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Vol. 303, Issue 2, 704-710, November 2002


GABAergic and Glutamatergic Afferents in the Dorsal Raphe Nucleus Mediate Morphine-Induced Increases in Serotonin Efflux in the Rat Central Nervous System

Rui Tao1 and Sidney B. Auerbach

Department of Cell Biology and Neuroscience, Rutgers University, Piscataway, New Jersey

    Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

To characterize the effects of morphine on serotonin (5-HT) in the central nervous system, we used microdialysis in freely behaving rats. Subcutaneous injection of morphine sulfate produced a dose-dependent increase in extracellular 5-HT in the dorsal raphe nucleus (DRN) and a forebrain site, the nucleus accumbens (NAcc). To determine the site of action for this effect, the opioid receptor antagonist naltrexone was infused into either the DRN or NAcc. Naltrexone infusion (300 µM) into the DRN but not the NAcc attenuated the increase in 5-HT elicited by systemic morphine (20 mg/kg). This suggests that morphine acts in the DRN to alter the activity of 5-HT neurons that project to NAcc. Consistent with this conclusion, infusion of the GABAA receptor antagonist bicuculline (100 µM) into the DRN but not the NAcc also blocked the effect of systemic morphine. Similarly, the effect of systemic morphine was blocked by infusion into the DRN of the GABAA receptor agonist muscimol (30 µM) and attenuated by the GABAB receptor agonist (±)-baclofen (100 µM). This provides evidence that morphine indirectly influences 5-HT release via opioid receptors on GABAergic neurons in the DRN. A new finding is that ionotropic glutamate receptor antagonists [kynurenate or a mixture of (±)-2-amino-5-phosphonopentanoic acid and 6,7-dinitro-quinoxaline-2,3-dione] infused in the DRN also attenuated the effect of systemic morphine. These results suggest that morphine acts on GABAergic and glutamatergic afferents to indirectly influence the activity of 5-HT neurons in the DRN. Understanding the details of this neural circuitry may provide new leads for treatment of opiate addiction.

    Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

The dorsal raphe nucleus (DRN) is the main source of serotonergic (5-HT) projections to the nucleus accumbens (NAcc) (Tork, 1990) and is implicated in behavioral effects of opioids (Sutton et al., 1997). Endogenous opioids and opioid receptors are present in the DRN and surrounding periaqueductal gray (Mansour et al., 1995; Kalyuzhny and Wessendorf, 1998; Martin-Schild et al., 1999). Opioids increase extracellular 5-HT in the NAcc and other areas innervated by the DRN (Grauer et al., 1992; Tao and Auerbach, 1995). In turn, 5-HT stimulates dopamine release in the NAcc (Guan and McBride, 1989; Benloucif et al., 1993; Parsons and Justice, 1993). Moreover, the behavior of recombinant mice lacking 5-HT and dopamine reuptake transporters or 5-HT1B receptors suggests that 5-HT interacts with dopamine in the NAcc to influence drug self-administration (Rocha et al., 1998; Uhl et al., 2002). Both the reinforcing property of morphine and withdrawal syndrome are affected by 5-HT receptor ligands, supporting the hypothesis that 5-HT plays a role in opiate addiction (Cervo et al., 1983; Carboni et al., 1989; Harris and Aston-Jones, 2001).

Opioids modulate 5-HT release by several mechanisms. Morphine does not stimulate 5-HT neuronal discharge (Haigler, 1978). Instead, µ-opioids may increase 5-HT release by inhibiting GABAergic afferents to the DRN (Jolas and Aghajanian, 1997). Consistent with this hypothesis, pharmacological manipulation of GABA transmission attenuated increases in 5-HT efflux produced by morphine (Tao and Auerbach, 1994). The influence of excitatory afferents is inhibited by GABAergic afferents in the DRN (Tao and Auerbach, 2000). Thus, inhibition of GABA release by morphine may facilitate excitatory transmission as well as disinhibit 5-HT neurons. Opioids also directly inhibit some 5-HT neurons in the DRN and inhibit glutamatergic afferents to 5-HT neurons in the DRN (Jolas and Aghajanian, 1997). In summary, the net effect of systemic administration of morphine may be determined by at least four sites of action. Inhibition of GABA and disinhibition of excitatory afferents would tend to increase 5-HT efflux. Conversely, direct inhibition of 5-HT neurons and excitatory afferents by morphine would tend to decrease 5-HT efflux.

