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The Journal of Neuroscience, April 15, 2001, 21(8):2799-2807

Progression of Changes in Dopamine Transporter Binding Site Density as a Result of Cocaine Self-Administration in Rhesus Monkeys

Sharon R. Letchworth, Michael A. Nader, Hilary R. Smith, David P. Friedman, and Linda J. Porrino

Center for the Neurobiological Investigation of Drug Abuse, Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

The present study examined the time course of alterations in levels of dopamine transporter (DAT) binding sites that accompany cocaine self-administration using quantitative in vitro receptor autoradiography with [3H]WIN 35,428. The density of dopamine transporter binding sites in the striatum of rhesus monkeys with 5 d, 3.3 months, or 1.5 years of cocaine self-administration experience was compared with DAT levels in cocaine-naïve control monkeys. Animals in the long-term (1.5 years) exposure group self-administered cocaine at 0.03 mg/kg per injection, whereas the initial (5 d) and chronic (3.3 months) treatment groups were each divided into lower dose (0.03 mg/kg per injection) and higher dose (0.3 mg/kg per injection) groups. Initial cocaine exposure led to moderate decreases in [3H]WIN 35,428 binding sites, with significant changes in the dorsolateral caudate (-25%) and central putamen (-19%) at the lower dose. Longer exposure, in contrast, resulted in elevated levels of striatal binding sites. The increases were most pronounced in the ventral striatum at the level of the nucleus accumbens shell. At the lower dose of the chronic phase, for example, significant increases of 21-42% were measured at the caudal level of the ventral caudate, ventral putamen, olfactory tubercle, and accumbens core and shell. Systematic variation of cocaine dose and drug exposure time demonstrated the importance of these factors in determining the intensity of increased DAT levels. With self-administration of higher doses especially, increases were more intense and included dorsal portions of the striatum so that every region at the caudal level exhibited a significant increase in DAT binding sites (20-54%). The similarity of these findings to previous studies in human cocaine addicts strongly suggest that the increased density of dopamine transporters observed in studies of human drug abusers are the result of the neurobiological effects of cocaine, ruling out confounds such as polydrug abuse, preexisting differences in DAT levels, or comorbid psychiatric conditions.

Key words: cocaine; dopamine transporter; striatum; nucleus accumbens; self-administration; [3H]WIN 35,428; rhesus monkeys


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Cocaine, a powerful psychomotor stimulant, is one of the most reinforcing drugs of abuse known. Although cocaine acts on dopamine, serotonin, and norepinephrine systems (Ritz et al., 1990), the dopamine system has long been implicated in the behavioral effects of cocaine (De Wit and Wise, 1977; Roberts et al., 1980; Goeders and Smith, 1983; Ritz et al., 1987; Spealman et al., 1989; Giros et al., 1996; Volkow et al., 1997). Cocaine exerts many of its actions in dopamine terminal fields, such as the nucleus accumbens and corpus striatum, by binding to the dopamine transporter (DAT) and blocking the reuptake of dopamine into presynaptic terminals (Ross and Renyi, 1967; Koe, 1976; Kennedy and Hanbauer, 1983). Because cocaine acts directly on DAT, researchers have hypothesized that DAT may be altered by repeated exposure to cocaine.

Such alterations have been examined within the brains of cocaine addicts using in vitro ligand binding in postmortem tissue, as well as in vivo imaging methods. Data concerning changes in human DAT binding site levels, however, have been conflicting. Although the majority of studies have reported increases (Little et al., 1993, 1998a,b, 1999; Staley et al., 1994b; Malison et al., 1998), some studies have documented decreases (Hurd and Herkenham, 1993) or no change in DAT binding levels (Wilson et al., 1996). Interpretation of data from human studies can be complex, however. Differences in subject selection criteria, the presence of psychiatric disorders and polydrug abuse, wide disparities in length of drug use, and ligand used to label DAT can all influence the final outcome. In addition, incomplete documentation of drug histories can make it challenging to determine the relationship between the amount of cocaine consumed and changes in DAT binding levels in cocaine abusers. It has, therefore, been difficult to discern the exact nature of the effects of cocaine exposure on DAT binding site density in humans.

