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Vol. 291, Issue 1, 265-279, October 1999
Psychobiology Section, National Institute of Drug Abuse, Intramural Research Program, Baltimore, Maryland
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Abstract |
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The present study compared interactions among dopamine D1-like agonists and partial agonists with cocaine on the locomotor stimulant effects of cocaine, as well as the discriminative-stimulus effects of cocaine, and effects of cocaine on rates of responding. Cocaine alone produced a dose-related stimulation of locomotor activity in Swiss-Webster mice and a dose-related increase in the proportion of responses on the cocaine-appropriate response key in squirrel monkeys (Saimiri sciureus) trained to discriminate cocaine (0.3 mg/kg i.m.) from saline. None of the D1 dopaminergic agents fully reproduced these effects, with SKF 77434 producing marginal stimulation of locomotor activity and SCH 23390, SCH 39166, and SKF 77434 producing some, although incomplete substitution for cocaine in monkeys discriminating cocaine. The D1 dopamine antagonists SCH 23390, SCH 39166, and A-69024 dose-dependently shifted the cocaine dose-effect curve for locomotor activity to the right and decreased the efficacy of cocaine. The same compounds shifted the discriminative-stimulus effects of cocaine to the right without altering efficacy of cocaine. In contrast to the effects on locomotor activity, the maximal shift to the right in the discriminative-stimulus effects of cocaine was ~3-fold, with higher doses of the antagonists producing no greater shifts in the cocaine dose-effect curve than with intermediate doses. The partial D1 agonists (±)-SKF 38393, (+)-SKF 38393, and SKF 77434 also dose-dependently shifted the dose-effect curve for locomotor stimulant effects to the right and decreased the maximal effect of cocaine. These compounds only shifted the discriminative-stimulus effects of cocaine to a 2-fold maximum. In general, cocaine effects on rates of responding in the subjects discriminating cocaine from saline were only minimally antagonized by coadministration of the D1 dopaminergic agents. Both potency for producing behavioral effects alone and in antagonizing the effects of cocaine were related to binding affinities assessed by displacement of [3H]SCH 23390 from rat striatum. These results suggest that actions mediated by D1-like receptors contribute to the behavioral effects of cocaine. However, the various limitations to the degree of antagonism accomplished indicate that D1-like dopaminergic actions appear to be more involved in the effects of cocaine on locomotor activity, relatively less involved in the discriminative-stimulus effects of cocaine, and least involved in the effects of cocaine on operant response rates. This differential involvement of D1 dopamine receptors in these various behavioral effects of cocaine suggests problems in predicting clinical efficacy of at least D1 receptor antagonists as potential treatments for cocaine abuse. Additional studies are necessary to determine whether the antagonism of cocaine can predict therapeutic efficacy at all, and, if so, which effects when antagonized are the best predictors.
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Introduction |
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The
prevalence of illicit cocaine abuse has created significant public
health problems in the United States over the last two decades
(Chilcoat and Johanson, 1998
). There have been continuing efforts to
better understand the pharmacological mechanisms that underlie this
abuse (Leshner, 1997
), which may contribute to the identification of
new leads for the discovery of medical treatments for cocaine abuse
(Johnson and Vocci, 1993
). Because cocaine indirectly stimulates
dopaminergic receptors by blocking reuptake of dopamine (Heikkila et
al., 1979
), and because dopaminergic mechanisms have been implicated as
mediating cocaine abuse (Wise, 1984
; Kuhar et al., 1991
), studies have
focused on the respective roles of subtypes of dopamine receptors in
mediating the pharmacological effects of cocaine.
Several studies have examined the antagonism of cocaine by D1-type
dopamine receptor antagonists. For example, Woolverton and Virus (1989)
found that the dopamine D1 receptor antagonist SCH 23390 decreased
rates of responding maintained by cocaine in rhesus monkeys. However,
these decreases in cocaine-maintained behavior were obtained only at
doses of the antagonist that also decreased rates of responding
maintained by food reinforcement. The similarity of the potency of the
antagonist in decreasing rates of responding maintained by either
reinforcer suggests that this effect was not a specific action on the
reinforcing effects of cocaine. Bergman et al. (1990)
found that the D1
antagonist SCH 39166 as well as the D2 antagonist eticlopride shifted
the dose-effect curve for cocaine to the right in squirrel monkeys (Saimiri sciureus) whose responding was maintained by
cocaine. Although there were no comparisons to the effects of these
antagonists on responding maintained by another reinforcer, the nature
of the interaction, an antagonist-dose-dependent shift to the right in
the cocaine dose-effect curve, suggested pharmacological specificity. Caine and Koob (1994)
found that the dopamine D1 antagonists SCH 23390 and SCH 39166 but not A-69024 decreased rates of responding maintained
by cocaine in rats at certain doses that did not alter rates of
responding maintained by food reinforcement. Interestingly, the D1
antagonist A-69024 decreased rates of responding maintained by food
reinforcement at doses that did not affect behavior maintained by
cocaine. The specificity of the effect of the D1 antagonists in this
study needs to be carefully considered because of the difference in
effects obtained with A-69024.
