Basic Research Division, Department of Anesthesiology, Washington University School of Medicine St. Louis, MO, USA ; Department of Anatomy and Neurobiology, Washington University School of Medicine St. Louis,MO, USA.
Front Pharmacol. 2013 Aug 6;4:96. doi: 10.3389/fphar.2013.00096. eCollection 2013.
Stress increases the risk of drug abuse, causes relapse to drug seeking, and potentiates the rewarding properties of both nicotine and cocaine. Understanding the mechanisms by which stress regulates the rewarding properties of drugs of abuse provides valuable insight into potential treatments for drug abuse. Prior reports have demonstrated that stress causes dynorphin release, activating kappa opioid receptors (KOR) in monoamine circuits resulting in both potentiation and reinstatement of cocaine and nicotine conditioned place preference. Here we report that kappa opioid-dependent reinstatement of cocaine and nicotine place preference is reduced when the mice are exposed to a randomized chronic mild stress (CMS) regime prior to training in a conditioned place preference-reinstatement paradigm. The CMS schedule involves seven different stressors (removal of nesting for 24 h, 5 min forced swim stress at 15°C, 8 h food and water deprivation, damp bedding overnight, white noise, cage tilt, and disrupted home cage lighting) rotated over a 3-week period. This response is KOR-selective, as CMS does not protect against cocaine or nicotine drug-primed reinstatement. This protection from reinstatement is also observed following sub-chronic social defeat stress, where each mouse is placed in an aggressor mouse home cage for a period of 20 min over 5 days. In contrast, a single acute stressor resulted in a potentiation of KOR-induced reinstatement, as previously reported. Prior studies have shown that stress alters sensitivity to opioids and prior stress can influence the pharmacodynamics of the opioid receptor system. Together, these findings suggest that exposure to different forms of stress may cause a dysregulation of kappa opioid circuitry and that changes resulting from mild stress can have protective and adaptive effects against drug relapse.
压力会增加药物滥用的风险,导致药物寻求复发,并增强尼古丁和可卡因的奖赏特性。了解压力调节滥用药物奖赏特性的机制,可以为药物滥用的潜在治疗方法提供有价值的见解。先前的报告表明,压力会导致强啡肽释放,激活单胺回路中的κ 阿片受体(KOR),从而增强可卡因和尼古丁条件性位置偏好的作用,并使其恢复。在这里,我们报告说,当小鼠在条件性位置偏好-恢复范式的训练之前暴露于随机慢性轻度应激(CMS)方案时,κ 阿片受体依赖性可卡因和尼古丁位置偏好的恢复减少。CMS 方案涉及七个不同的应激源(24 小时去除筑巢物、15°C 下进行 5 分钟强制游泳应激、8 小时禁食和禁水、潮湿的床上用品过夜、白噪声、笼子倾斜和打乱家庭笼中的照明),在 3 周内轮换进行。这种反应是 KOR 选择性的,因为 CMS 不能保护免受可卡因或尼古丁药物引发的恢复。在慢性社会挫败应激后也观察到这种恢复的保护作用,其中每只小鼠在 5 天内被置于攻击鼠的家庭笼中 20 分钟。相比之下,如前所述,单次急性应激导致 KOR 诱导的恢复增强。先前的研究表明,压力会改变对阿片类药物的敏感性,并且先前的压力会影响阿片受体系统的药效动力学。总之,这些发现表明,暴露于不同形式的应激可能会导致κ 阿片受体回路的失调,而轻度应激引起的变化可能对药物复发具有保护和适应性作用。