Abstract
The involvement of dynorphin on Δ-9-tetrahydrocannabinol (THC) and morphine responses has been investigated by using mice with a targeted inactivation of the prodynorphin (Pdyn) gene. Dynorphin-deficient mice show specific changes in the behavioral effects of THC, including a reduction of spinal THC analgesia and the absence of THC-induced conditioned place aversion. In contrast, acute and chronic opioid effects were normal. The lack of negative motivational effects of THC in the absence of dynorphin demonstrates that this endogenous opioid peptide mediates the dysphoric effects of marijuana.
Pharmacological and genetic evidence suggest important functional interactions between the endogenous brain cannabinoid and opioid systems (Hine et al., 1975; Vela et al., 1995;Pugh et al., 1997; Tanda et al., 1997; Ledent et al., 1999; Manzanares et al., 1999; Valverde et al., 2000, 2001). Most of the behavioral effects of endogenous cannabinoids (arachidonoyletanolamide, 2-arachidonoylglycerol, and 2-arachidonylglycerol) and Δ-9-tetrahydrocannabinol (THC) are mediated by cannabinoid CB1 receptors (Ledent et al., 1999; Zimmer et al., 1999), whereas opioids (endorphin, enkephalins, and dynorphins) act on μ, δ, and κ receptors (Kieffer, 1999). Cannabinoids and opioids produce similar behavioral and physiological effects, such as antinociception, hypothermia, and reduced locomotor activity (Manzanares et al., 1999). Both systems seem to be functionally coupled in drug reward and addiction, because opioid withdrawal symptoms were alleviated by cannabinoids (Hine et al., 1975; Lichtman et al., 2001;Yamaguchi et al., 2001) and they were significantly reduced in CB1 receptor knock-out mice (Ledent et al., 1999; Lichtman et al., 2001). CB1 receptor antagonists blocked heroin self-administration and morphine-induced place preference (Mas-Nieto et al., 2001; Navarro et al., 2001). Morphine-induced place preference was also abolished in CB1 receptor knock-outs (Martin et al., 2000). Conversely, THC withdrawal symptoms were significantly reduced in enkephalin-deficient animals (Valverde et al., 2000). The expression of opioid and cannabinoid receptors overlaps in many brain areas, including structures of the reward circuitry (Herkenham, 1992; Matsuda et al., 1993; Delfs et al., 1994; Mansour et al., 1995a,b). Although colocalization studies with cellular resolution have not been performed yet, it has been suggested that both receptor types may interact at the level of signal transduction (Manzanares et al., 1999).
Of particular interest is the potential role of cannabis as a gateway drug, which has been investigated primarily with epidemiological methods (Watson et al., 2000). Although most recreational users of cannabis experience a state of euphoria (high), some people also report dysphoria and anxiety after cannabis use (Gregg et al., 1976; Thomas, 1993; Grinspoon and Bakalar, 1997; Williamson and Evans, 2000). Both aspects can be revealed in rodents in which conditioned place aversion or place preference can be induced through different experimental protocols (Sanudo-Pena et al., 1997; Cheer et al., 2000; Valjent and Maldonado, 2000). Compounds that activate the μ- or δ-opioid receptors generally have positive motivational effects, whereas κ-opioid receptor agonists induce aversive effects (Shippenberg et al., 1987; Bals-Kubik et al., 1993). These opposing pharmacological responses may reflect an opposite modulation of the reward circuits by the different opioid receptors and could suggest that activation of κ receptors would counteract opioid rewarding effects. Opioids and cannabinoids both produce their motivational effects through the stimulation of the mesolimbic dopaminergic system (Koob, 1992;Manzanares et al., 1999). The neuronal mechanisms for the aversive effects of THC have not been ascertained yet. The elucidation of these mechanisms is crucial for a better understanding of the processes involved in the initiation of cannabinoid abuse. THC, but not the endogenous cannabinoid anandamide, stimulates the release of the endogenous κ agonist dynorphin, which may contribute to the antinociceptive effects of THC (Welch and Eads, 1999; Houser et al., 2000). To determine whether dynorphin is also involved in the regulation of motivational effects of THC and morphine, we investigated whether the genetic deletion of dynorphin influences several acute and chronic responses of these two drugs.
