Grant Number: 5K05DA000101-23
Project Title: Biobehavioral Studies of Substance Abuse
PI Information: PROFESSOR OF PSYCHOLOGY NANCY K. MELLO,
[email protected]
Abstract: DESCRIPTION (provided by applicant):
This is a competing renewal application for a Senior Scientist Award
(K0-5) to continue research on the biological and behavioral aspects of
substance abuse. The proposed research is based on several grant awards
currently funded by NIDA, NIH. I am Principal Investigator on four
awards: (1) a Program Project designed to evaluate new strategies for
cocaine treatment medications in basic preclinical and clinical studies;
(2) an R01 award for preclinical studies of the interactions between
cocaine and opioid drugs with different receptor selectivities; (3) an
R01 award to study the influence of gonadal steroid hormones on the
reinforcing and discriminative stimulus effects of cocaine and (4) a
contract concerned with the assessment of potential treatment
medications in rhesus monkeys. In addition, I am co-investigator on an
R01 award designed to evaluate the analgesic and abuse-related effects
of delta opioids; an R01 award concerned with the synthesis and
evaluation of mixed action kappa/mu opioids and a contract to assess
potential cocaine treatment medications in rats. I am also
co-investigator on a NIDA training grant and responsible for mentoring
young scientists. Many of these multidisciplinary clinical and
pre-clinical studies are concerned with the neurobiology of cocaine
abuse from an endocrine perspective. The influence of gonadal steroid
hormones on the reinforcing and discriminative stimulus effects of
cocaine is being studied in non-human primates. The temporal pattern of
cocaine's acute effects on anterior pituitary, gonadal and adrenal
hormones is being examined in men and women, and in non-human primates.
We hypothesize that the rapid co-modulatory interactions between cocaine
and the hypothalamic-pituitary-gonadal and adrenal axes may contribute
to cocaine's abuse-related effects and could suggest new approaches to
treatment. The effects of mu, kappa and delta opioids on cocaine
self-administration are being evaluated in preclinical behavioral
pharmacology studies. In related studies, the effects of dopaminergic
and opioid drug combinations on the abuse-related effects of cocaine and
heroin "speedballs" are being evaluated. We hypothesize that medication
combinations will be more effective in decreasing "speedball" abuse than
single medications alone. Proposed plans for professional growth include
continued study of endocrinology, brain imaging and computer science as
well as study of two new directions in our research program that involve
collaborative studies in medicinal chemistry and immunology.
Thesaurus Terms:
buprenorphine, cocaine, drug abuse chemotherapy, opiate alkaloid, opioid
receptor, substance abuse related behavior
clinical trial, dopamine agonist, dosage, drug interaction, drug
screening /evaluation, heroin, human therapy evaluation, menstrual
cycle, neuroendocrine system, nonhuman therapy evaluation,
psychopharmacology, reinforcer, self medication, steroid hormone
Macaca fascicularis, Macaca mulatta, behavioral /social science research
tag, clinical research, human subject
Institution: MC LEAN HOSPITAL (BELMONT, MA)
115 MILL ST
BELMONT, MA 02478
Fiscal Year: 2006
Department:
Project Start: 01-JAN-1984
Project End: 31-DEC-2008
ICD: NATIONAL INSTITUTE ON DRUG ABUSE
IRG: NIDA
Neuropsychopharmacology (2003) 28, 1125–1139, advance online
publication, 5 March 2003; doi:10.1038/sj.npp.1300105
Effects of Mixed-Action / Opioids on Cocaine
Self-Administration and Cocaine Discrimination by Rhesus Monkeys
Carrie A Bowen1,3, S Stevens Negus1,
Rushi Zong1, John L Neumeyer1,
Jean M Bidlack2 and Nancy K Mello1
1. 1Alcohol and Drug Abuse Research
Center, McLean Hospital-Harvard Medical School, Belmont, MA, USA
2. 2Department of Pharmacology and
Physiology, University of Rochester, Rochester, NY, USA
Correspondence: Dr NK Mello, Alcohol and Drug Abuse Research Center,
McLean Hospital, Harvard Medical School, 115 Mill Street, Belmont, MA
02478, USA. Tel: +1 617 855 2478; Fax: +1 617 855 2519; E-mail: [email protected]
3. 3Current address: Scion
Pharmaceuticals, Inc., 200 Boston Avenue, Suite 3600, Medford, MA 02155,
USA
Received 17 July 2002; Revised 8 October 2002; Accepted 15 October 2002;
Published online 5 March 2003.

