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Previous Article
The Journal of Neuroscience, April 1, 2002, 22(7):2977-2988
Role of Dopamine D2-like Receptors in Cocaine
Self-Administration: Studies with D2 Receptor Mutant Mice and Novel D2
Receptor Antagonists
S. Barak
Caine1,
S.
Stevens
Negus1,
Nancy K.
Mello1,
Smita
Patel2,
Linda
Bristow2,
Janusz
Kulagowski2,
Daniela
Vallone3,
Adolfo
Saiardi3, and
Emiliana
Borrelli3
1 Alcohol and Drug Abuse Research Center, McLean
Hospital, Harvard Medical School, Belmont, Massachusetts 02478, 2 Merck, Sharp and Dohme Neuroscience Research
Laboratories, Harlow, Essex CM20 2QR, United Kingdom, and
3 Institut de Génétique et de Biologie
Moléculaire et Cellulaire, 67404 Illkirch Cedex, Strasbourg,
France
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ABSTRACT |
Dopamine receptor subtypes have been classified generally as
D1-like (e.g., D1, D5) or D2-like (D2, D3, D4), and converging evidence
suggests that D2-like receptors may be especially important in
mediating the abuse-related effects of cocaine. However, it has been
difficult to differentiate the roles of the D2-like receptor subtypes
in the behavioral effects of cocaine because of the relatively low
selectivity of drugs for D2, D3, and D4 receptors in
vivo. The goal of the present series of studies was to
investigate the contributions of D2-like receptor subtypes in the
reinforcing effects of cocaine using new genetic and pharmacological
tools. First, we evaluated cocaine self-administration behavior, and related effects of nonselective D2-like drugs, in mutant mice that lack
the D2 receptor but express D3 and D4 receptors. When high doses of
cocaine on the descending limb of the cocaine dose-effect function
were available, D2 mutant mice self-administered at higher rates than
their heterozygous or wild-type littermates, but the ascending limb of
the cocaine dose-effect function did not differ between genotypes.
Elevated rates of drug intake were not attributable to nonspecific
increases in response rate, because response rates maintained by
presentation of a range of food concentrations were significantly lower
in D2 mutant mice than in wild-type mice. In wild-type mice,
pretreatment with the D2-like antagonist eticlopride increased rates of
self-administration of high doses of cocaine, and the D2-like agonist
quinelorane served as a positive reinforcer when substituted for
cocaine. However, these effects of eticlopride and quinelorane were not
observed in mice that lacked the D2 receptor. Next, we compared the
effects of novel antagonists selective for different D2 receptor
subtypes on cocaine self-administration behavior in outbred rats. In
rats, a D2 selective antagonist increased rates of self-administration
of high doses of cocaine and also combinations of cocaine and the
D2-like agonist quinelorane, whereas D3/D4 antagonists were
ineffective. Collectively, these findings suggest that the D2 receptor
is not necessary for cocaine self-administration, but this receptor
subtype is involved in mechanisms that limit rates of high-dose cocaine
self-administration. Our results also suggest that D3 and D4 receptors
do not play major roles in the modulation of cocaine
self-administration by D2-like drugs.
Key words:
dopamine; cocaine; D2; D3; D4; receptor
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INTRODUCTION |
Cocaine abuse and dependence remain
serious public health problems for which there are no uniformly
effective treatment medications (Mendelson and Mello, 1996 ; NIDA,
1999). Much evidence suggests that the reinforcing effects of cocaine
are related to blockade of the dopamine transporter and consequent
increases in the binding of dopamine to postsynaptic dopamine
receptors. For example, destruction of dopamine nerve terminals can
lead to extinction of cocaine self-administration behavior (Roberts et
al., 1977 , 1980 ), and these effects have been observed even when
responding maintained by other reinforcers was preserved (Pettit et
al., 1984 ; Caine and Koob, 1994a ). Moreover, dopamine reuptake
inhibitors other than cocaine also serve as positive reinforcers, and
the relative potency of those compounds in maintaining
self-administration behavior generally correlates with their potency in
binding to the dopamine transporter (Ritz et al., 1987 ; Bergman et al.,
1989 ). In addition, direct dopamine receptor agonists maintain
self-administration behavior when substituted for cocaine (Baxter et
al., 1974 ; Gill et al., 1978 ; Yokel and Wise, 1978 ; Woolverton et al.,
1984 ), and conversely, dopamine receptor antagonists attenuate the
behavioral effects of self-administered cocaine (Wilson and Schuster,
1972 ; deWit and Wise, 1977 ; De La Garza and Johanson, 1982 ). Thus,
several lines of evidence suggest a prominent role for dopamine
receptors in cocaine self-administration behavior.
At least five genes encoding dopamine receptor subtypes have been
identified, and their protein products have been classified as
"D1-like" (D1, D5) or "D2-like" (D2, D3, D4) based on their pharmacological profiles (Schwartz et al., 1992 ; Sibley et al., 1993 ).
In general, both D1-like and D2-like agonists served as positive
reinforcers (Yokel and Wise, 1978 ; Woolverton et al., 1984 ; Self and
Stein, 1992 ; Weed and Woolverton, 1995 ), and both D1-like and D2-like
receptor antagonists attenuated the behavioral effects of
self-administered cocaine (Koob et al., 1987 ; Bergman et al., 1990 ;
Caine and Koob 1994b ; for review, see Mello and Negus, 1996 ). However,
under some conditions, D2-like agonists, but not D1-like agonists,
produced cocaine-like behavioral effects in animals trained to
discriminate cocaine or to self-administer cocaine (Grech et al., 1996 ;
Self et al., 1996 ; Caine et al., 1999a , 2000a ,b ). These latter findings
suggest that D2-like receptors may be especially important for the
abuse-related effects of cocaine. Whether cocaine-like effects of
D2-like agonists are attributable to actions of the drugs at the D2,
D3, or D4 receptor subtype has been investigated extensively (Caine and
Koob, 1993 , 1995 ; Nader and Mach, 1996 ; Lamas et al., 1996 ; Spealman,
1996 ; Caine et al., 1997 ; Sinnott et al., 1999 ). Unfortunately, the
drugs used in those studies may not bind selectively to a single
D2-like receptor subtype in vivo (Burris et al., 1995 ). As a
result, the roles of D2, D3, and D4 receptors in the behavioral effects
of cocaine remain unclear.
The goal of the present study was to investigate the roles of the
D2-like receptor subtypes in the reinforcing effects of cocaine using
new genetic and pharmacological tools. In one series of studies, we
used mutant mice that lack the D2 receptor but express D3 and D4
receptors. Complete dose-effect functions for cocaine
self-administration were determined to compare the potency and efficacy
of cocaine as a reinforcer in mutant and wild-type mice. We also
evaluated cocaine-like and cocaine-antagonist effects of a nonselective
D2-like agonist and antagonist, respectively, to determine if these
effects of D2-like drugs may be mediated through D3 and D4 receptors in
the absence of the D2 receptor. In a second series of studies, we used
novel antagonists selective for different D2-like receptor subtypes to
address these same questions in intact rats.
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MATERIALS AND METHODS |
Animals and housing conditions
Mice. For studies designed to establish the
behaviorally active dose range of eticlopride in normal mice during
cocaine self-administration, C57BL/6 mice were obtained from Charles
River Laboratories (Wilmington, MA). For studies with mutant mice,
dopamine D2 receptor deficient mice were generated using homologous
recombination as previously described (Baik et al., 1995 ). Briefly, a
0.9 kb Ncol fragment containing exon 2 and flanking intron
sequences was removed from a D2 receptor gene cloned from a mouse 129 embryonic stem cell library. The removed fragment was replaced with a
1.4 kb segment of a phosphoglycerate kinase 1-driving neomycin cassette
that was inserted in the opposite transcriptional orientation relative to the D2 gene. Embryonic stem cells carrying the disrupted D2 allele
were injected into C57BL/6 embryos at the blastocyst stage. Chimeric
offspring were mated with C57BL/6 mice, and germline transmission of
the mutant allele was assessed by Southern blot analysis of tail DNA
isolated from the agouti-coat progeny.
