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The Journal of Neuroscience, October 1, 2001, 21(19):7781-7787
Differential Regulation of the Mesoaccumbens Circuit by Serotonin
5-Hydroxytryptamine (5-HT)2A and 5-HT2C
Receptors
Lance R.
McMahon1,
Malgorzata
Filip2, and
Kathryn A.
Cunningham1
1 Department of Pharmacology and Toxicology, The
University of Texas Medical Branch, Galveston, Texas 77555-1031, and
2 Department of Pharmacology, Institute of Pharmacology,
Polish Academy of Sciences, Krakow 31-343, Poland
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ABSTRACT |
Serotonin [5-hydroxytryptamine (5-HT)] 5-HT2A and
5-HT2C receptors (5-HT2ARs and
5-HT2CRs), which innervate the dopamine
mesoaccumbens pathway, may play an important role in the
behavioral effects of cocaine. To test this hypothesis, the present
study measured cocaine-evoked locomotor activity after bilateral
microinjection of selective 5-HT2AR and 5-HT2CR
antagonists into the ventral tegmental area (VTA) or the nucleus
accumbens (NAc) shell. Locomotor activity was measured after
intracranial microinjection of saline (0.2 µl/side), the selective
5-HT2AR antagonist
R-(+)- -(2,3-dimethoxyphenyl)-1-[2-(4-fluorophenylethyl)]-4-piperidine methanol (M100907) (0.1 or 0.3 µg · 0.2
µl 1 · side 1), or the
selective 5-HT2CR antagonist
8-[5-(2,4-dimethoxy-5-(4-trifluoromethylphenylsulfon-amido)phenyl-5-oxopentyl)]-1,3,8-triazaspiro[4.5]decane-2,4-dione hydrochloride (RS 102221) (0.05-0.5 µg · 0.2
µl 1 · side 1) followed
by an injection of saline (1 ml/kg, i.p.) or cocaine (10 mg/kg, i.p.).
Microinjection of M100907 (0.1-0.3 µg/side) into the VTA or RS
102221 (0.15-0.5 µg/side) into the NAc shell attenuated
cocaine-induced hyperactivity in a dose-related manner. However, hyperactivity evoked by cocaine was not altered by
microinjection of RS 102221 into the VTA or M100907 into the NAc shell.
No changes in basal activity were observed after microinjection of
M100907 or RS 102221 into either brain region. These findings are the first to demonstrate that the behavioral effects of cocaine are generated in part by activation of 5-HT2ARs in the VTA and
by activation of 5-HT2CRs in the NAc shell. The selective
regulation of the mesoaccumbens circuit by 5-HT2ARs and
5-HT2CRs implicates these 5-HT receptors as important in
the behavioral outcomes of systemic cocaine administration.
Key words:
behavior; cocaine; nucleus accumbens; serotonin; 5-HT2A receptor; 5-HT2C receptor; ventral
tegmental area
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INTRODUCTION |
An effective pharmacotherapy for
cocaine dependence remains elusive (Klein, 1998 ) despite significant
advances in unraveling the neurobiological mechanisms of cocaine.
Cocaine inhibits dopamine (DA), serotonin [5-hydroxytryptamine
(5-HT)], and norepinephrine reuptake into presynaptic nerve
terminals (Koe, 1976 ), and thus indirectly stimulates multiple
monoamine receptors. It has been established that elevated DA
neurotransmission and indirect activation of DA
D1- and D2-like receptors
play a central role in the in vivo effects of cocaine (White
and Kalivas, 1998 ). The importance of the DA mesoaccumbens pathway,
which is composed of DA neurons in the ventral tegmental area (VTA) and
their projections to the nucleus accumbens (NAc), has been underscored
by observations that intra-NAc cocaine infusion mimics the reinforcing
(McKinzie et al., 1999 ), discriminative stimulus (Callahan et al.,
1994 ) and hypermotive properties (Delfs et al., 1990 ) of systemic cocaine.
Despite our understanding of the role of DA in the behavioral effects
of cocaine, the utility of DA ligands as effective pharmacotherapeutic medications has been limited (Klein, 1998 ). Serotonin (5-HT) may represent another viable target in the search for such treatment medications. Cocaine inhibits 5-HT reuptake (Koe, 1976 ) and 5-HT manipulations have been shown to modulate the behavioral effects of
cocaine (Walsh and Cunningham, 1997 ). Acutely abstinent cocaine abusers
exhibit higher levels of midbrain 5-HT transporters relative to
controls (Jacobsen et al., 2000 ), a finding which mirrors the increased
density of 5-HT transporters seen in midbrains of rats treated
chronically with cocaine (Cunningham et al., 1992 ). These observations
establish a link between cocaine exposure and perturbations in 5-HT function.