Subjects
Three experiments were conducted in 14 adult male rhesus monkeys (Macaca
mulatta). Cocaine self-administration studies were conducted in eight
monkeys. Four animals were trained to self-administer cocaine using a
Rapid Assessment Procedure (Caine et al, 2000) and the acute effects of
agonist treatments on cocaine- and food-maintained responding were
evaluated. Four additional animals were trained to self-administer
cocaine under a second-order schedule using the same procedure
previously used to evaluate chronic agonist effects on cocaine
self-administration (Mello and Negus, 1998; Negus et al, 1997). Drug
discrimination studies were conducted in a separate group of six
monkeys. Two of the monkeys trained to self-administer cocaine using the
Rapid Assessment Procedure were experimentally naive at the beginning of
these experiments. All of the other monkeys had an experimental history
involving the evaluation of dopaminergic and/or opioid compounds in
assays of cocaine self-administration or cocaine discrimination. Monkeys
weighed 7.0–12.0 kg and were maintained on a diet of multiple vitamins,
fresh fruit, and Lab Diet Jumbo Monkey biscuits (PMI Feeds, Inc., St
Louis, MO). In addition, monkeys could receive 1-g banana-flavored
pellets (Precision Primate Pellets Formula L/I Banana Flavor, PJ Noyes
Co., Lancaster, NH) during daily operant sessions (see below). Water was
available continuously. A 12-h light–dark cycle was in effect (lights on
from 7 am to 7 pm).
Animal maintenance and research were conducted according to the
guidelines provided by the National Institutes of Health Committee on
Laboratory Animal Resources. The research facility was licensed by the
United States Department of Agriculture. Research protocols were
approved by the McLean Hospital Institutional Animal Care and Use
Committe. A consulting veterinarian monitored the health of the monkeys
on a regular basis. Monkeys had visual, auditory, and olfactory contact
with other monkeys throughout the study. To provide environmental
enrichment, each animal was supplied with toys, and music or a nature
videotape was played daily. In addition, the operant procedures provided
opportunities for environmental manipulation (Line et al, 1989).
Cocaine Self-Administration
Surgery and catheter maintenance.
For intravenous drug administration, a chronic double-lumen catheter
was implanted into a jugular or femoral vein under aseptic conditions.
The double-lumen catheter permitted simultaneous i.v. cocaine
self-administration and i.v. test drug administration. Monkeys were
sedated with ketamine (5–10 mg/kg, i.m.) and anesthesia was induced with
a ketamine (50 mg/ml)/diazepam (2.5 mg/ml) mixture (0.1–0.15 ml/kg, i.v.)
to allow for tracheal intubation. Atropine (0.05 mg/kg, i.m.) was
administered to reduce salivation and buprenorphine (0.05 mg/kg, i.m.)
was given for intraoperative analgesia. General anesthesia was
maintained with isoflurane (2% mixed with oxygen). A 20 gauge i.v.
catheter was inserted into a saphenous vein for intraoperative fluid
administration (0.9% NaCl, 10 ml/kg/h). Following a skin incision, blunt
dissection was performed to expose the vessel. A small incision was made
in the vein using Vannas scissors. A silicone rubber double-lumen
catheter (inside diameter 0.71 mm, outside diameter 2.2 mm) was inserted
into the vein using a catheter introducer and secured in place with
sutures. The catheter was passed subcutaneously to an exit site at the
mid-scapular region. The muscle overlaying the vein was closed with
sutures, and the skin incision was closed with Nexaband® adhesive.