Homozygous mutant mice and their heterozygous and wild-type littermates
were bred and genotyped at the Institut de Genetique et de Biologie
Moleculaire et Cellulaire (Strasbourg, France). Young adult mice (F3
generation) were shipped to the McLean Hospital (Harvard Medical
School, Belmont, MA), where all behavioral tests were conducted. All
female mice were shipped together and evaluated in behavioral studies
as a cohort. Male mice were sent in a second shipment and subsequently
evaluated. Mice were group housed up to four mice per cage (8.8 × 12.1 × 6.4 inches). Water was available ad libitum in
the home cage. Food (mouse diet 5015, PMI Feeds, Inc., St. Louis, MO)
was available ad libitum except during the initial several
days of operant training (see below). Each cage was fitted with a
filter top through which HEPA-filtered air was introduced (40 changes
per hour). The temperature was maintained at ~70° F, and
illumination was provided for 12 hr/d (beginning at 7:00 A.M.). Mice
were tested during the light phase of the diurnal cycle.
Rats. Cocaine self-administration studies were conducted in
male Sprague Dawley rats (Charles River, Wilmington, MA). The rats
weighed ~350 gm at the start of the study and were maintained in the
range of 400-500 gm with once daily feedings of standard rat chow (rat
diet 5012; PMI Feeds). Bacon-flavored biscuits (Bioserve, Frenchtown,
NJ) were also provided once or twice weekly, primarily for enrichment
purposes. Rats were housed individually in cages (8.8 × 12.1 × 8.8 inches) with air, temperature, and lighting conditions as
described above for mice.
Animal health and welfare. Vivarium conditions were
maintained in accordance with the guidelines provided by the National Institutes of Health Committee on Laboratory Animal Resources. All
experimental protocols were approved by the Institutional Animal Care
and Use Committee. Animal experimentation adhered to the guidelines
described in the Policy on the Use of Animals in Neuroscience
Research for the Society for Neuroscience. The health of the
rodents was evaluated by research technicians on a daily basis and was
also periodically monitored by consulting veterinarians.
Behavioral test apparatus
Mice. Experimental chambers (6.3 × 5.5 × 5.0 inches) inside sound-attenuating cubicles were equipped with a
house light, ventilator fan, drug infusion pump (5 rpm motor; 3 ml
syringe) liquid swivel with counterbalance arm, and two manipulanda
with cue lights that were located on either side of a liquid dipper.
The manipulanda were holes (1.2 cm diameter) equipped with photocells
(for nose poke activation). All equipment was obtained from
MedAssociates (Georgia, VT) except for the liquid swivel and
counterbalance assembly (Instech, King of Prussia, PA). Scheduling of
experimental events and data collection were accomplished using a
DOS-based microcomputer system equipped with programs written in
MedAssociates MedState Notation.
Rats. Experimental chambers (11.5 × 9.5 × 8.3 inches) inside sound-attenuating cubicles were equipped with a house
light, ventilator fan, drug infusion pump (3.3 rpm motor; 10 ml
syringe), liquid swivel and counterbalance arm, three response levers
with cue lights, and a receptacle for food pellet reinforcement. All equipment was obtained from MedAssociates except for the liquid swivels
(Lomir Biomedical, Malone, NY). Apparatus for scheduling experimental
events and data collection was similar to that described above for mice.
Surgical procedures
Mice. Mice were anesthetized with an
isofluorane-oxygen vapor mixture and prepared with chronic indwelling
intravenous catheters as previously described (Caine et al., 1993 ),
with minor modifications (Emmett-Oglesby et al., 1993 ; Deroche et al.,
1997 ). Briefly, a 6 cm length of SILASTIC tubing (0.3 mm inner
diameter, 0.6 mm outer diameter) was fitted to a 22 gauge steel cannula
that was bent at a right angle and then embedded in a cement disk with an underlying nylon mesh. The catheter tubing was inserted 1.2 cm into
an external jugular vein (Barr et al., 1979 ) and anchored with
suture. The remaining tubing ran subcutaneously to the cannula, which
exited at the midscapular region. All incisions were sutured and coated
with triple antibiotic ointment. Ticarcillin disodium (20 µl of 67 mg/ml in saline) was administered through the catheter immediately
after surgery to forestall infection, and buprenorphine was
administered (0.032 mg/kg, s.c.) as an analgesic agent. For the next
4 d, mice were allowed to recover from surgery, and ticarcillin disodium was administered as before but with 30 U/ml heparin in the
solution. Thereafter, catheters were flushed with saline containing heparin only (30 U/ml).
The patency of intravenous catheters was evaluated periodically
(approximately every 10 d) and whenever drug self-administration behavior appeared to deviate dramatically from that observed
previously. Approximately 20 µl of a cocktail containing 15% Ketaset
(ketamine, 100 mg/ml), 15% Versed (midazolam, 5 mg/ml), and 70%
saline was infused through the catheter. If prominent signs of
anesthesia were not apparent within 3 sec of infusion, the catheter was
surgically removed, and a new catheter was implanted in the left
jugular vein using the surgical procedures described above. Catheter
evaluations were always performed at least 2 hr or more before or after
a drug self-administration test session.
Rats. Surgical procedures for rats were similar to those
described above for mice, with the following modifications. SILASTIC catheter tubing was cut to 13 cm in length and inserted 3.7 cm into the
vein. For rats, the volume of ticarcillin solution administered was 0.1 ml. Evaluations of catheter patency were infrequent (i.e., only if drug
self-administration behavior deviated from that observed previously)
and were performed with intravenous injections of 0.1 ml of the
Ketaset-Versed cocktail described above.
Operant training and testing procedures
Food maintained responding in mice. Mice were placed
in the operant chambers for up to 3 hr/d, 5-7 d per week. Mice were
first acclimated to the food that was subsequently used to reinforce operant responding. Mice were deprived of food for 20 hr, which resulted in a mean reduction in body weight of ~5%. Mice were then
placed in test chambers for 2 hr with the fan and house light activated
and with a small cup containing 5 ml of vanilla-flavored Ensure
(a nutritional supplement, hereafter referred to as "liquid food";
Abbott Laboratories, Columbus, OH). After the acclimation session, mice
were given 3 gm each of mouse chow in their home cage. This procedure
was repeated until a minimum of 1.5 ml of liquid food was consumed
during a 2 hr acclimation session (typically within one or two
sessions). Thereafter, mouse chow was available ad libitum
in the home cage, and the small cup was removed from the test chamber.
During subsequent 2 hr sessions, liquid food was available under a
fixed ratio (FR) 1 schedule of reinforcement. When one manipulandum was
activated (the active manipulandum), the adjacent cue light was
illuminated, the house light was extinguished, and the dipper
containing 17 µl of liquid food was raised into the chamber for 30 sec. Responses on the inactive manipulandum and all responses while the
dipper was raised were recorded but were without scheduled
consequences. Each session was preceded by presentation of one
reinforcer, together with the cue light, for 60 sec. The session was
terminated after 100 reinforcers were delivered or after 2 hr,
whichever occurred first.
