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May 23, 2002
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The Journal of Neuroscience, 2002, 22:RC225:1-5
RAPID COMMUNICATION
Induction of a Salt Appetite Alters Dendritic Morphology in
Nucleus Accumbens and Sensitizes Rats to Amphetamine
Mitchell F.
Roitman,
Elisa
Na,
Gregory
Anderson,
Theresa
A.
Jones, and
Ilene L.
Bernstein
Program in Neurobiology and Behavior and Department of Psychology,
University of Washington, Seattle, Washington 98195
 |
ABSTRACT |
Sensitization to drugs, such as amphetamine, is associated with
alterations in the morphology of neurons in the nucleus accumbens, a
brain region critical to motivation and reward. The studies reported
here indicate that a strong natural motivator, sodium depletion and
associated salt appetite, also leads to alterations in neurons in
nucleus accumbens. Medium spiny neurons in the shell of the nucleus
accumbens of rats that had experienced sodium depletions had
significantly more dendritic branches and spines than controls. In
addition, a history of sodium depletions was found to have cross-sensitization effects, leading to enhanced psychostimulant responses to amphetamine. Thus, neuronal alterations common to salt and
drug sensitization may provide a general mechanism for enhanced
behavioral responses to subsequent exposures to these challenges.
Key words:
nucleus accumbens; amphetamine; sensitization; salt
appetite; Golgi staining; plasticity; psychostimulant drugs
 |
INTRODUCTION |
Sensitization
is a well documented effect of repeated exposure to drugs such as
amphetamine and cocaine (Pierce and Kalivas, 1997 ). Sensitization
represents a form of long-term plasticity that, in important respects,
differs from associative learning but may share some common mechanisms
(Berke and Hyman, 2000 ). In the laboratory, sensitization is displayed
by increases in the psychostimulant effects of the drugs after multiple
previous exposures (Segal and Mandell, 1974 ; Post and Rose, 1976 ).
Unlike transient drug effects, such as tolerance and withdrawal,
sensitization can last as long as 1 year after the last drug
administration in rats. The persistence of these effects implicates
mechanisms distinct from those responsible for more transient drug effects.
Induction of a salt appetite, a strong natural motivator, is also
associated with sensitization (Sakai et al., 1987 ). Salt appetite, the
innate response to sodium need, is expressed as eager ingestion of NaCl
(Richter, 1956 ; Denton, 1982 ). Salt appetite is strongly enhanced in
rats with a history of previous episodes of sodium depletion. Sodium
depletion has been reported to have additional long-term effects on
behavior, including an increase in need-free salt intake of the
individual (Sakai et al., 1989 ) and an increase in salt intake of the
offspring of individuals depleted of sodium during their pregnancy
(Nicolaïdis et al., 1990 ; Crystal and Bernstein, 1998 ). Thus,
the experience of sodium depletion can lead to durable, possibly
life-long, changes in behavioral responses to salt.
Repeated amphetamine treatments, using a delivery schedule known to
support sensitization, have been shown to alter the morphology of
neurons in the nucleus accumbens, a brain region that plays an
important role in motivated behaviors and responses to drugs of abuse
(Robinson and Kolb, 1997 , 1999 ). Golgi-stained neurons from rats given
multiple amphetamine injections over a prolonged period, were found to
have a significantly greater number of dendritic branches and more
dendritic spines compared with controls, morphological changes
indicative of synaptic alterations that could underlie behavioral
sensitization. The nucleus accumbens is a major projection site of the
mesolimbic dopamine system, a system strongly implicated in regulating
motivated behaviors not only to artificial rewards, such as drugs of
abuse, but also to natural rewards, such as sodium after sodium
depletion (Heimer et al., 1993 ; Roitman et al., 1997 , 1999 ; Kelley,
1999 ; Lucas et al., 2000 ).
The present studies assess whether sensitization of salt appetite, like
sensitization to amphetamine, is associated with morphological changes
by examining dendritic morphology in the nucleus accumbens of rats
exposed to repeated sodium depletions. In addition, we evaluated
whether a history of sodium depletion yields cross-sensitization effects, namely sensitization to the psychostimulant effects of amphetamine.
 |
MATERIALS AND METHODS |
Male Long-Evans rats weighing between 285 and 415 gm at the
start of the experiment were housed individually on a 12 hr light/dark cycle and maintained with access to water and Teklad (Madison, WI)
Rodent Chow ad libitum, except as otherwise noted. To induce a salt appetite, animals received sodium-depleting treatments with the
diuretic furosemide using a method modified from Wolf (1982) (Midkiff
et al., 1987 ). Furosemide (total dose of 10 mg/kg) or isotonic saline
was administered in two subcutaneous injections spaced 1 hr apart.