Buprenorphine (0.05 mg/kg, i.m.) and Penicillin G procaine (20 000 IU/kg,
i.m.) were administered at the end of the surgical procedure. Following
surgery, buprenorphine (0.1 mg/kg, i.m.) and cefazolin (30 mg/kg, i.m.)
were administered twice daily for 5 days.
Each monkey was fitted with a nylon vest (Lomir Biomedical, Montreal,
Canada) attached to a flexible stainless-steel cable. The other end of
the cable was attached to a fluid swivel. This tether system protected
the i.v. catheter and allowed freedom of movement for the animal.
Catheter patency was monitored periodically by i.v. administration of
ketamine (5 mg/kg) or a short-acting barbiturate, methohexital (4
mg/kg). The catheter was considered patent if i.v. ketamine or
methohexital administration resulted in loss of muscle tone within 10 s.
Behavioral Apparatus
Drug self-administration.
Drug self-administration sessions occurred in each monkey's home cage
(65.7 99.9 5.9 cm3). The front wall of each cage was adapted for the
attachment of an operant panel (28 28 cm2). The operant panel included
three square translucent response keys (6.4 6.4 cm2) arranged 2.5 cm
apart horizontally and 3.2 cm from the top of the panel. Each response
key could be transilluminated by red, green, or yellow stimulus lights (Superbright
LEDs). A food-pellet dispenser (Gerbrands, model G5210) was mounted
above each cage to deliver 1 g banana-flavored food pellets to a
receptacle (6.0 5.0 3.0 cm3) located below the operant panel. Up to
three infusion pumps (Model B5P-1E, Braintree Scientific, Braintree, MA;
or Model 980210, Harvard Apparatus, South Natick, MA) were mounted above
each cage to deliver solutions from 60-ml plastic syringes via the i.v.
catheter. One infusion pump delivered response-contingent cocaine
injections through one lumen of the double-lumen catheter. The other
infusion pumps delivered noncontingent saline or test drug solution
through the other lumen of the catheter. The schedules of reinforcement
were controlled and data were collected with an IBM-compatible computer
and Med Associates, Inc. (Georgia, VT) interface and power supply
located in a separate room. Room lights were extinguished during all
food and drug self-administration sessions.
Study 1: Acute Effects of Agonists on Responding Maintained by
Cocaine and Food
Rapid assessment procedure.
The acute effects of agonists on responding maintained by cocaine and
food under a fixed-ratio (FR) 30 schedule of reinforcement were
examined. A Rapid Assessment Procedure was used to study
self-administration of multiple unit doses of cocaine within a single
experimental session (Caine et al, 2000). Each 2-h session consisted of
six components separated by 10-min intercomponent time-out (TO) periods.
During the first and sixth components, food pellets were available for 5
min, and the center response key was transilluminated with a red
stimulus light. During the second, third, fourth, and fifth components,
i.v. injections of saline or cocaine were available for 15 min. Each
drug component was initiated by the 10-s transillumination of the center
response key with a yellow stimulus light and the noncontingent delivery
of a single 'priming' injection of saline or the unit dose of cocaine
that was available for self-administration. When cocaine or saline was
available, the center response key was transilluminated with a green
stimulus light. A 10-s TO followed the completion of the ratio
requirement for each food pellet or injection and was signaled by the
transillumination of the center response key with a yellow stimulus
light. During the 10-min intercomponent TO periods, all stimulus lights
were turned off, and responses had no scheduled consequences.
Experimental sessions began at 3 pm and were conducted 7 days/week.
Varying the unit dose of cocaine within operant sessions.
The unit dose of cocaine available during each component of the
self-administration session was determined by (1) the duration of each
infusion, which determined the volume and (2) the concentration of drug
in the syringe. During most sessions, the syringe pumps were programmed
to deliver the following volumes during the four consecutive drug
components: 32 l in 0.32 s, 100 l in 1 s, 320 l in 3.2 s, and 1000 l in
10 s. A different cocaine dose range could be studied by changing the
cocaine concentration in the syringe. Complete cocaine dose–effect
functions were determined across sessions by studying overlapping
cocaine dose ranges. An ascending dose series was used to reduce the
possibility that the dose of cocaine available in one component would
influence cocaine-maintained behavior in subsequent drug components.