Of the 14 characterized 5-HT receptors (Barnes and Sharpe, 1999 ),
5-HT2A and 5-HT2C receptors
(5-HT2ARs and 5-HT2CRs) are localized to the mesoaccumbens DA pathway. In the VTA, a subpopulation of neurons expresses 5-HT2AR protein colocalized
with tyrosine hydroxylase, the rate-limiting enzyme for DA (Doherty and
Pickel, 2000 ). In contrast, 5-HT2CR mRNA is
coexpressed in GABA neurons of the ventral mesencephalon,
suggesting an indirect influence of this receptor on DA function
(Eberle-Wang et al., 1997 ). Moderate levels of both
5-HT2ARs (Cornea-Hebert et al., 1999 ) and
5-HT2CRs (Clemett et al., 2000 ) are also found in
neurons of the NAc. A sizeable amount of literature has accrued to
support a functional role for 5-HT2ARs and
5-HT2CRs in the control of brain DA
neurotransmission (see Discussion) (Di Matteo et al., 2001 ). Of
particular note to the expression of cocaine-induced hyperactivity, the
selective 5-HT2AR antagonist M100907 attenuated
cocaine-induced hypermotility (O'Neill et al., 1999 ; McMahon and
Cunningham, 2001 ), whereas the 5-HT2B/2CR
antagonist SB 206553 dose-dependently inhibited or enhanced this
hypermotility (McCreary and Cunningham, 1999 ). However,
inconclusive studies with nonselective 5-HT2R
antagonists (Meert and Janssen, 1992 ; Callahan and Cunningham, 1995 )
underscore the complexity of action for 5-HT receptors in the control
of psychostimulant behaviors.
The present study used intracranial microinjection
techniques and selective antagonists to examine the locus of action for 5-HT2ARs and 5-HT2CRs in regulating the
mesoaccumbens pathway. Spontaneous and cocaine-stimulated activity were
measured after microinjection of the selective
5-HT2AR antagonist M100907 or the selective
5-HT2CR antagonist RS 102221 into the VTA or NAc shell. M100907 was chosen for these studies because of its ~100-fold greater affinity for 5-HT2ARs versus
5-HT2CRs (Kehne et al., 1996 ) and its efficacy in
reversing cocaine-induced hyperactivity (O'Neill et al., 1999 ; McMahon
and Cunningham, 2001 ). RS 102221 was chosen for its ~30-fold greater
affinity for 5-HT2CRs versus
5-HT2ARs (Bonhaus et al., 1997 ). The NAc shell
was selected because a greater degree of 5-HT innervation (Brown and
Molliver, 2000 ), and higher levels of 5-HT2ARs
(Compan et al., 1998 ) and 5-HT2CRs (Clemett et
al., 2000 ) are observed in the shell versus the core; the NAc shell has
also been shown to be more sensitive to cocaine compared with the core
(Pontieri et al., 1995 ).
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MATERIALS AND METHODS |
Animals. Male Sprague Dawley rats (n = 60; Harlan, Houston, TX) weighing 250-300 gm at the beginning of the
experiment were used. The rats were housed three per cage in standard
plastic rodent cages in a colony room maintained at 21 ± 2°C
and at 40-50% humidity under a 12 hr light/dark cycle (lights on at
7:00 A.M.). Rats surgically fitted with indwelling bilateral
guide cannulas were housed individually. Each rat was provided with tap
water and rodent chow ad libitum except during experimental
sessions. All experiments were conducted during the light phase of the
light/dark cycle (between 9:00 A.M. and 2:00 P.M.). All experiments
were performed in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals.