Diuresis was confirmed by comparing 3 hr postinjection body weights
with preinjection weights, with a criterion for weigh loss of at least
18 gm in furosemide-injected rats and no more than 6 gm for controls.
Detailed analysis of effects of this treatment protocol on sodium
excretion were obtained from a separate group of animals.
Furosemide-treated animals (n = 4) excreted 3.59 ± 66 mmol Na+ per kilogram of body
weight during the 24 hr after injection compared with
saline-treated controls (n = 3), which excreted 0.66 ± 17 mmol Na+ per kilogram of
body weight during the same period. Three hours after injections, rats
were given sodium-deficient chow (ICN Nutritional Biochemicals,
Cleveland, OH) and distilled water. Twenty-four hours later, food and
water were removed, and rats were offered 3% NaCl solution for 1 hr.
After testing, water and standard chow were returned. One week later,
depletion and testing were repeated.
In the first study, assessing Golgi-stained material, the rats were
depleted for a third time after an interval of 1 week. Twenty-four
hours later, all rats were given a lethal dose of sodium pentobarbitol.
Groups included depleted (n = 7) and control (n = 5) animals. Rats were perfused, and brains were
removed, blocked for the nucleus accumbens, and placed in Golgi-Cox
solution for 6 weeks. After standard reaction and dehydration
procedures (Ramon-Moliner, 1970 ), brain blocks were embedded in epoxy
resin, and 200 µm coronal sections were cut throughout the
rostrocaudal extent of the nucleus accumbens.
To select and quantify nucleus accumbens neurons for analysis, the
boundaries of the nucleus were drawn using Neurolucida software
(MicroBrightField, Colchester, VT) and atlas templates (Paxinos and
Watson, 1986 ). Neurons were selected and analyzed by an observer
unaware of experimental condition. Analyses focused on the shell region
of the nucleus accumbens because this is the region considered to have
the strongest connections with the limbic system (Heimer et al., 1993 )
and because previous work (Pierce and Kalivas, 1995 ; Robinson and Kolb,
1997 , 1999 ) provided evidence of plasticity in this region after
sensitization. Criteria for selection of neurons were as follows: (1)
darkly and completely stained cell bodies; (2) dendritic processes that
could be clearly followed to their terminal tips; (3) no beading or
interruptions in dendritic processes along the way to the terminal
tips; and (4) no obstruction of dendritic processes by astrocytes,
blood vessels, or the processes of neighboring neurons. Neurons were traced under magnification, and length measurements were made using
NeuroExplorer software (MicroBrightField). For each neuron, the number
and centrifugal order of dendritic branches was recorded. Quantification of the order of branches is important because it appears
to be more likely for increases in branches to occur at distal
(relative to the soma) segments, and distal segments are longer than
proximal segments (Greenough and Volkmar, 1973 ; Greenough and Chang,
1988 ). For spine counts, third-order terminal segments were chosen and
examined under 40× magnification. The terminal tip (10 µm) of the
segment was drawn under a 100× oil objective, and spine counts along
this segment were made to yield spine density (number of spines per 10 µm length). For dendritic morphology and spine counts, 5-10 neurons
per rat were chosen. The values for all neurons per rat were averaged
such that a single averaged value for each rat was included in the
final analyses.
Because the effects of sodium depletion history and multiple
amphetamine treatments on neuronal morphology in nucleus accumbens were
similar, we next examined whether the behavioral effects of sodium
depletions were also similar, that is, whether they led to
sensitization to the psychostimulant effects of amphetamine. Therefore,
the second study examined whether a history of sodium depletion leads
to cross-sensitization, namely an enhancement of the psychomotor
stimulant response to amphetamine.
Long-Evans rats received sodium depletions
("history;" n = 9) or sham treatments ("no
history;" n = 9). The depletion group was exposed to
two sodium depletion treatments and offered NaCl solution as above. One
week after recovery from the second depletion, rats were habituated to
a novel open field by being allowed to explore for 30 min per day for
2 d. The square open field was constructed of opaque black
Plexiglas divided into 3 × 3 compartments by white tape
applied to the floor. Dimensions of the field were 39.25 inches in
width and length with a height of 12.00 inches. The psychostimulant
effects of amphetamine were then assessed in the same field by placing
each rat in the field for a baseline period of 30 min. They were then
injected with amphetamine (d-amphetamine sulfate; 2 mg/kg,
i.p.; Sigma, St. Louis, MO) and replaced in the field for an additional
30 min. Activity in the field was videotaped for subsequent analysis by
an observer blind to depletion history. A line crossing was defined as
movement of the animal that brought more than one-half of its body over
a line, into a different compartment. A rear was defined as a period in
which both forepaws were raised and the animal's weight was supported on its hindpaws. Counts were made of each incident of line crossing and
rearing in blocks of 10 min. Analyses were performed on the last 10 min
of the baseline period and the 30 min after amphetamine administration.