Rapid assessment procedure training.
Initially, food was available for all six components of the session,
and monkeys were trained to respond for food pellets under the FR 30, TO
10-s schedule. After food reliably maintained responding, monkeys were
trained to self-administer cocaine (0.032 mg/kg/inj). Then availability
of the cocaine training dose and saline was alternated until reliable
extinction was observed. Training was considered complete when the
following criteria were met: (1) the peaks of the overlapping cocaine
dose–effect curves were within one half-log unit of each other, (2) the
overall mean cocaine dose–effect function was characterized by an
inverted 'U' shape, (3) saline-maintained responding was reliably lower
than peak cocaine-maintained responding and (4) food-maintained
responding was stable (criterion of 20% deviation from the mean of five
consecutive sessions).
Rapid assessment procedure testing.
To ensure that the effects of the -opioid agonists were sustained
during the entire 2-h test session, all test compounds were delivered by
continuous intravenous infusion through the second lumen of the
double-lumen catheter. Each opioid was delivered at a rate of 3.3 ml/h
by infusing a volume of 100 l approximately every 2 min for a total of 3
h. Test drug administration began 1 h before the test session to fill
the 'dead space' in the catheter (approximately 1 ml).
Four -opioid agonists were evaluated.
Enadoline (0.00032–0.01 mg/kg/h), (-)cyclorphan (0.001–0.032
mg/kg/h), Mr2034 (0.001–0.01 mg/kg/h), and MCL-101 (0.001–0.032
mg/kg/h). Usually, test sessions were interspersed between training
sessions that evaluated responding maintained by (1) the cocaine
training dose only, (2) saline only, and (3) a range of cocaine doses. A
test was conducted only if the peak of the most recently determined
cocaine self-administration dose–effect function was within one half-log
unit of that previously observed. Each dose of a test compound was
investigated at least once in each animal. When possible, doses were
tested two to three times with overlapping dose ranges of cocaine. Tests
were conducted no more than twice/week with a minimum of 48 h between
test sessions.
Data analysis.
The primary dependent variables were the number of food pellets and
drug injections delivered during each component of a 2-h test session.
Mean food and cocaine data are presented for three doses of each
agonist. Data from individual monkeys are presented to illustrate the
effects of the highest dose of each agonist on food- and
cocaine-maintained responding. Data were analyzed using repeated
measures analysis of variance (ANOVA; SuperAnova, Abacus Concepts, Inc.,
Berkeley, CA) with agonist dose and cocaine dose or food component as
the two within-subjects factors. Owing to the fact that multiple
sessions of overlapping cocaine dose ranges were required to
characterize a complete cocaine dose–effect function, a mean cocaine
dose–effect function was determined for each animal under each condition
and subjected to statistical analysis. The criterion for significance
was set a priori at p<0.05. If the effect of agonist dose was
significant, linear contrasts comparing individual means were carried
out to determine which treatment dose was significantly different from
saline.
Study 2: Chronic Effects of Agonists on Responding Maintained by
Cocaine or Food
Cocaine self-administration training procedures.
Monkeys were trained to respond for food and cocaine (0.01 mg/kg/inj)
under a second-order schedule (FR 2 [VR16:S]) during multiple daily
sessions of food and cocaine availability. Procedures for the evaluation
of chronic drug treatment effects on cocaine- and food-maintained
responding were identical to those used in our previous studies of the
effects of -opioid drugs on cocaine self-administration (Mello and
Negus, 1998; Negus et al, 1997). Once monkeys received at least 50 food
pellets/day for at least 3 consecutive days under the terminal
second-order schedule, the intravenous double-lumen catheter was
implanted as described above. After recovery from surgery for at least 1
week, key-pressing for 0.032 mg/kg/inj, i.v., cocaine was shaped under a
series of increasing variable ratios identical to those used during
training of food-maintained responding. The final second-order schedule
response requirement was identical for food- and drug-maintained
responding (FR 2 [VR 16:S]). There were four food and cocaine sessions
in each experimental day. Food sessions began at 11 am, 3 pm, 7 pm, and
6 am. Cocaine sessions began at 12 noon, 4 pm, 8 pm, and 7 am. Each food
or drug session lasted 1 h or until a maximum of 25 food pellets or 20
injections had been delivered, whichever occurred first. Thus, monkeys
could earn a maximum of 80 cocaine injections/day and 100 food
pellets/day.
