Montemarano Annalisa, Fox Logan D, Alkhaleel Farrah A, Ostman Alexandria E, Sohail Hajra, Pandey Samiksha, Murdaugh Laura B, Fox Megan E
Department of Anesthesiology and Perioperative Medicine, Pennsylvania State University College of Medicine, Hershey, PA, USA.
Department of Neuroscience and Experimental Therapeutics, Pennsylvania State University College of Medicine, Hershey, PA, USA.
Neuropsychopharmacology. 2025 May 2. doi: 10.1038/s41386-025-02116-0.
The synthetic opioid fentanyl remains abundant in the illicit drug supply, contributing to tens of thousands of overdose deaths every year. Despite this, the neurobiological effects of fentanyl use remain largely understudied. The nucleus accumbens (NAc) is a central locus promoting persistent drug use and relapse, largely dependent on activity of dopamine D1 receptors. NAc D1 receptor-expressing medium spiny neurons (D1-MSNs) undergo molecular and physiological neuroadaptations in response to chronic fentanyl that may promote relapse. Here, we obtained Drd1-cre mice to investigate D1-dependent mechanisms of fentanyl relapse. We serendipitously discovered this mouse line has reduced fentanyl seeking, despite similar intravenous fentanyl self-administration, similar sucrose self-administration and seeking, and greater fentanyl-induced locomotion compared to wildtype counterparts. We found drug-naïve Drd1-cre mice have elevated D1 receptor expression in NAc and increased sensitivity to the D1 receptor agonist SKF-38393. After fentanyl self-administration, Drd1-cre mice exhibit divergent expression of MSN markers, opioid receptors, glutamate receptor subunits, and TrkB which may underly their blunted fentanyl seeking. Finally, we show fentanyl-related behavior is unaltered by chemogenetic manipulation of NAc core D1-MSNs in Drd1-cre mice. Conversely, chemogenetic stimulation of ventral mesencephalon-projecting NAc core MSNs (putative D1-MSNs) in wildtype mice recapitulated the blunted fentanyl seeking of Drd1-cre mice, supporting a role for aberrant D1-MSN signaling in this behavior. Together, our data uncover alterations in NAc gene expression and function with implications for susceptibility and resistance to developing fentanyl use disorder.
合成阿片类药物芬太尼在非法毒品供应中仍然大量存在,每年导致数万人过量死亡。尽管如此,芬太尼使用的神经生物学效应在很大程度上仍未得到充分研究。伏隔核(NAc)是促进持续药物使用和复发的核心部位,很大程度上依赖于多巴胺D1受体的活性。表达NAc D1受体的中等棘状神经元(D1-MSNs)会因长期使用芬太尼而发生分子和生理神经适应性变化,这可能会促进复发。在这里,我们获得了Drd1-cre小鼠,以研究芬太尼复发的D1依赖性机制。我们意外地发现,尽管与野生型小鼠相比,该品系小鼠静脉注射芬太尼的自我给药情况相似、蔗糖自我给药和寻求情况相似,且芬太尼诱导的运动更强,但它们寻求芬太尼的行为却减少了。我们发现,未接触过药物的Drd1-cre小鼠NAc中D1受体表达升高,对D1受体激动剂SKF-38393的敏感性增加。在芬太尼自我给药后,Drd1-cre小鼠表现出MSN标志物、阿片受体、谷氨酸受体亚基和TrkB的表达差异,这可能是它们寻求芬太尼行为减弱的原因。最后,我们表明,对Drd1-cre小鼠NAc核心D1-MSNs进行化学遗传学操作不会改变与芬太尼相关的行为。相反,对野生型小鼠中投射到NAc核心的腹侧中脑MSNs(假定的D1-MSNs)进行化学遗传学刺激,重现了Drd1-cre小鼠寻求芬太尼行为减弱的情况,支持异常的D1-MSN信号在这种行为中起作用。总之,我们的数据揭示了NAc基因表达和功能的改变,这对芬太尼使用障碍的易感性和抗性具有影响。