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The Journal of Neuroscience, September 15, 2002, 22(18):7844-7849
BRIEF COMMUNICATION
The Role of Corticotropin-Releasing Factor in the Median Raphe
Nucleus in Relapse to Alcohol
A. D.
Lê1, 2, 3,
S.
Harding1,
W.
Juzytsch1,
P. J.
Fletcher1, 2, 3, 4, and
Y.
Shaham5
1 Department of Neuroscience, Center for
Addiction and Mental Health, Toronto, Ontario, Canada M5S 2S1,
Departments of 2 Pharmacology, 3 Psychiatry,
and 4 Psychology, University of Toronto, Toronto, Ontario,
Canada M5S 1A8, and 5 Behavioral Neuroscience Branch,
National Institute on Drug Abuse Intramural Research Program,
Baltimore, Maryland 21044
 |
ABSTRACT |
Using an animal model of drug relapse, we found that intermittent
footshock stress reinstates alcohol seeking, an effect attenuated by
the 5-HT reuptake blocker fluoxetine and by corticotropin-releasing factor (CRF) receptor antagonists. Here we studied the role of the 5-HT
cell body region of the median raphe nucleus (MRN) and CRF receptors in
this site in reinstatement of alcohol seeking. Rats were given alcohol
in a two-bottle choice procedure (water vs alcohol) for 25 d and
were then trained for 1 hr/d to press a lever for alcohol (12% w/v)
for 23-30 d. Subsequently, lever pressing for alcohol was extinguished
by terminating drug delivery for 5-9 d. Tests for reinstatement of
alcohol seeking were then performed under extinction conditions.
Intra-MRN infusions of 8-OH-DPAT
[8-hydroxy-2-(di-n-propylamino)tetralin] (a
5-HT1A agonist that decreases 5-HT cell firing and release)
reinstated alcohol seeking. Reinstatement of alcohol seeking also was
observed after intra-MRN infusions of low doses of CRF (3-10 ng),
which mimicked the effect of ventricular infusions of higher doses of
the peptide (300-1000 ng). Finally, intra-MRN infusions of the CRF
receptor antagonist d-Phe CRF (50 ng) blocked the effect
of intermittent footshock (10 min) on reinstatement. These data suggest
that an interaction between CRF and 5-HT neurons within the MRN is
involved in footshock stress-induced reinstatement of alcohol seeking.
Key words:
alcohol; corticotropin-releasing factor; reinstatement; relapse; serotonin; stress
 |
INTRODUCTION |
In humans, stressful life events are
reported to be associated with relapse to alcohol use after periods of
abstinence (Sinha, 2001 ). The reasons for this association, however,
are not known. Recently, we adapted an animal model of relapse to
opioid and stimulant drugs, the reinstatement procedure (Stewart and de
Wit, 1987 ), to study mechanisms underlying stress-induced relapse to alcohol seeking. We found that footshock stress potently reinstates drug seeking in alcohol-experienced rats (Le et al., 1998 ). This effect
of stress on reinstatement of alcohol seeking was replicated independently (Martin-Fardon et al., 2000 ), and it extends findings from studies using cocaine- and heroin-trained rats (Shaham et al.,
2000 ; Shalev et al., 2002 ).
In a study on the pharmacological basis of footshock-induced
reinstatement of alcohol seeking, we found that the 5-HT reuptake blocker fluoxetine, but not the opioid antagonist naltrexone, attenuates this effect (Le et al., 1999 ). Subsequently, we found that
the nonselective corticotropin-releasing factor (CRF) receptor antagonist d-Phe CRF and the selective
CRF1 receptor antagonist CP-154,526 attenuate
footshock-induced reinstatement of alcohol seeking (Le et al., 2000 ).
In contrast, the removal of circulating corticosterone by adrenalectomy
had no effect. These data are consistent with previous reports (Shaham
et al., 1997 ; Erb et al., 1998 ) and support the notion that CRF
mediates stress-induced reinstatement of drug seeking via its actions
on extrahypothalamic sites.