The influential role of dopamine D1 receptors in the effects of cocaine
was dramatically illustrated in studies of genetically altered mice in
which the D1 receptor was targeted for removal (Xu et al., 1994
). In
these D1 knockout mice, cocaine was ineffective as a stimulant of
locomotor activity, whereas the wild-type control mice exhibited a
dose-related increase in locomotor activity. Furthermore,
electrophysiological studies of cells in the nucleus accumbens showed a
reduction in the inhibitory effects of cocaine on action potentials in
knockout compared with wild-type subjects. These results clearly
indicate a significant role of D1 dopamine receptors in the locomotor
stimulant effects of cocaine and in the central effects within the
nucleus accumbens presumed to mediate those effects. Nonetheless, the
respective role of D1 dopamine receptors in other behavioral effects of
cocaine is yet to be fully determined.
Although incomplete, there is more information on the effects of pure
D1 antagonists than partial D1 agonists on the effects of cocaine (for
review, see Winger, 1998
). In one study, the effects of the partial
agonist (±)-SKF 38393 were examined on cocaine- and food-maintained
responding in squirrel monkeys. Decreases in responding maintained by
cocaine under a 30-response fixed-ratio (FR) schedule were obtained at
doses of (±)-SKF 38393 that had minimal effects on responding
maintained under the same schedule by food presentation (Katz and
Witkin, 1992
). In addition, at an appropriate dose, (±)-SKF 38393 shifted the cocaine dose-effect curve ~3-fold to the right.
Similarly, Spealman et al. (1997)
showed that the
R-enantiomer of SKF 38393 shifted the dose-effect function
for the discriminative-stimulus effects of cocaine ~3-fold to the
right, as did the partial agonist SKF 75670 and the antagonist SCH 39166.
In preliminary studies of the benzazepine antagonist SCH 39166, we
found a maximal 3-fold shift to the right in the
discriminative-stimulus effects of cocaine, with higher doses of the
antagonist ineffective in producing greater shifts to the right in the
dose-effect curve. This small shift to the right in the cocaine
dose-effect curve, coupled with a clearly defined limit to the degree
to which the discriminative stimulus effect could be shifted, stood in
marked contrast to the types of interactions obtained with other
compounds, such as opioid agonists and antagonists (Bertalmio and Woods
1987
), and in the dramatic elimination of locomotor stimulant effects of cocaine in D1 knockout mice (Xu et al., 1994
). Thus, we initiated this study to quantitatively characterize the interaction between the
indirect agonist, cocaine, and dopamine D1 receptor blockade. The
effects of the antagonists on the cocaine dose-effect curves for
discriminative-stimulus effects and effects on locomotor activity were
quantified in terms of the degree of rightward shift, and the change in
maximal efficacy of cocaine. A greater rightward shift or decrease in
efficacy of cocaine is indicative of a greater degree of dopamine D1
receptor involvement in mediating that effect of cocaine. To ensure
that the findings were not idiosyncratic to a particular antagonist,
several D1 ligands were used, including the benzazepine antagonists SCH
23390 and SCH 39166, and the structurally distinct
tetrahydroisoquinoline A-69024. In addition the partial agonists SKF
77434 and SKF 38393 were studied; these compounds each produce ~50%
of maximal stimulation of cyclase (O'Boyle et al., 1989
; Andersen and
Jansen, 1990
).
These interactions of the D1 ligands with cocaine were assessed on several behavioral effects. Locomotor activity in rodents was used as an indication of psychomotor stimulant actions of cocaine and because of the substantive effects of D1 receptor elimination on this behavior in knockout subjects. The discriminative-stimulus effects of cocaine were used as an indication of the subjective effects of cocaine, which likely play an important role in its abuse. The effects on response rates during the drug-discrimination procedure also were assessed to provide an assessment of the general behavior-disrupting effects of cocaine, with less specificity for cocaine abuse. Our results indicated differences in the degree of involvement of D1-like dopamine receptors in these behavioral effects of cocaine.
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Materials and Methods |
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Stimulation of Locomotor Activity. Mice (male Swiss-Webster) were obtained and allowed to habituate to the animal facility for at least 1 week before use with a 12-h light/dark cycle (lights on 7:00 AM). Subjects weighed 30 to 35 g and were ~6 to 7 weeks of age at the time of the study. Locomotor activity was studied in Digiscan activity monitors (Omnitech Electronics Inc., Columbus, OH), which consisted of 40-cm3 clear acrylic chambers equipped with photoelectric detectors placed 2.56 cm apart along the walls of the chamber. One activity count was registered each instance in which the subject crossed a single photo beam. Mice were injected and placed immediately in the chamber with one subject per chamber. Activity was assessed for a 1-h session. Each dose or dose combination was studied in eight subjects, and no subject was used more than once.