In this study, we used microdialysis to characterize the effects of systemic morphine on 5-HT in the central nervous system of unanesthetized rats. The first aim was to test the hypothesis that opioid receptors in the DRN and not in the forebrain mediate effects of systemic morphine on 5-HT efflux in the NAcc. The second aim was to examine the role of GABA in mediating morphine-induced increases in 5-HT efflux. Thus, some acute effects of opioids were ascribed to reductions in GABA-mediated inhibition of 5-HT neurons (Tao and Auerbach, 1994; Jolas and Aghajanian, 1997; Sutton et al., 1997). Finally, we examined the role of glutamate in mediating responses to systemic morphine. These experiments tested the hypothesis that morphine, by inhibiting GABA transmission, might enhance the influence of excitatory afferents in the DRN. This is important in view of evidence that behavioral sensitization to morphine and the abstinence syndrome involve changes in glutamatergic transmission (Trujillo and Akil, 1991; Vanderschuren and Kalivas, 2000).

    Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Animals. Male Sprague-Dawley rats (Harlan, Indianapolis, IN) were individually housed with food and water available ad libitum. The animals were kept on a reversed light/dark cycle (lights off, 9:30 AM-9:30 PM), and all experiments were performed during the lights-off period. All animal use procedures were in strict accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the Rutgers University Institutional Review Board. Rats weighing 300 to 350 g were anesthetized with a combination of xylazine (4 mg/kg i.p.) and ketamine (80 mg/kg i.p.), and guide cannulae (21-gauge stainless steel tubing) were implanted as described previously in detail using standard techniques for stereotaxic surgery. The coordinates for guide cannulae in the DRN were AP 1.2 relative to interaural zero, ML 4.0, and DV 1.0 below the skull surface at a 32° angle lateral to midline; and in the NAcc, AP 10.7, ML 1.4, and DV 1.0 below the skull surface (Paxinos and Watson, 1986). After implantation, the guide cannulae were plugged with obturators, and the animals were allowed a recovery period of at least 1 week.

Microdialysis. Microdialysis was performed with an I-shaped probe constructed from 26-gauge stainless steel tubing and glass silica. The dialysis tubing was hollow nitrocellulose fiber (200 µm i.d.; 13,000-mol.wt. cutoff; Spectrum Medical Industries, Los Angeles, CA). The length of the exchange surface of dialysis membrane was adjusted to 1.0 mm for the DRN and 2.5 mm for the NAcc.

The evening before an experiment, rats were briefly anesthetized with ether, and aseptic dialysis probes were inserted through the guide cannulae. The target coordinates for the tip of the probe were as follows: in the DRN, AP 1.2 mm, ML 0.6 mm, and DV 5.5-6.4 mm; and in the NAcc, AP 10.7 mm, ML 1.4 mm, and DV 6.0-8.5 mm. Rats were then placed in the test chamber and attached to a fluid swivel that allowed animals to move freely. Food and water were available ad libitum. The dialysis probes were perfused overnight with a modified buffered Ringer's solution (140 mM NaCl, 3.0 mM KCl, 1.5 mM CaCl2, 1.0 mM MgCl2, 0.27 mM NaH2PO4, 1.2 mM Na2HPO4, and 1 µM citalopram, pH 7.4). This Ringer's solution (artificial cerebrospinal fluid; aCSF) was pumped at a rate of 1.0 µl/min. Sample collection began at the beginning of the lights-off period under dim red light conditions.

