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The Journal of Neuroscience, July 15, 2002, 22(14):6218-6227
Concurrent Activation of Dopamine D1 and
D2 Receptors Is Required to Evoke Neural and Behavioral
Phenotypes of Cocaine Sensitization
Christine
Capper-Loup1,
Juan J.
Canales2,
Neena
Kadaba3, and
Ann M.
Graybiel3
1 Department of Neurology, University Hospital, 3010 Bern, Switzerland, 2 Area of Psychobiology, University
Jaume I, E-12080 Castellón, Spain, and
3 Department of Brain and Cognitive Sciences and the
McGovern Institute for Brain Research, Massachusetts Institute of
Technology, Cambridge, Massachusetts 02139
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ABSTRACT |
Repeated exposure to psychomotor stimulants produces a striking
behavioral syndrome involving repetitive, stereotypic behaviors that
occur if an additional exposure to the stimulant is experienced. The
same stimulant exposure produces specific alterations in gene expression patterns in the striatum. To identify the dopamine receptor
subtypes required for the parallel expression of these acquired neural
and behavioral responses, we treated rats with different
D1-class and D2-class dopamine receptor
agonists and compared the responses of drug-naive rats with those of
rats given previous intermittent treatment with cocaine. In rats
exposed to repeated cocaine treatment, the effects of a subsequent
challenge treatment with either a D1-class agonist (SKF
81297) or a D2-class agonist (quinpirole) were not
significantly different from those observed in drug-naive animals: the
drugs administered singly did not induce robust stereotyped motor
behaviors nor produce significantly striosome-predominant expression of
early genes in the striatum. In contrast, challenge treatment with the
D1-class and D2-class agonists in combination
led to marked and correlated increases in stereotypy and
striosome-predominant gene expression in the striatum. Thus,
immediately after repeated psychomotor stimulant exposure, only the
concurrent activation of D1 and D2 receptor
subclasses evoked expression of the neural and behavioral phenotypes
acquired through repeated cocaine exposure. These findings suggest that
D1-D2 dopamine receptor synergisms underlie
the coordinate expression of both network-level changes in basal
ganglia activation patterns and the repetitive and stereotypic motor
response patterns characteristic of psychomotor stimulant sensitization.
Key words:
stereotypy; gene expression; dopamine receptors; basal
ganglia; striosomes; striatum
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INTRODUCTION |
Psychomotor stimulants provoke the
appearance of repetitive, stereotyped behaviors that become more
pronounced with repeated exposure to the drugs. This augmented
responsivity is a core feature of the behavioral sensitization syndrome
that results from chronic drug exposure (Robinson and Becker, 1986 ;
Kalivas and Stewart, 1991 ; Robinson et al., 1998 ) Studies in the last
30 years suggest that basal ganglia dysfunction is linked to the
appearance of such stereotypies. Drug-induced stereotypies in
experimental animals are sensitive to lesions of the nigrostriatal
projection (Creese and Iversen, 1972 ; Fibiger et al., 1973 ), treatments
with dopamine receptor antagonists (Iorio et al., 1983 ; Arnt, 1985 ;
Arnt et al., 1987 ; Karler et al., 1995 ; White et al., 1998 ; Nestler et al., 2001 ), and mutations affecting dopaminergic transmission (Turski
et al., 1984 ; Richter et al., 1999 ). In humans, stereotypies are
clinical manifestations of a number of psychiatric, neurological, and
developmental disorders (Manschreck, 1986 ; Antony et al., 1988 ; Ridley,
1994 ; Rosenberg et al., 1997 ; Graybiel and Rauch, 2000 ), and
alterations in frontostriatal transmission are associated with
conditions featuring compulsive and stereotyped behaviors (Cummings,
1995 ; Rosenberg et al., 1997 ; Volkow and Fowler, 2000 ; Goldstein et
al., 2001 ; Graybiel and Canales, 2001 ).
How the basal ganglia and their dopamine-containing inputs contribute
to the generation of stereotypy is unclear. One key to this problem
might be the finding that stereotypy induced by psychomotor stimulants
is strongly correlated with the degree of imbalance in the activation
of the striosome and matrix compartments of the striatum and their
associated basal ganglia output pathways. Cocaine- and
amphetamine-induced stereotypy is predicted by the relative
predominance of early gene activation of striatal neurons in
striosomes, which are thought to modulate the activity of
dopamine-containing cell groups in the midbrain (Canales and Graybiel,
2000 ). On this basis, we reasoned that, if predominant neuronal
activation in striosomes were directly linked to motor repetition, such
neural adaptation should be readily observed both after acute treatment with stereotypy-inducing drugs and immediately after the sensitization phase of stimulant treatment, without the requisite for an intervening period of drug withdrawal.
A second key finding is that concurrent stimulation of
D1-class and D2-class
dopamine receptors is required for dopaminergic stimulation to produce
robust motor stereotypies and other specific motor behaviors (Clark and
White, 1987 ; Arnt et al., 1988 ; Canales and Iversen, 1998 ; Berke and
Hyman, 2000 ; Nestler et al., 2001 ). Similarly, in early gene assays,
only such simultaneous activation of D1-class and
D2-class dopamine receptors evokes a
striosome-predominant pattern of gene expression in the striatum
(LaHoste et al., 1993 ; Wirtshafter and Asin, 1994 ). These findings
suggest that the coordinate expression of sensitized neural and
behavioral responses acquired through repeated exposure to psychomotor
stimulants could depend on an interplay between subclasses of dopamine receptors.