Responding on the active manipulandum was reinforced with various
concentrations of food or water in a series of three training phases
that have been described previously (Caine et al., 1999b ). First, nose
pokes in the active manipulandum were reinforced under the FR 1 schedule with 100% liquid food for a minimum of five sessions and
until responding met criteria for baseline (acquisition). The criteria
for baseline were: (1) stable daily responding (within 20% across two
consecutive sessions), (2) a minimum of 20 responses on the active
manipulandum, and (3) at least 70% of responses on the active
manipulandum. After these baseline criteria were met, responses on the
active manipulandum resulted in the presentation of water rather than
liquid food for three subsequent sessions (extinction). Finally,
responding produced liquid food (100%) or water presentations on
alternate days over the next six sessions (alternation). These three
training phases were designed to establish nose poke behavior that was
related to presentations of a positive reinforcer (i.e., sweetened
liquid food but not water in mice that had mouse chow and water
available ad libitum in the home cage).
After the training phases of acquisition, extinction, and alternation
were completed, responding maintained by various concentrations of
liquid food (water or 3, 10, 32, or 100% Ensure in water) was evaluated to assess general operant performance across a range of
reinforcer magnitudes. Concentrations of liquid food were presented according to a Latin square design, and all concentrations were tested
in each animal at least twice.
Drug self-administration in mice. After training and
evaluation of food-maintained behavior was completed, animals were
implanted with chronic indwelling jugular catheters. Cocaine
self-administration sessions were conducted using the schedule
parameters described above for food-maintained responding, with the
following exceptions. Responding was maintained by intravenous
infusions of cocaine (~1.0 mg/kg per injection) delivered in 18 µl
over two sec. A 28 sec postreinforcer time out period was selected to
match the parameters used for food-maintained responding (30 sec
presentation). Sessions were initiated with an infusion that filled the
catheter volume and then delivered one unit-dose of cocaine that was
available for self-administration. In our initial studies, sessions
were typically 2 hr in length. However, to facilitate training and complete studies more expeditiously, sessions were lengthened to 3 hr.
In addition, although mice typically regulate their drug intake during
self-administration tests, and overdose is rare, during our initial
studies three D2 homozygous mutant mice
self-administered >40 mg/kg of cocaine within 1 hr and died (see
Discussion). Therefore limits on drug intake were imposed. Thus,
conditions were finalized so that sessions were up to 3 hr in length
and were terminated if >30
mg · kg 1 · hr 1
or a total of >50 mg/kg cocaine was infused.
Criteria for stable cocaine-maintained responding were identical to
those for food-maintained responding. After these criteria were met,
saline was substituted for cocaine for several sessions, and then
responding maintained by various doses of cocaine (0.03-3.2 mg/kg per
injection) or saline was evaluated, according to a Latin square design.
In subsequent studies, the effects of pretreatment with the D2-like
antagonist eticlopride on cocaine self-administration were evaluated in
some mice. Eticlopride was administered intraperitoneally ~10 min
before cocaine self-administration sessions. In additional studies,
responding maintained by the D2-like agonist quinelorane was evaluated
using the same procedures as in the cocaine self-administration studies.
Food-maintained responding in rats. During preoperative
training, responding on either of two levers was maintained by 45 mg
food pellets (A/I rodent pellets; P. J. Noyes Co., Lancaster, NH)
that were delivered to a food receptacle located between the two
levers. A single white stimulus light located above each lever was used
to indicate that responding had scheduled consequences. Training of
food-maintained responding under a FR 1 schedule continued until rats
earned 100 food pellets in a single 2 hr session. Rats were then
implanted with an intravenous catheter for drug self-administration studies as described earlier under surgical procedures.
Drug self-administration in rats. One week after surgery,
rats were placed in the experimental chambers for daily sessions of up
to 3 hr. A cue light above a single lever on the rear wall of the
chamber was illuminated, and responding on that lever was maintained by
intravenous cocaine injections under a FR 1 timeout 20 sec schedule of
reinforcement. For initial training, the unit dose of cocaine was
~1.0 mg/kg per injection delivered in 56 µl over ~3.2 sec.
Sessions were initiated with an infusion that filled the catheter
volume and then delivered one unit-dose of cocaine. In subsequent
training sessions the response requirement was gradually increased to a
FR 5. Each rat was trained until cocaine self-administration behavior
stabilized, and stability was defined as three consecutive sessions
during which there was <10% variation in the total number of cocaine
reinforcers earned per session. In some rats, pretreatment tests were
then conducted, and novel dopamine D2-like antagonists were
administered intraperitoneally (1 ml/kg) immediately before the test
session in a dose range of 0.1-10.0 mg/kg. Doses of pretreatment drugs
were varied according to a Latin square within-subjects design, and
each pretreatment test was separated by at least 48 hr and also by
self-administration sessions during which behavior within baseline
parameters was observed.
In other rats, after criteria for stable cocaine-maintained responding
were met, a procedure for rapid assessment of responding maintained by
different doses of cocaine was implemented (Caine et al., 1999a ). These
multiple component sessions consisted of three or four 20 min
components separated by timeout periods of 2 min. Dose-effect
functions were determined by increasing the volume of cocaine
injections in successive components so that 0, 17, 56, or 178 µl
injections were delivered in ~0, 1, 3.2, and 10 sec, respectively.
Drug solutions consisted of 0.56 mg/ml cocaine, 1.78 mg/ml cocaine, or
5.6 mg/ml cocaine, yielding unit doses of 0, 0.01, 0.032, 0.10, 0.32, and 1.0 mg total cocaine per injection (~0.032-3.2 mg/kg per
injection). During any one session, different doses of cocaine were
always presented in an ascending order, and a single injection of the
cocaine dose available during each component was administered
noncontingently at the beginning of the component. Pretreatment testing
began once drug self-administration behavior stabilized, and stability
was defined as three consecutive multiple component sessions during
which the dose that maintained peak responding remained stable within a
half log-unit range. Pretreatments with the novel dopamine D2-like antagonists were administered intraperitoneally (1 ml/kg) immediately before the test session in a dose range of 0.1-10.0 mg/kg. For each
rat, a dose of 5.6 mg/kg of the pretreatment drug was tested at least
twice with overlapping cocaine dose ranges. Additional studies were
designed to clarify the contributions of the different D2-like receptor
subtypes in the effects of D2-like agonists on cocaine
self-administration (Caine and Koob, 1993 ). Quinelorane was dissolved
in the cocaine solution to deliver injections that included a
combination of cocaine (1.0 mg/kg per injection) and quinelorane (1.0 µg/kg per injection). After responding maintained by
cocaine-quinelorane injections stabilized (i.e., <10% variation in
the total number of cocaine reinforcers earned across two consecutive test sessions), pretreatment studies were conducted with the dopamine D2-like antagonists (0.3-3.0 mg/kg), as described above for studies with cocaine alone.
Data analysis
Group comparisons. All food- and drug-maintained
responding was expressed as the total number of reinforced responses
per hour. For each subject, multiple determinations were averaged. Data
were analyzed with ANOVA using genotype and gender as between-subjects factors and using repeated measures for food concentration or drug
dose. Significant main effects were followed by pair-wise comparisons
using Fisher's PLSD. The criterion for significance was
p < 0.05 for all analyses.
Drug pretreatment data. Effects of drug pretreatment were
analyzed with ANOVA using repeated measures for pretreatment dose and
cocaine dose. Significant main effects were followed by pairwise comparisons (Newman-Keuls) of each cocaine dose under baseline conditions with the same cocaine dose under each pretreatment condition. Criterion for significance was p < 0.05 for
all analyses.