Samples were collected every 30 min and analyzed by high-performance liquid chromatography with electrochemical detection. Separation of 5-HT was achieved on a column (10 cm × 3.2 mm) with ODS 3-µm packing (BAS, Inc., West Lafayette, IN). The mobile phase composition was 0.12 M NaOH, 0.18 mM EDTA, 0.15 M monochloroacetic acid, 1.0 mM sodium octane sulfonic acid, and 56 ml/l acetonitrile, pH 3.4, and was pumped at a rate of 0.90 ml/min. Levels of 5-HT in the aCSF were measured using a dual potentiostat electrochemical detector (EG&G PARC, Oak Ridge, TN) and dual glassy carbon electrodes (BAS Inc.) in the parallel configuration. Applied potentials, relative to a Ag/AgCl electrode were set at approximately maximal and half-maximal for oxidation of 5-HT. These values were checked frequently and were usually about 590 and 530 mV. The detection limit for 5-HT was approximately 0.3 pg/sample based on a signal-to-noise ratio of 3:1.

Experimental Design and Data Analysis. To study the interactions among GABA, glutamate, and opioids in regulating extracellular levels of 5-HT, receptor agonists and antagonists were added to the aCSF and locally infused into the DRN and NAcc by reverse microdialysis. Infusion of receptor ligands started 3 h before systemic administration of morphine sulfate. Mean baseline 5-HT levels were calculated as the average of the four successive samples before systemic morphine administration and reported in Table 1 as picograms per sample, uncorrected for probe recovery. The data presented in figures are expressed as mean (± S.E.M.) percentage of change from the averaged baseline measurements. This normalizes for baseline variability and the effects of ligand infusion before systemic morphine injection. Thus, the figures illustrate the influence of GABA and glutamate receptor ligands on the effect of morphine. Significance (P < 0.05) was determined using repeated measures ANOVA followed by Scheffè's post hoc test except for the data shown in Table 1, which were analyzed using factorial ANOVA followed by Fisher's protected least significant difference test.


                              
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TABLE 1
Extracellular 5-HT levels in the DRN and NAcc in response to pretreatment with opioidergic, GABAergic, and glutamatergic receptor ligands

Materials. Morphine sulfate (National Institutes of Health) was dissolved in physiological saline (0.9% NaCl) and administered systemically. Doses of morphine refer to the salt form. Other drugs were dissolved in the aCSF for reverse dialysis infusion into the DRN or NAcc. Bicuculline methiodide, (±)-2-amino-5-phosphonopentanoic acid (AP-5), 6,7-dinitro-quinoxaline-2,3-dione (DNQX), and phaclofen were purchased from Sigma/RBI (Natick, MA). Naltrexone hydrochloride, kynurenic acid, and (±)-baclofen were purchased from Sigma-Aldrich (St. Louis, MO).

    Results
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Effect of Morphine on 5-HT. Subcutaneous injection of morphine produced a dose-dependent increase in extracellular 5-HT in the DRN. As shown in Fig. 1A, morphine sulfate at a dose of 5 mg/kg (equivalent to 4.2 mg/kg free base) elicited a small but significant increase in extracellular 5-HT in the DRN. In response to 10 mg/kg morphine sulfate (8.5 mg/kg free base), 5-HT increased to a maximum of ~60% above baseline. At 20 mg/kg (17.1 mg/kg free base), morphine sulfate produced a sustained ~100% increase in 5-HT in the DRN. Systemic administration of the opioid receptor antagonist naltrexone (10 mg/kg s.c.) 30 min before morphine sulfate (20 mg/kg s.c.) completely blocked the increase in extracellular 5-HT in the DRN (Fig. 1B).


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Fig. 1.   Effect of morphine sulfate on extracellular 5-HT in the DRN. Mean baseline level of 5-HT was 6.8 ± 1.0 pg/sample (n = 30). The arrows indicate the injection of morphine sulfate (20 mg/kg s.c.) and naltrexone (10 mg/kg s.c.). A, morphine induced a dose-dependent increase in extracellular 5-HT in the DRN: F(3,19) = 9.36, P < 0.0005. All three doses induced significant increases compared with the vehicle control [5 mg/kg, F(1,10) = 10.09, P < 0.01; 10 mg/kg, F(1,10) = 47.56, P < 0.0001; and 20 mg/kg, F(1,9) = 14.34, P < 0.01]. Asterisks indicating significant differences were omitted from graph for the sake of clarity. B, systemic naltrexone (10 mg/kg s.c.) blocked the effect of morphine on extracellular 5-HT in the DRN: F(1,10) = 18.01, P < 0.01. Data for the effect of morphine sulfate (20 mg/kg s.c.) alone are replotted from Fig. 1A and are shown without error bars. star , P < 0.05, ANOVA followed by Scheffé's post hoc test for the comparison to morphine alone.