To test these hypotheses, we measured, in cocaine-sensitized and
drug-naive rats, the stereotypy induced by
D1-class, D2-class, or
D1-D2 agonist challenges
and, in the same animals, measured the patterns of striatal early gene
expression induced by these treatments immediately after cocaine
sensitization. We found that combined
D1-D2 agonist treatment
was required to induce such alterations and that a strong positive
correlation held between the degree of stereotypy and the degree of
striosome-predominant gene expression elicited.
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MATERIALS AND METHODS |
Drug treatments. Male Sprague Dawley rats weighing
250-350 gm were treated according to procedures approved by the
Massachusetts Institute of Technology Committee on Animal Care. Rats
were kept under standard conditions of temperature and humidity with a
12 hr light/dark cycle (lights on at 7:00 A.M.), and they were handled daily for 2 d before drug treatments. Throughout, the animals were
treated in groups of seven. Injections were given in the home cages.
Drug-naive rats (n = 56) received single injections of
the D1-class dopamine receptor agonist SKF 81297 in doses of 1 or 3 mg/kg intraperitoneally (dissolved in 0.1% ascorbic
acid), combined with the D2-class dopamine
receptor agonist quinpirole in doses of 1, 3, or 9 mg/kg
intraperitoneally (dissolved in 0.9% saline) or were given injections
of one of these agonists alone at a dose level of 3 mg/kg. Control
animals received 0.9% saline only. After the injections, the behavior
of the rats was observed by at least one observer blind to the
treatment type (see below). In a second experiment, rats
(n = 49) received repeated cocaine (or, for control,
saline) treatments before challenge with SKF 81297 alone, quinpirole
alone, or both agonists in combination. The cocaine (cocaine
hydrochloride, 25 mg/kg, dissolved in saline) was administered
intraperitoneally twice daily (10:00 A.M. and 5:00 P.M.) for 7 consecutive days. On day 8, each rat received a challenge with
quinpirole (6 mg/kg, i.p.), SKF 81297 (6 mg/kg, i.p), quinpirole plus
SKF 81297 (each at 3 mg/kg, i.p.), or saline. Systematic behavioral
observations were made after each 10:00 A.M. treatment with cocaine or
saline and after the final challenge with the dopamine receptor
agonists or saline. At the end of the final observation period, the
rats were deeply anesthetized with sodium pentobarbital (Nembutal; >25
mg/kg) and were perfused transcardially with 4% paraformaldehyde in
0.1 M NaKPO4.
Behavioral analysis. The induction of stereotyped behaviors
was assessed during 1 hr after the experimental treatments by following
a standardized 10-point rating scale (1, undetectable; 2, very weak; 3, weak; 4, weak-to-moderate; 5, moderate; 6, moderate-to-strong; 7, strong; 8, intense; 9, very intense; 10, extreme) (Canales and
Graybiel, 2000 ) modified from Creese and Iversen (1972) .
Stereotypy ratings were computed for each animal and for each
observation period by calculating the mean score across four behavioral
dimensions ranging between 1 and 10 in severity. The four behavioral
dimensions were repetitiveness (degree of switching between different
behavioral responses, with the exclusion of feeding and drinking
responses), frequency (degree of intensity with which a single motor
response was emitted), duration (estimation of the length of time
engaging in motor stereotypy), and spatial distribution (degree of
spatial confinement of the motor response, with the exclusion of
periods of sleep). Scores were based on these four estimates of the
motor responses emitted during 1 min periods 20 and 50 min after
treatment. The average of these values was recorded as the session
score. Monitored responses included movements of the head and limbs,
stereotyped sniffing, and directed oral stereotypies. Scoring was done
by an observer blind to the treatments given, and extended observation
periods and simultaneous observation by two or three observers blind to
the treatments were performed periodically. In preliminary experiments,
all ratings were made independently by two or three observers, and the
scores were found to match closely.
Immunohistochemistry. Brains were cut at 24 µm on a
sliding microtome, and sections through the caudoputamen were stained by dual-antigen immunohistochemical protocols with antisera raised against either c-Fos (Ab-5; 1:40,000; Oncogene Sciences,
Manhasset, NY) or JunB (1:10,000; gift from Dr. R. Bravo) and
the C-terminal peptide of the µ-opioid receptor (MOR1)
(1:20,000; DiaSorin, Stillwater MN), a marker for striosomes, as
described previously (Canales and Graybiel, 2000 ). Briefly, after
incubation with the primary antibody, sections were exposed to a
biotinylated secondary antibody and to an avidin-biotin complex
conjugated to HRP (ABC Kit; Vector Laboratories, Burlingame,
CA). Specific double stains were obtained by exposure to
DAB-H2O2 (MOR1) and to
DAB-H2O2 with nickel
(NiSO4) intensification (c-Fos and JunB).