Our data raise the possibility that CRF and 5-HT neurotransmission have
opposite effects on footshock-induced reinstatement because
increases in 5-HT levels by fluoxetine and blockade of CRF receptors
had similar effects on relapse behavior. In agreement with this
possibility, recent studies have shown that CRF infusions into the
lateral ventricles or the cell body region of the dorsal raphe nucleus
(DRN) predominantly inhibit (at low doses) 5-HT cell firing and release
(Price et al., 1998 ; Kirby et al., 2000 ; Price and Lucki, 2001 ) (but
see Lowry et al., 2000 ). The effects of CRF on 5-HT neurons of the
median raphe nucleus (MRN) are not known.
In the present report, we examined the role of 5-HT and CRF in the
raphe nuclei in reinstatement of alcohol seeking. We initially determined the effect of intra-MRN and intra-DRN infusions of a
5-HT1A agonist, 8-OH-DPAT
[8-hydroxy-2-(di-n-propylamino)tetralin], which inhibits
5-HT cell firing (Price et al., 1998 ), on reinstatement of alcohol
seeking. Based on these data, we further determined (1) the effect of
intra-MRN infusions of CRF on reinstatement and (2) the effect of
infusions of a CRF antagonist (d-Phe CRF) into this brain
site on footshock-induced reinstatement of alcohol seeking.
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MATERIALS AND METHODS |
Subjects. Male Wistar rats (150-175 gm; 41-44 d on
arrival; Charles River Laboratories, Montreal, Canada) were
housed individually with access to food and water ad libitum
and were acclimated to the animal facility for several weeks before the
start of the experiments. Temperature was maintained at 21°C, and
lights were on from 7:00 A.M. to 7:00 P.M. Procedures were conducted in
accordance with the guidelines of the Canadian Council on Animal Care.
Surgery and injection procedures. Guide cannulas (24 gauge; Plastics One, Roanoke, VA) were implanted at a 20° angle under pentobarbital anesthesia (65 mg/kg, i.p.). Stereotaxic coordinates (from bregma) for the DRN and MRN were as follows: anteroposterior (AP), 7.8 (both sites); lateromedial (LM), 2.4 and 3.1; dorsoventral (DV), 4.9 and 7.0, respectively (Paxinos and Watson, 1998 ) (Fig. 1A). Lateral ventricle
coordinates were as follows: AP, 0.8; LM, 1.5; DV, 3.3. Drugs were
injected over 45-60 sec with Hamilton syringes connected to 31 gauge
injectors extending 1 (ventricle) or 4 (DRN and MRN) mm below the tip
of the guides. The infusion volume was 4 (ventricle) or 0.5 (DRN and
MRN) µl. Cannula placement was verified histologically, and 19 rats
were excluded because of inaccurate placements. The different
pharmacological manipulations had no effect on lever-pressing behavior
during tests for reinstatement in these rats.

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Figure 1.
Cannula placements. A, The
placements of the tip of the injectors in the DRN and MRN in
experiments 1 and 2 (Paxinos and Watson, 1998 ). B, A
pictograph of cannula placement and injector tip in the DRN.
C, A pictograph of cannula placement and injector tip in
the MRN.
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Drugs. d-Phe CRF12-41
(Bachem, Torrance, CA), human/rat CRF (Sigma, St. Louis, MO),
and 8-OH-DPAT (Sigma) were dissolved in physiological saline.
Training phase. Rats were initially trained to drink alcohol
(3-12% w/v) for 30 min/d for 25 d as described previously (Le et
al., 2000 ). Rats consuming <0.4
gm · kg 1 · d 1
were excluded. Subsequently, rats were trained to lever press for
alcohol (0.19 ml of 12% w/v; each alcohol delivery was accompanied by
a light cue for 6 sec) for 18-25 d for 60 min/d in self-administration chambers equipped with two levers. Responding on one lever (the active
lever) activated the infusion pump (Razel Scientific Instruments, Stamford, CT). Presses on the other lever (an inactive lever) were
recorded but had no programmed consequences. The response requirements
on the active lever were increased from a fixed ratio 1 (FR-1) schedule
of reinforcement to an FR-3 schedule (last 8-12 d). Guide cannulas
were then implanted, and rats were allowed to recover for 7 d and
were then given five additional training sessions.