To investigate the location of the opioid receptors involved in the effect of morphine on 5-HT, naltrexone was infused by reverse dialysis into the DRN. Naltrexone alone had no significant effect on baseline levels of 5-HT in the DRN (Table 1). However, the effect of systemic administration of morphine sulfate (20 mg/kg s.c.) on extracellular 5-HT in the DRN was significantly attenuated by local infusion of naltrexone at concentrations of 300 and 1000 µM in the aCSF (Fig. 2A).


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Fig. 2.   Effect of naltrexone infusion into the DRN on systemic morphine-induced increases in extracellular 5-HT. The horizontal bar indicates the infusion of naltrexone, and the arrow indicates the injection of morphine sulfate (20 mg/kg s.c.). A, infusion of naltrexone (100 µM in the aCSF) into the DRN did not attenuate the effect of morphine: F(1,9) = 0.31, P = 0.59. The effect of morphine on extracellular 5-HT in the DRN was significantly attenuated at higher concentrations of naltrexone: 300 µM, F(1,14) = 11.32, P < 0.005; and 1000 µM, F(1,8) = 9.87, P < 0.05. *, P < 0.05, ANOVA followed by Scheffé's post hoc test for the comparison to morphine alone. B, infusing naltrexone (300 µM) into the NAcc did not alter the effect of systemic morphine on extracellular 5-HT in the NAcc: F(1,12) = 0.027, P = 0.87.

Systemic administration of morphine sulfate (20 mg/kg s.c.) also increased 5-HT in the NAcc (Fig. 2B). Previous results provide evidence that morphine acts in the DRN to increase 5-HT efflux in forebrain projection sites such as the NAcc (Tao and Auerbach, 1995). Nevertheless, it is possible that morphine might act additionally at the site of nerve endings in the NAcc to modulate 5-HT release. If this hypothesis is correct, local infusion of naltrexone into the NAcc should alter the effect of systemic morphine. However, as shown in Fig. 2B, infusion of naltrexone (300 µM) into the NAcc failed to block the effect of morphine sulfate (20 mg/kg s.c.) on 5-HT in the NAcc.

Effect of GABA Receptor Ligands on Morphine-Induced Increases in 5-HT. Morphine does not directly stimulate 5-HT neurons. Instead, opioids may inhibit GABAergic afferents and thus have a disinhibitory influence on 5-HT neurons (Tao and Auerbach, 1994; Jolas and Aghajanian, 1997). One prediction of this hypothesis is that administration of an exogenous GABA receptor agonist should block morphine-induced increases in 5-HT efflux by offsetting the effect of decreased release of endogenous GABA. To test this prediction, the GABAA receptor agonist muscimol was infused into the DRN or the NAcc by reverse microdialysis. Infusion of muscimol (30 µM) had no significant effect on baseline levels of 5-HT in the DRN or the NAcc (Table 1). However, muscimol in the DRN but not in the NAcc blocked the effect of morphine sulfate (20 mg/kg s.c.) on 5-HT efflux (Fig. 3A).


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Fig. 3.   Effect of the GABAA receptor agonist muscimol on morphine-induced increases in extracellular 5-HT in the DRN and the NAcc. The horizontal bar indicates the infusion of muscimol (30 µM) or baclofen (100 µM), and the arrow indicates the injection of morphine sulfate (20 mg/kg s.c.). A, muscimol infusion into the DRN blocked the effect of morphine on extracellular 5-HT in the DRN [F(1,9) = 12.24, P < 0.01]. In contrast, muscimol in the NAcc did not block the effect of systemic morphine on extracellular 5-HT in the NAcc [F(1,11) = 1.55, P = 0.24]. B, (±)-baclofen infusion into the DRN significantly attenuated the effect of morphine on extracellular 5-HT in the DRN: F(1,10) = 6.98, P < 0.05. Data for the effect of morphine alone are replotted from Fig. 2A and are shown without error bars. star , P < 0.05, ANOVA followed by Scheffé's post hoc test for the comparison with morphine alone.