Guide cannula surgery. Rats underwent surgical implantation
of 22 gauge stainless steel bilateral guide cannulas (Small Parts Inc.,
Miami Lakes, FL) aimed 2 mm above the VTA (n = 32) or the NAc shell (n = 28). Each rat was
anesthetized using an intramuscular injection of 43 mg/kg ketamine, 8.6 mg/kg xylazine, and 1.5 mg/kg acepromazine in physiological saline
(0.9% NaCl). With the upper incisor bar of a Kopf stereotaxic
instrument (David Kopf Instruments, Tujunga, CA) positioned at
3.8 mm below the interaural line and using the intersection of the
bregma and the longitudinal sutures as the origin, the ventral surfaces
of the bilateral guide cannulas were positioned 2 mm above the VTA [at
a ±6° angle from the midsagittal plane; anteroposterior (AP), 6.0
mm; mediolateral (ML), ±1.3 mm; and dorsoventral (DV), 7 mm below
the surface of the skull] or NAc shell (AP, +1.6 mm; ML, ±0.5
mm; and DV, 6 mm) (Paxinos and Watson, 1998 ). The guide cannulas were
fastened to the skull with stainless steel screws (Small Parts) and
cranioplastic cement (Plastics One Inc., Roanoke, VA) and were fitted
with 28 gauge stainless steel bilateral obturators (Small Parts). Rats
received a single injection of 300,000 U of sodium ampicillin
intramuscularly after surgery and were allowed a 1 week recovery period
during which they were handled and weighed daily.
Apparatus. Locomotor activity was monitored and quantified
using an open-field activity system (San Diego Instruments, San Diego,
CA). Each clear Plexiglas chamber (40 × 40 × 40 cm) was housed within a sound-attenuating enclosure and was surrounded with a
4 × 4 photobeam matrix located 4 cm from the floor
surface. Interruptions of the photobeams resulted in counts of activity in the peripheral and central fields of the chamber. Activity recorded
in the inner 16 × 16 cm of the open field was counted as central
activity, whereas the field bounded by the outer 16 cm band registered
peripheral activity. Separate counts of peripheral and central activity
were made by the control software (Photobeam Activity Software; San
Diego Instruments) and stored for subsequent statistical evaluation.
Video cameras positioned above the chambers permitted continuous
observation of behavior without disruption.
Intracranial microinjections. Surgically implanted rats were
maintained in the colony room for a minimum of 1 week before behavioral
testing for acclimation to daily handling procedures. In addition, all
rats were habituated to the brief confinement associated with the
intracranial microinjection technique by removing the 28 gauge internal
obturators, gently restraining the rat for ~3 min, and replacing the
obturators. All rats were habituated to the testing environment for the
2 d (2 hr/daily) immediately preceding the start of the
experiment. The animals were assigned to one of four groups according
to antagonist treatment (M100907 or RS 102221) and brain locus (NAc
shell or VTA). The groups received saline (0.2 µl/side) or M100907
(0.1 or 0.3 µg/side) into the NAc shell (n = 16) or
VTA (n = 16) and saline (0.2 µl/side) or RS 102221 (0.05, 0.15, or 0.5 µg/side) into the NAc shell (n = 12) or VTA (n = 16). For each microinjection, the 28 gauge bilateral obturators were removed and two 33 gauge stainless
steel bilateral internal cannulas (Small Parts) were positioned so as
to extend 2 mm ventral to the bilateral guide cannula tips. The
bilateral internal cannulas were attached to two 5 µl syringes
(Hamilton Co., Reno, NV) via PE-50 tubing (Clay Adams, Parsippany,
NJ). A microsyringe drive (Baby Bee; Bioanalytical Systems,
Inc., West Lafayette, IN) driven by a programmable controller
(Bee Hive Controller; Bioanalytical Systems) delivered a volume of 0.2 µl/side at a rate of 0.1 µl/min. After each microinjection, the
bilateral internal cannulas were left in place for 1 min and the
obturators were then replaced. Each microinjection was followed
immediately by an injection of either saline (1 ml/kg, i.p.) or cocaine
(10 mg/kg, i.p.). Horizontal locomotor activity counts were recorded
and divided into 5 min bins for a total of 1 hr. Test sessions were conducted every 3 d and the order of microinjections for saline or
the highest dose of antagonist was based on a Latin square design.
Subsequent injections of antagonists were administered in descending
order for a total of six (M100907) or eight (RS 102221) tests. Systemic
cocaine injections were given every other test and only once per week.
Histology. At the end of the experiment, rats were overdosed
with chloral hydrate (800 mg/kg, i.p.); brains were removed and stored
in a 20% sucrose/10% formalin solution for at least 3 d before
sectioning. Brain sections (50 µm) were mounted onto gelatin-coated glass slides. The brain sections were defatted, stained with cresyl violet, cleared with xylene, and coverslipped. The cannula placements were verified according to the atlas plates of Paxinos and Watson (1998) using a light microscope.
