Abstract
Administration of methylphenidate (MPH, Ritalin®) to children with attention deficit hyperactivity disorder (ADHD) is an elective therapy, but raises concerns for public health, due to possible persistent neurobehavioral alterations. Wistar adolescent rats (30 to 46 day old) were administered MPH or saline (SAL) for 16 days, and tested for reward-related and motivational-choice behaviors. When tested in adulthood in a drug-free state, MPH-pretreated animals showed increased choice flexibility and economical efficiency, as well as a dissociation between dampened place conditioning and more marked locomotor sensitization induced by cocaine, compared to SAL-pretreated controls. The striatal complex, a core component of the natural reward system, was collected both at the end of the MPH treatment and in adulthood. Genome-wide expression profiling, followed by RT-PCR validation on independent samples, showed that three members of the postsynaptic-density family and five neurotransmitter receptors were upregulated in the adolescent striatum after subchronic MPH administration. Interestingly, only genes for the kainate 2 subunit of ionotropic glutamate receptor (Grik2, also known as KA2) and the 5-hydroxytryptamine (serotonin) receptor 7 (Htr7) (but not GABAA subunits and adrenergic receptor α1b) were still upregulated in adulthood. cAMP responsive element-binding protein and Homer 1a transcripts were modulated only as a long-term effect. In summary, our data indicate short-term changes in neural plasticity, suggested by modulation of expression of key genes, and functional changes in striatal circuits. These modifications might in turn trigger enduring changes responsible for the adult neurobehavioral profile, that is, altered processing of incentive values and a modified flexibility/habit balance.
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INTRODUCTION
Methylphenidate (MPH) is a psychostimulant currently prescribed to children diagnosed with attention deficit hyperactivity disorder (ADHD), one of the most common chronic neurobehavioral diseases of childhood (Swanson et al, 1998). ADHD is viewed as an executive dysfunction, according to the dominant model. However, alternative accounts present ADHD as a motivational dysfunction, characterized by attempts to escape or avoid delay, arising from altered reward processes in fronto-striatal circuits (Sagvolden and Sergeant, 1998; Sonuga-Barke, 2003). MPH interacts with the same brain pathways activated by drugs of abuse, producing striatal dopamine (DA) overflow similar to cocaine (Swanson and Volkow, 2002). Hence, exposure to MPH during adolescence is a major concern for public health, due to possible long-term effects (Carlezon and Konradi, 2004).
Studies in rodents are useful in defining molecular and behavioral responses to MPH. Recent reports in rats showed that exposure to MPH during adolescence causes behavioral changes enduring into adulthood, including enhanced psychomotor responses to cocaine and increased cocaine self-administration (Brandon et al, 2001), reduced rewarding power and increased sensitivity to the aversive effects of cocaine (Andersen et al, 2002), depressive-like effects in the forced-swim test, and attenuated locomotor habituation (Carlezon et al, 2003). Furthermore, adult animals treated with MPH during adolescence are less responsive to natural rewards, showing increased stressful and anxiety-like behaviors (Bolanos et al, 2003).
We further characterized the enduring effects of adolescent MPH exposure on incentive properties of cocaine and on development of locomotor sensitization to this drug. We also extended behavioral end points to the study of motivation-driven choice. Decision-making behavior impinges on cortical/striatal pathways, accounting for processing of incentive values when choosing between two alternatives (Montague and Berns, 2002; Glimcher and Rustichini, 2004; Schultz, 2004). We gave animals a choice between a smaller certain reinforcer and a larger but probabilistic one, a protocol also used to measure impulsivity (Mobini et al, 2000; Evenden, 1999). Economical considerations play, however, a major role in such a protocol. Indeed, rats classically shift from a larger but probabilistic reinforcer towards a smaller but certain one when foraging opportunities are not a limiting factor. Conversely, it has been shown that ‘risky’ choices do actually increase if the total number of foraging possibilities is reduced under the scheduled test conditions (Hastjarjo et al, 1990; Kaminski and Ator, 2001). The contingencies used in the present study actually induced an economically driven shift towards the ‘risky’ choice as a reaction to large-reward rarefaction. We assessed the ongoing and enduring effects of MPH treatment during adolescence in this task. We expected to detect MPH-induced changes in economical evaluation and comparison of the two actual outcomes, associated with either choice.