Pharmacokinetic and radioligand studies with L-741,626
and L-745,829
Pharmacokinetic studies. CNS penetration of novel
compounds was evaluated as described previously for
L-745,870 (Patel et al., 1997 ). Briefly, rats
received various doses of the compound, and terminal blood samples were
obtained at 0.5 and 1.0 hr after administration. The brain was removed
shortly after the blood sample. Plasma was separated from blood by
centrifugation, and concentrations of compounds in plasma and brain
were determined by HPLC with UV detection. Concentrations were
determined from standard curves that were generated by adding known
concentrations of the compounds to plasma and brain samples.
Radioligand studies. Competition binding studies were
performed as described previously with L-745,870
(Patel et al., 1997 ). Briefly, cells stably expressing the rat D2, D3,
or D4 receptors were lysed and incubated in the presence of 0.2 nM [3H]spiperone
and 50 µl of displacing drugs (at a final concentration range of
0.001-10.0 µM). Nonspecific binding was
determined in the presence of 10.0 µM
apomorphine. IC50 values were determined in three to four separate
experiments, and Ki values were
calculated using the equation of Cheng and Prusoff (1973) .
Drugs
Cocaine was provided by the National Institute on Drug Abuse
(National Institutes of Health, Bethesda, MD). The D2-like antagonist eticlopride and the D2-like agonist quinelorane were obtained from
Research Biochemicals (Natick, MA). The D2, D3/D4, and D4 selective
antagonists L-741,626, L-745,829, and
L-745,870 were synthesized at Merck, Sharp, and Dohme
(Harlow, UK). Cocaine and quinelorane were dissolved in physiological
saline. Eticlopride was dissolved in ethanol and diluted to 1% ethanol
in saline. L-741,626, L-745,829, and
L-745,870 were dissolved in ethanol and diluted to <6%
ethanol (v/v) and <25% polyethylene glycol (v/v) in sterile water.
All doses refer to the weights of the respective salts. Pretreatment
doses labeled "zero" indicate administration of the vehicle (1.0 ml/0.1 kg for mice and 1.0 ml/kg for rats).
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RESULTS |
Food maintained behavior in wild-type and D2 deficient
mutant mice
Figure 1 shows behavior maintained
by liquid food in wild-type mice and D2 heterozygous and homozygous
mutant mice after completion of the operant training procedure.
Presentations of liquid food maintained nose poke behavior in all three
groups of mice (Fig. 1, top panels). However, the number of
food-reinforced nose pokes per hour was significantly lower in
heterozygous (p < 0.05) and homozygous mutant
mice (p < 0.01) than in wild-type mice (Fig. 1,
top panels). Relative to behavior reinforced with food, nose pokes in the inactive manipulandum were low for all three groups of
mice (mean levels of 10.5, 8.7, and 6.1 inactive nose pokes per hour in
wild-type, heterozygous, and homozygous mutant mice, respectively).

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Figure 1.
Behavior maintained by liquid food in wild-type
mice (left panels, open symbols), heterozygous mutant
mice (middle panels, hatched symbols), and homozygous
mutant mice that lack the dopamine D2 receptor
(right panels, filled symbols). The top
panels show the number of food reinforcers delivered when 100%
liquid food was available. The bar on the right
side of each top panel shows the mean number of
reinforcers per hour in each group of mice. The left
side of each top panel shows a representative
cumulative record for the first hour of a session from one mouse in
each group. For cumulative records, the tracing moved to the right with
the passage of time and incremented upward each time a response was
emitted. Angled tick marks on the cumulative record
indicate the delivery of a reinforcer (under an FR 1 schedule). The
bottom panels show the mean number of food reinforcers
per hour as a function of the concentration of liquid food in water.
Bars over symbols depict SEM. Asterisks indicate that
the number of food reinforcers earned was significantly lower in mutant
mice than in wild-type mice by pairwise comparisons following overall
main effect by ANOVA (n = 14-17;
*p < 0.05; **p < 0.01).
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When responding was reinforced with water or with various
concentrations of food (3, 10, or 32% liquid food in water), rates of
nose poke behavior was related to the concentration of the food
reinforcer in all three groups of mice (Fig. 1, bottom
panels). However, rates of nose poke behavior maintained by 10, 32, and 100% food were significantly lower in heterozygous mutant mice compared with wild-type mice (p < 0.01 or
0.05). Rates of nose poke behavior maintained by all concentrations of
food were also significantly lower in homozygous mutant mice compared
with wild type mice (p < 0.01).
Cocaine self-administration behavior in wild-type and D2-deficient
mutant mice
Figure 2 shows cocaine
self-administration data in wild-type mice and D2 heterozygous and
homozygous mutant mice. Cocaine injections (1.0 mg/kg per injection)
maintained nose poke behavior in all three groups of mice, but response
rates were significantly higher in homozygous mutant mice than in
wild-type mice (Fig. 2, top panels)
(p < 0.01). Nose pokes in the inactive
manipulandum were infrequent for all three groups of mice (mean levels
of 0.4, 1.8, and 1.0 inactive nose pokes per hour in wild-type,
heterozygous, and homozygous mutant mice, respectively).

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Figure 2.
Behavior maintained by intravenous cocaine
injections in wild-type mice (left panels, open
symbols), heterozygous mutant mice (middle panels,
hatched symbols), and homozygous mutant mice that lack the
dopamine D2 receptor (right panels, filled
symbols). The top panels show the number of
injections delivered when 1.0 mg/kg per injection of cocaine was
available. The bar on the right side of
each top panel shows the mean number of injections per
hour in each group of mice. The left side of each top
panel shows a representative cumulative response record for the first
hour of a session from one mouse in each group. Bars over symbols
depict SEM. In top left, center and
right panels, respectively, mean data are shown from
groups of 16, 17, and 14 mice after baseline criteria for cocaine
self-administration were met. In bottom left, center,
and right panels, respectively, mean data are shown from
up to 13, 15, and 11 mice that were tested with various cocaine doses.
Asterisks indicate that the number of cocaine injections
earned was significantly higher in mutant mice than in wild-type mice
by pairwise comparisons following overall main effect by ANOVA
(analyzed within-subjects in groups of 6, 12, and 7 mice that were
tested with every dose of cocaine; **p < 0.01).
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When responding was reinforced with saline injections or with various
unit doses of cocaine (0.03, 0.1, 0.3, 1.0, 3.2 mg/kg per injection),
rates of nose poke behavior were related to the unit dose of cocaine by
an inverted U-shaped dose-effect function in all three groups of mice
(Fig. 2, bottom panels). However, as observed during initial
baseline sessions (see above), rates of self-administration of 1.0 mg/kg per injection cocaine were significantly higher in homozygous
mutant mice compared with wild-type mice (p < 0.01). Rates of self-administration in homozygous mutant mice were also
higher than in wild-type littermates when 3.2 mg/kg per injection of
cocaine reinforced nose poke behavior (p < 0.01). Thus, when high doses of cocaine were available for
self-administration (1.0 and 3.2 mg/kg per injection), homozygous
mutant mice self-administered cocaine at higher rates compared with
their wild-type littermates. At lower unit doses of cocaine
(0.032-0.32 mg/kg per injection), there were no significant
differences in cocaine self-administration between the three groups. In
heterozygous mutant mice, rates of self-administration of the two
highest doses of cocaine were not significantly different from
wild-type mice (p > 0.05), but values were
generally intermediate between those observed in homozygous mutant mice
and those observed in wild-type mice.
Figure 3 shows that behavior maintained
by cocaine injections (1.0 mg/kg per injection) was comparable between
female and male mice of each genotype, and no interactions between sex
and genotype were observed (p > 0.05).
There also were no sex-genotype interactions observed in food
maintained responding or in the dose-related effects of cocaine as a
reinforcer (p > 0.05; data not shown).