Rodent models of cocaine exposure have been used to overcome many of these problems. However, there are also conflicting reports of changes in rat DAT binding site regulation as a result of chronic cocaine administration. Cocaine exposure has been reported to increase (Alburges et al., 1993; Wilson et al., 1994a; Claye et al., 1995; Hitri et al., 1996; Tella et al., 1996), decrease (Sharpe et al., 1991; Pilotte et al., 1994, 1996; Wilson et al., 1994a; Boulay et al., 1996), or have no effect (Allard et al., 1990; Kula and Baldessarini, 1991; Benmansour et al., 1992; Cass et al., 1993; Wilson et al., 1994b; Kunko et al., 1997; Letchworth et al., 1997, 1999) on the density of rat DAT binding sites. Paradigm differences such as drug dose, length and route of administration, time since the final drug administration, and ligand used to identify DAT may account for the variability among these studies.

Nonhuman primate models of cocaine self-administration offer another alternative. A significant advantage of this model is that the connectivity and structural complexity of the monkey brain are more homologous to the human brain. The only previous monkey study examining changes in DAT levels associated with cocaine exposure used a paradigm that consisted of 14 d of cocaine treatment, which resulted in significantly lower levels of DAT binding sites in the caudate (Farfel et al., 1992). This study has limitations because it used only a single dose of cocaine, did not examine changes in DAT levels over time, used noncontingent drug administration, and incorporated a significant drug withdrawal period.

The purpose of the present study, therefore, was to examine the initial (5 d), chronic (3.3 months), and long-term (1.5 years) phases of cocaine self-administration on DAT binding sites in rhesus monkeys who had no other exposure to experimental drugs. Within these time points, two cocaine doses were examined: 0.03 and 0.3 mg/kg per injection. These monkeys had no abstinence period after the last cocaine exposure, making them comparable with human subjects who test positive for cocaine at death. Such unique experimental conditions allow examination of the temporal progression of changes in DAT binding sites that result from cocaine self-administration.

[3H]WIN 35,428 specifically was chosen to label DAT because it occupies the same site on the DAT as cocaine (Kaufman et al., 1991) and because it has been shown to be a more accurate measure of dopamine terminals than the structurally unrelated [3H]GBR 12,935 (Soucy et al., 1997). It has been suggested that quantitative autoradiography, compared with ligand binding in tissue homogenates, may underestimate the magnitude of changes as a result of cocaine exposure (Staley et al., 1994b). However, the autoradiographic approach allows a detailed analysis of the topography of the distribution of these differences and identification of changes restricted to small brain regions.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Subjects

Twenty-five adult male rhesus monkeys (Macaca mulatta) served as subjects. Monkeys were 6-13 years old at the start of the experiment and weighed between 7.5 and 13.0 kg under free-feeding conditions. Their body weights were maintained at ~90-95% of free-feeding weights. Intravenous catheters and vascular access ports for drug delivery were implanted into a major vein as described previously (Nader and Reboussin, 1994; Nader and Bowen, 1995). All procedures were performed in accordance with established practices as described in the National Institutes of Health Guide for Care and Use of Laboratory Animals. In addition, all protocols were reviewed and approved by the Animal Care and Use Committee of Wake Forest University.

Self-administration

Initial and chronic exposure groups. Twenty-two monkeys were initially trained to respond under the fixed interval (FI) 3 min schedule of food presentation until stable performance was obtained. When food-maintained responding was stable, indwelling intravenous catheters were implanted in all monkeys. Control monkeys (n = 6) continued to respond under the FI 3 min schedule of food presentation for the remainder of the study.