MATERIALS AND METHODS
Mice. A gene targeting vector was constructed in a pPNT-M1-lox vector using a 7 kb SmaI-XbaI fragment from a prodynophin genomic BAC clone (Research Genetics) containing exons 1 and 2 and a PCR-amplified 1.2 kb fragment from a genomic 129/SV lambda GEM 11 clone containing the 3′ end of exon 4. This targeting construct was electroporated into MPIII embryonic stem (ES) cells (a gift from A. Voss and P. Gruss, Max-Planck-Institute for Biophysical Chemistry, Göttingen, Germany). Five ES cell clones with the expected homologous recombination event were isolated and injected into C57BL/6J mouse blastocysts. The resulting chimeras were bred to C57BL/6J mice. Heterozygous offspring were intercrossed to obtain homozygous mutants. Mice used in behavioral studies were between 10 and 16 weeks old. Animals were housed in groups of four to five animals per cage. The light cycle was 8:00 A.M. lights on and 8:00 P.M. lights off. Food and water was provided ad libitum. Both sexes were equally represented. All animal procedures met the guidelines of the National Institutes of Health detailed in theGuide for the Care and Use of Laboratory Animals and the European Communities directive 86/609/EEC regulating animal research and were approved by the Local Ethical Committees.
Radioimmunoassay. Mouse brains (five for each genotype) were homogenized in 3 ml of 2N acetic acid at 4°C and clarified at 15,000 × g for 30 min at 4°C. Duplicate aliquots of 10, 50, and 100 μl were dried under vacuum in polystyrene tubes (Falcon 35 2052), resuspended in 100 μl of RIA (Peninsula Laboratories, San Carlos, CA) buffer, and assayed following the protocol for the RIK 8730 Dynorphin A (Porcine) Radioimmunoassay kit from Peninsula Laboratories. The range for the standard curve for this kit was between 0.1 and 64 pg.
Drugs. Morphine-HCl, naloxone-HCl, U50,488H, nor-binaltorphimine (NBI), and THC were provided by Sigma (St. Louis, MO). THC was diluted to a working solution in 10% ethanol–10% cremophor EL–80% distilled water. Morphine, naloxone, NBI, and U50,488H were dissolved in 0.9% saline. SR141716A was generously provided by Sanofi Recherche (Libourne, France) and was dissolved in 10% ethanol–10% cremophor EL–80% distilled water. The volume of injection was 1 ml/100 gm for morphine, naloxone, U50,488H, NBI, and THC and 1 ml/50 gm for SR141716A.
Nociceptive tests. Basal nociceptive thresholds were measured using the tail-immersion and the hot-plate tests. In the tail-immersion test, mice were maintained in a cylinder, and their tail was immersed in water at 48, 50, and 52°C. Latency to tail withdrawal was measured with a cutoff period of 15 sec to avoid tissue damage. In the hot-plate test, the mice were placed on a hot surface heated at 52°C, and the latency for paw licking and jumping was recorded. The cutoff periods for licking and jumping were 30 and 240 sec, respectively.
Acute drug effects. Locomotor activity responses induced by acute administration of morphine (5 mg/kg, s.c.), the κ-opioid receptor agonist U50,488H (7.5 mg/kg, s.c.), and THC (20 mg/kg, i.p.) were evaluated using locomotor activity cages (9 × 20 × 11 cm; Imetronic, Passac, France). The boxes were equipped with one line of photocells placed 2 cm above the floor to measure horizontal movements and another line 6 cm above the floor to measure vertical activity (rears). Mice were habituated to the locomotor cages twice daily (15 min in the morning and 15 min in the afternoon) on 2 consecutive days. On the third day, mice were placed in the locomotor cages 15 min after drug injection, and ambulatory activity and total locomotor activity (ambulatory movements plus small movements) were recorded for 10 min in a low luminosity environment (20–25 lux). Antinociceptive responses to acute treatment with morphine (2 and 5 mg/kg, s.c.), U50,488H (7.5 mg/kg, s.c.), and THC (20 mg/kg, i.p.) were measured 2 min after drug injection in both the tail-immersion (water temperature at 50°C) and the hot-plate tests. The effects of THC (20 mg/kg, i.p.) on rectal temperature were measured 20 min after drug injection by using an electronic thermocouple flexible probe (Panlab, Barcelona, Spain). The probe was placed 3 cm into the rectum of the mice for 30 sec before the temperature was recorded. Control mice were treated with vehicle under the same conditions in all of the experiments.