Activation of either GABAA or GABAB receptors in the DRN inhibits the discharge of 5-HT neurons (Innis and Aghajanian, 1987). Thus, GABAB receptor agonists might similarly interfere with the effects of morphine on 5-HT. To test this hypothesis, (±)-baclofen (100 µM) was infused into the DRN. At this concentration, (±)-baclofen had no significant effect on baseline levels of 5-HT (Table 1) but significantly attenuated the effect of morphine sulfate (20 mg/kg s.c.) on 5-HT efflux (Fig. 3B).

Infusion of a GABAA receptor antagonist, bicuculline (100 µM), into the DRN produced a significant 3-fold increase in baseline levels of extracellular 5-HT (Fig. 4A; Table 1). This results from blockade of tonic GABA-mediated inhibition of 5-HT efflux (Tao et al., 1996). Thus, if morphine increases 5-HT efflux by inhibiting GABA release, pretreatment with bicuculline should attenuate this effect because 5-HT neurons would already be disinhibited. Consistent with this prediction, local infusion of bicuculline into the DRN blocked the effect of morphine sulfate (20 mg/kg s.c.) on 5-HT efflux in the DRN (Fig. 4B). In contrast, infusion of bicuculline into the NAcc had no significant effect on baseline levels of 5-HT in the NAcc (Table 1) and did not attenuate morphine-induced increases in 5-HT efflux in the NAcc (Fig. 4C).


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Fig. 4.   Effect of infusing the GABAA receptor antagonist bicuculline into the DRN or NAcc on morphine-induced increases in extracellular 5-HT. The horizontal bars indicate the infusion of bicuculline (100 µM), and arrows indicate the injection of morphine sulfate (20 mg/kg s.c.). A, bicuculline infusion into the DRN significantly elevated baseline levels of extracellular 5-HT in the DRN. B, changes in 5-HT are plotted as a percentage of normalized baseline levels to clearly illustrate the influence of bicuculline on the effect of morphine. Infusion of bicuculline into the DRN blocked the effect of morphine on 5-HT in the DRN: F(1,9) = 14.58, P = 0.01. Data for the effect of morphine alone are replotted from Fig. 2A and are shown without error bars. star , P < 0.05, ANOVA followed by Scheffé's post hoc test for the comparison with morphine alone. C, bicuculline infusion into the NAcc did not alter the effect of systemic morphine on 5-HT in the NAcc: F(1,15) = 0.32, P = 0.58. Data for the effect of morphine alone are replotted from Fig. 2B and are shown without error bars.

Phaclofen (100 µM), a selective GABAB receptor antagonist, was infused into the DRN. At this concentration, phaclofen blocked the effect of GABAB agonists in the DRN (Tao et al., 1996) but did not significantly influence baseline levels of 5-HT in the DRN (Table 1) or block the effect of systemic morphine sulfate (Fig. 5A). Similarly, phaclofen in the NAcc had no influence on either baseline levels of 5-HT (Table 1) or morphine-induced increases in 5-HT efflux in the NAcc (Fig. 5B).


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Fig. 5.   Effect of the GABAB receptor antagonist phaclofen on morphine-induced increases in extracellular 5-HT. The horizontal bars indicate the infusion of phaclofen (100 µM) and arrows indicate the injection of morphine sulfate (20 mg/kg s.c.). A, phaclofen infusion into the DRN did not alter the effect of morphine on 5-HT in the DRN [F(1,8) = 0.0004, P = 0.98]. Data for the effect of morphine alone are replotted from Fig. 2A and are shown without error bars. B, phaclofen infusion into the NAcc did not alter the effect of morphine on 5-HT in the NAcc: F(1,12) = 0.34, P = 0.86. Data for the effect of morphine alone are replotted from Fig. 2B and are shown without error bars.