For the cocaine monkeys, drug self-administration under the FI 3 min schedule was established for four groups (n = 4 per group) by substituting cocaine for food presentation. The cocaine groups differed according to length of cocaine exposure [5 or 100 d (3.3 months)] and cocaine dose (0.03 or 0.3 mg/kg cocaine per injection). The 5 d duration was chosen for the initial phase to ensure that the monkeys had acquired drug self-administration. Furthermore, the 0.03 mg/kg per injection dose was chosen because it has been shown to maintain peak rates of responding under this schedule (Nader and Reboussin, 1994). The higher dose was selected as one log unit greater than the 0.03 mg/kg per injection dose and clearly represents a dose with greater reinforcing efficacy (Iglauer and Woods, 1974). For the safety of the monkeys, the final dose of 0.3 mg/kg per injection was gradually introduced so that it followed two sessions of 0.1 mg/kg per injection and one session of 0.2 mg/kg cocaine per injection. All sessions ended after 30 reinforcer presentations. Total daily cocaine intake per session was 0.9 mg/kg for the low-dose monkeys and 9.0 mg/kg for the high-dose groups. Experimental sessions were conducted 7 d/week at approximately the same time each day. Total lifetime intake of cocaine was 4.5 mg/kg for the initial phase low-dose group, 45 mg/kg for the initial phase high-dose group, 90 mg/kg for the chronic phase low-dose group, and 900 mg/kg for the chronic phase high-dose group.

Long-term exposure group. Three monkeys responded under an FI 5 min schedule of 0.03 mg/kg cocaine per injection, during daily 4 hr sessions. Experimental sessions were conducted 5-7 d/week. The maximum number of injections available per session was 45 (averaging 1.35 mg/kg per session), and lifetime drug intake of 431-588 mg/kg cocaine was administered over a period of 18-22 months (1.5 years). In the final session, each monkey self-administered one injection of 1.0 mg/kg cocaine per injection, available under the FI 5 min schedule. Behavioral data from the long-term cocaine self-administration group is detailed in other reports (Nader and Reboussin, 1994; Nader and Bowen, 1995).

The three subjects used as controls for the long-term group ranged in age from 3.4 to 4.3 years. They were part of another study concerning the effects of a high-cholesterol diet on atherogenesis and the effects of phytoestrogens on lipid profiles. These animals had no experimental histories involving food or drug self-administration. Their only drug exposure occurred in the course of normal veterinary care.

Tissue processing

All monkeys except the controls for the long-term group were used for 2-[14C]deoxyglucose (2-DG) analysis. The 2-DG experiment was initiated subsequent to the last cocaine infusion, involved sampling of arterial blood, and lasted ~45 min. Immediately after the 2-DG procedure, animals were killed with sodium pentobarbital (100 mg/kg, i.v.). Controls for the long-term cocaine self-administration experiment were anesthetized with ketamine (10 mg/kg, i.m.) and then given a lethal overdose of sodium pentobarbital.

For all animals, brains were immediately removed, blocked, and frozen in isopentane at 35-55°C and then stored at -80°C. Coronal sections (20 µm) were cut on a cryostat, thaw-mounted onto chrome-alum-gelatin-subbed slides or electrostatically charged slides, desiccated, and stored at -80°C until processed for quantitative autoradiography.

Quantitative autoradiography

For [3H]WIN 35,428 autoradiography, single-point binding assays were conducted at ~1.5 times the KD (3.6 nM) as determined in monkey tissue sections by Canfield et al. (1990). Procedures for the current study were adapted from the same paper. Tissue sections were preincubated at 4°C in buffer (50 mM Tris and 100 mM NaCl, pH 7.4) for 20 min to remove any residual cocaine and 2-[14C]deoxyglucose. Sections were then incubated for 1-2 hr at 4°C in buffer containing 5 nM [3H]WIN 35,428 (84.5 Ci/mmol) (NEN, Boston, MA) in the presence (nonspecific binding) or absence (total binding) of 1 µM cocaine. Sections were then rinsed for a total of 2 min in buffer at 4°C, with a final 10 sec rinse in ice-cold water. Sections were immediately dried under a stream of cold air and placed on Hyperfilm-3H (Amersham Pharmacia Biotech, Arlington Heights, IL) for 4-6 weeks in the presence of [3H] standards (Amersham Pharmacia Biotech). After appropriate exposure times, films were developed with Kodak GBX developer (Eastman Kodak, Rochester, NY), fixed, and rinsed.

