Cocaine and the Changing Brain
Sensitization To Cocaine Is Associated With Modified
Calcium Transduction And Gene Expression In The
Nucleus Accumbens
Peter W. Kalivas, Ph.D.
Washington State University
Pullman, WA
Behavioral sensitization induced by repeated
cocaine administration is associated with
long-term alterations in neurotransmission in
the nucleus accumbens (Pierce and Kalivas
1997a). Notably, both presynaptic and
postsynaptic dopamine transmissions are
enhanced in cocaine-sensitized rats.
Recent data collected primarily by Margaret
Gnegy at the University of Michigan, as well
as by our own group, demonstrate that the
increased releasability of dopamine in the
nucleus accumbens or striatum of cocaine-
or amphetamine-sensitized rats arises from
an increase in calcium transduction.
Specifically, there is an enduring increase in
CaM-KII activity and the CaM-KII
phosphorylated form of synapsin I in rats
treated with repeated amphetamine (Pierce
and Kalivas 1997b). The increased release
of dopamine is antagonized by calcium
channel blockers and CaM-KII inhibitors
(Iwata et al. 1996). Furthermore,
microinjection of these antagonists into the
nucleus accumbens inhibits the expression of
behavioral sensitization to cocaine
(unpublished observations).
In addition to increased releasability of
transmitter, repeated psychostimulant
administration alters postsynaptic dopamine
transduction in the nucleus accumbens, as
evidenced by increased electrophysiological
responsiveness to D1 dopamine receptor
agonists (Henry and White 1991).
More recently, a number of laboratories have
shown that repeated psychostimulant
administration produces a change in gene
expression. However, to date only two
changes in gene expression parallel the time
course of behavioral sensitization by
enduring for weeks after discontinuing
repeated drug administration. Both gene
products are apparently transcription factors
including a long-lasting AP-1 DNA binding
complex (probably related to persistent
expression of delta-FosB-related protein)
(Nye et al. 1995) and NAC-1 (Cha et al.
1997). Recently, FosB-mutant mice were shown to have a
heightened behavioral sensitivity to
contingent and noncontingent cocaine
administration (Hiroi et al. 1997). NAC-1 is a
recently isolated mRNA that contains a POZ
binding domain and is upregulated for at least
3 weeks after discontinuing repeated cocaine
administration (Cha et al. 1997). Similar to the
FosB mutant mice, reducing NAC-1 gene
expression by microinjecting antisense
oligonucleotide into the nucleus accumbens
dramatically augmented the stimulant effects
of acute and repeated cocaine administration
(unpublished data). The fact that the
inhibition and abolition of NAC-1 and FosB
gene expression, respectively, enhanced the
behavioral effects of cocaine indicates a
possible role for either protein in both the
acute rewarding and psychostimulant effects
of cocaine, as well as in long-term behavioral
alterations such as paranoia and drug-
craving.
Acknowledgment
This research was supported by National
Institute on Drug Abuse Grant No. DA-03906.
References
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and Mackler, S.A. NAC-1, a rat
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