Influence of Ionotropic Glutamate Receptors on Morphine-Induced Increases in 5-HT. Glutamatergic neurons have a weak tonic excitatory influence on 5-HT neurons in the DRN (Tao and Auerbach, 2000) and may also be involved in the effects of opioids on 5-HT (Jolas and Aghajanian, 1997). To test this, ionotropic glutamate receptor antagonists were infused into the DRN before systemic administration of morphine sulfate (20 mg/kg s.c.). Infusion of kynurenic acid (1 mM), a nonselective ionotropic glutamate receptor antagonist, or the combination of AP-5 (1000 µM) + DNQX (300 µM), to block N-methyl-D-aspartate and alpha -amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid/kainate receptors, decreased 5-HT in the DRN to ~50% of control levels. As shown in Table 1, this change was statistically significant for kynurenate (P < 0.05), but because of variability in absolute levels of 5-HT in baseline samples was not quite significant for AP-5 + DNQX (P < 0.06). However, combined infusion of AP-5 and DNQX into the DRN significantly attenuated the effect of morphine on 5-HT (Fig. 6A). Similarly, kynurenic acid in the DRN significantly attenuated the effect of morphine on 5-HT (Fig. 6B).


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Fig. 6.   Effect of glutamate receptor antagonists on morphine-induced increases in extracellular 5-HT in the DRN. The horizontal bars indicate the infusion of glutamate receptor antagonists, and arrows indicate the injection of morphine sulfate (20 mg/kg s.c.). A, combined infusion of AP-5 with DNQX into the DRN significantly attenuated the effect of morphine on 5-HT in the DRN: F(1,10) = 8.83, P < 0.05. Data for the effect of morphine alone are replotted from Fig. 2A and are shown without error bars. B, kynurenic acid infusion into the DRN attenuated the effect of morphine on 5-HT in the DRN: F(1,8) = 5.65, P < 0.05. Data for the effect of morphine alone are replotted from Fig. 2A and are shown without error bars. star , P < 0.05, ANOVA followed by Scheffé's post hoc test for the comparison to morphine alone.

    Discussion
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

These results demonstrate that extracellular 5-HT in the DRN and NAcc increases in response to systemic administration of morphine. This confirms reports that opioids increase 5-HT turnover and efflux in the DRN and forebrain regions innervated by the DRN (Snelgar and Vogt, 1981; Spampinato et al., 1985; Grauer et al., 1992; Tao and Auerbach, 1995). Increased 5-HT efflux was mediated at least in part by opioid receptors on GABAergic neurons in the DRN. Consistent with other studies (Tao and Auerbach, 1994; Jolas and Aghajanian, 1997), the results indicate that morphine inhibits GABAergic afferents and thus disinhibits 5-HT neurons. A major new finding is that an enhanced influence of excitatory afferents also contributes to increased 5-HT efflux in response to systemic morphine.

In contrast to systemic administration, local infusion of naltrexone into the DRN did not fully block increased 5-HT in response to systemic morphine. The interstitial concentration of substances administered by reverse dialysis drops steeply and approaches zero at a distance of ~1 mm from the probe (Dykstra et al., 1992). Thus, the residual increase in 5-HT in response to systemic morphine could be explained by binding to opioid receptors outside the area perfused with naltrexone during local infusion of the antagonist. Opioids might act also in forebrain sites to modulate 5-HT release. However, in contradiction of this possibility, infusing naltrexone into the NAcc did not block 5-HT efflux induced by morphine. This supports the conclusion that the effect of systemic morphine on 5-HT efflux in the forebrain is mediated in the DRN and nearby periaqueductal gray.

Role of GABAergic Neurons. Opioids do not stimulate 5-HT neuronal discharge (Haigler, 1978) and have direct inhibitory effects on the excitability of some 5-HT neurons in the DRN (Jolas and Aghajanian, 1997). Instead, because µ-opioids reduce GABA-mediated postsynaptic currents in 5-HT neurons (Jolas and Aghajanian, 1997), morphine might increase 5-HT efflux by inhibiting GABAergic afferents. Consistent with this hypothesis, our results show that the effect of morphine was attenuated during infusion into the DRN of a GABAA receptor agonist, muscimol; a GABAA receptor antagonist, bicuculline; or a GABAB receptor agonist, baclofen. Similarly, pentobarbital, which binds with high affinity to GABAA receptors, prevented the effects of morphine on 5-HT metabolism and efflux in the central nervous system (Rivot et al., 1988; Tao and Auerbach, 1994). In contrast, infusion of muscimol and baclofen into the NAcc did not block the effect of morphine. Thus, our results confirm and extend previous evidence that opioids act in the area of the DRN to increase 5-HT release by a disinhibitory mechanism.