Densitometry

Autoradiographic analysis of [3H]WIN 35,428 binding to DAT was conducted by quantitative densitometry with a computerized image processing system (MCID; Imaging Research Inc., St. Catharines, Ontario, Canada). Optical density measurements of DAT binding sites were measured in selected divisions of the caudate, putamen, and nucleus accumbens rostral to the anterior commissure. This region has been designated the precommissural striatum (PCS). Specifically, rostral and caudal levels of the PCS were designated in relation to the nucleus accumbens and anterior commissure as illustrated in Figure 1. The rostral level, in which the accumbens was not differentiated into distinct shell and core subcompartments, was defined as the rostral PCS. The caudal PCS was the region posterior to the emergence of the olfactory tubercle (which was congruent with the appearance of the shell and core of the nucleus accumbens) but rostral to the decussation of the anterior commissure.

Once optical densities were measured, tissue equivalent values (femtomoles per milligram of wet weight tissue) were determined from the optical densities and from a calibration curve obtained by densitometric analysis of tritium standards. Specific binding was determined by subtracting nonspecific binding values from the total binding values, measured in adjacent sections.

Statistical analysis

Analysis of control data from initial and chronic studies revealed no significant differences in striatal DAT binding densities. These groups were combined, which permitted limiting the overall number of animals studied across conditions. The pooled control group was compared with each dose of the initial (5 d) and chronic (3.3 months) cocaine self-administering monkeys. Statistical analysis was performed for every brain structure by means of a one-way ANOVA, followed by multiple comparisons [least significant difference (LSD)] comparing drug treatments to the pooled controls.

The long-term exposure group (1.5 years) was treated as a separate experiment because of differences in experimental technique. Thus, the control animals from the long-term group were not included with the pooled initial and chronic controls, although values from these groups were not statistically different from each other. For the long-term group, autoradiographic data from each brain region were analyzed by means of Student's two-tailed t test for independent samples.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Controls

The binding pattern of [3H]WIN 35,428 to DAT in tissue sections from control animals was consistent with previous reports of the distribution of DAT binding sites in monkey and human brain (Canfield et al., 1990; Kaufman et al., 1991; Staley et al., 1994a; De La Garza et al., 1999). Binding sites were prominent within the dorsal and ventral striatum and near background in the surrounding gray and white matter (Fig. 1). Furthermore, nonspecific binding was minimal (<10% of total binding).



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  		Figure 1.   Autoradiograms of [3H]WIN 35,428 binding in coronal sections from brains of rhesus (Macaca mulatta) monkeys. Measurements were taken at two levels in the striatum, the rostral PCS (A) and the caudal PCS (B), as described in Materials and Methods. Numbers correspond to striatal regions as follows: 1, dorsolateral caudate; 2, dorsomedial caudate; 3, ventral caudate; 4, dorsal putamen; 5, central putamen; 6, ventral putamen; 7, rostral accumbens; 8, accumbens core; 9, accumbens shell; 10, olfactory tubercle.

DAT binding sites were heterogeneously distributed in a regional manner within the striatum (Fig. 1; see Fig. 4, Control). The dorsal portions of both the caudate and the putamen exhibited the highest binding densities, whereas ventral striatal regions, including the nucleus accumbens, displayed lower binding densities. These differences appeared as a gradient from dorsal regions to ventral regions. In addition, small regions of lower binding were observed in the dorsomedial and ventral caudate, suggestive of the striosomes observed in monkey striatum by Graybiel and Moratalla (1989). No significant rostrocaudal gradient in DAT binding site density was observed in the caudate or putamen.

Within the accumbens, further heterogeneities were evident. At the level of the rostral PCS (Fig. 1A), the dorsoventral striatal gradient continued into the accumbens. Caudal to the emergence of the olfactory tubercle, the shell and core divisions of the nucleus accumbens were clearly defined (Fig. 1B), with the core exhibiting higher DAT binding levels than the adjacent shell. At this caudal PCS level, the shell contained aggregations of very dense binding, which extended laterally toward the ventral putamen. These clusters contained approximately twice the density of DAT binding sites than the surrounding accumbens shell (Fig. 1; see Fig. 4, Control).