Data analysis. Peripheral and central activity counts were
combined into a single measure of horizontal activity counts and were
totaled across the 60 min session for each animal. Analyses were
conducted with a two-way ANOVA for repeated measures for the factors of
pretreatment (0, 0.1, or 0.3 µg/side M100907 or 0, 0.05, 0.15, or 0.5 µg/side RS 102221), treatment (0 or 10 mg/kg cocaine, i.p.), and
pretreatment × treatment interaction (SAS for Windows, version
6.12; SAS Institute, Cary, NC). The Student-Newman-Keuls procedure
was used to analyze preplanned, pairwise comparisons; all comparisons
were conducted with an experimentwise equal to 0.05. To
assess whether the dose-effect nature of observed effects was
dependent on the order of test in this repeated-measures design, a
one-way ANOVA was conducted for the factor of order of test.
Drugs. Drugs were dissolved in sterile 0.9% NaCl. Cocaine
hydrochloride (National Institute on Drug Abuse, Bethesda, MD) was injected intraperitoneally in a volume of 1 ml/kg.
R-(+)- -(2,3-dimethoxyphenyl)-1-[2-(4-fluorophenylethyl)]-4-piperidine methanol (M100907) (Hoechst Marion Roussel, Cincinnati, OH) or 8-[5-(2,4-dimethoxy-5-(4-trifluoromethylphenylsulfonamido)phenyl-5-oxopentyl)]-1,3,8-triazaspiro[4.5]decane-2,4-dione hydrochloride (RS 102221) (Tocris, Ballwin, MO) were injected locally
in a volume of 0.2 µl/side. The solutions of M100907 and RS 102221 were adjusted to a pH of 6-7. The control solutions adjusted to a pH
of 6-7 did not affect basal locomotor activity during microinjection
(data not shown).
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RESULTS |
Histology
For each animal included in the analyses below, the injection
cannulas projected bilaterally past the outer guide cannulas into the
VTA or NAc. Figure 1 illustrates the
cannula tip locations for the experiments in which M100907 was infused
into the VTA (Fig. 1, left panels) and RS 102221 was
infused into the NAc (Fig. 1, right panels).
Inspection of brain tissue revealed slight evidence of gliosis at the
site of injection, although surrounding tissue was generally
intact.

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Figure 1.
Histological verification of infusion sites. The
location of infusions is shown for all rats that received intra-VTA
infusions of M100907 (left panels) and intra-NAc infusions
of RS 102221 (right panels). Plates are taken from
Paxinos and Watson (1997) , and the numbers beside each
plate correspond to millimeters from bregma.
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Intra-VTA or NAc shell microinjection of saline
Microinjection of saline into the VTA or NAc shell followed by
systemic injection of saline resulted in levels of activity (~500
counts/60 min) (Figs. 2-5) similar to
those reported after systemic saline injection tested alone under
identical conditions (McCreary and Cunningham, 1999 ; McMahon and
Cunningham, 1999 , 2001 ). Microinjection of saline into the VTA or NAc
shell followed by systemic injection of cocaine (10 mg/kg, i.p.)
resulted in levels of hyperactivity (~2000 counts/60 min) that were
significantly higher than saline-saline control values
(p < 0.05) (Figs. 2-5) and similar to those
reported after systemic cocaine injection in rats not implanted with
guide cannulas tested under identical conditions (McCreary and
Cunningham, 1999 ; McMahon and Cunningham, 1999 , 2001 ).

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Figure 2.
Basal and cocaine-stimulated locomotor activity
after microinjection of the 5-HT2AR antagonist M100907 into
the VTA. A, Mean (±SEM) total horizontal activity
(counts per 60 min) after intra-VTA microinjection of saline
(Sal) or M100907 (M100) (0.1 or
0.3 µg/side) followed by intraperitoneal injection of saline or
cocaine (Coc) (10 mg/kg). *p < 0.05 versus Sal + Sal; p < 0.05 versus Sal + Coc (Student-Newman-Keuls test). The time
course of horizontal activity plotted in 15 min bins across the 60 min
test session is depicted for basal (B) and
Coc-stimulated (C) activity.