Data analysis. For each brain, two sections through the
rostral caudoputamen were analyzed. A ~4
mm2 area at the center of the caudoputamen
was divided into medial and lateral halves, and the outlines of the
MOR1-positive striosomes within these regions were drawn. Fos-positive
nuclei were counted with a microscope attached to an image analysis
system (Biocom, Les Ulis, France). The counting was done by an observer
blind to the experimental treatments. The counting procedure permitted calculations, for each section, of the density of Fos-positive neurons
in the µ-opioid receptor-rich striosomes and in the surrounding matrix. For each individual animal, average values for the two sections
counted were used to calculate an index of the relative gene expression
in striosomes compared with that in the matrix [index of
striosome-to-matrix predominance (ISMP)] by taking the ratio between
the density values of Fos-positive nuclei in the striosomes and in the
matrix of the sampled regions (Canales and Graybiel, 2000 ). The gene
expression data for each treatment group were analyzed statistically by
means of ANOVA. Kruskal-Wallis and the Kolmogorov-Smirnov
tests were used for analysis of the behavioral observations.
Correlations between gene expression values and stereotypy scores were
calculated by the method of Spearman
(rs values).
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RESULTS |
Coactivation of D1-class and D2-class
dopamine receptors is required to induce strong motor stereotypies in
normal and cocaine-pretreated animals
To establish baselines for the behavioral effects of the dopamine
receptor agonists, we first measured the stereotypies induced by
different single or combined doses of the
D1-class and D2-class agonists. Confirming previous results (Arnt et al., 1987 , 1988 ), acute
treatment with combinations of the D1-class and
D2-class receptor agonists induced oral
stereotypies, including nibbling of the cage material, licking, and
head-down sniffing (Fig.
1A). Treatment with
quinpirole alone induced stereotypies of mild intensity, not reaching
statistical significance compared with control values (p = 0.063). SKF 81297 treatment alone did not
produce such responses but only nondirected behavioral activation.
Stereotypy levels appeared to saturate at values of ~5 on the rating
scale after the combined
D1-D2 dopamine agonist
treatments. Even the lowest doses of the two agonists (1 mg/kg each SKF
81297 and quinpirole), when given in combination, produced high
stereotypy ratings, and higher doses of either or both did not produce
additional increases in stereotyped behavior. These results suggest
that significant levels of dopamine receptor-stimulated stereotypy
depend on stimulation of dopamine receptors of both
D1 and D2 subclasses and
that even large doses of either agonist alone are ineffective in
augmenting such stereotypic behavior. The lack of dose dependency of
the combined D1-D2 agonist
treatments for the expression of stereotypies contrasts with the
capacity of apomorphine to evoke such behaviors in a dose-dependent
manner (Canales and Graybiel, 2000 ), which could either be
attributable to the differential
D1-D2 affinity ratios of
the drugs or to the fact that we did not test yet lower doses of the
agonists.

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Figure 1.
Acute treatment with a combination of
dopamine D1-class receptor agonist (SKF 81297) and dopamine
D2-class agonist (quinpirole), but not treatments with each
class of dopamine agonist given alone, induces motor stereotypy.
A, Stereotypy scores after acute administration of
different dose combinations of SKF 81297 (0, 1, and 3 mg/kg) and
quinpirole (0, 1, 3, and 9 mg/kg; indicated on x-axis).
In A, the baseline stereotypy value was 1.0. Black bars show single agonist treatments.
White bars show combined D1 and D2
agonist treatments. B-D, Induction of stereotypies by
acute challenge with 6 mg/kg quinpirole (B), 6 mg/kg SKF 81297 (C), or SKF 81297 plus quinpirole
(both 3 mg/kg) (D) after 1 week of either
repeated cocaine or repeated saline treatment. Acutely, all combined
agonist challenges, but not the single agonist challenges, induced
significant levels of stereotypy (Kruskal-Wallis test;
H = 36.821; p < 0.001, followed by Kolmogorov-Smirnov tests). Note the progressively
increased levels of stereotypy induced by repeated cocaine treatment
and the enhanced response to combined D1-D2 agonist
challenge in rats exposed to intermittent cocaine treatment
(significantly different from controls) (Kruskal-Wallis test;
H = 27.528; p < 0.001, followed by Kolmogorov-Smirnov tests). **p < 0.01. Sa , Saline; Co , cocaine;
SKF, SKF 81297; Quin, quinpirole.
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Repeated administration of cocaine produced a progressive enhancement
of stereotyped behavior over time, in accord with previous findings
(Jung et al., 1999 ; Canales and Graybiel, 2000 ; Vanderschuren and
Kalivas, 2000 ; Haile et al., 2001 ), with scores reaching values of ~6
on the stereotypy scale by day 7 (Fig. 1B-D). To
test whether subsequent expression of this sensitized response required
coactivation of D1-class and
D2-class dopamine receptors, we administered
D1 and D2 agonist
challenges at dose levels within the ranges established in the
drug-naive animals (3 mg/kg for each in the combined agonist treatments; for matching single agonist treatments, 6 mg/kg). Challenge
with either SKF 81297 alone or quinpirole alone failed to induce
intense stereotyped behaviors (Fig.