As in the Rapid Assessment Procedure, the conditions of food and cocaine
availability were associated with different colored stimulus lights. The
center key was transilluminated with a red stimulus light during food
sessions and a green stimulus light during cocaine sessions. At the
onset of reinforcer delivery, and after completion of each VR component
of the second-order schedule, the appropriate colored stimulus light
(red for food, green for injections) was illuminated for 1 s below the
center response key. Each reinforcer delivery was followed by a 10 s TO.
Monkeys were trained until they met the following criteria for stable
food and cocaine self-administration under the terminal schedule: (1) 3
consecutive days during which the number of drug injections/day differed
by no more than 20% from the mean number of drug injections/day during
those 3 days, and there was no upward or downward trend, and (2) during
the same 3 consecutive days, the mean number of both drug injections/day
and food pellets/day was greater than 50.
Drug self-administration testing.
During testing, a unit dose of 0.01 mg/kg/inj cocaine was used
because it was the lowest dose to maintain reliably high rates of
cocaine self-administration in all monkeys and because previous studies
have shown that behavior maintained by this unit dose of cocaine is
especially sensitive to the effects of opioids (Mello and Negus, 1998;
Negus et al, 1997). The effects of repeated treatments with saline and
each dose of (-)cyclorphan (0.0032–0.032 mg/kg/h) and MCL-101
(0.0032–0.032 mg/kg/h) were examined for 7 consecutive days. agonists
were administered continuously by i.v. injections through the second
lumen of the double-lumen catheter every 20 min for a total of three
injections/h and 66 injections/day. No injections were delivered between
9 and 11 am. During this period, -opioid agonist syringe volumes were
recorded and replenished and the health status of the animals was
evaluated. At the conclusion of each 7-day test period, the maintenance
dose of cocaine (0.032 mg/kg/inj) and saline control treatments were
reinstated for a period of at least 4 days and until the number of
reinforcers/day maintained by cocaine and food returned to baseline
levels. During saline control treatment, 0.1 ml of saline was delivered
every 20 min for a total of 6.6 ml/22 h. agonist doses were tested in an
irregular order across monkeys.
Data analysis.
The total number of cocaine injections or food pellets delivered/day
was determined. Data for the effects of (-)cyclorphan and MCL-101 on
self-administration of 0.01 mg/kg/inj cocaine were compared with the
effects of saline treatment using a two-factor repeated measures ANOVA
with agonist dose and treatment day as the two within-subjects factors.
The criterion for significance was set a priori at p<0.05. If the effect
of agonist dose was significant, linear contrasts comparing individual
means were carried out to determine which treatment dose was
significantly different from saline.
Study 3: Cocaine Discrimination Studies
Discrimination training.
The drug discrimination procedures employed in the present study were
similar to those used in previous studies of -opioid effects on cocaine
discrimination (Negus and Mello, 1999). In the present experiment, the
monkeys had been trained previously to discriminate 0.4 mg/kg cocaine
from saline (i.m.). Training sessions consisted of one to five cycles
and each cycle consisted of a 15-min TO period followed by a 5-min
response period. Monkeys were given an i.m. injection of either vehicle
(saline) or the cocaine training dose at the beginning of the 15-min TO
period. All stimulus lights were turned off and responding had no
scheduled consequences during the TO period. During the response period,
the right and left response keys were transilluminated red or green, and
key position was counterbalanced across monkeys. Depending upon the
training condition, monkeys could respond on the stimulus-appropriate
key under an FR 30 schedule to obtain up to 10 food pellets/cycle. After
vehicle administration, responding on only the green key resulted in the
delivery of a food pellet. After cocaine administration, responding on
only the red key resulted in the delivery of food. Inappropriate
responses reset the FR requirement on the stimulus-appropriate key. The
center key was not illuminated during operant sessions and responding
had no scheduled consequences. If all available food pellets were
delivered in less than 5 min, then the stimulus lights were extinguished
and responding had no scheduled consequences for the remainder of the
5-min response period.