Importantly, rates of self-administration of 1.0 mg/kg per injection
cocaine were higher in homozygous mutant mice relative to wild-type
mice regardless of sex (p < 0.01).

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Figure 3.
Behavior maintained by intravenous cocaine
injections (1.0 mg/kg per injection) in wild-type mice (+/+),
heterozygous (+/ ) mice, and homozygous ( / ) mutant mice that lack
the dopamine D2 receptor. Abscissa, Genotype. Ordinate,
Mean number of cocaine injections earned per hour. Bars over symbols
depict SEM. There were no statistically significant gender differences
in cocaine self-administration baseline values.
Asterisks indicate that the number of cocaine injections
was significantly higher in mutant mice than in wild-type mice by
pairwise comparisons following overall main effect by ANOVA
(n = 5, 6, 5 for wild-type, heterozygous, and
homozygous female mice, respectively, and n = 11, 11, 9 for wild-type, heterozygous, and homozygous male mice,
respectively; **p < 0.01).
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Effects of the D2-like antagonist eticlopride on cocaine
self-administration behavior in C57BL/6 mice
To establish appropriate doses of eticlopride for examining
mechanisms underlying the reinforcing effects of cocaine in
D2-deficient mutant mice and their wild-type littermates, the effects
of eticlopride were examined in C57BL/6 mice. Pretreatment with
eticlopride dose-dependently increased rates of self-administration of
1.0 mg/kg per injection of cocaine in C57BL/6 mice (Fig.
4, left panel). Rates
of cocaine self-administration were significantly increased by
pretreatment with 0.1 and 0.18 mg/kg of eticlopride
(p < 0.01). A higher dose of eticlopride (0.3 mg/kg) disrupted patterns of cocaine-maintained responding and produced
long pauses in responding at various times throughout the test
sessions, as well as high rates of cocaine-maintained responding at
other times during the test sessions. In many instances, C57BL/6 mice
were immobile after pretreatment with the highest dose of eticlopride
(0.3 mg/kg), particularly during early portions of the test
sessions.

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Figure 4.
Behavior maintained by intravenous cocaine
injections in C57BL/6 mice after pretreatment with the D2-like
antagonist eticlopride (filled symbols) or
vehicle (open symbols). Abscissa, Pretreatment dose of
eticlopride (left panel) or unit dose of cocaine
per injection (right panel). In the left
panel, the unit dose of cocaine was 1.0 mg/kg per injection. In
the right panel, the pretreatment dose of eticlopride
was 0.18 mg/kg, given intraperitoneally. Ordinate, Mean number of
cocaine injections earned per hour. Bars over symbols depict SEM.
Asterisks indicate that the number of cocaine injections
earned was significantly higher after pretreatment with eticlopride by
pairwise comparisons with vehicle pretreatment following overall main
effect by ANOVA (n = 5-6;
**p < 0.01).
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When the self-administration of a range of unit doses of cocaine was
examined, pretreatment with 0.18 mg/kg of eticlopride produced a
rightward shift in the dose-effect function for cocaine self-administration in C57BL/6 mice (Fig. 4, right
panel). Pretreatment with eticlopride (0.18 mg/kg)
significantly increased rates of self-administration of 1.0 and 3.2 mg/kg/injection of cocaine (p < 0.01).
Effects of the D2-like antagonist eticlopride and the D2-like
agonist quinelorane in wild-type and D2-deficient mutant mice
As in the C57BL/6 mice (Fig. 4), eticlopride (0.18 mg/kg)
increased rates of self-administration of a high dose of cocaine (3.2 mg/kg/injection) in wild-type mice and in heterozygous D2-deficient mutant mice (Fig. 5, top left
and center panels) (p < 0.01). In contrast, this dose of eticlopride did not alter cocaine
self-administration in mice that lacked the D2 receptor (Fig. 5,
top right panel). In addition to tests with 0.18 mg/kg eticlopride (Fig. 5, histograms), several D2 receptor
mutant mice were pretreated with a 10-fold higher dose of eticlopride
before cocaine self-administration tests, and 1.8 mg/kg of eticlopride
also did not alter cocaine self-administration in those mice (Fig. 5,
top right panel, mouse #66).

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Figure 5.
Effects of the D2-like antagonist
eticlopride on cocaine self-administration (top panels)
and reinforcing effects of the D2-like agonist quinelorane
(bottom panels), in wild-type mice (left
panels), heterozygous mutant mice (middle
panels), and homozygous mutant mice that lack the dopamine
D2 receptor (right panels). Top
panels, The bars on the right
side of each top panel show the mean number of
cocaine injections per hour after vehicle pretreatment or after
pretreatment with 0.18 mg/kg eticlopride. The left side
of each top panel shows representative cumulative
records for the first hour after vehicle (solid lines)
or eticlopride pretreatment (hatched lines) from one
mouse in each group. The pretreatment dose of eticlopride was usually
0.18 mg/kg, as shown in cumulative records for wild-type and
heterozygous mice. In several D2 mutant mice, a tenfold higher dose of
eticlopride was also tested (1.8 mg/kg, shown in cumulative record at
top right, mouse #66). Bars over symbols depict
SEM. Asterisks indicate that the number of cocaine
injections earned was significantly higher after pretreatment with
eticlopride by pairwise comparisons with vehicle pretreatment following
overall main effect by ANOVA (n = 10, 13, and
8, for wild-type, heterozygous, and homozygous mice, respectively;
**p < 0.01). Bottom panels,
Abscissa, Unit dose of quinelorane. S indicates saline
injections. Ordinate, Mean number of quinelorane injections earned per
hour. Asterisks indicate that the number of quinelorane
injections earned was significantly higher than the number of saline
injections earned by pairwise comparisons following overall main effect
by ANOVA; (n = 4, 4, 8, for wild-type,
heterozygous, and homozygous mice, respectively; *p < 0.05, **p < 0.01).
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When saline or the direct dopamine D2-like agonist quinelorane (0.1, 0.32, or 1.0 mg/kg per injection) was available, nose poke behavior was
related to the unit dose of quinelorane by an inverted U-shaped
dose-effect function in wild-type mice and heterozygous mutant mice
(Fig. 5, bottom left and center panels).
Specifically, a dose of 0.32 mg/kg per injection of quinelorane served
as a positive reinforcer in wild-type mice and heterozygous D2 mutant mice (p < 0.01 and p < 0.05 compared with saline, respectively). A lower dose of quinelorane (0.1 mg/kg per injection) also served as a positive reinforcer in
heterozygous mutant mice (p < 0.01). In
contrast to the effects of quinelorane in wild-type mice and heterozygous D2 mutant mice, across the dose range examined,
quinelorane did not function as a positive reinforcer in mutant mice
that lacked the D2 receptor (Fig. 5, bottom right
panel). In homozygous D2 mutant mice, rates of
quinelorane-maintained responding were not different from rates of
saline-maintained responding across the dose-range studied.
Receptor binding and pharmacokinetics of novel D2-like
receptor ligands
Table 1 shows
Ki values of novel ligands for the D2-like
receptor subtypes as measured in vitro.
L-741,626 displayed high affinity for D2 receptors with
~20-fold and 80-fold selectivity over D3 and D4 receptors,
respectively. L-745,829 displayed at least 40-fold
selectivity for D3 over D2 receptors, and this ligand had the highest
affinity for D3 receptors among the novel compounds. However,
L-745,829 also had high-affinity D4 receptors.
L-745,870 is a D4-selective ligand with at least 1000-fold
selectivity over D2 and D3 receptors (Patel et al., 1997 ). All three
compounds are antagonists based on their reversal of dopamine
agonist-mediated inhibition of forskolin-stimulated cAMP accumulation
in clonal cell lines that expressed the appropriate receptor subtype
(L-741,626 and L-745,829, K. L. Chapman, R. Marwood, and S. Patel, unpublished observations; L-745,870,
Patel et al., 1997 ).