Effects of cocaine self-administration

The general pattern of [3H]WIN 35,428 binding in cocaine self-administering monkeys was similar to that of controls. There were, however, regional differences in binding site densities between the control and cocaine groups.

Initial phase

Five days of cocaine self-administration resulted in decreases in DAT binding site density compared with controls, which are shown in Table 1. At the lower dose (0.03 mg/kg per injection) (Fig. 2, top row), a trend of global decreases was observed at both rostral and caudal levels and ranged from 15 to 25% in the rostral PCS regions, whereas 11-25% decreases were measured in caudal PCS regions. Within this group, significant effects (p < 0.05) were seen in the rostral and caudal dorsolateral caudate and in the caudal central putamen. At the higher dose (0.3 mg/kg per injection), decreases were not as robust as those measured at the lower dose and were not significant in any region examined.


                              
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  		Table 1.   Striatal [3H]WIN 35,428 binding densities in monkeys during the initial phase of cocaine self-administrationa



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  		Figure 2.   Time course of effects on DAT density in rhesus monkeys self-administering 0.03 mg/kg cocaine per injection. Schematic diagrams illustrate changes in the density of dopamine transporter binding sites at rostral (left column) and caudal (right column) levels of the PCS of monkeys in the initial (5 d), chronic (3.3 months), and long-term (1.5 years) stages of cocaine self-administration. Colors represent ranges of percent changes in binding densities compared with control values: light blue, 10-20% decrease; medium blue, 21-35% decrease; white, <10% change; light yellow, 10-20% increase; medium yellow, 21-35% increase; dark yellow, >35% increase. At initial stages of cocaine self-administration, decreases in DAT levels were observed, whereas increases were measured at chronic and long-term stages. Increases in DAT density were first observed in the ventral striatum at the chronic stage, but spread to rostral and dorsal regions with longer durations of exposure.

Chronic phase

Lower cocaine dose

In contrast to the decreases observed in the initial phases, the effects of 3.3 months of cocaine self-administration were characterized by increases in the concentration of [3H]WIN 35,428 binding sites (Table 2; Fig. 2, middle row). These increases were both dose-dependent and regionally specific. Exposure to self-administration of the lower dose of cocaine for 3.3 months produced significant increases in DAT binding site density in the nucleus accumbens (30%; p < 0.05) at the level of rostral PCS. In the caudal PCS, significant increases were restricted to ventral striatal territories and included the nucleus accumbens core (37%; p < 0.01) and shell (31%; p < 0.05), as well as the ventral caudate (21%; p < 0.05), ventral putamen (26%; p < 0.05), and olfactory tubercle (42%; p < 0.01).


                              
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  		Table 2.   Striatal [3H]WIN 35,428 binding densities in monkeys during the chronic phase of cocaine self-administrationa

Higher cocaine dose

Exposure to the higher dose (0.3 mg/kg per injection) resulted in greater increases that involved a wider expanse of the striatum when compared with data from the lower cocaine dose of the same phase (Fig. 3). Increases in DAT binding densities were greatest in the ventral striatal regions (Table 2; Fig. 3, right panel). Specifically, in the caudal PCS, significant increases in binding site density, which were the largest observed in this study, were found in the ventral caudate (25%; p < 0.01), ventral putamen (29%; p < 0.05), accumbens shell (54%; p < 0.005), accumbens core (46%; p < 0.005), and olfactory tubercle (38%; p < 0.005). In contrast to the effects of the lower dose, large increases in DAT binding sites also occurred in dorsal regions of the caudal PCS level after self-administration of the higher dose of cocaine, so that every brain region at this caudal level exhibited significant increases in the concentration of DAT binding sites. This included the dorsolateral caudate (25%; p < 0.05), dorsomedial caudate (20%; p < 0.05), dorsal putamen (31%; p < 0.005), and central putamen (28%; p < 0.05).