THC tolerance and withdrawal. Mice were injected intraperitoneally twice daily at 9:00 A.M. and 7:00 P.M. during 5 d with THC (20 mg/kg) or vehicle. On day 6, mice only received the morning injection. Three different responses were measured during the chronic THC treatment: body weight, rectal temperature, and antinociception. Body weights were recorded for each animal twice per day using an electronic balance [Mettler PM 4800 (sensitive to 0.01 gm); Mettler Toledo Inc., Columbus, OH], before all morning and evening injections. The changes in body weight were calculated by subtracting each weight value from the precedent value. Effects of THC on rectal temperature were measured on days 1 and 2, immediately before and 20 min after each injection. On days 3, 4, 5, and 6, rectal temperature was evaluated before and 20 min after the morning injection only. Antinociceptive responses were measured using the tail-immersion assay (50°C), just after rectal temperature measurement, 20 min after morning (everyday) and evening (days 1 and 2) injections. On the sixth day, 4 hr after the last THC or vehicle injections, mice were placed in a circular clear plastic observation area (30 cm diameter, 80 cm height) for a 15 min period of observation. SR141716A (10 mg/kg, i.p.) was administered, and mice were then replaced in the same area and observed for 45 min. Measurement of somatic signs before and after SR141716A challenge were divided in 5 min time intervals, as described previously (Hutcheson et al., 1998). The number of bouts of sniffing, writhing, wet-dog shake, and forepaw tremor were counted. Penile licking or erection, ataxia, hunched posture, tremor, ptosis, and piloerection were scored 1 for appearance and 0 for nonappearance within each 5 min time period. Scores for the level of activity were made by giving in each 5 min period a value: 0, low activity; 1, normal activity; or 2, increased activity. A quantitative value was calculated in each animal for the different checked signs by adding the scores obtained in each 5 min time period. A global withdrawal score, ranging from 0 to 100, was calculated for each animal by giving to each individual sign a relative weight, as described previously (Valverde et al., 2000): 0.9 point for the appearance of each checked sign in each 5 min time period and 0.4 point for each bout of counted sign.
Morphine withdrawal. Opiate dependence was induced by repeated intraperitoneal injections of morphine at an interval of 12 hr over 6 d (Valverde et al., 2000). The morphine dose was increased progressively as follows: first day, 20 mg/kg; second day, 40 mg/kg; third day, 60 mg/kg; fourth day, 80 mg/kg; fifth day, and 100 mg/kg; sixth day (only one injection in the morning), 100 mg/kg. Control mice were treated with saline under the same conditions. Withdrawal was precipitated by injecting naloxone (1 mg/kg, s.c.) 2 hr after the last morphine administration and was evaluated during 30 min as reported previously (Maldonado et al., 1996). The number of bouts of jumping, wet-dog shakes, forepaw tremor, and sniffing were counted. Body tremor, ptosis, diarrhea, teeth chattering, and piloerection were scored 1 for appearance or 0 for nonappearance within each 5 min time. A global withdrawal score was calculated for each animal by using a range of possible scores from 0 to 100, as described previously (Koob et al., 1992).