Analysis of brain and plasma samples after systemic administration of
these compounds indicated excellent CNS penetration with brain
concentrations at least seven times higher than plasma concentrations.
Thirty minutes after administration of 0.1, 1.0, and 10.0 mg/kg, brain
concentrations were 13, 160, and 3800 ng/gm for L-741,626,
and 26, 300, and 2700 ng/gm for L-745,829. In a previous
study, we determined that 15 min after administration of 3.0 mg/kg,
brain concentrations were 5100 ng/gm for L-745,870 and that
the elimination half-life of this compound in rat plasma was 2.1 hr
(Patel et al., 1997 ). Thus, these dopamine receptor antagonists have
differing binding affinities for rat D2, D3, and D4 receptors in
vitro, but all three compounds appear to have CNS bioavailability
in vivo. We used L-741,626,
L-745,829, and L-745,870 to
examine the roles of D2, D3/D4, and D4 receptors, respectively, in the
reinforcing effects of cocaine in rats.
Effects of novel D2-like antagonists on cocaine self-administration
behavior in rats
Figure 6 shows the effects of
pretreatment with novel D2-like antagonists on the self-administration
of cocaine (top and middle panels) or cocaine in
combination with the D2-like agonist quinelorane (bottom
panel) in rats. Pretreatment with the antagonist with highest affinity and selectivity for the D2 receptor
(L-741,626) dose-dependently and significantly
increased rates of self-administration of 1.0 mg/kg per injection of
cocaine (top panel; 3.0 mg/kg i.p., p < 0.01). The highest dose of L-741,626 (10.0 mg/kg
i.p.) disrupted patterns of cocaine-maintained responding. In contrast
to the effects of L-741,626, the D3/D4 antagonist
L-745,829 and the D4 selective antagonist
L-745,870 did not significantly alter
self-administration of 1.0 mg/kg cocaine across the dose range tested
(0.1-10.0 mg/kg, i.p.)

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Figure 6.
Effects of novel D2-like antagonists on the
self-administration of cocaine or cocaine combined with the D2-like
agonist quinelorane in male Sprague Dawley rats. Abscissa, Pretreatment
dose of novel D2-like antagonists (top and bottom
rows) or unit dose of cocaine per injection (center
row). In the top and bottom rows,
the unit dose of cocaine was 1.0 mg/kg per injection, and in the bottom
row this dose of cocaine was combined with 1.0 µg/kg per injection of
quinelorane (hatched and filled bars). In
the center row, the pretreatment dose of novel D2-like
antagonists was 5.6 mg/kg, given intraperitoneally. Ordinate, Mean
total number of drug injections earned in 2 hr (top and
bottom rows) or 20 min (center row). Bars
over symbols depict SEM. Asterisks indicate that the
number of drug injections earned was significantly different after
pretreatment with the novel D2-like antagonist by pairwise comparisons
with vehicle pretreatment following overall main effect by ANOVA
(n = 8, 6, and 5, for top, middle,
and bottom rows, respectively; *p < 0.05, **p < 0.01).
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When the self-administration of various unit doses of cocaine was
examined, self-administration behavior was related to the unit dose of
cocaine according to an inverted U-shaped dose-effect function (Fig. 6,
center row). The effects of various doses of the
pretreatment drugs (0.1-10.0 mg/kg) were probed in a few rats, and a
dose of 5.6 mg/kg was chosen for further testing because pretreatment
with all three drugs at this dose decreased rates of responding
maintained by low cocaine doses in some rats. Pretreatment with
L-741,626 (5.6 mg/kg, i.p.) significantly
decreased rates of self-administration of 0.32 mg/kg per injection of
cocaine (p < 0.05) and increased rates of
self-administration of a higher dose of cocaine (3.2 mg/kg per
injection; p < 0.01). Overall, L-741,626 produced a rightward shift of the
dose-effect function for cocaine self-administration. In contrast,
pretreatment with the D3/D4 antagonist L-745,829
and the selective D4 antagonist L-745,870 (5.6 mg/kg, i.p.) decreased responding maintained by low doses of cocaine in
some rats, but these effects were not statistically significant. Also
in contrast to the effects of L-741,626,
pretreatment with L-745,829 and
L-745,870 (5.6 mg/kg, i.p.) did not significantly
increase self-administration of a dose of cocaine on the descending
limb of cocaine dose-effect function (1.0 mg/kg per injection).
Because results from previous studies suggested a role for D3 receptors
in the effects of D2-like agonists administered in combination with
cocaine (Caine and Koob, 1993 ; Caine et al., 1997 ), we compared the
effects of pretreatment with the D2 antagonist L-741,626
and the D3/D4 antagonist L-745,829 on the
self-administration of a combination of cocaine and quinelorane (Fig.
6, bottom row). The addition of quinelorane (1.0 µg/kg per
injection) to the self-administered cocaine solution (1.0 mg/kg per
injection) decreased rates of cocaine self-administration to
approximately half those observed with cocaine alone. Pretreatment with
L-741,626 (1.0 and 3.0 mg/kg, i.p.)
dose-dependently and significantly increased self-administration of the
cocaine-quinelorane solution (p < 0.05 and
p < 0.01, respectively). In contrast to the effects of
the D2 antagonist L-741,626, pretreatment with
the D3/D4 antagonist L-745,829 (0.3-3.0 mg/kg
per injection) did not alter rates of self-administration of the
cocaine-quinelorane solution.
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DISCUSSION |
There were two major findings in the present study. First, mice
lacking the dopamine D2 receptor readily self-administered cocaine, and
the ascending limb and peak of the cocaine self-administration dose-effect curves were identical in D2 mutant mice and their wild-type littermates. These results suggest that the D2 receptor subtype is not necessary for the reinforcing effects of cocaine. Second, when high cocaine doses on the descending limb of the cocaine
dose-effect curve were available, rates of self-administration were
approximately twofold higher in D2 mutant mice compared with wild-type
mice. In addition, a D2-like antagonist did not modify cocaine
self-administration behavior in mice lacking the D2 receptor but
expressing D3 and D4 receptors. Moreover, in intact rats, a D2
antagonist increased rates of high-dose cocaine self-administration, whereas D3 and D4 antagonists were ineffective. These results suggest
that the D2 receptor, but not D3 or D4 receptors, is involved in the
mechanisms that serve to limit rates of high-dose cocaine self-administration in mice and rats.
Food and cocaine-maintained responding in D2 receptor
mutant mice
Responding maintained by food presentation was evaluated in D2
mutant mice and wild-type littermates to assess the influence of the
mutation on patterns of responding maintained by a nondrug reinforcer.
Food presentation maintained responding in both D2 mutant mice and
wild-type mice; however, D2 mutants responded at lower rates and earned
fewer food reinforcers than wild-type mice across a broad range of
liquid food concentrations. These results are consistent with previous
findings suggesting that D2 mutants are less active than wild-type mice
(Baik et al., 1995 ; Kelly et al., 1998 ; Wang et al., 2000 ).