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  		Figure 3.   Dose-dependent changes in DAT density in rhesus monkeys after 3.3 months of cocaine self-administration. Schematic diagrams illustrate changes in the density of dopamine transporter binding sites at the caudal PCS level in rhesus monkeys after 3.3 months of self-administration of 0.03 (left) and 0.3 (right) mg/kg cocaine per injection. Colors represent ranges of percent changes in binding densities compared with control values: white, <10% change; light yellow, 10-20% increase; medium yellow, 21-35% increase; dark yellow, >35% increase. Greater increases were measured, and at this dose all dorsal striatal regions exhibited increases in DAT levels.

At both cocaine doses in the chronic phase of self-administration, the majority of significant increases in DAT binding site density occurred at the level of the caudal PCS. This difference between the rostral and caudal PCS was especially apparent at the higher cocaine dose, in which large, significant increases in DAT sites were measured in every caudal PCS region, but no significant change was detected at rostral levels.

Long-term phase

An additional series of animals that had self-administered 0.03 mg/kg cocaine per injection for 18-22 months (1.5 years) was examined. The data from these animals are presented in Table 3 and illustrated in Figures 2 (bottom row) and 4 (Cocaine). In general, the increases in [3H]WIN 35,428 binding site density after long-term self-administration were greater than those seen after shorter durations of cocaine exposure at comparable doses.


                              
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  		Table 3.   Striatal [3H]WIN 35,428 binding densities in monkeys during the long-term phase of cocaine self-administrationa



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  		Figure 4.   Representative autroadiograms from control and long-term self-administering monkeys. Color-coded transformations of autoradiograms of [3H]WIN 35,428 binding sites in coronal sections through the caudal PCS from a control (left) and long-term cocaine self-administering (right) monkey. Each color represents a range of values expressed as femtomoles per milligram wet weight tissue. Higher levels of [3H]WIN 35,428 binding are seen throughout the striatum of the long-term self-administering monkey.

Specifically, at the level of the rostral PCS, increases ranging from 16 to 33% were observed in the cocaine self-administering animals, although none of these differences reached statistical significance. At the level of the caudal PCS, however, long-term exposure to cocaine produced significant increases in the density of DAT binding sites in the ventral striatum. These included the ventral caudate (44%; p < 0.005), the core of the nucleus accumbens (39%; p < 0.01), the shell of the nucleus accumbens (15%; p < 0.05), and the olfactory tubercle (33%; p < 0.01). In the dorsal striatum at this level, moderate (15-30%), although not significant, increases were observed.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

The results of the present study demonstrate that cocaine self-administration alters dopamine transporter binding and that these changes follow a clear progression over time. In the initial stages of cocaine self-administration (5 d), DAT binding site levels were moderately reduced, whereas after more prolonged cocaine self-administration (3.3 months), large increases in the density of DAT sites were evident. These increases in DAT binding levels persisted even after protracted periods of self-administration (1.5 years). A key characteristic of the alterations in DAT binding was the dose-dependent nature of the effects. Chronic cocaine self-administration at the higher cocaine dose yielded more intense increases in the density of the DAT binding sites and encompassed a wider expanse of the caudal PCS than self-administration of the lower dose. Finally, the majority of significant changes in DAT binding density that occurred after chronic and long-term cocaine self-administration were focused in the ventral striatum, particularly at the level of the striatum in which the shell of the nucleus accumbens was present.

The data presented in this report confirm and extend the findings of studies in human cocaine users. The increases in DAT binding sites observed here after chronic and long-term cocaine self-administration in monkeys correspond closely to those increases reported in human cocaine addicts (Little et al., 1993, 1998a,b, 1999; Staley et al., 1994b; Malison et al., 1998) (but see Wilson et al., 1986; Hurd and Herkenham, 1993). Because human addicts frequently use and abuse multiple drugs and often have psychiatric disorders that may have predated their cocaine use, changes in the density of the human DAT cannot be ascribed with confidence to the actions of cocaine alone. The present study, however, systematically examined the effects of cocaine dose and length of self-administration, while ruling out many of the factors that confound the human data.