Extinction phase. During this phase, lever presses on the
active lever were not reinforced. Extinction sessions (60 min/d) were
conducted for 5-9 d until the rats reached an extinction criterion of
<15 presses/60 min on the previously active lever.
Tests for reinstatement. Tests were conducted under
extinction conditions, and drugs were infused 15 min before the
sessions. In experiment 2, some rats were exposed to 10 min of
intermittent footshock (0.8 mA, 0.5 sec ON; mean OFF period of 40 sec;
range of 10-70 sec) just before the start of the test session (Le et al., 1998 ).
Experiment 1: 8-OH-DPAT. Two groups of rats were tested for
the effect of intra-DRN (n = 15) and intra-MRN
(n = 16) infusions of 8-OH-DPAT (0.0, 0.1, 1.0, and 2.5 µg; counterbalanced order) on reinstatement of alcohol seeking. Rats
were tested every 48-72 hr, with regular extinction sessions on the
intervening days. Drug doses are based on previous reports (Higgins and
Elliott, 1991 ; Fletcher, 1993 ).
Experiment 2: CRF and d-Phe CRF. The effect of
ventricular infusions of saline or CRF on reinstatement was determined
in two groups of rats (n = 15-16 per dose). For each
group, the effects of saline and one dose of CRF (300 or 1000 ng) on
reinstatement were examined. Rats were tested every 48-72 hr in a
counterbalanced order, with regular extinction sessions in the
intervening days. The CRF doses are based on a previous report (Shaham
et al., 1997 ). Another group (n = 17) was tested for
reinstatement after intra-MRN infusions of CRF (0, 3, and 10 ng;
counterbalanced order). Rats were tested every 48-72 hr, with regular
extinction sessions in the intervening days. These low doses are based
on previous reports (Price et al., 1998 ; Kirby et al., 2000 ). A final
group (n = 10) was tested for the effect of
d-Phe CRF (0 and 50 ng) on reinstatement induced by
footshock. Each rat was tested, in a counterbalanced order, to vehicle
alone, vehicle plus footshock, d-Phe CRF alone, and
d-Phe CRF plus footshock. The d-Phe CRF
dose is based on a previous report (Erb and Stewart, 1999 ).
 |
RESULTS |
As in our previous work (Le et al., 1998 ), rats previously trained
to consume alcohol in a two-bottle choice procedure acquired the
operant responding for the drug. The mean ± SEM number of alcohol
reinforcements, total responses on the active (reinforcements plus
timeout responses) and the inactive levers, and total alcohol intake in
the different experiments on the last training session under the FR-3
schedule are shown in Table 1. This table also shows the mean
number of non-reinforced responses on the
previously active lever and on the inactive lever on the first and last
days of extinction. The mean alcohol intake in the different
experiments on the last training session was between 0.77 and 1.1 gm/kg
(Table 1). These values are similar to those obtained in our previous studies (Le and Shaham, 2002 ).
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Table 1.
Alcohol self-administration behavior and extinction
responding before the tests for reinstatement of alcohol seeking
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Experiment 1: 8-OH-DPAT
Two groups of rats were used to test the effect of 8-OH-DPAT
injected into the DRN or the MRN on reinstatement (Fig. 2). For each
group, the ANOVA included the repeated-measures factors of 8-OH-DPAT
dose (0, 0.1, 1.0, or 2.5 µg) and lever (active or inactive). DRN
infusions of 8-OH-DPAT did not increase responding on the active lever.