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Intra-VTA microinjection of the 5-HT2AR
antagonist M100907
To test the hypothesis that antagonism of
5-HT2ARs in the VTA would alter spontaneous or
cocaine-stimulated horizontal activity, 16 rats were implanted with
bilateral guide cannulas and received a microinjection of saline or
M100907 (0.1 or 0.3 µg/side) followed by systemic injection of saline
or cocaine (10 mg/kg). Of these, six rats exhibited cannula placements
bilaterally positioned in the VTA at the level of the
paranigral-parabrachial nuclei (Fig. 1, left panels). For
these rats, a main effect of pretreatment (F(2,10) = 9.70; p < 0.01), treatment (F(1,5) = 18.39;
p < 0.01), and a pretreatment × treatment
interaction (F(2,10) = 7.55;
p < 0.01) was observed for total horizontal activity
summed across the 60 min session. Intra-VTA pretreatment with M100907
at a dose of 0.3 µg/side significantly attenuated horizontal activity
stimulated by cocaine (p < 0.05) (Fig. 2) to
levels that were not significantly different from saline-saline
control levels (p > 0.05). In contrast, intra-VTA pretreatment with M100907 (0.1 or 0.3 µg/side) did not alter spontaneous horizontal activity (p > 0.05) (Fig. 2). The dose-effect nature of observed attenuation of
cocaine-induced hyperactivity by intra-VTA M100907 was not dependent on
the order of test as indicated by the one-way ANOVA conducted for the
factor of order of test (F(5,30) = 1.35; p > 0.05).
In this experiment, five rats exhibited cannula placements at levels
dorsal and dorsolateral to the VTA in the prerubral field and medial
lemniscus, respectively, and these rats were assigned to an anatomical
control group. For these rats, a significant main effect of
treatment (F(1,4) = 20.48;
p < 0.05) was observed for total horizontal activity
summed across the 60 min session (data not shown). There was no main
effect of pretreatment (F(2,8) = 3.19;
p > 0.05) or a pretreatment × treatment
interaction (F(2,8) = 0.57;
p > 0.05).
Intra-VTA microinjection of the 5-HT2CR antagonist
RS 102221
Sixteen rats received a microinjection of saline or the
5-HT2CR antagonist RS 102221 (0.05, 0.15, or 0.5 µg/side) followed by systemic injection of saline or cocaine (10 mg/kg). Of these, nine rats exhibited cannula placements bilaterally
positioned in the VTA at the level of the paranigral-parabrachial
nuclei. For these rats, a main effect of treatment
(F(1,8) = 54.57; p < 0.001) was observed for total horizontal activity summed across the 60 min session (Fig. 3). There was no
significant effect of pretreatment
(F(3,24) = 2.27; p > 0.05) or a pretreatment × treatment interaction
(F(3,24) = 1.05; p > 0.05).

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Figure 3.
Basal and cocaine-stimulated locomotor activity
after microinjection of the 5-HT2CR antagonist RS 102221 into the VTA. See legend to Figure 2 for explanation of this
figure.
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In this experiment, five rats exhibited cannula placements at levels
dorsal and dorsolateral to the VTA in the prerubral field and medial
lemniscus, respectively, and these rats were assigned to an anatomical
control group. For these rats, a main effect of treatment
(F(1,3) = 15.89; p < 0.05) was observed for total horizontal activity summed across the 60 min session (data not shown). There was no main effect of pretreatment
(F(3,9) = 1.98; p > 0.05) or a pretreatment × treatment interaction
(F(3,9) = 0.81; p > 0.05).
Intra-NAc shell microinjection of the 5-HT2AR
antagonist M100907
Sixteen rats received a microinjection of saline or the
5-HT2AR antagonist M100907 (0.1 or 0.3 µg/side)
followed by systemic injection of saline or cocaine (10 mg/kg). Of
these, nine rats exhibited cannula placements bilaterally positioned in
the ventromedial portion of the NAc shell at +1.7 to +2.2 mm posterior
to bregma. For these rats, a main effect of treatment
(F(1,8) = 76.71; p < 0.001) was observed for total horizontal activity summed across the 60 min session (Fig. 4). There was no main
effect of pretreatment (F(2,16) = 0.59; p > 0.05) or a pretreatment × treatment
interaction (F(2,16) = 0.86;
p > 0.05). Similarly, microinfusion of M100907 (0.1 or
0.3 µg/side) ventromedial to the NAc shell (n = 4) or into the NAc core (n = 1) did not alter basal or
cocaine-stimulated activity levels (data not shown)

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Figure 4.
Basal and cocaine-stimulated locomotor activity
after microinjection of the 5-HT2AR antagonist M100907 into
the NAc shell. See legend to Figure 2 for explanation of this
figure.
