Web Box 12.2 Animal Models of Compulsive Cocaine Use

Voluntary drug self-administration by an operant behavior such as a lever press or a nose poke has been a central approach in the quest to develop animal models of cocaine dependence. However, just as some people take cocaine recreationally even for long periods of time, yet do not develop a pattern of misuse or dependence, we cannot assume that mere self-administration by a rat or a mouse is equivalent to dependence on the drug. As discussed by Roberts and colleagues (2007), some of the aspects of cocaine dependence as modeled by animal researchers include (1) an escalation of drug intake by self-administering animals, (2) relapse to cocaine-seeking behavior after a period of abstinence, (3) cocaine-seeking behavior despite aversive consequences, and (4) increased breakpoint when working to self-administer the drug on a progressive ratio schedule. Because of space limitations, we will present just a few examples of this type of research.

The first example comes from two seminal papers by Ahmed* and coworkers (Ahmed and Koob, 1998; Ahmed et al., 2002) in which they compared rats given a relatively short (1 hour per session) period of access to the cocaine self-administration procedure with animals given a long (6 hours per session) period of access. The first thing that they discovered was that the long-access (LgA) rats gradually escalated their daily cocaine intake, in contrast to the stable daily intake of the short-access (ShA) animals (Figure 1, part A). This dose escalation could be seen even when the first hour of cocaine intake in the LgA rats was compared with the single hour of intake allowed in the ShA rats (Figure 1, part B). To determine the neurobiological mechanism underlying this increase in cocaine self-administration, the researchers determined the thresholds for electrical self-stimulation of brain with electrodes implanted in the lateral hypothalamus. These measurements were taken both 3 hours and around 17 to 22 hours following the end of each self-administration session. The data show a clear elevation in the amount of current required to obtain electrical self-stimulation in the LgA rats compared with ShA animals or naive (drug-free) controls, indicating a dysfunction in the brain’s reward circuit (Figure 1, part C). Together, the data reveal that longer periods of access to cocaine can lead to an escalation of intake that, in turn, down-regulates the reward circuit. This presumably makes the cocaine less rewarding and thus supports further increases in drug consumption, which parallels some of the reported findings (i.e., reduced cocaine-induced euphoria accompanied by increased use) in the clinical drug literature (Small et al., 2009). A recent study using the LgA procedure demonstrated that phasic DA release in both the ventral striatum (NAcc) and dorsal striatum gradually diminished over the course of response escalation (Willuhn et al., 2014). Moreover, escalation was reversed by treatment with l-DOPA, suggesting that depletion of DA and a consequent reduction in phasic release is one of the forces driving the observed increase in drug-taking behavior.

Part A: A double line graph on total intake is present with the X axis ranging from 0 onwards in single units and the Y axis labeled as infusions or session ranging from 0 to 120 at equal intervals of 20. A dotted horizontal line is drawn at the unit 70 from the Y axis labeled as baseline number of infusions for L g A group. The bottom line graph labeled S h A group is horizontally parallel to the X axis at the level of 10 infusions or session. The line graph above the dotted line labeled as L g A group starts from 70 infusions and rises upwards till 82 before falling slightly till 80. It then rises upwards again till 90 and remains there before a straight upward rise till 110 infusions.
Part B: A double line graph on first hour intake is present with the X axis labeled as cocaine self-administration session ranging from 1 to 13 at equal intervals of 1 and the Y axis labeled as cocaine infusions ranging from 5 to 30 at equal intervals of 5. The line graph labeled S h A group is drawn at the following points in the format; cocaine self-administration session, cocaine infusions; as follows: 1, 17; 2, 10; 3, 11; 4, 14; 5, 13; 6, 13; 7, 14; 8, 15; 9, 16; 10, 16; 11, 15; 12, 16. The line graph labeled L g A group is drawn at the following points in the format; cocaine self-administration session, cocaine infusions; as follows: 1, 18; 2, 13; 3, 14; 4, 16; 5, 17; 6, 22; 7, 20; 8, 23; 9, 24; 10, 24; 11, 28; 12, 25.
Part C: A triple line graph on reward thresholds is present with the X axis labeled as cocaine self-administration session ranging from 1 to 13 at equal intervals of 1 and the Y axis labeled as change from baseline in percentage ranging from minus 10 to 40 at equal intervals of 10. The line labeled S h A group is drawn having minor fluctuations with the lowest change being minus 1 and the highest point being 8. The line labeled as Drug-naive group is drawn having minor fluctuations with the lowest change being minus 5 and the highest point being 9. The line labeled L g A group starts from 8 percent change from baseline and rises till 12 percent before having minor dips and then rising again till 30 percent. It slightly dips and drops till 20 percent before rising with smaller fluctuations till 35 percent and then finally going downward till 25 percent of change from baseline.