Analyses revealed a main effect of lever
(F(1,14) = 17.6; p < 0.01), but neither the 8-OH-DPAT dose main effect nor the dose by lever
interaction were significant. The analysis for the MRN data revealed a
significant 8-OH-DPAT dose by lever interaction
(F(3,45) = 3.7; p < 0.05). Post hoc analyses revealed that this interaction is
attributable to the effect of the 1 µg dose on responding on the
active lever (Fig. 1B).
Experiment 2: CRF and d-Phe CRF
Intracerebroventricular CRF
Two groups of rats were tested for the effect of CRF on
reinstatement of alcohol seeking (Fig.
3A). Each group
was tested after exposure to the vehicle and one CRF dose. One rat was
excluded because the number of responses on the active lever after 1000 ng of CRF (155 responses) was 5 SDs above the mean of its
group. ANOVA was conducted with the between-subject factor of
CRF dose (3000 or 1000 ng) and the within-subject factors of
pretreatment (vehicle or CRF) and lever (active or inactive). This
analysis revealed a significant pretreatment by lever interaction
(F(1,28) = 5.9; p < 0.02) but no effect of CRF dose
(F(1,28) = 1.5; NS); both doses of CRF
increased responding on the active lever compared with the vehicle
condition, and the difference between the two doses was not
significant.

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Figure 2.
8-OH-DPAT. Reinstatement of alcohol seeking by
MRN, but not DRN, infusions of the 5-HT1A agonist
8-OH-DPAT. Data are mean ± SEM responses on the previously active
lever and responses on the inactive lever on the 60 min after infusions
of 8-OH-DPAT into the DRN (n = 15)
(A) and MRN (n = 16)
(B). *p < 0.05, different
from vehicle.
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MRN CRF
One group of rats was tested for the effect of CRF on
reinstatement (Fig. 3B). The repeated-measures ANOVA
included the factors of CRF dose (0, 3, or 10 ng) and lever (active and
inactive). This analysis revealed a significant dose by lever
interaction (F(2,32) = 3.3;
p < 0.05). Post hoc tests revealed that the
significant dose by lever interaction was attributable to the increase
in responding on the active lever at the 10 ng dose.

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Figure 3.
CRF and d-Phe CRF. Reinstatement of
alcohol seeking by intraventricular and intra-MRN infusions of CRF and
blockade of footshock stress-induced reinstatement by intra-MRN
infusions of the CRF receptor antagonist d-Phe CRF.
A, Mean ± SEM responses on the previously active
lever and on the inactive lever on the 60 min after ventricular
infusions of vehicle and CRF (n = 15 per dose).
*p < 0.05, different from vehicle.
B, Mean responses on the active and inactive levers on
the 60 min after MRN infusions of vehicle and CRF
(n = 17). *p < 0.05, different
from vehicle. C, Mean responses on active and inactive
lever after exposure to 10 min of intermittent footshock or no shock in
rats pretreated with vehicle and d-Phe CRF (50 ng) into
the MRN (n = 10). *p < 0.05, different from the other experimental conditions.
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MRN d-Phe CRF
One group of rats was tested for the effect of d-Phe
CRF on footshock-induced reinstatement (Fig. 3C). The
repeated-measures ANOVA included the factors of stress (no shock or
shock), d-Phe CRF dose (0 or 50 ng) and lever (active or
inactive). This analysis revealed a significant three-way interaction
of stress by d-Phe CRF dose by lever
(F(1,9) = 18.7; p < 0.01). Post hoc analyses revealed that this three-way
interaction was attributable to the attenuation of footshock-induced
reinstatement of active lever responding in rats pretreated with
d-Phe CRF.
 |
DISCUSSION |
Our previous data with CRF receptor antagonists and fluoxetine
suggest that CRF and 5-HT neurotransmission have opposite effects on
stress-induced reinstatement of alcohol seeking (Le et al., 1999 ,
2000 ). The present data suggest that these putative opposite effects
occur, in part, at the 5-HT cell body region of the MRN. Intra-MRN, but
not intra-DRN, infusions of 8-OH-DPAT, which inhibits 5-HT cell firing
and release, reinstate alcohol seeking. In addition, intra-MRN and
intracerebroventricular infusions of CRF mimic to some degree the
effect of 8-OH-DPAT on reinstatement. Most important, intra-MRN
infusions of a CRF receptor antagonist attenuate footshock-induced reinstatement. These data suggest that an interaction between 5-HT and
CRF neurons within the MRN contributes to stress-induced relapse to
alcohol seeking.