Cocaine Discriminative-Stimulus Effects. Adult male squirrel monkeys weighing between 750 and 1000 g served as subjects and were housed under a 12-h light/dark cycle (lights on 7:00 AM). They were fed a daily ration of food (Purina Monkey Chow supplemented with Teklad Monkey Diet) (Ralston Purina, St. Louis, MO; Teklad Premier Laboratory Diets, Madison, WI) at least 30 min after testing that maintained their body weights at a relatively constant level throughout the course of the study. Water was always available in the individual home cages. Five or six subjects were studied for each drug or drug combination. With cocaine alone, however, eight subjects were studied because some subjects were replaced during the study, and the newly introduced subjects all received cocaine. When subjects were replaced, it was due to health reasons not related to the study. All monkeys had been studied previously under experimental procedures similar to those described below and had received injections of various drugs; however, drugs had not been administered for at least 1 week before the initiation of these studies.
During experimental sessions, subjects were restrained loosely about the waist in Plexiglas chairs that were placed within ventilated, sound-attenuating chambers (BRS/LVE, Laurel, MD). Continuous white noise was present in the chambers at all times to mask extraneous sounds. On the front panel of each chair (model ENV-601; MED Assoc., Inc., St. Albans, VT) were two response keys on which a downward force of at least 20 g produced an audible click and was recorded as a response. Above the response keys were three pairs of stimulus lamps (28 V d.c.); each pair was colored differently and could be independently illuminated. A food-pellet dispenser delivered 190-mg food pellets (banana flavored; Bio-Serv, Inc., Frenchtown, NJ) to the subject through an opening in the front panel of the chair. On-line experimental control and data collection were by MS-DOS computers operating MED Associates software (Med Associates, St. Albans, VT). Subjects were initially trained to press both keys under a FR schedule of food reinforcement and subsequently trained to discriminate i.m. injections of cocaine (0.3 mg/kg) from saline. After cocaine injections, responses on only one key were reinforced; after saline injections, responses on the alternate key were reinforced. The assignment of cocaine- and saline-appropriate keys was counterbalanced across subjects. Immediately after injection, the door to the experimental chamber was closed and a 5-min time-out period was initiated, during which all stimulus lamps were extinguished and responding produced feedback clicks but had no other scheduled consequences. All lamps were then illuminated and responses on the appropriate key were reinforced. The FR value was increased to 20 (FR 20) over several training sessions. Responses on the inappropriate key reset the FR response requirement on the appropriate key. Each food presentation was followed by a 20-s time-out period during which all lamps were off, and responding had no scheduled consequences other than the feedback clicks. Sessions ended after 20 food presentations or 15 min, whichever occurred first. As the FR value reached 20, training sessions for which cocaine or saline injections were administered were ordered in a double alternation sequence. Training continued until subjects reached a criterion of >85% of responses emitted on the appropriate response key during both cocaine and saline sessions. This criterion had to be met on both the response totals from the entire session, and those from the first FR of the session. Test sessions were initiated after criterion was met over at least four consecutive training sessions. Once initiated, subsequent test sessions were conducted between repeats of cocaine or saline sessions of the double alternation sequence. Different doses of cocaine or doses of cocaine after pretreatment with a D1 dopamine antagonist were tested only if the subject achieved criteria on both of the immediately preceding saline and cocaine training sessions. Test sessions were identical with training sessions, with the exception that 20 consecutive responses on either key were reinforced. Doses of each drug or drug combination were studied once or twice in each subject in a mixed sequence. When two determinations were made, the two values were averaged and treated as a single determination. A complete dose-effect curve was typically determined before another drug or drug combination was studied.Drugs and Injection Procedures.
(
)-Cocaine HCl (Sigma
Chemical Co., St. Louis, MO) and the dopamine D1 receptor antagonists
(+)-SCH 23390 HCl (Research Biochemicals, Inc., Natick, MA), SCH 39166 (Schering Corp., Bloomfield, NJ), and A-69024 (Abbott Laboratories,
Abbott Park, IL, and National Institute on Drug Abuse,
Rockville, MD) were dissolved in distilled water or water with mild
acidification (0.16% tartaric acid) and heat. The partial D1 agonists
(±)-SKF 38393 HCl (RBI), (+)-SKF 38393 HCl (Research Biochemicals,
Inc.), and (±)-SKF 77434 HCl (Research Biochemicals, Inc.) were
dissolved in distilled water. Doses for monkeys were injected i.m.
(calf or thigh) in a volume of 1.0 ml/kg body weight or less. Doses for
mice were injected i.p. in a volume of 1.0 ml/100 g b.wt. Control
injections were similar volumes of respective vehicle solutions. For
mice, two injections were given immediately before the subjects were
placed in the activity monitors. For monkeys, drugs were injected
immediately before experimental sessions (i.e., 5 min before testing
was initiated). Both (±)- and (+)-SKF 38393 also were administered 30 min before testing was initiated. When two injections were administered
to monkeys, each was injected in a different leg. Studies of the drugs
alone in monkeys were conducted with either as single injections, as
cocaine injections along with antagonist vehicle control injection, or
as antagonist with cocaine-vehicle control injections. The studies with
vehicle control injections did not produce effects different from those
obtained with the single injections of the drugs alone, and therefore
the data were combined for presentation. All doses are expressed as
milligrams of the above drug formulations per kilogram of the body
weight of the subject.