Cocaine injections also maintained responding in both D2 mutant mice
and wild-type mice. Results from drug self-administration studies in
other species suggest that the D2 receptor may be important for the
reinforcing effects of cocaine, because blockade of D2 receptors
produces rightward shifts in the dose-effect curve for cocaine
self-administration, and D2 agonists serve as positive reinforcers when
substituted for cocaine (Bergman et al., 1990 ; Caine and Koob, 1993 ,
1994b ; Caine et al., 1999a ) (for review, see Woolverton and Johnson,
1992 ; Mello and Negus, 1996 ). In agreement with these earlier studies
conducted primarily in rats and nonhuman primates, in intact mice in
the present study, the D2-like antagonist eticlopride produced a
rightward shift in the dose-effect curve for cocaine
self-administration, and the D2-like agonist quinelorane maintained
drug self-administration behavior. Moreover, quinelorane was not
self-administered by D2 mutant mice, which suggests that the D2
receptor was necessary for quinelorane self-administration. In view of
this evidence implicating the D2 receptor in psychomotor stimulant
self-administration in general and cocaine self-administration in
particular, it is surprising that cocaine functioned as a positive reinforcer in mice that lacked the D2 receptor. Overall, these results
suggest that although the D2 receptor may be necessary for the
self-administration of some drugs (i.e., D2-like agonists), this
receptor subtype is not necessary for the initiation or maintenance of
cocaine self-administration in mice.
Lack of evidence for major roles of D3 and/or D4 receptors in
cocaine self-administration
Because the homozygous D2 mutant mice in this study expressed D3
and D4 receptors (Baik et al., 1995 ), binding of dopamine to D3 and/or
D4 dopamine receptors could have played a role in the reinforcing
effects of cocaine. This hypothesis was suggested by previous findings
that the relative potencies of D2-like agonists to potentiate or mimic
the behavioral effects of cocaine were highly correlated with their
relative affinities for D3 receptors (Caine and Koob, 1993 ; Spealman,
1996 ; Caine et al., 1997 ). In addition, a role for D4 receptors in the
sensitivity to the psychomotor effects of cocaine was suggested
(Rubinstein et al., 1997 ). However, our findings do not support a major
role for D3 and/or D4 receptors in cocaine self-administration for
several reasons. First, the D2-like antagonist eticlopride binds with
high affinity to both D2 and D3 receptors (Tang et al., 1994 ), and
eticlopride altered the self-administration of cocaine in wild-type
mice but not in mice that lacked the D2 receptor. These findings
suggest that blockade of D3 receptors by eticlopride in D2 mutant mice
was not sufficient to alter cocaine self-administration. Second,
the D2-like agonist quinelorane binds with high affinity to D2, D3, and
D4 receptors (Gackenheimer et al., 1995 ; Sautel et al., 1995 ; Gilliland
and Alper, 2000 ), and quinelorane served as a positive reinforcer in
wild-type mice but not in D2 mutant mice. These results suggest that
activation of D3 and D4 receptors by quinelorane was not sufficient to
maintain drug self-administration behavior in D2 mutant mice. Overall,
these findings suggest that D3 and D4 receptors do not play crucial
roles in the reinforcing effects of cocaine in mice that lack the D2
receptor. However, it has been suggested that D3 receptors modulate
cooperative D1/D2 receptor interactions (Xu et al., 1997 ). Roles for D3
and/or D4 receptors in the behavioral effects of cocaine that may occur
through an interaction with the D2 receptor would not be observed in
mice that lack the D2 receptor.
We also conducted complementary studies in intact, outbred Sprague
Dawley rats. In rats, the novel D2-like antagonist with the highest
affinity and selectivity for the D2 subtype (L-741,626) altered the self-administration of cocaine and quinelorane, whereas other antagonists with the highest affinities and selectivities for D3
and D4 receptors (L-745,829 and L-745,870) did
not. Several lines of evidence suggest that the ineffectiveness of the
D3 and D4 preferring ligands were not attributable to pharmacokinetic factors. First, all three compounds exhibited excellent brain penetration after systemic administration as measured by HPLC in
ex vivo brain samples. Second,
L-745,829 reversed hypothermia induced by a
D2-like dopamine agonist in rats (ED50 1.0 mg/kg; R. Marwood and S. Patel, unpublished observations), suggesting bioactivity of this
compound in vivo. Third, estimates of D4 receptor occupancy
in vivo suggested that 1.0 mg/kg of
L-745,870 occupies up to 90% of D4 receptors in
the mouse brain (Patel et al., 1997 ). Collectively, these results
suggest that D3 and D4 receptors do not play crucial roles in cocaine
self-administration behavior. Our findings are in agreement with
results from other recent studies suggesting that D3 and D4 receptors
do not play prominent roles in various behavioral effects of
psychomotor stimulant drugs (Boulay et al., 1999a ,b ; Ralph et al.,
1999 ; Xu et al., 1999 ; Bristow et al., 1997 ; Costanza and Terry, 1998 ;
Millan et al., 1998 , 2000 ; Reavill et al., 2000 ).
Given that D3 and D4 receptors probably did not mediate the reinforcing
effects of cocaine in D2 mutant mice, it is likely that D1-like
receptors and/or nondopaminergic mechanisms were important. Evaluation
of these alternative mechanisms was beyond the scope of the present
study; however, previous findings suggest that both D1 receptors (for
review, see Woolverton and Johnson, 1992 ; Mello and Negus, 1996 ) and
nondopaminergic mechanisms (Rocha et al., 1998a ,b ; Sora et al., 1998 ,
2001 ; White, 1998 ) may contribute to the reinforcing effects of cocaine
under at least some circumstances. A critical role for D1 receptors
remains to be established, because results of previous studies
suggested that D1 receptor mutant mice were abnormal in their
psychomotor and conditioned responses to cocaine under some
circumstances, but not others (Xu et al., 1994a ,b ; Caine et al., 1995 ;
Miner et al., 1995 ; Crawford et al., 1997 ; Xu et al., 2000 ). Ongoing
studies with D1 receptor mutant mice given access to cocaine
self-administration under identical circumstances to those established
in this study may provide additional information on this subject
(Gabriel et al., 2001 ).
Increased self-administration of high but not low doses of cocaine
in mutant mice
One major finding of the present study was that rates of
self-administration were significantly higher in mutant mice than in
wild-type mice when high, but not low, doses of cocaine were available
for self-administration. Before considering the implications of these
findings, it is necessary to consider several caveats of studies with
mutant mice that may have contributed to the results. One potential
confound arises from the generation of mutants from two parental inbred
strains (C57BL/6 and 129/Sv). If there are differences in the cocaine
self-administration behavior of the parental strains, then the
different phenotypes observed could have resulted from an interplay
between various genes, rather than mutation of the D2 receptor gene
alone (Gerlai, 1996 ; Phillips et al., 1999 ; Lariviere et al., 2001 ).
However, several lines of evidence suggest that the D2 mutation itself
was responsible for the increased cocaine self-administration observed
in D2 mutant mice in the present study. First, in previous studies of
locomotor stimulation, C57BL/6 mice did not differ from 129/Sv mice in
their responses to cocaine (Miner, 1997 ). Second, dose-response curves for cocaine self-administration of wild-type C57BL/6 × 129/Sv mice in the present study were comparable with those observed previously in C57BL/6 inbred mice (Caine et al., 1999b ), and this suggests that interbreeding of C57BL/6 and 129/Sv mice itself did not
alter the reinforcing effects of cocaine. Finally, both genetic
deletion of the D2 receptor and pharmacological blockade of the D2
receptor increased self-administration of high cocaine doses in the
present study. Thus, a parsimonious interpretation of the present
results is that increased self-administration of high cocaine doses on
the descending limb of the cocaine dose-effect curve was related to
altered function of the D2 receptor in both mutant mice and intact
rodents treated with a D2 antagonist.