Although the present study is the first to describe a role of 5-HT in
the MRN in alcohol relapse, several studies have examined its role in
alcohol consumption. 5-HT lesions of the MRN and DRN did not alter
alcohol consumption (Adell and Myers, 1995 ). However, intra-MRN and
intra-DRN infusions of 8-OH-DPAT increase alcohol consumption (Tomkins
et al., 1994 ). These effects, however, were only observed at high doses
(2.5-5.0 µg) that do not induce reinstatement (Fig. 2). Here we
found an inverted U-shaped dose-response curve for reinstatement after
intra-MRN infusions of 8-OH-DPAT, with the most effective dose being 1 µg. The reasons for the inverted U-shaped dose-response curve are
not clear. However, biphasic responses to 8-OH-DPAT in the raphe nuclei
also were observed for conditioned place preference (Fletcher et al.,
1993 ) and locomotor activity (Higgins and Elliott, 1991 ). The latter
study also demonstrated reduced rearing with high doses of 8-OH-DPAT.
Thus, motor deficits may interfere with lever-pressing behavior after
intra-MRN infusions of the 2.5 µg dose. In addition, 8-OH-DPAT is a
lipophillic compound and, therefore, can diffuse away from the infusion
site. Thus, at high doses, pharmacologically relevant concentrations
might reach unintended postsynaptic 5-HT1A
receptors. In this regard, an inverted U-shaped dose-response curve is
observed after systemic injections of 8-OH-DPAT. Low doses, which
preferentially activate the more sensitive 5-HT1A
autoreceptors (Mongeau et al., 1997 ), mimic the behavioral effects of
intra-raphe infusions, whereas higher doses have opposite effects on
behavior, presumably attributable to activation of postsynaptic
receptors (Poulos et al., 1996 ). Another methodological issue is that
the negative findings with 8-OH-DPAT in the DRN may be attributable to
the effect of the drug on motor performance (Higgins and Elliott,
1991 ). This possibility, however, is unlikely because, at the doses
used here, 8-OH-DPAT had no effect on extinction of lever pressing for
food (Fletcher, 1993 ). Finally, it is unlikely that the effect of
infusions of the medium dose of 8-OH-DPAT into the MRN on reinstatement
(Fig. 2B) is attributable to diffusion to dorsal or
distal (if the drug reaches the ventricular space) sites. This
conclusion is supported by the findings that 8-OH-DPAT infusions into
the DRN, which is both dorsal to the MRN and closer to the aqueduct
than the MRN, were not effective (Fig. 2A).
The effects of CRF and d-Phe CRF in the MRN on reinstatement
of alcohol seeking are consistent with those from studies demonstrating that extrahypothalamic CRF systems are involved in footshock-induced reinstatement of drug seeking (Shaham et al., 2000 ). The effect of
ventricular infusions of CRF on reinstatement of alcohol seeking also
extends a previous report using heroin-trained rats (Shaham et al.,
1997 ). Previous studies on the brain sites and neurotransmitters involved in footshock-induced reinstatement of heroin and cocaine seeking have demonstrated that interactions between noradrenaline and
CRF in the bed nucleus of the stria terminalis (BNST), and possibly the
central nucleus of the amygdala (CeA), are involved in this effect
(Shaham et al., 2000 ). Relevant to the present report are recent
studies showing that CRF receptors in the ventral BNST and possibly a
CRF projection from the CeA to the BNST mediate the effect of footshock
on reinstatement of cocaine seeking (Erb and Stewart, 1999 ; Erb et al.,
2001 ). Here we show that CRF receptors in the MRN are involved in the
effect of footshock on reinstatement of alcohol seeking. An important
issue, which cannot be resolved here, however, is the relationship
between the present anatomical findings and those obtained in the
studies with cocaine-trained rats. Specifically, an anatomical
framework for the present and previous findings is not readily
available because the major 5-HT projection to the BNST and CeA is from
the DRN (Vertes, 1991 ).