One of the major caveats of the human drug abuse literature is the uncertainty whether the neurobiological differences between drug users and controls are attributable to a preexisting trait or are a secondary response to drug exposure (Malison et al., 1998). Because only a portion of the individuals who experiment with cocaine become addicts (Gawin, 1991), it is likely that these individuals have phenotypic differences, potentially differences in DAT binding site levels, that make them more susceptible to cocaine addiction. In the present study, however, the selection of monkeys for treatment was random and not based on their preference for the drug. Moreover, the fact that orderly effects of length of drug exposure and dose were observed in this study strongly suggests that the changes measured here are related to the neurobiological effects of cocaine rather than any preexisting difference in DAT binding density.

Despite polydrug abuse and potential comorbid psychiatric conditions, changes in human DAT binding site density are remarkably similar to the present findings, reconciling potential discrepancies in the human data. Increases in human DAT binding site density have been reported using cocaine analogs to radiolabel DAT with in vitro ligand binding in postmortem tissue as well as in vivo imaging methods. Although moderate increases in DAT binding density (20-35%) have been reported in some studies (Little et al., 1998a; Malison et al., 1998), larger increases in human DAT binding density have been also been observed (Little et al., 1993, 1998b, 1999; Staley et al., 1994b). For example, Little et al. (1998b, 1999) reported 40-45% increases in striatal [3H]WIN 35,428 binding sites in tissue sections from human cocaine users and 50% increases in binding sites in caudate putamen homogenates. These increases are of a comparable magnitude with those observed in the present study during the chronic and long-term stages of cocaine self-administration. Similar to the monkeys used in the present study, Little et al.'s human subjects all had recently used cocaine, with only 25% of their subjects having died from drug-related causes. In contrast, Staley and her colleagues (1994b) reported much larger elevations, with two fold to threefold increases in DAT binding sites evident in some striatal regions when compared with control brain tissue. All of the subjects in that study, however, were victims of a fatal cocaine overdose. Although the data from Little and colleagues (1998b), as well as the present data, indicate that cocaine overdose is not necessary for increases in DAT binding site density to occur, the overdose cases may represent a unique subset of cocaine users, which results in the larger increases in DAT binding density compared with controls.

In autoradiographic studies of DAT binding site levels in human cocaine users, elevations in DAT density have been observed throughout the dorsoventral extent of the striatum (Staley et al., 1994b; Little et al., 1998b), with the greatest increases evident in the ventral striatum (Staley et al., 1994b). This topography parallels the present results, particularly in those animals exposed chronically to the higher dose of cocaine. In this treatment group, every striatal region in the caudal PCS exhibited a significant increase in DAT binding sites, with the greatest increases occurring in the ventral striatum. By systematically varying both the dose and duration of exposure to cocaine self-administration, the present study was able to expand on the previous autoradiography studies in human cocaine users. The results demonstrate that, at lower cocaine doses in the chronic phase, only the ventral, limbic-related portions of the striatum were affected. In contrast, higher doses were required for dorsal regions, associated with sensorimotor functions, to be recruited. Furthermore, with a longer duration of cocaine exposure, increases in both dorsal and rostral regions appear to be incorporated.

Another important dimension to the topography of elevated DAT binding densities associated with cocaine self-administration is the rostrocaudal level of the PCS. The most intense alterations in DAT binding site levels were most prominent within the caudal extent of the ventral striatum in which the shell of the nucleus accumbens is present. This distinction between rostral and caudal portions of the ventral striatum is also evident with other markers that have been examined in the same cohort of monkeys. For example, significant decreases in dopamine D1 receptor density were concentrated in caudal, as opposed to rostral, portions of the ventral striatum (Moore et al., 1998). Furthermore, changes in functional activity, as assessed by the 2-[14C]deoxyglucose method, followed a similar topographical pattern with the largest alterations contained in the caudal ventral striatum at the level of the nucleus accumbens shell (Daunais et al., 1997).