GABAergic afferents synapse with and have a strong influence on the activity of 5-HT neurons in the DRN (Wang et al., 1992; Gervasoni et al., 2000). Infusion of the GABAA agonist muscimol, at concentrations higher than used in the present study, greatly reduced 5-HT efflux (Tao et al., 1996). Conversely, when GABAA antagonists are infused, we observed large increases in extracellular 5-HT, indicating that GABA tonically inhibits 5-HT transmission via GABAA receptors under our experimental conditions. Stimulation of GABAB receptors inhibits 5-HT neurons (Innis and Aghajanian, 1987), but GABAB receptors also serve as autoreceptors for GABAergic neurons (Waldmeier et al., 1988). Using (±)-baclofen, we saw only a small, nonsignificant decrease in baseline 5-HT and suggested that this represented a balance between direct inhibition of 5-HT neuronal activity and the disinhibitory influence of blocking GABA release (Tao et al., 1996). In contrast, Abellan et al. (2000) observed an increase in extracellular 5-HT in response to (+)-baclofen, indicating that the predominant effect of the active enantiomer is autoreceptor-mediated reduction of GABA release and thus disinhibition of 5-HT neurons in the DRN. However, in contrast to bicuculline, the GABAB antagonist phaclofen had no significant influence on baseline levels. This suggests that GABAB receptors do not have a net tonic influence on 5-HT efflux in the DRN under our baseline experimental conditions.

Muscimol, bicuculline, and (±)-baclofen all attenuated the effect of morphine, presumably by different mechanisms. We suggest that the GABA agonist muscimol restrains the increase in 5-HT efflux that otherwise results from morphine-induced decreases in release of endogenous GABA. At the relatively low concentration that we used, muscimol did not significantly reduce baseline levels of 5-HT in the DRN. This suggests that muscimol did not block the effect of morphine simply as a consequence of supramaximal inhibition of 5-HT neuronal excitability. Conversely, bicuculline infusion into the DRN presumably blocked GABAA receptors, and thus 5-HT neurons were already disinhibited before morphine administration. Bicuculline produced a very large increase in baseline levels in the DRN, and the inability of morphine to elicit a further increase in 5-HT might thus represent a "ceiling effect". Contrary to this possibility, forced treadmill running and bicuculline at the same concentration used in the present study had additive effects on 5-HT in the DRN (R. Tao and S. B. Auerbach, unpublished observations).

Because baclofen inhibits 5-HT neuronal discharge and activates autoreceptors to inhibit GABA release, both direct inhibition and disinhibition may have contributed to the attenuation of morphine-induced 5-HT efflux that we observed. In contrast, the GABAB receptor antagonist phaclofen did not attenuate morphine-induced increases in 5-HT. This suggests that opiate effects are not mediated by endogenous GABA acting at GABAB receptors in the DRN. Nevertheless, it is interesting to note that, in combination with clonidine and sedatives, baclofen has been used as a centrally acting muscle relaxant to assist in opiate detoxification (Gerra et al., 2000). It is conceivable that effects of baclofen on 5-HT release might play a role in the clinical efficacy of this treatment for withdrawal symptoms after long-term administration of opiates.