Place conditioning paradigm. An unbiased place conditioning procedure was used to evaluate the aversive properties of THC (Valjent and Maldonado, 2000) and the rewarding effects of morphine (Maldonado et al., 1997). The apparatus consisted of two main squared conditioning compartments (15 × 15 × 15 cm) separated by a triangular central division. The light intensity within the conditioning chambers was 20 ± 5 lux. The movement and location of the mice were monitored by computerized monitoring software (Videotrack; View Point, Lyon, France) with images relayed from a camera placed above the apparatus. During the preconditioning phase, drug naive mice were placed in the middle of the central division and had free access to both compartments of the conditioning apparatus for 20 min, with the time spent in each compartment being recorded. For morphine experiments, the conditioning phase consisted of three pairings with morphine (5 mg/kg, s.c.) and three pairings with saline for a 30 min conditioning time (Maldonado et al., 1997). For THC experiments, the conditioning phase consisted of five pairings with THC (5 mg/kg, i.p.) and five pairings with vehicle for a 45 min period (Valjent and Maldonado, 2000). Mice were injected with vehicle or drug and then immediately confined to the conditioning compartment. The drug-assigned compartment could be either the most or the least preferred. Treatments were counterbalanced as closely as possible between compartments. Control animals received vehicle every day. The test phase was conducted exactly as the preconditioning phase, i.e., free access to each compartment for 20 min. The time in the central area was proportionally shared and added to the time value of each conditioned compartment, as described previously (Maldonado et al., 1997). A place conditioning score was calculated for each animal as the difference between time spent in the drug-paired compartment during the test and preconditioning phases. Experiments with NBI (Sigma) were performed in CD1 mice (22–24 gm). Ninety minutes after pretreatment with NBI (0, 5, and 10 mg/kg, s.c.), mice were injected intraperitoneally with vehicle or THC (5 mg/kg, i.p.) and placed in the conditioning compartment. Six groups of mice were formed: saline–vehicle, 5 mg/kg NBI–vehicle, 10 mg/kg NBI–vehicle, saline–THC, 5 mg/kg NBI–THC, and 10 mg/kg NBI–THC.
Statistical analysis. At least 10 animals were used for each behavioral test. Acute effects and global withdrawal scores were compared by using two-way ANOVA (genotype and treatment) between subjects, followed by one-way ANOVA for individual differences. Values of tolerance studies were compared by using three-way ANOVA (genotype and treatment as between-group factors and day as within-group factor), followed by corresponding two-way and one-way ANOVA and post hoc comparisons when required. For place conditioning studies, score values were compared by using two-way ANOVA between subjects (genotype and treatment), followed by one-way ANOVA. Time spent in the drug-paired compartment during pretest in the different groups was compared by a one-way ANOVA to ensure use of an unbiased procedure. Individual comparisons of time spent in the drug-paired compartment during preconditioning and test phases were made with paired two-tailed Student's t test.
RESULTS
We inactivated the prodynorphin gene (Pdyn) by deleting exon 3 and part of exon 4 (Fig.1A,B). This genetic mutation deletes the translation initiation codon of the dynorphin gene to generate a null allele. Analysis of whole brain extracts by radioimmunoassays showed that, indeed, mice homozygous for the Pdyntm1zim mutation (henceforth referred to as Pdyn−/−) did not produce any dynorphin peptides (Fig. 1C).Pdyn−/− mice were obtained with the expected Mendelian frequency. They did not show any apparent developmental defects, were fertile, and raised their offspring.
Locomotor activity of dynorphin-deficient mice was evaluated in an open-field system. Horizontal and vertical movements were similar inPdyn+/+ andPdyn−/− mice, indicating that dynorphin is not essential for normal motor functions. As has been reported previously (Wang et al., 2001), we also did not find any differences between wild-type and dynorphin knock-out mice in tests for thermal pain sensitivity.
First, we evaluated the responses of dynorphin-deficient mice to opioids. Injection of the κ agonist U50,488H (7.5 mg/kg, i.p.) reduced locomotor activity in both genotypes (Fig.2A), whereas morphine (5 mg/kg, s.c.) induced a similar increase in horizontal locomotion inPdyn+/+ andPdyn−/− mice (Fig.2B) compared with saline injection. Thus, locomotor effects of opioids also appeared to be unchanged inPdyn−/− mice. Injection of U50,488H (7.5 mg/kg, i.p.) also produced similar analgesia inPdyn+/+ andPdyn−/− mice in the tail-immersion test (Fig. 2A). In addition, no significant differences between genotypes were observed in this nociceptive assay after intraperitoneal administration of morphine at the dose of 2 and 5 mg/kg (Fig. 2B). These data indicate that acute antinociceptive responses to opioid ligands are not substantially altered in dynorphin-deficient mice.
The involvement of endogenous dynorphin in the rewarding properties of morphine (5 mg/kg) was studied by using the conditioned place preference paradigm (Fig. 2B).Pdyn+/+ andPdyn−/− mice displayed a similar conditioned place preference, indicating that the neuronal mechanisms that mediate the rewarding effects of morphine are not influenced by the dynorphin deficiency. In contrast to κ receptor knock-out mice,Pdyn−/− andPdyn+/+ mice also showed no significant differences in morphine abstinence symptoms (Fig.2B), suggesting that dynorphin does not participate in the development and expression of morphine dependence.