Measurement of Effects and Statistical Analysis. Locomotor activity in mice was assessed for a 1-h period with counts collected during each successive 10-min epoch; counts during the first and last three epochs were cumulated for separate analyses of the first and last 30 min of the 1-h test session. Counts averaged across subjects were used to construct dose-effect curves that were further analyzed (see below). In general, the interactions between cocaine and the D1 dopaminergic ligands obtained in the first and second 30-min periods were comparable and, although both are shown in the graphs, only the analysis of data from the first 30 min is described in detail.
The rates of responding and the percentage of responses on the cocaine-appropriate key (exclusive of behavior during the time-out periods) were derived for individual monkeys. Means were calculated for each measure at each drug dose tested. Any subject failing to respond at a rate of 0.02 responses/s (a rate approximating that adequate to complete one FR requirement) was not included in the calculation of mean drug-appropriate responding at that dose. If more than half of the subjects tested at a given dose failed to meet the response rate requirement, no mean value was calculated for percentage of drug-appropriate responding at that dose. At least 20% drug-appropriate responding was adopted as a conservative criterion at which to assume a significant difference from saline; 80% or higher drug-appropriate responding was taken as similar to the training dose. Dose-effect functions were analyzed with ANOVA and linear regression techniques (Snedecor and Cochran, 1967D1 Receptor Binding. Brains from male Sprague-Dawley rats weighing 200 to 225 g (Taconic Farms Inc., Germantown, NY) were removed and striatum was dissected and rapidly frozen. Membranes were prepared by homogenizing tissues in 20 volumes (w/v) of 50 mM Tris, pH 7.4 at 25°C (buffer A), with a Brinkmann Polytron (Brinkmann Instruments, Inc., Westbury, NY) (setting 6 for 20 s), and centrifuged at 50,000g for 10 min at 4°C. The resulting pellet was resuspended in buffer and centrifuged again at the same parameters. The supernatant was discarded, and the final pellet was resuspended in cold Tris-HCl containing 120 mM NaCl, 5 mM CaCl2, and 1 mM MgCl2, pH 7.4 at 25°C (buffer B) to a concentration of 3.3 mg/ml (original wet weight). Ligand-binding experiments were conducted in assay tubes containing 1.0 ml of buffer B for 30 min at 37°C. Each tube contained 0.3 nM [3H]SCH 23390 (New England Nuclear, Boston, MA), 1 µM mianserin (Research Biochemicals Inc.), and 2.5 mg of striatal tissue. Nonspecific binding was determined with 1 µM fluphenazine. Incubations were terminated by rapid filtration through Whatman GF/B filters (Whatman Specialty Products, Inc., Fairfield, NJ) with a Brandel cell harvester (Brandel Laboratories, Gaithersburg, MD). The filters were washed twice with 5 ml of cold buffer B and transferred to scintillation vials. Beckman Ready Safe (3.0 ml) was added, and the vials were counted the next day with a Beckman 6000 liquid scintillation counter (Beckman Instruments, Fullerton, CA). Triplicate samples were used in each assay and assays were replicated at least three times. Data were analyzed with GraphPad Prism software (San Diego, CA).
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Results |
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Direct Effects of Cocaine and Dopamine D1 Receptor Ligands.
Cocaine produced a dose-related stimulation of locomotor activity in
Swiss-Webster mice. Maximal stimulation to 700 counts/min was produced
by a dose of 59 µmol/kg, with both higher and lower doses producing
less stimulation (Fig. 1). The other
compounds produced only dose-related decreases in locomotor activity
across the range of active doses in the first 30 min following
injection (Fig. 1, top panel). The dopamine D1 antagonist SCH 23390 was ~5-fold more potent than SCH 39166 in producing decreases in
locomotor activity (Fig. 1, top panel, squares and upward pointing
triangles, respectively), followed by A-69024 (open circles),
exhibiting an ~34-fold lower potency than SCH 23390. The other
compounds were appreciably less potent than these three compounds
(Table 1, column A). Similar results were
obtained in the second 30 min after injection; however, the partial
agonist SKF 77434 exhibited a significant stimulation in locomotor
activity at the 30-µmol/kg (10-mg/kg) dose.
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Interactions of Cocaine with Dopamine D1 Receptor Antagonists.
At the lowest dose studied (0.01 mg/kg), SCH 23390 only marginally
changed the potency of cocaine for stimulation of locomotor activity
(Fig. 3, left panel, triangles). The
ED50 value for cocaine in the presence of SCH 23390 was not
appreciably different from that for cocaine alone (Table
2, column A). However, the relative potency analysis indicated an ~1.5-fold shift to the right in the
dose effect curve (Table 2, column B), which although small, was
significant (95% CL of that value excluded the value 1.0). The maximal
stimulation produced by cocaine was decreased by this dose of SCH
23390, as reflected by a significant effect of preparations in the
relative potency analysis. This dose of SCH 23390 was inactive when
administered alone (Fig. 3, left panel). Higher doses of SCH 23390 (0.03 mg/kg, 0.1 mg/kg) produced further dose-related decreases in the
maximal effect of cocaine; these doses, respectively, produced marginal
or substantial decreases in activity when administered alone (Fig. 3).
Only the highest dose of SCH 23390 appreciably altered the
ED50 value for cocaine relative to cocaine alone (Table 2,
column A), although this and the intermediate dose significantly decreased the potency of cocaine as indicated by the relative potency
analysis (Table 2, column B).