1B,C). In contrast, challenge with
these D1-class and D2-class
agonists combined elicited a significantly elevated motor response
relative to that observed in saline-pretreated controls (Fig.
1D). The profile of behaviors induced by the drug
combination included vigorous oral responses, such as persistent
licking and nibbling. These results suggest that expression of the
changes in motor behavior acquired as a result of repeated cocaine
treatment require activation of both D1-class and
D2-class dopamine receptors.
Coactivation of D1-class and D2-class
dopamine receptors is required to induce differentially enhanced early
gene activation in striosomes
The requirement for coactivation of D1-class
and D2-class dopamine receptors in producing
stereotypy in the drug-naive and cocaine-treated animals raised the
possibility that D1-D2
synergism would also be essential to produce compartmental shifts in
striatal early gene expression. We examined this possibility by
performing immunohistochemistry to detect c-Fos and JunB together with
the striosomal marker MOR1 in the same tissue sections. The results were clear-cut: in both groups, combined
D1-D2 agonist challenge was required for expression of major shifts in the compartmental distribution of the early gene protein within the caudoputamen.
Figures 2 and
3 illustrate these findings for c-Fos. In
the drug-naive rats, the D2 agonist quinpirole
slightly depressed the levels of Fos expression in the caudoputamen
relative to control values (Figs. 2, 3A), whereas the
D1 agonist SKF 81297 produced a widespread
expression of Fos, with only a twofold predominance in striosomes
(Figs. 2, 3B) and slightly greater expression medially than
laterally within the caudoputamen. A dramatic shift in the pattern of
Fos distribution occurred in the caudoputamen after the combined
D1-D2 agonist treatments.
Fos expression was significantly increased in striosomes both medially
and laterally (Figs. 2, 3C,D), but, in the
matrix, the levels of Fos expression were mainly unaffected. The
result was an elevation of ISMP values by several-fold (Fig.
4). The scatter in the data (Fig. 4)
suggests that the D1-D2 combinations that included the high dose of SKF 81297 (3 mg/kg) activated the matrix more than the lower (1 mg/kg) doses without proportionally elevating striosomal activation, suggesting that high
levels of D1-class receptor stimulation did not
further elevate the ISMP ratios beyond those obtained with low-dose
D1-D2 combinations. Within
the dose combinations we tested, any combination of the D1 and D2 agonists, but not
treatment with either class of agonist given alone, producing a
pronounced pattern of relative striosomal expression of Fos-Jun
proteins.

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Figure 2.
Acute dopamine D1-class and
D2-class receptor agonist treatments induce varying levels
of early-gene expression in striosomes and matrix of the striatum.
Values indicate net deviations from baseline levels of Fos expression
in striosome and matrix compartments compared with values in
saline-treated animals. Baseline values were as follows: medial matrix,
30.50 ± 9.51; medial striosomes, 39.60 ± 16.42; lateral
matrix, 2.78 ± 1.32; and lateral striosomes, 3.81 ± 1.6. Of
the single agonist challenges (black bars), only SKF
81297 induced significant levels of Fos expression in the striatum.
Activation in the striosomes was much greater than activation in the
matrix when increasing doses of quinpirole were combined with 1 mg/kg
(hatched bars) or 3 mg/kg (white bars)
SKF 81297. ANOVA indicated a significant high-order interaction of
agonist × sector × compartment
(F(6,42) = 3.113; p < 0.013). Quin, Quinpirole; SKF, SKF
81297.
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Figure 3.
Dopamine D1-class and
D2-class receptor agonists have differential effects on
early-gene expression in the matrix and striosomes of the
caudoputamen. Transverse coronal sections through the caudoputamen
illustrating distributions of Fos-immunoreactive neurons in rats given
acute challenges with the D2 agonist quinpirole (3 mg/kg)
(A), the D1 agonist SKF 81297 (3 mg/kg) (B), and the
D1-D2 agonist combinations of SKF 81297 plus
quinpirole (3 mg/kg each) (C) or SKF 81297 plus
quinpirole (1 mg/kg each) (D). Note that, in the
animals given combined agonist challenge (C,
D), clusters of Fos-positive nuclei are concentrated in
striosomes, marked by strong µ-opioid receptor immunoreactivity.
Arrow in A points to a µ-opioid
receptor-positive striosome. Scale bar, 0.5 mm.
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Figure 4.
Indices of striosome-to-matrix predominance of
early-gene activation (ISMP values) are increased by acute combinations
of D1-class (SKF 81297) and D2-class
(quinpirole) dopamine receptor agonist treatments. Values indicate
deviations from baseline ISMP values. These were 1.30 ± 0.21 and
1.69 ± 0.98 for the medial and lateral sectors of the
caudoputamen, respectively. Dosage (in milligrams per kilogram)
is indicated with corresponding symbols. Single
D1 or D2 agonist treatments did not elevate
ISMP values significantly, whereas all combined D1-class
and D2-class agonist challenges, regardless of dose levels,
produced significant increases in ISMP values. ANOVA showed a
significant effect of the interaction of agonist × sector
(F(6,42) = 3.360; p < 0.009), and only the combined treatments differed significantly from
baseline (Newman-Keuls). **p < 0.01. Quin, Quinpirole; SKF, SKF 81297.