Figure 1 Escalation of drug intake and increased reward thresholds in rats given long access to IV cocaine (A) Rats were initially trained to lever press for IV cocaine infusions, after which the animals were divided into two groups: a short-access group (ShA) that had access to cocaine for 1-hour sessions, and a long-access group (LgA) that had access to cocaine for 6-hour sessions. Session 1 shown here is the first day of each experimental condition. The ShA rats maintained a low and stable intake across all 12 sessions. The LgA rats self-administered much more cocaine than the ShA animals even on session 1 because of the longer period of drug availability (6 hours versus 1 hour). Importantly, cocaine self-administration began to escalate in the LgA rats within a few sessions and continued to rise through the 12 sessions of the experiment. (B) Using the same escalation paradigm, LgA rats were shown to increase their cocaine-taking behavior even during the first hour of self-administration compared with the ShA group. (C) Thresholds for electrical self-stimulation of the brain were increased during the period of escalating cocaine intake in the LgA rats. Note that there was no change in the mean stimulation threshold for the ShA rats, which was similar to the stimulation threshold measured in a drug-naive group. (A after Ahmed and Koob, 1998; B,C after Ahmed et al., 2002.)

A second example chosen for presentation is from an equally significant series of studies conducted by Deroche-Gamonet and colleagues (Deroche-Gamonet et al., 2004; Deroche-Gamonet and Piazza, 2014). They allowed their rats to self-administer cocaine over approximately 3 months, which is much longer than the typical study in this area. During this time period, they repeatedly tested their animals for the following aspects of cocaine dependence: (1) persistence of cocaine-seeking behavior during periods when the rats were given a cue that the drug was not available; (2) continued cocaine self-administration despite aversive consequences (electrical foot shock delivered at the same time as the drug infusion); (3) enhanced motivation for cocaine as indicated by an increase in the breaking point on a progressive-ratio schedule; and (4) vulnerability to relapse based on a reinstatement procedure using a priming dose of cocaine following 5 days of abstinence from the drug. Importantly, because the investigators found a wide range of differences among the rats on these measures, they used the results from the reinstatement procedure to divide the animals into two groups: the top 40% with the highest amount of responding on the reinstatement test (HRein), and the lowest 40% in terms of responding on this test (LRein). All of the results were subsequently analyzed and presented as comparisons between these two subgroups. As presented in Figure 2, as the number of days of cocaine self-administration progressed, the HRein rats but not the LRein rats showed a sharp rise in number of responses (in this case, nose pokes) during the signaled no-drug period (Figure 2A), an increase in the number of cocaine infusions taken despite concurrent foot shock (Figure 2B), a significantly higher breaking point for cocaine self-administration (Figure 2C), and of course substantially greater responding for the higher doses of cocaine during the reinstatement test (Figure 2D). Based on these and other findings not shown, the researchers concluded that addiction results from a combination of prolonged exposure to the drug, which can be seen from the fact that changes in behavior occurred only after many self-administration sessions, and factors that lead to differential vulnerability among individuals, which accounts for the fact that only the HRein group showed these behavioral changes.

Part A: A double line graph is present with the X axis labeled as days of self-administration or time with a range of 13, 38, and 54 and the Y axis labeled as active nose pokes ranging from 0 to 350 at equal intervals of 50. The line labeled as H R ein group is drawn at the following points in the format; time, active nose pokes; as follows: 13, 50; 38, 100; 54, 270. The line labeled as L R ein group is drawn at the following points in the format; time, active nose pokes; as follows: 13, 30; 38, 10; 54, 10.
Part B: A double line graph is present with the X axis labeled as days of self-administration or time with a range of 32 and 74 and the Y axis labeled as percentage of baseline infusions ranging from 0 to 80 at equal intervals of 20. The line labeled as H R ein group is drawn at the following points in the format; time, percentage of baseline infusions; as follows: 32, 25; 74, 55. The line labeled as L R ein group is drawn at the following points in the format; time, percentage of baseline infusions; as follows: 32, 23; 74, 20.
Part C: A double line graph is present with the X axis labeled as days of self-administration or time with a range of 35 and 52 and the Y axis labeled as breaking point ranging from 0 to 800 at equal intervals of 100. The line labeled as H R ein group is drawn at the following points in the format; time, breaking point; as follows: 35, 400; 52, 650. The line labeled as L R ein group is drawn at the following points in the format; time, breaking point; as follows: 35, 150; 52, 50.
Part D: A double line graph is present with the X axis labeled as cocaine dose in milligram per kilogram with a range of 0.2, 0.4, 0.8, and 1.6 and the Y axis labeled as active nose pokes ranging from 0 to 250 at equal intervals of 25. The line labeled as H R ein group is drawn at the following points in the format; cocaine dose, active nose pokes; as follows: 0.2, 12; 0.4, 25; 0.8, 100; 1.6, 200. The line labeled as L R ein group is drawn at the following points in the format; cocaine dose, active nose pokes; as follows: 0.2, 25; 0.4, 30; 0.8, 50; 1.6, 40.