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Interactions of Cocaine with Dopamine D1 Receptor Partial
Agonists.
Each of the doses of SKF 77434 examined decreased the
maximal effects of cocaine (Fig. 5, left
panel). The two lowest doses studied (3.0 and 10.0 mg/kg) had
comparable effects, and only at these doses were some significant
stimulant effects of cocaine preserved. There was a trend toward an
increase in cocaine ED50 values at these doses of SKF 77434 (Table 3, column A), and the relative
potency analysis indicated that both 3.0 and 10.0 mg/kg SKF 77434 significantly shifted the cocaine dose-effect curve to the right (Table
3, column B). These changes in the effects of cocaine were obtained
with doses that were inactive when administered alone (Fig. 5, left
panel, disconnected points at left).
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Discussion |
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In the present study, the effects of several compounds acting at dopamine D1 receptors were examined alone and in combination with cocaine. The effects examined were the cocainelike discriminative-stimulus effects and the concurrently assessed effects on rates of lever pressing, as well as the effects on locomotor activity. Locomotor activity in rodents is used as an indication of psychomotor stimulant actions, and the discriminative-stimulus effect of cocaine is used as an indication of the subjective effects of these drugs, which likely play an important role in cocaine abuse. The effects on response rates during the drug-discrimination procedure provide an index of the disruption in behavior produced by cocaine, which is not an effect that is specifically related to cocaine abuse.
Cocaine and the D1 partial agonist SKF 77434 produced increases in
locomotor activity, but only cocaine produced substantial stimulation.
Results similar to those of our study have been reported by others. For
example, stimulation of locomotor activity in rats was reported for SKF
77434 but not for (±)-SKF 38393 (Murray and Waddington, 1989
; Meyer
and Shults, 1993
; although see Tirelli and Terry, 1993
). Similarly,
decreases in locomotor activity with the remaining compounds, or
schedule-controlled behavior with all of the dopaminergic D1 agents,
have been reported (Bergman et al., 1991
, 1995
, 1996
; Criswell et al.,
1992
; Katz et al., 1995
).
The ED50 values for producing each of the various
effects examined in the present study and their apparent affinities
computed from the antagonism experiments were related to their binding affinities determined from displacement of
[3H]SCH 23390. The benzazepine antagonists SCH
23390 and SCH 39166 were most potent in decreasing locomotor activity
in mice and in decreasing response rates in monkeys discriminating
cocaine injections. These two compounds were equally potent in
decreasing response rates and had the highest affinity in the present
study of displacement of [3H]SCH 23390. Our
affinity values are consistent with those previously reported in rats
(Chipkin et al., 1988
) and primates (Madras et al., 1988
; Bergman et
al., 1991
), and with previous assessments of potencies in vivo (Bergman
et al., 1991
, 1995
; Criswell et al., 1992
). The relatively lower
potency of A-69024 in decreasing locomotor behavior or response rates
is consistent with its lower affinity (present study; Kerkman et al.,
1989
; Kassiou et al., 1995
). The ~30-fold difference in potency
between SKF 77434 and SCH 23390 in decreasing response rates is
consistent with its ~12-fold lower affinity for D1 dopamine receptors
(Table 4; Andersen et al., 1985
; Andersen and Jansen, 1990
). However,
in decreasing locomotor activity, the potency of SKF 77434 was
disproportionately lower than SCH 23390.
The partial agonist SKF 77434 stimulated locomotor activity at lower
doses than those that decreased locomotor activity (albeit during the
second 30 min after injection). If its potency as a locomotor stimulant
is considered along with the potencies of the other compounds, the
agreement among in vivo potencies and affinities for D1 receptor
binding among all of the compounds is relatively high. This agreement
is consistent with an interpretation that the stimulation of activity
produced by the partial agonist SKF 77434 is mediated by agonist
actions at D1 dopamine receptors, whereas the decreases in locomotor
activity produced by the remaining ligands is the result of antagonist
effects at D1 dopamine receptors. The differences in activity of SKF
77434 and the other D1 ligands might be explained on the basis of the
greater intrinsic efficacy of SKF 77434 compared with the antagonists;
however, remaining without explanation is the lack of stimulant effects
of (±)- or (+)-SKF 38393. The racemic form of this compound has been
shown to maximally stimulate locomotor activity in C57BL mice between 50 and 90 min after injection (Tirelli and Terry, 1993
). Thus, it is
possible that the stimulant effects of either form of SKF 38393 would
have been obtained with our Swiss-Webster mice, although at an even
later time point. Alternatively, SKF 38393 may have decreased locomotor
activity by a mechanism other than D1 dopamine receptor activation (cf.
Terry and Katz, 1992
).
In monkeys trained to discriminate cocaine from saline injections,
cocaine produced dose-related increases in responding on the
cocaine-appropriate lever, with virtually exclusive responding on that
lever at the training dose. None of the D1 dopaminergic agents fully
substituted for cocaine, although with SCH 39166, SCH 23390, and SKF
77434 there was a substitution that was significantly greater than
saline levels. Similar results have been reported in rodents and
primates (Kleven et al., 1990
; Callahan et al., 1991
; Witkin et al.,
1991
; Terry et al., 1994
; Spealman et al., 1997
). The partial
substitution for cocaine by the compounds with some agonist activity
has been interpreted as consistent with the notion that activation of
D1 dopamine receptors contributes to, but does not fully reproduce, the
discriminative effects of cocaine.