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In the rats treated repeatedly with cocaine and then given a final
challenge with either the D1 or the
D2 agonist or the
D1-D2 agonist combination,
there was less striatal Fos expression than in the saline-pretreated
control animals, reflecting a general downregulation of excitability.
Only the combined D1-D2
agonist treatment, however, produced significant alterations in the
balance of Fos expression between striosomes and matrix (Fig.
5). With single
D1-class or D2-class
agonist challenge after the intermittent cocaine treatment, the
compartmental patterns of Fos expression (Figs.
6,
7A,A',B,B')
and ISMP values (Fig. 5) were not different from those of rats
repeatedly treated with saline. In contrast, when SKF 81297 and
quinpirole were combined for the final agonist challenge after the
cocaine exposure, there was a marked reduction of Fos expression in the
matrix of the medial caudoputamen relative to control levels, and this
reduction was much greater than that in striosomes (Figs. 6,
7C,C'). ISMP values therefore were significantly increased in the medial striatum (Fig. 5). Thus, combined activation of
D1-class and D2-class
receptors was necessary for the expression of the cocaine-induced
changes in Fos-Jun protein distributions in the striatum.
Qualitatively similar results were found for JunB (Fig.
7D,D').

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Figure 5.
Repeated exposure to cocaine enhances
striosome-predominant Fos expression in the medial caudoputamen in
response to combined D1-class and D2-class
dopamine receptor agonist challenge. The ISMP values shown indicate
deviations from baseline ISMP values, which were 1.10 ± 0.16 and
0.66 ± 0.33 for the medial and lateral caudoputamen,
respectively. Dosage is indicated with corresponding
symbols. Combined, but not single, D1-class
or D2-class agonist challenges elevated ISMP values
significantly in control and cocaine-sensitized animals. In the latter
group, the effect was potentiated in the medial sector of the
caudoputamen. ANOVA indicated a significant drug × agonist × sector interaction (F(2,36) = 11.674; p < 0.001). ISMP values differed
significantly in response to D1-D2 challenge
in saline-pretreated controls compared with cocaine-pretreated animals
(Newman-Keuls). **p < 0.01. Quin,
Quinpirole; SKF, SKF 81297.
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Figure 6.
Challenges with combined D1-class and
D2-class dopamine receptor agonists after repeated cocaine
treatment show differential downregulation of Fos expression in the
striatal matrix. Graphs show levels of Fos expression in striatal
compartments after combined D1-class and
D2-class dopamine receptor agonist challenges in rats that
were saline pretreated (white bars) or cocaine
pretreated (black bars). Values represent net deviations
from baseline values, which were as follows: medial matrix, 29.32 ± 7.06; medial striosomes, 35.93 ± 13.12; lateral matrix,
4.60 ± 2.39; and lateral striosomes, 6.40 ± 3.73. Repeated
exposure to cocaine (25 mg/kg, 7 d, twice per day) markedly
downregulated Fos expression induced by all dopamine receptor agonist
treatments. Note that, after cocaine plus combined
D1-D2 challenge (3 mg/kg each), matrix Fos
activation is almost nil in the caudoputamen medially, whereas net
deviation from baseline in the striosomes is close to 500 cells/mm2. ANOVA showed a significant interaction of
drug × agonist × compartment
(F(2,36) = 15.060;
p < 0.001) and a nonsignificant interaction of
drug × agonist × sector × compartment
(F(2,36) = 0.485; p < 0.620).
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Figure 7.
Immunohistochemical localization of c-Fos and JunB
demonstrates synergistic effects of D1-class and
D2-class receptors in striatum. Sections through the
caudoputamen illustrating Fos (A, A',
B, B', C,
C') or JunB (D, D',
E, E') immunoreactivity in the striosomal
and matrix compartments of the caudoputamen. Examples of striosomes are
shown at arrows in A and
A'. A, A', A final
challenge with the D2-class agonist quinpirole (6 mg/kg)
did not elicit Fos expression in rats previously exposed to saline
(A) or to cocaine (25 mg/kg, 7 d, twice per
day) (A'). B, B', A final
challenge with the D1 agonist SKF 81297 (6 mg/kg) produced
prominent, homogenous levels of Fos expression in saline-pretreated
rats (B) and reduced levels in both
compartments after repeated intermittent cocaine exposure (25 mg/kg,
7 d, twice per day) (B'). C,
C', D, D', Combined
D1-D2 agonist challenge with coadministered SKF 81297 and quinpirole (3 mg/kg each)
produced a detectably striosome-predominant pattern of Fos expression
(C) and JunB (D) in the
saline-pretreated animals, and this pattern became much accentuated in
animals pretreated with cocaine, especially medially (Fos,
C'; JunB, D'). E,
E', A final challenge with cocaine (25 mg/kg) in
cocaine-pretreated animals (E') also produced a pattern
of striosome predominance compared with control animals
(E), but the striosomal pattern was more lateral
in the caudoputamen (JunB illustrated). Drawing in A
shows the region of the caudoputamen included in the photomicrographs.