CRF neurons innervate the DRN and MRN, and CRF receptors are localized
in these areas (Swanson et al., 1983 ; Chalmers et al., 1995 ). In the
MRN, CRF1 and CRF2
receptors are moderately expressed, whereas in the DRN, the expression
of CRF2 receptors is much higher than that of
CRF1 receptors (Bittencourt and Sawchenko, 2000 ; Van Pett et al., 2000 ). In the posterior DRN, the effect of CRF on 5-HT
neurons is primarily excitatory (Lowry et al., 2000 ; Lowry, 2002 ),
whereas in the anterior-middle DRN, the predominant effect of low to
moderate intracerebroventricular doses of CRF (0.1-1 µg) or low
intra-DRN doses (3-10 ng) is neuronal inhibition (Price et al., 1998 ;
Kirby et al., 2000 ). Data on the effect of CRF on MRN 5-HT neurons are
not available. Here we found that intra-MRN infusions of CRF mimic to
some degree the effect of 8-OH-DPAT on reinstatement of alcohol
seeking. Based on the electrophysiology data described above for the
anterior DRN, we speculate that CRF reinstates lever-pressing behavior
via its inhibitory effect on 5-HT neurons in the MRN. In addition, as
predicted from electrophysiology data demonstrating that CRF only
partially inhibits 5-HT cell firing in the anterior DRN (Price et al.,
1998 ; Kirby et al., 2000 ), we found that the effect of CRF on
reinstatement of alcohol seeking is weaker than that of 8-OH-DPAT
(Figs. 2B, 3B). Finally, although both CRF1 and CRF2
receptors are expressed in the MRN (Van Pett et al., 2000 ), it is
likely that the effects of CRF and d-Phe CRF on
reinstatement of alcohol seeking observed here are mediated by
CRF1 receptors. We and
others previously found that a CRF1 receptor
antagonist attenuates footshock-induced reinstatement of alcohol,
morphine, heroin, and cocaine seeking (Shaham et al., 1998 ; Le et al.,
2000 ; Lu et al., 2000 ).
Finally, we speculate that the present data may be relevant for the
understanding of the putative association between impulsivity and
alcohol abuse and relapse. Impaired functioning of brain 5-HT is
associated with deficits in inhibitory control (impulsivity) and was
hypothesized to underlie the relationship between impulsivity and human
alcohol abuse (Miller, 1991 ; Linnoila and Virkkunen, 1992 ). It has also
been suggested that processes underlying response inhibition are
involved in stress-induced drug-taking behavior (Piazza and Le Moal,
1998 ; Highfield et al., 2000 ). The present findings may provide
tentative support for this speculation. Thus, the effect of 8-OH-DPAT
infusions in the MRN, but not the DRN, on reinstatement of alcohol
seeking parallel the effect of intra-MRN 8-OH-DPAT infusions on
enhanced responding in several tasks measuring response inhibition
(Fletcher, 1993 , 1995 ).
 |
FOOTNOTES |
Received March 21, 2002; revised June 3, 2002; accepted July 1, 2002.
This work was supported by a grant from the Ontario Mental Health
Foundation (A.D.L., Y.S.). P.J.F. is a Career Scientist of the Ontario
Ministry of Health.
Correspondence should be addressed to Dr. A. D. Lê,
Department of Neurosciences, Center for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario, Canada M5S 2S1. E-mail:
anh_le{at}camh.net.
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