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Intra-NAc shell microinjection of the 5-HT2CR
antagonist RS 102221
To test the hypothesis that antagonism of
5-HT2CRs in the NAc shell would alter basal or
cocaine-stimulated horizontal activity, 12 rats were implanted with
bilateral guide cannulas and received a microinjection of saline or RS
102221 (0.05, 0.15, or 0.5 µg/side) followed by systemic injection of
saline or cocaine (10 mg/kg). Of these, seven rats exhibited cannula
placements bilaterally positioned in the ventromedial portion of the
NAc shell at +1.7 to +2.2 mm posterior to bregma (Fig.
1B). For these rats, a main effect of pretreatment
(F(3,18) = 7.02; p < 0.01),
treatment (F(1,6) = 62.44;
p < 0.001), and a pretreatment × treatment
interaction (F(3,18) = 3.55;
p < 0.05) were observed for total horizontal activity
summed across the 60 min session. Intra-NAc shell pretreatment with RS
102221 at doses of 0.15 or 0.5 µg/side significantly attenuated horizontal activity stimulated by cocaine (p < 0.05) (Fig. 5) to levels that were not
significantly different from saline-saline control levels
(p > 0.05). In contrast, intra-NAc shell
pretreatment with RS 102221 (0.05, 0.15, or 0.5 µg/side) did not
alter spontaneous horizontal activity (p > 0.05) (Fig. 5). In this experiment, two rats exhibited cannula
placements in the core subregion, and there was no effect of
microinjection of RS 102221 (0.05, 0.15, or 0.5 µg/side) on basal or
cocaine-stimulated activity in these animals (data not shown). The
dose-effect nature of observed attenuation of cocaine-induced
hyperactivity by intra-NAc RS 102221 was not dependent on the order of
test as indicated by the one-way ANOVA conducted for the factor of
order of test (F(7,48) = 1.24;
p > 0.05).

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Figure 5.
Basal and cocaine-stimulated locomotor activity
after microinjection of the 5-HT2CR antagonist RS 102221 into the NAc shell. See legend to Figure 2 for explanation of
this figure.
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DISCUSSION |
An effective antagonism of cocaine-induced hyperactivity was
observed after microinjection of the selective
5-HT2AR antagonist M100907 (0.3 µg/side) into
the VTA or the selective 5-HT2CR antagonist RS
102221 (0.15 or 0.5 µg/side) into the NAc shell. In contrast, cocaine-evoked hypermotility was unchanged after microinjection of RS
102221 into the VTA or M100907 into the NAc shell, and spontaneous locomotor activity was not altered by microinjection of M100907 or RS
102221 into either region. Based on previous findings that systemic
administration of 5-HT2AR and
5-HT2B/2CR antagonists can influence some of the
behavioral effects of cocaine (see the introductory remarks), the
present study is the first to identify brain nuclei in which
5-HT2R subtypes function to control behavior evoked by cocaine.
The dose-related reduction of cocaine-stimulated activity but not
spontaneous activity that was observed after microinjection of M100907
into the VTA, but not the NAc shell, suggests that 5-HT2ARs may exert control over the behavioral
effects of cocaine through direct or indirect actions on DA cell bodies
which serve as the origin of the mesoaccumbens pathway. Systemic
administration of cocaine has been reported to increase 5-HT and DA
efflux in the VTA in vivo (Chen and Reith,
1994 ), and 5-HT has been shown to depolarize VTA DA neurons
in vitro (Pessia et al., 1994 ). Therefore, cocaine may act
through indirect stimulation of 5-HT2ARs on DA somata (Doherty and Pickel, 2000 ) to facilitate DA outflow from the
VTA. Depolarization of VTA DA neurons in vitro has been
observed after application of the nonselective
5-HT2R agonist
1-(2,5-dimethoxy-4-iodo)-2-aminopropane (DOI), and this effect is
antagonized by the 5-HT2R antagonist ketanserin
(Pessia et al., 1994 ). Because 5-HT2CR
stimulation is thought to result in a depression of VTA cell
firing (Prisco et al., 1994 ; Di Matteo et al., 2000 ),
5-HT2AR-dependent depolarization of
DA somata may facilitate behavior elicited by stimulation
of the mesoaccumbens DA pathway. Alternatively,
5-HT2ARs have been suggested to regulate the
stimulated DA neurotransmission associated with increased DA synthesis,
such as that induced by reverse transport of DA (e.g., amphetamine)
(Schmidt et al., 1992 ) or antagonism of D2-like
synthesis-modulating autoreceptors (Lucas and Spampinato, 2000 ).