CP, Caudoputamen; NAc, nucleus accumbens;
S, septum; AC, anterior commisure. Scale
bar, 0.5 mm.
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Enhanced activation of striosomes parallels enhanced
behavioral stereotypy
To test whether the changes in stereotypy values and density
values for Fos expression in the caudoputamen were correlated, we
performed nonparametric versions of regression analysis. Figures 8 and 9
show scatter plots with all data points from both experiments with
corresponding Spearman correlation values and significance levels. In
our acute model (Fig. 8), early gene activation in the matrix medially
was poorly correlated with the emergence of stereotypies, despite the
fact that all acute challenges in which D1 and
D2 agonists were coadministered increased Fos
levels in this striatal compartment. Lateral activation in the matrix
compartment did show a significant correlation. Early gene expression
in striosomes correlated better with motor stereotypy than matrix
activation, and both medial and lateral Spearman correlation values for
striosomes were significant. Overall activation in the caudoputamen,
regardless of compartmental effects, showed correlation values of 0.24 and 0.48 for medial and lateral sectors, respectively (scatter plots not shown). The best neural estimate of motor stereotypy was given by
the gene expression values in striosomes relative to expression values
in the matrix, as defined by ISMP values. These exceeded the predictive
power of the striosomal activation alone by 10% on average.

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Figure 8.
After acute treatments with combined
D1-class and D2-class dopamine receptor
agonists, the best predictor of motor stereotypy is the relative
predominance of Fos expression in the striosomal compartment (ISMP
value). Scatter plots representing individual data points for all
animals included in the agonist-dose experiment and regression lines
relating measures of Fos activation in the caudoputamen
(abscissa) and stereotypy values
(ordinate). The number at the top
right corner of each plot is the Spearman correlation
value (**p < 0.01). Med Matrix,
Medial matrix; Lat Matrix, lateral matrix; Med
Striosomes, medial striosomes; Lat
Striosomes, lateral striosomes; Med ISMP, medial
ISMP; Lat ISMP, lateral ISMP.
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Figure 9.
After repeated exposure to cocaine or
saline, a strong correlation is found between stereotypy and the
relative predominance of Fos expression in the striosomes (ISMP)
induced by combined D1-D2 dopamine receptor
agonist challenge. Scatter plots show individual data points for all
animals included in the cocaine sensitization experiment and
corresponding regression lines. Top four plots show data
for Fos expression in medial (Med) and lateral
(Lat) matrix and striosomes relative to stereotypy
values, and two bottom plots show ISMP values for medial
and lateral caudoputamen relative to stereotypy scores. The
number at the top right
corner of each plot represents the Spearman correlation
value. **p < 0.01.
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In the cocaine-pretreated animals (Fig. 9), decreases in Fos expression
in the matrix occurred after combined
D1-D2 agonist challenge
relative to values in saline-pretreated animals, but, again, the
density values for Fos expression in this compartment were not
correlated with changes in behavior. Activation values for the
striosomes were also decreased in rats given the combined D1-D2 challenge after
exposure to cocaine, and the correlations between striosomal gene
expression and behavior clearly exceeded those for the matrix
compartment, reaching in both instances statistical significance.
Overall levels of gene expression in the caudoputamen were not
correlated with stereotypy (Spearman values were 0.06 and 0.30 for
medial and lateral sectors, respectively; scatter plots not shown).
Combined D1-D2 receptor
agonist challenge after repeated cocaine treatment brought down levels
of activation in the matrix to nearly baseline levels medially but only
reduced activation levels in striosomes twofold. This differential
downregulation produced significantly elevated ISMP values in the
medial sector of the caudoputamen, and these ISMP values were better
predictors of motor stereotypy than any other index of neural
activation, including activation in the individual compartments. The
Spearman rank correlation value for ISMP in medial caudoputamen was
0.76. This value (Fig. 9) was higher than that found for any of the analyses performed for the acutely treated animals (Fig. 8). In the
chronic cocaine experiments, when calculations were performed for
individual subgroups, similar correlations were observed between stereotypy and ISMP values in both the sensitized and naive subgroups of animals (data not shown). This analysis suggests that the
relationship between relative striosome predominance and stereotypy
does not depend on one particular preceding condition of drug exposure but, rather, bears on a general aspect of the regulation of the motor behavior.
 |
DISCUSSION |
The alterations in behavior and neural function induced by
repeated exposure to psychomotor stimulants represent a striking example of prolonged, environmentally modulated neurobehavioral plasticity. These alterations can remain covert until an additional challenge with the drug occurs or until a stimulus contingently paired
with the drug is presented. Our findings demonstrate that compartment-based neural alterations in the striatum are already evident during the sensitization regimen and that concurrent
stimulation of D1-class and
D2-class dopamine receptors is a necessary
condition for uncovering them. Our findings further demonstrate that
this neural plasticity is strongly correlated with the behavioral
patterns induced by the
D1-D2 challenges. Our
observations suggest a link between the expression of repetitive
behavior evoked by conjoint stimulation of
D1-class and D2-class
dopamine receptors and the expression of patterned alterations in
relative activation of striosome-based and matrix-based basal ganglia circuits.