Role of Glutamatergic Neurons. The main novel finding of this article is that infusion of glutamate receptor antagonists into the DRN significantly attenuated the effect of morphine. Kynurenic acid, a nonselective glutamate receptor antagonist, and combined infusion of the N-methyl-D-aspartate antagonist AP-5 with the alpha -amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid/kainate antagonist DNQX were equally effective. These results suggest that glutamate-mediated simulation of 5-HT neurons increased in response to morphine, perhaps as a consequence of decreased GABAergic transmission, and thus disinhibition of excitatory afferents. Consistent with this hypothesis, GABA tonically restrains the stimulatory influence of glutamate on 5-HT efflux (Tao and Auerbach, 2000). However, it is important to note that µ-opioids also directly inhibit glutamatergic afferents to 5-HT neurons in the DRN (Jolas and Aghajanian, 1997). Thus, opioids may have competing effects on glutamatergic neurons: an indirect disinhibitory influence offset by direct inhibition. The apparent balance between these two effects is a net increase in excitatory input to 5-HT neurons under our experimental conditions. Based on single unit recording of 5-HT neurons in the cat DRN, ionotropic glutamate receptors do not mediate large increases in discharge rate but instead may be involved in synchronization of activity in response to phasic sensory stimuli (Levine and Jacobs, 1992). Thus, we suggest that opioid-induced disinhibition of glutamatergic as well as GABAergic inputs contribute to increased 5-HT efflux without stimulation of 5-HT neuronal discharge. The glutamatergic cell bodies responsive to µ-opioids are located outside of the DRN (Jolas and Aghajanian, 1997). Hence, the attenuation of morphine's effect by glutamate receptor blockers might involve axo-axonic connections of GABAergic neurons with glutamatergic terminals in the DRN. Alternatively, the interaction might be mediated postsynaptically with morphine-induced inhibition of GABA release facilitating excitatory afferent influences on 5-HT neurons.

Some behavioral effects of opioids depend on glutamatergic synaptic transmission. For example, glutamate receptor antagonists attenuated the development of behavioral sensitization and tolerance to repeated administration of opioids (Trujillo and Akil, 1991; Jeziorski et al., 1994). Synaptic plasticity mediated by N-methyl-D-aspartate receptors could be involved in adaptations to prolonged administration of morphine. Consistent with this suggestion, endogenous opioids, acting via µ-receptors to inhibit GABA release, enhanced long-term potentiation in the dentate gyrus (Bramham and Sarvey, 1996). Our data provide novel evidence that disinhibition of glutamatergic transmission contributes to morphine-induced increases in 5-HT efflux and support the possibility that plasticity in the strength of afferent inputs to 5-HT neurons could be involved in some consequences of long-term administration of opioids (Tao et al., 1998; Jolas et al., 2000).

In summary, morphine in the DRN increases 5-HT efflux in forebrain projections sites such as the NAcc. Morphine acts by inhibiting GABAergic afferents, and a novel finding of this study is that glutamatergic inputs also contribute to increased 5-HT efflux. The effect of morphine on 5-HT is relatively small compared with the ~3-fold increase produced by GABAA receptor antagonists. This could be explained by the direct inhibitory influence of opioids on glutamatergic and 5-HT neurons in the DRN (Jolas and Aghajanian, 1997). Thus, the response to morphine may represent a balance between direct inhibitory and indirect disinhibitory effects on 5-HT neurons. Because self-administration of opioids is influenced by 5-HT (Harris and Aston-Jones, 2001), understanding the neural circuitry that regulates 5-HT release could help in developing new treatments for opioid addiction.

    Acknowledgments

We thank Zhiyuan Ma for excellent technical assistance.

    Footnotes

Accepted for publication July 8, 2002.

Received for publication April 30, 2002.

1 Current address: Department of Psychiatry, Harvard/VA Medical Center, 940 Belmont St., Brockton, MA 02301.

This research was supported by National Institutes of Health Grants MH51080 (to S.B.A.) and DA14541 (to R.T.).

DOI: 10.1124/jpet.102.038133

Address correspondence to: Dr. Rui Tao, Research 151-C Harvard/VA Medical Center, 940 Belmont St., Brockton, MA 02301. E-mail: rtao{at}hms.harvard.edu

    Abbreviations

DRN, dorsal raphe nucleus; 5-HT, 5-hydroxytryptamine, serotonin; NAcc, nucleus accumbens; aCSF, artificial cerebrospinal fluid; ANOVA, analysis of variance; AP-5, (±)-2-amino-5-phosphonopentanoic acid; DNQX, 6,7-dinitro-quinoxaline-2,3-dione; AP, anteroposterior; ML, mediolateral; DV, dorsoventral.

    References
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