Statistical analyses. Data were analyzed using t
tests and ANOVAs. In situations in which multiple t tests
were performed on the same data set, the Bonferroni correction
procedure was used; the 0.05 level required for statistical
significance was divided by the number of tests to yield a more
stringent criterion.
 |
RESULTS |
Sodium depletions lead to increases in higher-order dendritic
branches in medium spiny neurons of the shell of the nucleus
accumbens
As reported previously (Sakai et al., 1987 ), NaCl intake of
depleted animals after the first and second depletions showed evidence
of sensitization of salt appetite (10.33 ± 0.98 ml after second
depletion vs 7.8 ± 1.02 ml after first depletion;
p < 0.01).
Significant differences were observed in dendritic morphology of spiny
neurons in the shell of the nucleus accumbens in rats with and without
a history of sodium depletions (Fig. 1).
The total length of dendrites, including all segments, per neuron was
significantly greater in depleted rats than in controls (depleted, 789 ± 27 µm; control, 584 ± 76 µm;
t(10) = 2.90; p < 0.05). Average number of terminal segments per order was determined. No
significant differences between groups were found for first- through
fourth-order segments. However, there were significantly more terminal
segments of fifth- and higher-order in neurons of depleted compared
with control rats (t(10) = 4.27;
p < 0.01) (Fig. 2).
Average length of dendritic segments from shell neurons as a function
of branch order can be viewed in Figure 2. Differences are evident
between depleted and control rats, with these differences appearing in higher-order dendrites (three and above) (third order,
t(10) = 3.39, p < 0.01; fifth order, t(10) = 4.5, p < 0.01). Differences in terminal segment number
(five and above) and segment length (third and fifth order) were
significant after Bonferroni correction.

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Figure 1.
Neurolucida drawings of representative neurons
from the shell of the nucleus accumbens of a rat with a history of
sodium depletions (A) and a rat with no history
of depletions (B). Cells were chosen to reflect
the average difference in dendritic length between the two
groups.
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Figure 2.
Number and length of dendritic terminal segments,
by order, of medium spiny neurons in the shell of the nucleus accumbens
in rats with and without a history of sodium depletions.
Top, Average ± SE number of terminal segments per
order in rats experiencing multiple sodium depletions
(History) and in controls (No History).
Order based on an ordering system with each branch arising directly
from the soma assigned an order of 1, each bifurcation arising from
this branch assigned an order of 2, and so forth.
Bottom, Average ± SE length of terminal segments
per order in rats experiencing multiple sodium depletions and in
controls. *p < 0.05 for history versus no
history.
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Spine density of third-order terminal segments was evaluated, and no
differences between groups were found. Spine number at terminal tips is
a product of spine density by segment length. Because the length of
segments increased and spine density remained stable, this indicates
that a complement of spines was added to the added dendritic length.
A history of sodium depletions sensitizes the psychomotor
activational effects of amphetamine
Locomotor activity in the open field during the baseline period
and after treatment with amphetamine can be viewed in Figure 3. Horizontal activity (number of line
crossings) and rearing episodes were counted, and these scores are
depicted in the top and bottom portions of Figure
3, respectively. During the baseline period (before drug injection),
numbers of line crossings and rearings appear higher in control than
depleted animals. This difference was significant for line crossings
(t(16) = 2.46; p < 0.05) but not for rearing. Increases in line crossings, relative to
baseline, occur in both control (no history) (ANOVA;
F(3,24) = 8.46; p < 0.01) and previously depleted (ANOVA;
F(3,24) = 15.8; p < 0.001) rats. Differences between the two groups in amount of horizontal
activity after amphetamine were not statistically significant. A
different pattern was seen when rearing was assessed. Increases in
rearing activity over baseline were highly statistically significant in
rats with a history of depletion (ANOVA;
F(3,24) = 13.11; p < 0.001) but not in controls (ANOVA;
F(3,24) = 1.09; p = 0.37). Comparing the two groups directly indicated more rearing in the
previously depleted rats than in controls, and this difference was
statistically significant during the second 10 min period after
amphetamine injection (p < 0.05). Together, the
rearing data provide evidence of cross-sensitization, with nearly twice as many episodes of rearing in rats with a history of sodium
depletion.