The partial substitution of D1 dopamine receptor antagonists is not
currently understood. Several studies have found paradoxical agonist
actions of dopamine D1 receptor antagonists. For example, Starr and
Starr (1986)
first reported substantial grooming behavior induced by
relatively low doses of SCH 23390, below those that antagonized the
effects of SKF 38393 (see also Gorell et al., 1986
; Wachtel et al.,
1992
). Similarly, Wachtel and White (1995)
found a D1 agonist-like
effect of both SCH 23390 and SCH 39166 on glutamate-stimulated firing
in neurons of the nucleus accumbens of rats. These effects also were
seen at low doses, and furthermore, appeared to depend on whether a D2
agonist treatment had occurred in the past. Wachtel and White (1995)
ruled out artifacts of iontophoretic drug administration and local
anesthetic effects, in part by examining the enantiomer of SCH 23390. The actions of SCH 23390 on 5-hydroxytryptamine (5-HT) systems
(Bischoff et al., 1986
) appeared unlikely to account for these
paradoxical agonistlike effects because the effect also was obtained
with the more D1-selective antagonist SCH 39166. Interestingly, the
agonist actions in the previous studies were generally obtained at low
doses relative to those having antagonist effects, whereas in our
study, the substitution for cocaine of the D1 antagonists occurred at
doses marginally higher than those having antagonist effects. The
previous results showing antagonism at doses lower than those at which
agonist effects are obtained indicates that the "paradoxical
agonist" effects of these antagonists are not likely due to some,
albeit limited, intrinsic efficacy of the antagonists. Our results
showing that substitution for cocaine does not occur with the partial
agonists (±)- and (+)-SKF 38393, and that greater substitution
was obtained with the antagonist SCH 39166, further support that
these paradoxical agonist actions are not due to limited intrinsic
efficacy of these compounds at D1 dopamine receptors.
The D1 antagonists A-69024, SCH 23390, and SCH 39166 and the partial
agonists SKF 77434, (±)-SKF 38393, and (+)-SKF 38393 each produced a
rightward shift in the cocaine dose-effect curve for stimulation of
locomotor activity (ascending limb of the dose-effect curve). The
antagonism of the effects of cocaine on locomotor activity by the D1
antagonist SCH 23390 has been reported (Cabib et al., 1991
); however,
characterization of the cocaine dose-effect curve as a result of that
antagonism has not been previously reported. One interesting result of
our study is that the antagonists not only shifted the cocaine
dose-effect curve to the right but also decreased maximal efficacy for
stimulation of locomotor activity, such that the antagonism was not
fully surmountable.
The shift to the right in the dose-effect curve concomitant with a
decrease in maximal effect is consistent with what is expected with the
antagonism of an indirectly acting agonist by a competitive antagonist
(Kenakin, 1993
). In addition, the characteristics of the antagonism
reported herein are consistent with a differential antagonism of the
ascending and descending portions of the cocaine dose-effect curve. If
these two limbs of the dose-effect curve represent differently mediated
and offsetting effects, then a preferential shift to the right in the
ascending limb of the curve would result in a decrease in maximal
effect. Finally, the antagonist-induced decreases in maximal effects of
cocaine could represent a functional antagonism resulting from the
opposing effects of cocaine (stimulation of activity) and the D1
ligands (decreases in activity) observed when the drugs are
administered alone. However, the decreases in maximal effect of cocaine
often occurred at doses of the antagonists and partial agonists that
alone had no substantial effects on locomotor activity, as well as at
doses that alone decreased activity. Therefore, the decrease in maximal
cocaine effect in the presence of the D1 ligands is at least not
uniformly due to a functional or physiological antagonism. Thus, the
shift to the right in the cocaine dose-effect curve concomitant with a
decrease in maximal effect in the studies of locomotor activity appears
to be either characteristic of antagonism of the effects of an
indirect-acting agonist, or differential antagonism of the differently
mediated limbs of the bitonic dose-effect curve.
One major difference in the antagonism of the behavioral effects
examined herein was that in the cocaine discrimination, there were
generally no changes in the efficacy of cocaine in the presence of
increasing doses of the D1 antagonists. At all of the doses of the D1
ligands, the antagonism was surmounted by appropriate doses of cocaine,
a result that contrasts with that obtained for the effects of cocaine
on locomotor activity. If the antagonism of the effects of cocaine on
locomotor activity is characteristic of indirect agonist-antagonist
interactions (as described above), the question remains as to why the
antagonism of the discriminative-stimulus effects was fully
surmountable. These differences in antagonism may be related to the
differences in species used to assess discriminative effects and
locomotor stimulation (however, see below), or to differences in
exposure to cocaine as the discrimination procedure necessitates
repeated administration of the training drug. Alternatively, it is
possible that there are differences in dopamine receptor occupancy
necessary for the two effects. Kenakin (1993)
notes that even with
interactions between indirect-acting agonists and competitive
antagonists, when small amounts of pharmacological stimulus are
necessary for an effect, the amount of parallel shift in dose-effect
curves will be extended before there are decreases in maximal effect.