However, cocaine inhibits DA reuptake (Koe, 1976 ) and decreases DA
synthesis, presumably via indirect stimulation of
D2-like autoreceptors (Galloway, 1990 ), and it
seems unlikely that blockade of a facilitatory role of
5-HT2ARs on DA synthesis accounts for the
suppressive effect of M100907 on cocaine-induced behavior. Thus, we
propose that mechanisms in addition to control over DA synthesis
ascribed to 5-HT2ARs, such as direct excitation
of DA somata, contribute to 5-HT2AR-mediated
control of DA neurotransmission.
Microinjection of RS 102221 into the NAc shell, but not the VTA,
antagonized the hypermotility evoked by cocaine in a dose-related manner, suggesting that functional 5-HT2CR
control of mesoaccumbens pathways is distinctly regional. Systemic
administration of cocaine has been shown to increase 5-HT and DA efflux
in the NAc in vivo (Reith et al., 1997 ), presumably through
reuptake inhibition via blockade of 5-HT and DA transporters,
respectively. In addition to DA reuptake inhibition, the present study
indicates that cocaine may also enhance DA efflux in the NAc shell
indirectly through stimulation of 5-HT2CRs. Such
a contention has received tentative support from neurochemical studies
of DA efflux. For example, perfusion of DOI through a microdialysis
probe increased DA efflux in the NAc, an effect that was reversed by
co-perfusion with a nonselective 5-HT2R
antagonist (Yan, 2000 ) or the selective
5-HT2B/2CR antagonist SB 206553 (Lucas and
Spampinato, 2000 ). The mechanism whereby 5-HT2CRs
in the NAc shell putatively regulate DA efflux likely involves a
GABA-DA interface based on the distribution, localization, and
morphology of neurons in the NAc containing 5-HT2cR mRNA
(Eberle-Wang et al., 1997 ). However, the precise nature of this
mechanism will require careful analyses of the synaptic connections in
the NAc shell formed by these 5-HT2CR mRNA-positive neurons and DA and/or GABA nerve terminals (Eberle-Wang et al., 1997 ).
Tonic stimulation of 5-HT2CRs in the NAc shell
does not appear to regulate basal locomotor activity and underlying DA
function, because spontaneous activity was unaffected after intra-NAc
shell microinjection of RS 102221. These observations are in contrast to other studies that suggest 5-HT2CRs inhibit
basal DA neurotransmission (De Deurwaerdere and Spampinato, 1999 ; Di
Matteo et al., 2001 ) and basal locomotor activity (Curzon and Kennett,
1990 ). Because most of these previous studies have used systemic
administration of 5-HT2CR ligands, the neural
locus of inhibitory 5-HT2CR actions is not
determinable. The VTA may be a tentative site, because focal
application of marginally selective 5-HT2CR
agonists has been shown to decrease DA cell firing in this region
(Prisco et al., 1994 ). Accordingly, antagonism of
5-HT2CRs in the VTA might be expected to increase
basal locomotor activity. Despite a tendency for intra-VTA RS 102221 to
increase spontaneous activity in the present study (Fig. 5), this
marginal increase did not achieve statistical significance. However,
antagonism of 5-HT2CRs in the VTA or other loci
may not figure heavily into the regulation of basal locomotor activity,
because systemic administration of the 5-HT2B/2CR
antagonist SB 206553 did not alter basal activity (McCreary and
Cunningham, 1999 ). Clarification of whether
5-HT2CR in the VTA inhibits DA neurotransmission
and, as a consequence, normally suppresses spontaneous locomotor
activity might be provided by future studies that measure locomotor
activity after microinjection of 5-HT2CR agonists
into the VTA and other sites.
The effective antagonism of cocaine-induced hyperactivity by intra-VTA
M100907 occurred in the absence of changes in basal activity, a finding
that has been consistently noted with systemic administration of
M100907 (Kehne et al., 1996 ). This may reflect the relative absence of
a tonic regulatory influence of 5-HT2ARs on DA
function, a hypothesis supported by other neuropharmacological investigations. For instance, systemic administration of
5-HT2AR antagonists did not alter basal DA cell
firing (Sorensen et al., 1993 ) or striatal (Schmidt et al., 1992 ) and
accumbal (De Deurwaerdere and Spampinato, 1999 ) DA efflux. Similarly,
striatal DA efflux was not evoked by co-perfusion of the
5-HT2A/2B/2CR agonist DOI and the
5-HT2B/2CR antagonist SB 206553, supporting the
hypothesis that stimulation of 5-HT2ARs alone is
not sufficient to increase DA efflux (Lucas and Spampinato, 2000 ).