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Figure 3.
Amphetamine-stimulated activity in an open field
in rats with and without a history of sodium depletions.
Top, Average ± SE number of line crossings in the
10 min period before amphetamine administration
(Baseline) and in 10 min blocks after administration of
amphetamine (2 mg/kg). Bottom, Average ± SE number
of rearings in the 10 min period before amphetamine administration
(Baseline) and in 10 min blocks after amphetamine.
*p < 0.05 relative to baseline;
#p < 0.05 for history versus no history.
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 |
DISCUSSION |
The present results provide evidence that a history of sodium
depletions is associated with dendritic growth and development of
spines in the shell region of the nucleus accumbens. The pattern of
dendritic addition, with an increase in topologically higher-order segments, is consistent with previous findings of experience-dependent dendritic growth in adult animals (Greenough and Volkmar, 1973 ; Greenough and Chang, 1988 ). The observed alterations are quite similar
to those observed after amphetamine sensitization (Robinson and Kolb,
1997 ). The similarity in pattern of morphological changes seen after
amphetamine and salt sensitization suggests that sensitization to a
challenge, whether it is a psychoactive drug or acute sodium depletion,
is associated with morphological changes in the dendrites of neurons in
nucleus accumbens and that these changes are consistent with synaptic
reorganization. What is particularly striking about the present
findings is that they occurred relatively quickly, that is, 2 weeks
after the first sodium-depleting treatment. This contrasts with the 10 week period elapsing in the amphetamine sensitization protocol
(Robinson and Kolb, 1997 ).
Although sodium depletion and amphetamine appear to have similar
effects on dendritic morphology in the nucleus accumbens, the pattern
of changes is not identical. Notably, Robinson and Kolb (1997) found
robust effects on spine density, whereas we found more total spines but
no change in spine density. This difference could be
attributable to qualitative differences between the effects of
these treatments, differences in the severity of the treatments, or
differences in timing of changes. The observation that the present
effects on dendritic length, on a percentage basis (>30%), are as
great or greater than those seen by Robinson and Kolb (1997) argues
against differences in treatment severity as the cause of this
difference. Differences between the two studies in time elapsing
between treatment and death were considerable, and
it is possible that Robinson and Kolb (1997) would have seen a pattern similar to ours if they had looked sooner or we would have seen a
pattern like theirs if we had waited longer. It is also possible that
these differences reflect genuine differences in the effects of these
two types of treatment on synaptic restructuring.
The similarity in the effects of sodium depletion and amphetamine on
dendritic morphology in the nucleus accumbens raised the question of
whether these two treatments affect the same neuronal populations and
whether they have similar behavioral effects. To address this issue, we
examined whether sodium depletion would sensitize the locomotor
response to amphetamine. Distinct effects on separate neuronal
populations would predict that sensitization, after a given treatment,
would be restricted to the motivational system that was activated.
Alternatively, general amplification within motivational circuits after
strong physiological challenges might yield significant sensitization
across treatment categories. Support can be found in the recent
research literature for both overlap and separation of natural and
artificial motive circuits (Cabib et al., 2000 ; Carelli et al., 2000 ;
Bradley and Meisel, 2001 ). For example, in a recent report addressing
strain differences between mice in their response to amphetamine,
DBA/2J, but not C57/BL6J, mice displayed a strong enhancement of their
locomotor response to amphetamine after a brief period of food
restriction (Cabib et al., 2000 ). The response to amphetamine was
measured after restoration of ad libitum food; apparently,
the history of food restriction was sufficient to alter the locomotor
response to the drug.
In the present study, rats with a history of sodium depletions
displayed more rearing, but not more horizontal movements, in response
to amphetamine than did rats without a depletion history. Thus,
induction of a strong salt appetite appears to sensitize not only salt
appetite but also some of the psychomotor stimulant effects of
amphetamine. This is consistent with the proposition that the sodium
depletion and amphetamine treatments have similar effects not only on
dendritic morphology in nucleus accumbens but also on the behavioral
response to amphetamine. It is unclear why effects of depletions were
selective, namely an increase in rearing but not horizontal
movements, because these two responses are generally viewed as related
responses to psychostimulant-induced activation of exploratory
behavior. Nonetheless, there have been reports of differential effects
of experimental treatments on locomotion and rearing. For example, a
clear dissociation between effects of naloxone on amphetamine-induced
rearing and locomotion (Balcells-Olivero and Vezina, 1997 ) suggests
that, of the two motor responses, rearing in response to amphetamine is
substantially more dependent on opiate mechanisms. With regard to the
present findings, the conclusion that amphetamine and sodium depletions have significantly different effects on locomotor sensitization would
appear to be premature. Instead, it would be useful to parametrically compare, within our testing protocol, whether effects on rearing and
not locomotion are dependent on challenge dose of amphetamine and
whether the pattern can be duplicated by any sensitizing regimen of amphetamine.