In the opioid system for example, there is compelling evidence that
discriminative-stimulus effects are "sensitive" based on their
appearance at doses lower than those producing other opioid effects
(Woods et al., 1988
). It follows from these observations that the
discriminative effects of opioids would require a small receptor
occupancy for the expression of a full effect compared with other
effects. Our results suggest a similar relationship for the
discriminative-stimulus effects of cocaine.
Several studies have demonstrated an antagonism of the
discriminative-stimulus effects of cocaine by D1 dopamine antagonists. For example, Kleven et al. (1990)
showed an ~3-fold shift to the right in the discriminative effects of cocaine in rhesus monkeys by SCH
23390. Spealman et al. (1991)
showed similar degrees of antagonism by
SCH 39166. In our study, the antagonists dose-dependently shifted the
cocaine dose-effect curve for effects on locomotor activity, often
reaching doses that completely prevented stimulation at any dose of
cocaine studied. In contrast, in the cocaine discrimination studies the
antagonists exhibited a maximal degree to which the cocaine dose-effect
curve could be shifted (typically 3-fold), with higher doses
ineffective in producing greater shifts to the right in the
discriminative-stimulus effects of cocaine. Interestingly, among the
published studies of antagonism of cocaine by D1 antagonists, ~3-fold
shifts to the right in the dose-effect curve are generally the rule
(Kleven et al., 1990
; Spealman, 1990
; Bergman et al., 1990
; Spealman et
al., 1991
; Vanover et al., 1991
; Spealman et al., 1997
).
A relatively greater antagonism of the discriminative-stimulus effects compared with the response-rate-decreasing effects of cocaine could explain the ~3-fold limit to the antagonism of the discriminative-stimulus effects if pronounced decreases in response rates precluded an assessment of further antagonism of the discriminative effects. However, even at doses that decreased response rates, there was usually a rate of responding sufficient to adequately assess the discriminative-stimulus effects.
The differences in the sensitivity of the discriminative-stimulus
effects and the effects on response rates to antagonism by the D1
antagonists suggest differing mechanisms underlying these effects
of cocaine. The degree of D1 receptor involvement in the effects of
cocaine on response rate appears to be substantially less than that for
the discriminative-stimulus effects of cocaine. Similarly, the degree
of D1 receptor involvement in the effects of cocaine on locomotor
activity appears to be greater than that for the other effects. This
latter conclusion, however, is tempered by the species differences in
assessing these effects. However, a study on D1 dopamine receptor
knockout mice (Miner et al., 1995
) lends support to the conclusions of
differential D1 receptor involvement in different behavioral effects of
cocaine. In that study, conditioned place preference induced by cocaine
was retained in the D1 knockout mice. As mentioned in the Introduction,
Xu et al. (1994)
found D1 knockout mice to be insensitive to the
locomotor stimulant effects of cocaine. These results along with our
findings clearly indicate a significant role of D1 dopamine receptors
in the locomotor stimulant effects of cocaine. Moreover, these findings
together suggest a more complex and possibly more limited involvement
of D1 dopamine receptors in the effects mediating the covert stimulus effects underlying discriminative effects and possibly conditioned place preference.
The maximal shift in the dose-effect curve for the
discriminative-stimulus effects of cocaine is not entirely surprising
when considered in light of the multiplicity of the actions of cocaine. Cocaine not only inhibits the uptake of dopamine but also that of
serotonin and norepinephrine. With its indirect dopaminergic agonist
actions, each of the dopamine receptor subtypes should be stimulated.
Selective antagonism of any one of these dopaminergic sites should
remove part, but not all of the interoceptive stimulus effects of
cocaine. How these various actions of cocaine contribute to its
discriminative-stimulus effects is not clear. However, the current
study suggests that there is a limit to the potential blockade of the
discriminative effects of cocaine through antagonist actions at
dopaminergic D1 receptors. It is possible that the limited antagonism
of the discriminative effects of cocaine by selective antagonists
occurs because only the D1 component of the stimulus is eliminated. As
such, the discriminative-stimulus effects of cocaine may resemble those
of a compound stimulus, with individual components combining in some
manner to produce the discriminative effect. The elimination of any one
component may not be sufficient to preclude a discriminative effect
produced by the remaining components (Stolerman et al., 1991
). The
results of substitution studies with direct agonists, however, are not consistent with this interpretation. For example, many of the selective
D2-like and D1-like agonists do not fully substitute for cocaine when
administered alone, regardless of dose (Callahan et al., 1991
; Witkin
et al., 1991
). However, full substitution has been on occasion reported
following administration of D2-like agonists (Barrett and Appel, 1989
;
Ukai et al., 1993
). Thus, there may be differences in the relative
contributions of D1-like and D2-like dopamine receptors to the
discriminative stimulus complex produced by cocaine.