Both M100907 and RS102221 are among the most selective antagonists at
the 5-HT2AR and
5-HT2CR, respectively. However, both drugs
do exhibit affinity for other receptors. For instance, M100907 possesses a moderate affinity for 5-HT2C,
1-adrenergic, and receptors
(Ki = 88, 128, and 87 nM, respectively) (Kehne et al., 1996 ). However,
M100907 did not share with the 5-HT2CR antagonist RS 102221 the ability to antagonize cocaine-stimulated activity after
intra-NAc shell microinjection, suggesting that blockade of
5-HT2CRs does not mediate the observed effects of M100907.
Previous studies have shown that stimulation of
1-adrenergic receptors in the VTA can modulate
DA cell firing in vitro (Grenhoff et al., 1995 ) and in
vivo (Shi et al., 2000 ). Because the affinity of M100907 for
1-adrenergic receptors is even lower than that for 5-HT2CRs, antagonism of
1-adrenergic receptors in the VTA by M100907
is not likely to account for the reduction of cocaine-induced hyperactivity observed here. However, the possible role for
1-adrenergic receptors in cocaine-evoked
alterations in DA neuronal function is worthy of further consideration
given that recent findings suggest that
1-adrenergic receptors may provide stimulatory
influences on DA neurons (Shi et al., 2000 ). The possibility that
intra-VTA M100907 attenuated cocaine-induced hyperactivity via
antagonism of receptors should also be entertained given that receptor activation in the VTA slightly increased DA cell firing
in vivo (Gronier and Debonnel, 1999 ). However, unlike
similar intra-NAc microinfusions of M100907 (present results),
intra-NAc microinjection of a receptor ligand decreased spontaneous
and apomorphine-evoked locomotor activity in the rat (Skuza et al.,
1998 ). RS 102221 possesses a moderate affinity for
5-HT2ARs (Ki = 141 nM) (Bonhaus et al., 1997 ), with much less
affinity for most other receptor subtypes, but because intra-VTA RS
102221, unlike M100907, did not attenuate cocaine-stimulated activity,
prominent 5-HT2AR-blocking actions of RS 102221 may be ruled out. Therefore, it appears that in the present study
M100907 and RS 102221 antagonized 5-HT2ARs and
5-HT2CRs, respectively, to affect changes in the
behavioral effects of cocaine.
In summary, hyperactivity evoked by systemic administration of cocaine
was blocked by antagonism of 5-HT2ARs in the VTA
or 5-HT2CRs in the NAc shell. These results
indicate that the behavioral profile for cocaine is regulated by
5-HT2R subtypes in separate regions of the
mesoaccumbens DA pathway. To the extent that specific behaviors induced
by cocaine are differentially mediated by 5-HT2R subtypes located in the origin or terminal field of the mesoaccumbens pathway, the consequences of giving a nonselective
5-HT2R antagonist systemically will depend on
differential control of these regions by a specific
5-HT2R subtype. Finally, determination of the
potential utility of selective manipulations of
5-HT2ARs and 5-HT2CRs in the treatment of cocaine dependence will require careful analysis of
whether 5-HT2ARs in the VTA and
5-HT2CRs in the NAc shell modulate other
behavioral effects of cocaine in the distinctly regional manner
reported here.
 |
FOOTNOTES |
Received Feb. 27, 2001; revised July 9, 2001; accepted July 13, 2001.
This research was supported by the National Institute on Drug Abuse
Grants DA05708 and DA06511 to K.A.C. and DA05879 to L.R.M., by a
National Science Foundation-North Atlantic Treaty Organization Visiting Scientist Fellowship to M.F., and by the United States-Poland Joint Commission Maria Sklodowska-Curie Fund (M.F., K.A.C.).
L.R.M. and M.F. contributed equally to the research presented in this manuscript.
Correspondence should be addressed to Dr. Kathryn A. Cunningham,
Department of Pharmacology and Toxicology, The University of Texas
Medical Branch, Galveston, TX 77555-1031. E-mail: cunningham{at}utmb.edu.
 |
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