The largest increases reported here were observed in portions of the striatum that contain the lowest basal DAT binding levels. Because cocaine binds to DAT to produce its effect, one might speculate that the greatest changes in DAT density would occur in regions that expressed the highest basal density of DAT levels, such as the dorsal striatum. In contrast, the increases in DAT binding sites measured in this study were not dependent on the regional density of DAT. Recent experiments on dopamine levels in primate brain as a result of stimulant administration shed light on this paradox. Elevations in extracellular dopamine were found to be greatest in the ventral striatum of baboons after acute, noncontingent amphetamine administration (Drevets et al., 1999). In a rhesus monkey model of recreational cocaine use (one cocaine self-administration session per week over the course of 3 months), the ventral striatum yielded greater elevations in extracellular dopamine compared with the central and dorsal striatum (Bradberry et al., 2000). These data suggest that changes in DAT density observed in the present study are related to local concentrations of extracellular dopamine that accumulate after cocaine exposure. After 6 months of "recreational" cocaine self-administration in monkeys, Bradberry (2000) observed progressive increases in extracellular dopamine concentrations in the ventromedial and central striatum but not the dorsolateral striatum. These data correspond closely to the progression of increases in DAT binding site levels observed here in the lower dose groups at 3.3 months and 1.5 years (Fig. 2). In fact, the cocaine dose per session used in the 6 month study by Bradberry (2000) was very similar to the lower cocaine dose in this study. Based on the data presented here, it would be reasonable to assume that a higher cocaine dose, longer duration of exposure, or more frequent drug-taking sessions would result in elevated extracellular dopamine levels in the dorsolateral striatum.

The present results contain new information about the time course of cocaine-induced changes in DAT binding levels that are not apparent from studies in humans. First, robust cocaine-induced increases in DAT binding site density were already observed only 3 months after the initiation of cocaine use. This is much sooner than is apparent from the human literature, which report findings on subjects who typically have years of experience with cocaine. Second, our monkeys self-administered cocaine on a highly regular basis, indicating that changes in human DAT binding site levels not only can occur rapidly, but can also occur with regular drug-taking patterns. Thus, the density changes reported in humans are unlikely to depend on the binge-crash pattern that is common among cocaine addicts. Third, we have supplied evidence that the effect of initial exposure to cocaine, which yielded moderate decreases in DAT binding site density, is different from the effect of long-term, repeated cocaine use, which yielded increases in DAT binding density. Because the shift from decreases to increases is occurring at some point between 5 d and 3.3 months, it is possible that some of the inconsistencies in the rat literature may be explained by the length of the experiments typically performed in rats. Cocaine exposure in these studies commonly occurs for 7-14 d, which may coincide with the time when the response of the DAT to cocaine is most labile, shifting from a downregulated to an upregulated condition.

It should be noted that increases in DAT binding sites may not reflect a corresponding increase in DAT protein (Staley et al., 1995; Wilson et al., 1996; Oakman et al., 2000). Although the basis of the discrepancy between DAT binding sites and protein levels is not clear at this point, the mechanisms of DAT regulation are just beginning to be elucidated. It is possible that increases in DAT binding sites are results of post-translational events such as glycosylation or phosphorylation. Nonetheless, cocaine binds to the same site as [3H]WIN 35,425 (Kaufman et al., 1991). Therefore, changes in levels of DAT binding sites found in the present study may represent a fundamental adaptation in the dopamine system. As such, the perturbations in levels of DAT binding sites may persist even after cessation of drug intake and may mediate craving and relapse. Recent work by Volkow and colleagues (1996) indicate that, in detoxified human cocaine abusers, DAT availability returns to normal by 3 months. Studies are currently underway in our laboratory to characterize the effects of withdrawal on the DAT system in a monkey model of cocaine self-administration, similar to the one used in the present study.


    FOOTNOTES

Received Oct. 2, 2000; revised Jan. 24, 2001; accepted Jan. 26, 2001.

This work was supported by United States Public Health Service Grants DA9085 and DA6634 from the National Institute on Drug Abuse. We thank Susan Nader, Clifford Hubbard, Tonya Moore, Hannah Harris, Drake Morgan, Joshua Lile, Rachna Sinnott, Osric Prioleau, Sherry Vinsant, and Rodney Moore for assistance in conducting these experiments.

Correspondence should be addressed to Dr. Linda J. Porrino, Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail: lporrino{at}wfubmc.edu.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
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