For the discriminative effects of cocaine, there were differences in
the interactions with cocaine of antagonists SCH 23390 and SCH
39166, and the partial agonists SKF 77434, (±)-SKF 38393, and (+)-SKF
38393. The antagonists each produced 3-fold shifts, whereas the partial
agonists produced less of a shift, if at all. The present
results with (+)-SKF 38393 somewhat differ from a previous finding; in
that study (Spealman et al., 1997
), the dose-effect curve for cocaine
was shifted ~3-fold to the right by (+)-SKF 38393. In that study, the
effects of cocaine were determined with a cumulative-dosing procedure,
whereas in the present study single doses were administered. Although
there have been reports that the cumulative-dosing procedure can
interject effects specific to its use (Schindler et al., 1990
; Walker
and Branch, 1998
), it is not clear that those effects were involved, or
how they would have contributed to the differences between our study
and the one by Spealman et al. (1997)
.
Interestingly, SKF 77434 is similar to SKF 38393 in terms of its
stimulation of adenylyl cyclase activity in rodent tissue (O'Boyle et
al., 1989
), and SKF 77434 also antagonized the effects of cocaine in a
manner like that of the D1 antagonists. Because SKF 77434 is also a
partial agonist, it is clear that in the present study the antagonism
of cocaine could be obtained with drugs having some intrinsic efficacy.
The lack of a robust antagonism of cocaine by SKF 38393 may have been
due to its actions mediated by other systems. For example, Zarrindast
et al. (1991)
found behavioral effects of SKF 38393 to be antagonized
by the 5-HT antagonist metergolide, rather than by the dopamine D1
antagonist SCH 23390. Those results suggest that the actions of this
drug that are mediated by 5-HT receptors (Biscoff et al., 1986
) are
more potent than its actions at D1 receptors. These 5-HT-mediated
effects could have interfered with its ability to antagonize the
effects of cocaine via a D1 partial agonist action.
The shifts in the cocaine dose-effect curves for discriminative-stimulus effects produced by the D1 antagonists in the present study were relatively modest, ~3-fold shifts. Greater shifts were obtained in the effects of cocaine on locomotor activity. These findings indicate differences in the involvement of D1 dopamine receptors in mediating these effects of cocaine. It is currently not clear which of these effects, if either, will be predictive of the therapeutic effects of the compounds in treating cocaine abuse. The discriminative-stimulus effects of cocaine are thought to be indicative of subjective effects that are presumably involved in the abuse of cocaine. If so, the current 3-fold shifts in the cocaine dose-effect curve may be, at least on first blush, disappointing. However, a 3-fold shift in the cocaine dose-effect curve may be adequate for a therapeutic agent. Surmounting even a minimal 3-fold antagonism of the effects of cocaine may very well be beyond the economic means of at least a subset of cocaine abusers.
In summary, several dopaminergic agents were examined alone and in combination with cocaine to better understand the role of D1 dopamine receptors in certain behavioral effects of cocaine. There was a clear limit to the degree to which the D1 ligands could shift the dose-effect curve for the effects of cocaine on response rates, with a greater shift in its discriminative-stimulus effects. There also were defined limits to the shifts in cocaine discriminative-stimulus effects, with a maximal 3-fold shift in the dose-effect curve. Furthermore, there was evidence that the activity of D1 dopaminergic receptors may be redundant with other mechanisms mediating the discriminative effects of cocaine. The locomotor-stimulant effects of cocaine were shifted to the right to an extent greater than that for the other behavioral effects examined and the maximal effects of cocaine were decreased by the antagonists. The antagonism was progressively increased with increasing doses of the D1 antagonists up to doses that produced an insurmountable antagonism. These results indicate a contribution of D1-receptor agonist actions in each of these effects of cocaine, however, with appreciable differences in the respective roles of D1 dopamine receptors in mediating each of these behavioral effects of cocaine.
| |
Acknowledgments |
|---|
We thank Dawn French for help in the conduct of these experiments and Patty Ballerstadt for clerical and administrative support. Supplies of SCH 39166 and A-69024 were kindly donated by Schering Corp. and Abbott Laboratories, respectively. Animals used in this study were maintained in facilities accredited by AAALAC International, and all experimentation was conducted in accordance with the guidelines of the Institutional Animal Care and Use Committee of the National Institute on Drug Abuse, Intramural Research Program, the National Institutes of Health (National Institutes of Health Manual 3040-2), and the Guide for Care and Use of Laboratory Animals of the Institute of Laboratory Animal Resources, National Research Council, National Academy Press, 1996. The opinions expressed herein are the views of the authors and do not necessarily reflect the official policy or position of the National Institute on Drug Abuse or any other part of the U.S. Department of Health and Human Services.
| |
Footnotes |
|---|
Accepted for publication June 3, 1999.
Received for publication January 11, 1999.
1 K.A.M. was supported by the Woodlawn High School Magnet Program, Bryan G. Stoll, Associate Coordinator, 1801 Woodlawn Dr., Baltimore, MD 21207.
Send reprint requests to: J. L. Katz, Ph.D., Psychobiology Section, NIDA Addiction Research Center, P.O. Box 5180, Baltimore, MD 21224.
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Abbreviations |
|---|
FR, fixed-ratio; 5-HT, 5-hydroxytryptamine.
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References |
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