Requirement for synergisms between D1-class and
D2-class dopamine receptors in evoking the expression of
sensitized stereotypy
Many of the acute behavioral effects that are
dependent on the activation of D2-class dopamine
receptors, including stereotypy and hyperlocomotion, are known to
require simultaneous activation of D1-class
receptors. In the acute agonist treatment model that we used,
combinations of D1-class and
D2-class dopamine receptor agonist treatments
were required to induce stereotypy, in accord with previous findings
(Arnt et al., 1987 ; Clark and White, 1987 ; Walters et al., 1987 ;
LaHoste et al., 1993 ; Waddington et al., 1995 ). Remarkably, after
repeated cocaine treatments, the enhanced motor stereotypy that could
be evoked by combined
D1-D2 agonist challenge
did not transfer to single-receptor class agonist challenge. Thus,
despite the fact that sensitization had developed in the cocaine-pretreated animals, it remained covert even when animals were
exposed to very high levels of either D1-class or
D2-class dopamine receptor agonists alone.
Our observations are based on coordinated neural and
behavioral measurements made directly after acute challenge or directly after postsensitization challenge. It is not known whether this requirement for combined
D1-D2 dopamine receptor
activation, evident at the end of the sensitizing period, holds also
after extended periods of withdrawal. Enhanced stereotypy in response
to D2 receptor agonist challenge has been
reported in one study in which rats were exposed to repeated cocaine
treatment, followed by an intervening period of withdrawal (Ujike et
al., 1990 ), which is thought to be critical for the development of some
neural adaptations in dopamine and opioid neurotransmission. Our
results suggest that whatever sensitization of
D1-class and D2-class
receptor function occurred as a result of the drug exposure given to
the animals, agonist challenge of either one of these receptor systems
was insufficient to evoke the expression of the latent, behavioral adaptations that took place during the sensitization phase.
Requirement for D1-D2 dopamine receptor
synergisms in evoking the expression of striosome-predominant early
gene distributions
Based on our previous finding that stereotypy induced by
psychomotor stimulants is highly correlated with
striosome-predominant early-gene expression evoked by the
same treatments, we tested whether these neural changes, like the
behavioral changes, developed during drug sensitization and required
concurrent activation of D1-class and
D2-class dopamine receptors. They did. After
repeated cocaine treatment, the early-gene responses induced by single D1-class or D2-class
agonist challenge were downregulated relative to those in the striatum
of drug-naive animals, but there was no difference in the relative
response of neurons in striosomes and matrix. In contrast, in animals
challenged with D1-D2
agonist combinations, there was a significantly greater downregulation in the matrix than in striosomes, especially medially, leading to
greater relative activation in the striosomal compartment. The degree
of stereotypy induced by the combined
D1-D2 agonist challenge
showed poor correlation with the matrix downregulation or with
estimates of overall striatal gene expression but strong correlation
with striosomal activation and even higher correlation with the
relative striosomal predominance of gene expression in the medial striatum.
A similar dependency on combined activation of
D1-class and D2-class
dopamine receptors held for the full range of acute single agonist
treatments that we used to treat drug-naive rats, extending previous
observations on the regulation of early response genes by dopamine
receptor agonists (LaHoste et al., 1993 ; Wirtshafter and Asin, 1994 ;
Wirtshafter et al., 1997 ). We did not observe dose dependency for this
effect, but lower doses of D1 and
D2 agonists than those used in our experiments
might show dose dependency just as apomorphine, a mixed
D1-D2 agonist, increases
both stereotypy and striosomal predominance in a dose-dependent manner
(Canales and Graybiel, 2000 ).
Correlations between stereotypy and striosome-predominant gene
activation in the striatum
The degree of stereotypy induced by direct dopamine receptor
agonists in our experiments was correlated with a relative enhancement of striosomal early-gene activation not only in cocaine-sensitized animals but also in drug-naive animals. In naive animals, neuronal activation in the matrix and the striosomes increased in parallel with
stereotypy, whereas activation in both compartments was reduced after
repeated cocaine exposure, a treatment that conversely produced higher
levels of stereotypy. However, levels of activity in the striosomes
alone showed significant correlations with the stereotypy ratings,
which is in accord with previous findings (Canales and Graybiel, 2000 ).
The results we report here suggest that these behavioral and neural
responses are regulated either in parallel or in common by a mechanism
involving concomitant activation of D1-class and
D2-class dopamine receptors. Such synergistic
D1-D2 effects on
activation of striosomes and matrix may give clues to the specific
mechanisms underlying the behavioral expression of sensitized
stereotypies. For example, the cholinergic and nitric oxide
synthase-containing interneurons of the striatum have been suggested to
act in the induction of the striosome-predominant pattern of gene
expression in response to drug challenge (Graybiel et al., 2000 ;
Svenningsson et al., 2000 ; Saka et al., 2002 ), as has upregulation of
dynorphin in striatal neurons and enhanced corticostriatal transmission
(Moratalla et al., 1996 ; Canales and Graybiel, 2000 ).