Training sessions consisted of 0–5 saline cycles followed by 0–1 drug
cycles. If the training drug was administered, it was given only during
the last cycle. This design assured a constant interval between drug
administration and the onset of response periods during which responding
on the drug-appropriate key produced food. Monkeys were considered to
have acquired the discrimination when the following criteria were met
for seven out of eight consecutive training sessions: (1) the percent
injection-appropriate responding before the delivery of the first
reinforcer was greater than or equal to 80% for all cycles, (2) the
percent injection-appropriate responding over the entire response period
was greater than or equal to 90% for all cycles, and (3) response rates
during vehicle training cycles were greater than 0.5 responses/s.
Experimental sessions were conducted 5 days/week.
Discrimination testing.
Test sessions were conducted only if the three criteria listed above
were met during the training day immediately preceding the test day. If
responding did not meet criterion levels of discrimination performance,
then training was continued until criterion levels of performance were
obtained for at least 2 consecutive days. In general, testing was
conducted on Tuesdays and Fridays and training sessions were conducted
on Mondays, Wednesdays, and Thursdays. Test sessions were identical to
training sessions except that responding on either key produced food,
and test drugs were adminstered using either a substitution or a
pretreatment protocol.
In the substitution protocol, cocaine or a -opioid agonist was
administered alone using a cumulative-dosing procedure. The drugs (and
doses) tested included cocaine (0.013–1.3 mg/kg), enadoline
(0.0001–0.0032 mg/kg), (-)cyclorphan (0.001–0.1 mg/kg), Mr2034
(0.0001–0.01 mg/kg), and MCL-101 (0.001–0.1 mg/kg). Monkeys received an
injection of the test compound 5 min after the onset of the 15-min TO at
the beginning of each cycle of a multiple-cycle session. In the
cumulative-dosing procedure, each dose increased the total dose by 1/4
or 1/2 log units. Dose–effect curves for each compound were determined
twice in each monkey using overlapping dose ranges. Each agonist was
tested up to doses that eliminated responding in most of the monkeys.
In the pretreatment protocol, a -opioid agonist dose was administered 15
min before the determination of a cumulative cocaine dose–effect curve.
Since preliminary studies indicated that enadoline had a relatively
short duration of action, pretreatment studies with each enadoline dose
were determined twice in each monkey with overlapping cocaine
dose–effect curves. For one determination, a dose range of 0.013–1.3
mg/kg cocaine was evaluated in a series of five consecutive cycles, and
the total test session lasted 1 h 40 min. For the second determination,
a high dose range of 0.13–1.3 mg/kg cocaine was tested in a series of
three consecutive cycles and the total test session lasted 1 h. This
procedure assured that active cocaine doses were evaluated while
enadoline was producing its behavioral effects. Pretreatment studies
with Mr2034 and MCL-101 also were determined twice in each monkey with
overlapping cocaine dose ranges identical to those described above for
studies with enadoline. In contrast, preliminary studies indicated that
(-)cyclorphan had a relatively long duration of action. Thus, the
effects of each dose of (-)cyclorphan were evaluated only once in each
monkey before a full dose range of 0.013–1.3 mg/kg cocaine. The drugs
(and doses) tested in pretreatment experiments were enadoline
(0.00032–0.0032 mg/kg), (-)cyclorphan (0.0032–0.032 mg/kg), Mr2034
(0.0032–0.032 mg/kg), and MCL-101 (0.0032–0.032 mg/kg). Each agonist was
tested up to pretreatment doses that eliminated responding in most of
the monkeys.
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