Figure 2 Emergence of addictive-like behaviors in a subgroup of rats self-administering cocaine over a long time period Rats self-administered IV cocaine by making a nose-poke response. The animals were divided into two groups: high cocaine reinstatement (HRein) and low reinstatement (LRein) based on the number of nose pokes when a priming dose of cocaine signaled renewed availability of the drug following a 5-day withdrawal period. The results show that the HRein group compared with the LRein group increased their cocaine-seeking behavior during periods of no drug availability (A), obtained a greater number of cocaine infusions when electric shock was paired with drug delivery (data expressed as % of baseline number of infusions) (B), showed a higher breaking point on a progressive-ratio schedule (C), and showed a higher response rate in the reinstatement paradigm at the highest dose of cocaine (D). (After Deroche-Gamonet et al., 2004.)

A third example comes from two studies by Belin and coworkers (2008, 2011). In the two studies together, researchers examined the potential role of three different traits in predicting the transition from mere self-administration of cocaine to compulsive use: (1) locomotor activity in response to a novel (inescapable) environment (one type of an animal model of novelty seeking or sensation seeking in humans); (2) preference for a novel environment in a free-choice situation (an alternate animal model of novelty- or sensation-seeking behavior); and (3) impulsivity measured using a five-choice serial reaction-time visual attention task (a task that measures several behavioral parameters, including impulsive responding by the subject). Although the two studies had different aims, the results indicated a role for both sensation seeking (using the free-choice task; Belin et al., 2011) and impulsivity (Belin et al., 2008) in the development of compulsive cocaine-taking behavior in rats. These findings provide new support for the hypothesis that these two personality traits play a significant role in determining whether an individual who uses cocaine goes on to develop a pattern of cocaine misuse or dependence.

The point of this Web Box is to emphasize that the development of valid animal models of drug misuse and dependence requires that researchers pay close attention to the range of clinical symptoms considered to be representative of the drug-dependent state and to determine the best experimental paradigms for reproducing those symptoms. The examples presented earlier show that progress in this area has been made with respect to cocaine use and dependence. Nevertheless, as we discuss later in the section on treatments for cocaine dependence, progress in developing new medications, which relies heavily on the results of animal model research, has been very disappointing thus far. Consequently, there is a critical need for continued exploration of novel models that will yield better predictability so that success of a newly developed medication in our animal models will translate to equivalent success when the medication is brought to human clinical trials.

Footnote

* This is the same Serge Ahmed who performed much of the research discussed in Web Box 12.1.

References

Ahmed, S. H., Kenny, P. J., Koob, G. F., and Markou, A. (2002). Neurobiological evidence for hedonic allostasis associated with escalating cocaine use. Nat. Neurosci., 5, 625–626.

Ahmed, S. H., and Koob, G. F. (1998). Transition from moderate to excessive drug intake: Change in hedonic set point. Science, 282, 298–300.

Belin, D., Berson, N., Balado, E., Piazza, P. V., and Deroche-Gamonet, V. (2011). High-novelty-preference rats are predisposed to compulsive cocaine self-administration. Neuropsychopharmacology, 36, 569–579.

Belin, D., Mar, A. C., Dalley, J. W., Robbins, T. W., and Everitt, B. J. (2008). High impulsivity predicts the switch to compulsive cocaine-taking. Science, 320, 1352–1355.

Deroche-Gamonet, V., Belin, D., and Piazza, P. V. (2004). Evidence for addiction-like behavior in the rat. Science, 305, 1014–1017.

Deroche-Gamonet, V., and Piazza, P. V. (2014). Psychobiology of cocaine addiction: Contribution of a multi-symptomatic animal model of loss of control. Neuropharmacology, 76, 437–449.

Roberts, D. C. S., Morgan, D., and Liu, Y. (2007). How to make a rat addicted to cocaine. Prog. Neuro-Psychopharmacol. Biol. Psychiatry, 31, 1614–1624.

Small, A. C., Kampman, K. M., Plebani, J., De Jesus Quinn, M., Peoples, L., and Lynch, K. G. (2009). Tolerance and sensitization to the effects of cocaine use in humans: A retrospective study of long-term cocaine users in Philadelphia. Subst. Use Misuse, 44, 1888–1898.

Willuhn, I., Burgeno, L. M., Groblewski, P. A., and Phillips, P. E. (2014). Excessive cocaine use results from decreased phasic dopamine signaling in the striatum. Nat. Neurosci., 17, 704–709.

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