, that D-amphetamine-induced
excitation is not a DA receptor-mediated effect because it persisted
after injections of both SCH23390 and eticlopride, a treatment that
should block all subtypes of DA receptors. The excitation was largely
blocked, however, by adrenergic 1 antagonists and was mimicked by
the selective NE uptake blocker nisoxetine, suggesting that it is
mediated in part through 1 receptors. This suggestion is consistent
with previous studies showing that electrical stimulation of the locus
ceruleus excites DA neurons (Collingridge et al., 1979 ; Grenhoff
et al., 1993 ) and that the excitation is reduced by the 1 antagonist prazosin (Grenhoff et al., 1993 ).
D-Amphetamine also binds to 5-HT uptake transporters. The
affinity, however, is lower compared with that for DA or NE
transporters (Ritz and Kuhar, 1989 ). The present study suggests that
5-HT is not critical in D-amphetamine-induced excitation
because, unlike nisoxetine, the selective 5-HT uptake blocker
fluoxetine produced no significant effect on DA cells when injected
either before or after raclopride. A lack of an effect of fluoxetine on
DA cells has been reported previously (Einhorn et al., 1988 ). In one
study, fluoxetine was shown to inhibit VTA DA cells without altering the activity of SN DA cells (Prisco and Esposito, 1995 ). In this study,
we also showed that the effect of D-amphetamine persisted in the presence of the adrenergic receptor antagonist propranolol, which blocks also 5-HT1A and 5-HT1B receptors (Alexander and Wood, 1987 ). In preliminary experiments, the 5-HT2 antagonist ritanserine was
found to also have no effect on D-amphetamine-induced excitation.
During D-amphetamine-induced excitation, most cells showed
increases in both firing rate and bursting. Several observations suggest that two changes may be mediated by different mechanisms. Thus,
in many cells, the increase in firing rate was only partially blocked
or not affected by an 1 antagonist, whereas in the same cells, the
increase in bursting was completely reversed by the antagonist. In more
than half of the cells tested, nisoxetine increased bursting without a
significant effect on firing rate. In a previous study, prazosin was
shown to decrease spontaneous bursting of VTA DA cells without altering
the firing rate (Grenhoff and Svensson, 1993 ). These results suggest
that the increase in bursting induced by D-amphetamine is
mediated by 1 receptors, whereas the increase in firing rate
involves activation of other receptors as well.
When administered systemically, D-amphetamine increases
release of NE both peripherally and centrally. Our data suggest that the excitatory effect of D-amphetamine is centrally
mediated because (1) the effect persisted after a complete brainstem
transection, which should block all visceral input as well as most
somatosensory input to the brain, and (2) selective activation of
peripheral 1 receptors by intravenous injection of phenylephrine
failed to mimic the effect of D-amphetamine. In a previous
study in brain slices, application of phenylephrine directly to DA
cells induced a depolarization in a subset of cells tested (Grenhoff et
al., 1995 ), suggesting that part of the excitation induced by
D-amphetamine may be mediated by 1 receptors on DA
cells. D-Amphetamine may, however, also produce some of its
effect indirectly through brain areas that receive NE input and project
to DA cells. Consistent with this suggestion, in a preliminary study,
we have shown that forebrain transection rostral to the substantia
nigra completely blocked the increase in bursting and partially blocked
the increase in firing induced by D-amphetamine (Zhang et
al., 1999 ). Several brain areas may contribute to the excitatory effect
of D-amphetamine, including the prefrontal cortex and the
amygdala. A potential role for the prefrontal cortex is suggested by
the study by Darracq et al. (1998) in which prazosin, injected either
systemically or locally in the prefrontal cortex, reversed the increase
in DA release as well as in locomotor activity induced by systemic D-amphetamine. Direct stimulation of the prefrontal cortex
has also been shown to increase DA cell activity, especially bursting (Gariano and Groves, 1988 ; Murase et al., 1993 ; Tong et al., 1996 ).
The finding that D-amphetamine excites DA cells in part
through adrenergic receptors may have important clinical implications. In preliminary studies, we have found that the excitatory effect of
D-amphetamine is mimicked by all psychostimulants tested,
including cocaine, methamphetamine, and methylphenidate (Shi et al.,
1999 ). In the absence of raclopride, however, these drugs inhibit DA cells, suggesting that DA-mediated feedback inhibition is the dominant
effect under normal conditions. After chronic administration with
D-amphetamine or cocaine, DA-mediated inhibition has been shown to be transiently reduced (White and Wang, 1984 ; Henry et al.,
1998 ) or increased (Gao et al., 1998 ). However, because these studies were performed in chloral hydrate-anesthetized preparations and
because chloral hydrate anesthesia alters feedback mechanisms of DA
cells (Shi et al., 1997b , 2000 ), it is possible that not all effects
induced by chronic psychostimulants were observed in these studies.
Supporting this suggestion, a study performed in nonanesthetized rats
reported that D-amphetamine excited half of VTA DA cells in
rats chronically treated with D-amphetamine (Kamata and
Rebec, 1984 ). Thus, non-DA-mediated excitation may become the dominant
effect of psychostimulants on DA neurons in chronically treated animals.
Pathways responsible for the adrenergic excitation of DA neurons may be
activated by mechanisms other than psychostimulants. It is well known
that NE neurons in the locus ceruleus are particularly sensitive to
stress (Abercrombie and Jacobs, 1987 ; Stone and Zhang, 1995 ). Stress
also activates DA cells (Finlay and Zigmond, 1997 ). The presence of an
adrenergic influence on DA neurons suggests that part of stress-induced
excitation of DA cells may be mediated through NE neurons. Thus, a
better understanding of the NE-DA interaction may provide new insights
into not only psychostimulant-related drug addiction but also
stress-related disorders, including anxiety, schizophrenia, and depression.
 |
FOOTNOTES |
Received Dec. 21, 1999; revised Feb. 23, 2000; accepted Feb. 23, 2000.
This work was supported in part by United States Public Health Service
Grants MH52686 (W.-X.S), DA12944 (W.-X.S), and MH28849 (B.S.B), and the
State of Connecticut.
Correspondence should be addressed to Dr. Wei-Xing Shi, Department of
Psychiatry, Yale University School of Medicine, 333 Cedar Street, SHM
B-272, P.O. Box 208066, New Haven, CT 06520. E-mail address:
wei-xing.shi{at}yale.edu.
 |
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