Next, we evaluated the effects of the dynorphin deletion on acute responses induced by THC (20 mg/kg, i.p.). THC analgesia was similar in both genotypes in the hot-plate test, but the tail-immersion test revealed a significantly reduced analgesia inPdyn−/− animals (p < 0.05) (Fig.3A). In contrast to THC analgesia, THC-induced hypoactivity and reduction in body temperature were not affected by the dynorphin mutation (Fig. 3A).
Recurrent administration of THC reduced its antinociceptive and hypothermic effects (Hutcheson et al., 1998). BothPdyn−/− andPdyn+/+ mice developed a similar degree of tolerance over a period of 6 d of testing (Fig.3B). Somatic signs of withdrawal can be observed in chronically THC-treated animals after administration of the cannabinoid receptor antagonist SR141716A. These symptoms included wet-dog shakes, hunched posture, ptosis, tremor, piloerection, and mastication. Like opioid withdrawal, these behaviors are thought to be caused by adaptive neuronal changes that are revealed by antagonist-induced cessation of receptor activation (Hutcheson et al., 1998). When we injected SR141716A (10 mg/kg) at the end of the chronic THC treatment, we observed a tendency for reduced expression of somatic withdrawal symptoms in Pdyn−/− animals (global withdrawal score: Pdyn+/+, 68.5 ± 5.2; Pdyn−/−, 52.0 ± 4.2) that did not, however, reach significance (p = 0.059). On the whole, our results indicate that the dynorphin deficiency does not substantially influence adaptive neuronal changes after chronic THC treatment.
We next explored the motivational effects of THC inPdyn−/− mice in a place conditioning paradigm. THC has dysphoric properties in mice under most experimental conditions and produces a conditioned place aversion (Manzanares et al., 1999). Accordingly,Pdyn+/+ mice conditioned with a dose of 5 mg/kg THC spent significantly (p < 0.01) less time in the drug-paired compartment and obtained a lower place conditioning score (p < 0.01) (Fig.4). In contrast, dynorphin-deficient mice injected with THC spent the same amount of time in the drug-paired as in the saline-paired compartment and showed a neutral place conditioning score. Thus, THC-induced conditioned place aversion was completely suppressed in Pdyn−/−mice.
To further investigate the role of the dynorphin–κ-opioid receptor system in the expression of THC place aversion, mice were treated with the κ-specific antagonist NBI before the administration of THC in the place preference paradigm. As shown in Figure5, NBI treatment also completely eliminated the development of THC-induced conditioned place aversion (p < 0.05).
DISCUSSION
In this study, we generated mice with a targeted deletion of the prodynorphin gene and analyzed the effects of this mutation on opioid and cannabinoid drug responses. The antinociceptive effects of the κ-selective ligand U50,488H were unaltered. In addition, morphine antinociception, reward, and naloxone-precipitated morphine withdrawal were also unaffected by the dynorphin mutation. These findings were unexpected because the recent analysis of κ receptor knock-outs (Simonin et al., 1998) suggested an involvement of the κ-opioid system in the modulation of morphine dependence, because mice lacking the κ receptor displayed an attenuation of naloxone-precipitated morphine withdrawal. The decreased morphine abstinence in κ-deficient mice could be attributable to a direct activation of κ-opioid receptors, considering the high doses of morphine used in this study (Simonin et al., 1998) and the lack of selectivity of this compound. Altogether, our results show that most pharmacological effects of opioids are unchanged in dynorphin-deficient mice.
In contrast, THC analgesia, as determined in the tail-immersion test, was significantly reduced inPdyn−/− mice. This result strongly supports a role of dynorphin, or other opioid peptides generated by thePdyn gene, in THC analgesia. It is concordant with findings that have implicated the activation of μ-opioid and, preferentially, κ-opioid receptors in the antinociceptive mechanism of THC (Welch, 1993; Reche et al., 1996; Pugh et al., 1997; Welch and Eads, 1999). However, previous pharmacological studies of opioid–cannabinoid interactions in nociception were ambiguous. Although the κ receptor-selective antagonist norbinaltorphimine or dynorphin antisera could block the antinociceptive effects of intrathecally administered THC (Welch, 1993; Reche et al., 1996; Pugh et al., 1997; Mason et al., 1999), other studies using opioid antagonists did not support an involvement of opioid receptors in cannabinoid analgesia (Martin, 1985;Calignano et al., 1998; Meng et al., 1998). However, other mechanisms different from κ-opioid receptors could be also involved in the decrease of THC antinociception inPdyn−/− mice. Indeed, pharmacological studies indicate that dynorphin may act not only at the κ receptor but also on other receptors, including μ- and δ-opioid receptors (Zhang et al., 1998) and the NMDA receptor (Bakshi and Faden, 1990; Dumont and Lemaire, 1994; Shukla et al., 1997).