In rats exposed to repeated cocaine treatment, combined
D1-D2 agonist challenge,
but not single agonist treatments, reproduced the main phenotypes of
cocaine sensitization: increased stereotypy after challenge and
increased striosome-to-matrix neuronal activation. Some important
differences between D1-D2
agonist challenge and cocaine challenge were also noted. In
cocaine-sensitized animals, a final challenge with cocaine produces an
enhanced pattern of striosomal activation in the lateral caudoputamen
(Canales and Graybiel, 2000 ), whereas with combined
D1-D2 agonist challenge, the striosomal enhancement was mainly medial. Activity in striosomes was decreased by combined
D1-D2 challenge, but
increased by cocaine challenge, after a sensitizing regimen of cocaine
exposure. The combined
D1-D2 treatment elicited
effects reminiscent of amphetamine challenge after repeated amphetamine
exposure, reducing intrinsic striosomal activation yet increasing
relative striosomal activation both medially and laterally in the
caudoputamen attributable to even greater reduction in the matrix.
Acute apomorphine treatment, which directly stimulates
D1 and D2 receptors, also
enhances relative striosomal activity medially (Canales and Graybiel,
2000 ). Such topographic differences might relate to the fact that the
motor responses emitted in response to different psychomotor stimulants and D1-D2 agonists have
different specific patterns, despite sharing common characteristics of
repetitiveness and stereotypy. The medial pattern of striosome
predominance is also found in rodent models of parkinsonism, in which
rats with 6-hydroxydopamine-induced lesions of the nigrostriatal
pathway are chronically exposed to levodopa (Cenci et al., 1999 ) or are
given apomorphine (Saka et al., 1999 ) or combined
D1-D2 dopamine receptor
agonist treatment (Paul et al., 1992 ). Jonathan M. Brotchie
(University of Manchester, Manchester, UK) (personal communication) has
reported such striosome-enhanced patterns of preproenkephalin in the
brains of dyskinetic Parkinson's disease patients, and a similar
enhancement of striosomal prodynorphin mRNA was noted in a case report
of a cocaine addict (Hurd and Herkenham, 1993 ).
Our findings suggest a bridge between the effects of direct dopamine
receptor agonists and the effects of drugs of abuse. A key factor for
both is combined activation of D1-class and
D2-class dopamine receptors. Such conjoint
dopamine receptor stimulation is thought to lead to activation of the
direct pathway and inhibition of the indirect pathway leading out of
the striatum (Gerfen and Wilson, 1996 ) and thus to activation of the
motor thalamus and frontal neocortex through basal
ganglia-thalamocortical loop pathways. Repeated overactivation of
these striatocortical loops may result in effects akin to
"kindling" of the frontal cortex that could favor the emergence of
repetitive behaviors in the absence of external cues for adaptive
movement. A close relationship between stereotypy and
striosome-predominant neuronal activity could, in particular, reflect a
persistent differential recruitment of striosome-based cortico-basal
ganglia circuits involving medial and orbital frontal cortex (Gerfen,
1984 ; Donoghue and Herkenham, 1986 ; Ragsdale and Graybiel, 1990 ; Eblen
and Graybiel, 1995 ; Volkow and Fowler, 2000 ; Goldstein et al., 2001 ).
Such persistent pathway selection could trigger the compulsion to
repeat the same few behaviors at the expense of the initiation of
adaptive, switching responses requiring threshold activation of
matrix-based basal ganglia circuits (Peterson et al., 1998 ; Graybiel
and Rauch, 2000 ; Leckman et al., 2001 ).
Another possibility is that the presumably inhibitory
striatonigral projection could have a homeostatic function to decrease dopaminergic stimulation of the striatum and, in turn, to decrease increased repetitions of elicited actions. Such an adaptive control mechanism would not, however, be expected to be completely effective if
the source of dopaminergic stimulation is from exogenous sources rather
than from intrinsic activity of the part of the substantia nigra pars
compacta interconnected with the striosomal system. The ineffectiveness
of such a striosome-based homeostatic mechanism could contribute to the
development of stereotypy in behavioral sensitization, as studied here,
as well as levodopa-induced dyskinesias, drug-induced compulsions,
Tourette syndrome, and obsessive-compulsive spectrum disorders.
 |
FOOTNOTES |
Received Dec. 26, 2001; revised April 5, 2002; accepted April 23, 2002.
This work was supported by National Institute of Neurological Disorders
and Stroke Grants NS25529 and NS38372, National Institute on Drug Abuse
Grant DA08037, the National Parkinson's Foundation, the Stanley
Foundation, the Swiss National Science Foundation, and the Science and
Technology Ministry of Spain. We thank Patricia Harlan and Henry F. Hall for their expert help with the experiments, Dr. Paul DiZio for his
help with data analysis, and Dr. Esen Saka Topcuoglu for her insightful
comments on this manuscript.
Correspondence should be addressed to Dr. Ann M. Graybiel, Department
of Brain and Cognitive Sciences, Massachusetts Institute of Technology,
E25-618, 45 Carleton Street, Cambridge, MA 02139. E-mail:
graybiel{at}mit.edu.
 |
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