The loss of sodium caused by furosemide administration is typically
restored and exceeded by access to NaCl solution (Midkiff et al.,
1987 ). Therefore, at the time of testing with amphetamine, the rats had
returned to a sodium-replete condition. Thus, the cross-sensitization
effects do not require an ongoing need or challenge but rather reflect
the consequence of the animals' previous history of deprivation. The
results are consistent with the hypothesis that the increases in
dendritic length and synapse number, provoked by sodium depletions, may
have behavioral consequences beyond the realm of responses to salt.
Interest in drug sensitization has increased in recent years, in part
because the persistence of sensitization effects provides a parallel to
the prolonged susceptibility to relapse of individuals with a history
of substance abuse (Pierce and Kalivas, 1997 ; Berke and Hyman, 2000 ).
The present findings demonstrate that similar changes in dendritic
morphology occur after acute sodium depletions and repeated exposure to
psychostimulant drugs. Thus, neuronal alterations common to salt and
drug sensitization appear to represent a general neuronal response to a
strong physiological challenge that may provide a mechanism for an
enhanced behavioral response to subsequent exposures to that challenge.
The demonstration that acute sodium depletion had cross-sensitization
effects, leading to an enhanced psychostimulant response to
amphetamine, suggests significant overlap between the affected neuronal
populations within nucleus accumbens. Importantly, these results
suggest that previous induction of strong natural drives, such as
hunger (Cabib et al., 2000 ) or sodium depletion, can lead to drug
sensitization in individuals not previously exposed to those drugs.
 |
FOOTNOTES |
Received Jan. 23, 2002; revised March 6, 2002; accepted March 11, 2002.
This work was supported in part by a University of Washington Royalty
Research Fund grant. We thank Todd E. Thiele, Ming Teng Koh, and Ann
Voorhies for assistance with these studies.
Correspondence should be addressed to Dr. Ilene L. Bernstein,
Department of Psychology, Box 351525, University of Washington, Seattle, WA 98195-1525. E-mail: ileneb{at}u.washington.edu.
This article is published in
The Journal of Neuroscience, Rapid Communications Section,
which publishes brief, peer-reviewed papers online, not in print. Rapid
Communications are posted online approximately one month earlier than
they would appear if printed. They are listed in the Table of Contents
of the next open issue of JNeurosci. Cite this article as:
JNeurosci, 2002, 22:RC225 (1-5). The
publication date is the date of posting online at
www.jneurosci.org.
 |
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J Neurophysiol,
November 1, 2006;
96(5):
2399 - 2409.
[Abstract]
[Full Text]
[PDF]
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S. M. McBride, B. Culver, and F. W. Flynn
Prenatal and early postnatal dietary sodium restriction sensitizes the adult rat to amphetamines
Am J Physiol Regulatory Integrative Comp Physiol,
October 1, 2006;
291(4):
R1192 - R1199.
[Abstract]
[Full Text]
[PDF]
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D. M. Dietz, K. S. Curtis, and R. J. Contreras
Taste, Salience, and Increased NaCl Ingestion after Repeated Sodium Depletions
Chem Senses,
January 1, 2006;
31(1):
33 - 41.
[Abstract]
[Full Text]
[PDF]
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A. Kochli, Y. Tenenbaum-Rakover, and M. Leshem
Increased salt appetite in patients with congenital adrenal hyperplasia 21-hydroxylase deficiency
Am J Physiol Regulatory Integrative Comp Physiol,
June 1, 2005;
288(6):
R1673 - R1681.
[Abstract]
[Full Text]
[PDF]
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S. Zaja-Milatovic, D. Milatovic, A. M. Schantz, J. Zhang, K. S. Montine, A. Samii, A. Y. Deutch, and T. J. Montine
Dendritic degeneration in neostriatal medium spiny neurons in Parkinson disease
Neurology,
February 8, 2005;
64(3):
545 - 547.
[Abstract]
[Full Text]
[PDF]
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