Self-administration of high cocaine doses on the descending limb of the
cocaine dose-effect curve often occurs with remarkably regular
interinjection intervals under fixed ratio schedules of reinforcement
(Pickens and Thompson, 1968 ; Woods and Schuster, 1968 ; Wilson et
al., 1971 ; Goldberg and Kelleher, 1976 ). Moreover, as unit dose
increases in this dose range, the interinjection intervals also
increase. As a result, overall drug intake remains relatively constant,
whereas the number of injections per unit time decreases to generate
the descending limb of the dose-effect curve. This orderly
relationship between self-administration behavior and unit dose
suggests that rates of high-dose cocaine self-administration are
tightly regulated. It has been suggested that this phenomenon reflects
either direct rate-decreasing effects of the drug on responding or
titration of drug intake by the organism to achieve optimal brain
levels, or both (Balster and Schuster, 1973 ; Wise et al., 1977 ; Herling
et al., 1979 ; Ranaldi et al., 1999 ) (for review, see Woods et al.,
1987 ; Katz, 1989 ). Although the present study was not designed to
directly address the nature of the regulation, it is notable that three
mutant mice self-administered cocaine to lethal overdose before
experimenter-imposed limits were placed on total drug intake (see
Materials and Methods). Lethal cocaine overdose during
self-administration tests was also observed in three wild-type mice
treated with a D2 antagonist. Collectively, these findings suggest that
the D2 receptor plays a role in regulatory processes that normally
limit high-dose cocaine intake.
A second major finding of the present study was that mutation of the D2
receptor did not decrease low dose cocaine self-administration or
produce a rightward shift in the cocaine dose-effect curve, suggesting
that any changes in high-dose cocaine self-administration did not
result from an overall reduction in the potency of cocaine as a
reinforcer. In a previous report, treatment with a dopamine antagonist
also selectively increased self-administration of a high dose of
cocaine on the descending limb of the cocaine dose-effect curve,
without altering self-administration of lower cocaine doses on the
ascending limb of the cocaine dose-effect curve (Woods et al., 1978 ).
However, the range of conditions under which dopamine antagonists
produce this selective effect on high-dose cocaine self-administration
appears to be limited, and it has been more widely reported that
dopamine antagonists decreased self-administration of lower cocaine
doses and produced an overall rightward shift in the inverted-U shaped
cocaine dose-effect curve (Bergman et al., 1990 ; Negus et al., 1996 ;
present study). Such rightward shifts have sometimes been interpreted
as reflecting attenuation of the reinforcing effects of cocaine.
However, an alternative hypothesis is that dopamine antagonist-induced
decreases in low dose cocaine self-administration result from direct
rate-decreasing effects of the antagonist on operant behavior rather
than from blockade of the reinforcing effects of cocaine (Woods et al., 1987 ). In support of this latter hypothesis, decreased
self-administration of low cocaine doses after treatment with dopamine
antagonists usually do not resemble patterns of saline
self-administration, and doses of dopamine antagonists that decreased
low-dose cocaine self-administration also usually decreased responding
maintained by food or other reinforcers (Herling and Woods, 1980 ;
Woolverton and Virus, 1989 ; Caine and Koob, 1994b ; Winger, 1994 ; Negus
et al., 1996 ). One explanation for the fact that dopamine antagonists decrease low-dose but not high-dose cocaine self-administration comes
from the reciprocal antagonism between cocaine and dopamine antagonists
on rates of responding (Herling and Woods, 1980 ; Woods et al., 1987 ).
In mechanistic terms, high but not low cocaine doses presumably
increase dopamine levels sufficiently to compete with the antagonist
for occupation of dopamine receptors, thereby surmounting the
rate-decreasing effects of the antagonist. Overall, our findings
illustrate an important difference in the effects of genetic mutation
of the D2 receptor as opposed to acute pharmacological blockade of the
receptor. Specifically, genetic mutation of the receptor produced
modest deficits in motor activity that did not impair low-dose cocaine
self-administration, whereas dopamine antagonist administration to an
organism with functional D2 receptors usually produced profound motor
deficits and decreased low-dose cocaine self-administration. One
possible explanation for this difference is that mice with lifelong
mutations of the D2 receptor may overcome some of the motor deficits
induced by D2 receptor disruption through compensatory mechanisms.
Finally, it is important to note that increased rates of high-dose
cocaine self-administration in D2 mutant mice are probably not a result
of general increases in operant responding. Although D2 mutant mice
responded at higher rates than wild types during high-dose cocaine
self-administration, they responded at lower rates than wild types
during food-maintained responding. In addition, previous studies have
found that D2 mutant mice are less active than wild-type mice in tests
of locomotor activity (Baik et al., 1995 ; Kelly et al., 1998 ; Wang et
al., 2000 ). Taken together, these findings suggest that mutation of the
D2 receptor selectively increases high-dose cocaine self-administration
and that the D2 receptor may be involved in processes that normally
limit high-dose cocaine intake.
Implications for mechanisms underlying cocaine addiction
in humans
In humans, D2 receptor levels were correlated with the subjective
effects of the drug methylphenidate, and interestingly, low D2 receptor
levels were predictive of pleasant subjective responses (Volkow et al.,
1999a ,b ). Moreover, in recent studies with a group of rhesus monkeys,
lower levels of D2 receptors predicted higher rates of cocaine
self-administration (Nader et al., 2001 ; Morgan et al., 2002 ). In
addition, cocaine self-administration experience was associated with
decreased D2 receptor densities in the basal ganglia and other brain
regions of both humans and nonhuman primates (Volkow et al., 1990 ,
1993 ; Moore et al., 1998 ; Nader et al., 2001 ). These findings suggest
that D2 receptors are involved in the subjective effects of cocaine in
humans and that D2 receptor levels may be inversely correlated with
rates of cocaine self-administration in monkeys. Moreover, the
observations that D2 receptor levels are decreased by cocaine
self-administration experience suggest that a dynamic process involving
D2 receptor levels may contribute to altered cocaine
self-administration behavior over time.
Prolonged cocaine self-administration behavior leads to escalated
cocaine intake in laboratory animals when subjects are given access to
high doses of the drug (Ahmed and Koob, 1998 ). Such escalated drug
intake has been proposed as a hallmark of the transition from drug
self-administration to drug addiction (Ahmed and Koob, 1998 ; Koob and
LeMoal, 2001 ). Although speculative, it is possible that escalation of
drug intake results at least in part from tolerance to the effects of
cocaine that serve to limit high-dose cocaine self-administration. Our
findings suggest that D2 receptors are not required for the reinforcing
effects of cocaine, but that this receptor is involved in mechanisms
that normally limit high-dose cocaine self-administration. The positive
reinforcing effects of cocaine, the regulation of cocaine intake and
the development of cocaine addiction no doubt involve complex
interactions among multiple neural systems. Based on our present
findings and previous findings from studies in human and nonhuman
primates, we suggest that decreased D2 receptor levels and related
neural adaptations may be involved in the escalation of cocaine intake
that contributes to the development of cocaine addiction.
 |
FOOTNOTES |
Received Aug. 8, 2001; revised Jan. 18, 2002; accepted Jan. 24, 2002.
This work was supported by National Institute on Drug Abuse Grants
R29-DA12142, K05-DA00101, and P50-DA04059 and also Institut National de
la Santé et de la Recherche Médicale, Centre National de la
Recherche Scientifique, Université Louis Pasteur, Hopitaux Universitaries Strasbourg, Association pour la Recherche sur le Cancer,
and Mission Interministérielle à la Lutte contre la Drogue
et la Toxicomanie. We thank Jennifer M. Dohrmann for outstanding technical assistance.
Correspondence should be addressed to Dr. S. Barak Caine, McLean
Hospital, Alcohol and Drug Abuse Research Center, 115 Mill Street,
Belmont, MA 02478. E-mail: barak{at}mclean.harvard.edu.
 |
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