Most strikingly, dynorphin-deficient mice do not show any manifestation of THC-conditioned place avoidance. Furthermore, pretreatment of mice with NBI also completely abolished the development of THC place aversion in wild-type animals. Together, these results strongly indicate that the dynorphin–κ-opioid receptor system is crucial for the manifestation of cannabinoid aversive effects. A mechanism for the interaction between opioid and cannabinoid systems in motivational drug effects could involve the increased synthesis and release of opioid peptides in brain regions that regulate drug reward after THC treatment. This hypothesis is supported by studies demonstrating the release of dynorphin after THC administration at the level of the spinal cord (Mason et al., 1999; Houser et al., 2000) and the induction of opioid peptide gene expression in the spinal cord (Corchero et al., 1997b), hypothalamus (Kumar and Chen, 1983; Corchero et al., 1997a,1999), and periaqueductal gray (Manzanares et al., 1998). However, recent studies have shown that the aversive effects of the κ agonist U50,488H are also blunted in cannabinoid CB1receptor knock-out mice (Ledent et al., 1999), which indicates that dynorphin is not a simple downstream regulator of the aversive effects of THC. It rather appears that the cannabinoid– and dynorphin–κ-opioid systems act in concert in the modulation of negative motivational drug effects.
Our findings do not exclude the possibility that other systems, such as the corticotropin releasing factor (CRF), are involved in the modulation of THC dysphoric effects as well. CRF has been implicated in THC and stress responses (Weidenfeld et al., 1994; Rodriguez de Fonseca et al., 1996, 1997). CB1 receptors are expressed in CRF-containing neurons in the hypothalamus and limbic structures, including the medial prefrontal cortex, hippocampus, and amygdala (Herkenham et al., 1991). Long-term cannabinoid administration alters CRF function in the limbic system (Rodriguez de Fonseca et al., 1997).
The selectivity of the observed THC-motivational effects cannot be defined in the present study. Indeed, stimulation of κ-opioid receptors through endogenous dynorphins in response to other dysphoric–aversive stimuli has been reported (Staley et al., 1997;Hutchinson et al., 2000). Additional studies will be performed to determine whether the motivational responses of other aversive stimulus are also modified in prodynorphin knock-out mice.
In summary, our results demonstrate for the first time that the endogenous opioid peptides generated from the dynorphin gene are crucial for the negative motivational effects of THC and participate in the spinal analgesia induced by this compound. This is in agreement with the idea that the activation of cannabinoid receptors stimulates the production and release of endogenous opioid peptides. The disappearance of the dysphoric effects of THC after repeated exposure to the drug (Valjent and Maldonado, 2000) could be essential for the initiation of cannabinoid abuse. The present results clearly indicate that endogenous dynorphin controls this important cannabinoid motivational response.
Footnotes
This work was supported by European Commission BIOMED-2 Grant 98-2227 (R.M.), Fondo de Investigaciones Sanitaria Grant 99/0624 (R.M.), Dr. Esteve S. A. Laboratories (R.M.), Deutsche Forschungsgemeinschaft (Sonderforschungsbereich 400), and the Land Nordrhein-Westfalen (Innovationsprogramm Forschung) (A.Z.).
Correspondence should be addressed to Andreas Zimmer, Laboratory of Molecular Neurobiology, Clinic of Psychiatry, University of Bonn, Sigmund-Freud-Strasse 25, 53125 Bonn, Germany. E-mail:neuro{at}uni-bonn.de.
H. Hahn's present address: Institute of Human Genetics, University of Göttingen, Heinrich-Dücker-Weg 12, 37073 Göttingen, Germany.