Molecular evidence suggests that repeated psychostimulant exposure causes stable changes in gene expression and persistent alterations in dendritic morphology within the mesocorticolimbic DA system, the main pathway of the brain reward circuitry (Nestler, 2004; Robinson and Kolb, 2004). Similar plastic changes in reward-related circuits might also occur after repeated MPH, especially with adolescent exposure (Carlezon and Konradi, 2004). Recent reports showed increased dynorphin expression in the dorsal striatum at the end of the adolescent treatment (Brandon and Steiner, 2003) and increased cAMP responsive element-binding protein (CREB) expression within the nucleus accumbens (NAc) shell in adulthood (Andersen et al, 2002). Acute exposure to MPH is known to alter the expression of c-fos and substance P preferentially in the dorsal striatum (Yano and Steiner, 2004). However, the whole molecular consequences of chronic exposure to MPH during critical periods of development are poorly understood (Carlezon and Konradi, 2004). Our work was aimed at combining behavioral and molecular approaches, to identify the short- and long-term effects of subchronic treatment with MPH. To study gene-expression changes, we have used microarray technology, to screen the expression of more than 15 000 transcripts in the rat striatum simultaneously, and then RT-PCR, to validate variation of expression for selected genes.
MATERIALS AND METHODS
Experimental protocols were approved by institutional authorities and are in close agreement with European Community Directives and with the Italian Law. All efforts were made to minimize animal suffering, to reduce the number of animals used, and to use alternatives to in vivo testing.
Drugs
MPH (CIBA-GEIGY, Italy) was dissolved in saline (SAL, NaCl 0.9%) and injected i.p. in a volume of 1 ml/200 g body weight. Cocaine (COC) was dissolved in SAL and injected s.c. in a volume of 1 ml/100 g body weight. The COC dose was chosen based on previous studies (Laviola et al, 1995). Rats belonging to control groups were injected with SAL.
Cocaine Conditioning and Sensitization after Adolescent MPH Exposure
Wistar male rats (Harlan, Italy) were tested in adulthood in a classical place-conditioning test, with a three-chamber apparatus and a ‘biased’ procedure. Animals received three cocaine (0 or 10 mg/kg s.c.) injections in the paired chamber and three saline injections in the unpaired chamber. Animals were then tested for place preference in a drug-free state (see Supplementary information).
Choice Behavior Following Adolescent MPH Exposure
Subjects and rearing conditions
Wistar pregnant female rats (Harlan, Italy) were housed in an air-conditioned room (temperature 21±1°C, relative humidity 60±10%), with a 12-h light–dark cycle (lights on at 8.00 am). Water and food (Enriched Standard Diet, Mucedola, Settimo Milanese, Italy) were available ad libitum. The day of delivery was considered as postnatal day (pnd) zero, pups being culled to six males and two females. Pups were then weaned on pnd 21 and housed in groups of two nonsiblings, according to sex. Only two male subjects per litter were used in this experiment, the other four male subjects being used for gene-expression analyses (see below). Within each litter, one sibling was assigned to the SAL control group and the other to the MPH treatment group, according to a split-litter design (Zorrilla, 1997). The MPH treatment (2 mg/kg i.p. once daily) was administered during adolescence (from pnd 30 to 46). Animals were tested for motivational-choice behavior during MPH or SAL treatment (pnd 30–46), and again in adulthood (pnd>60) in a drug-free state.
Two-choice operant-behavior test
Animals were tested in a probability-based reward-rarefaction protocol (see Introduction). Before the schedule started, animals were food-restricted for 2 days, to keep them at 80–85% of their free-feeding weight in order to increase their motivation to work for food delivery. Each animal was then placed daily in a computer-controlled operant chamber (Coulbourn Instruments, USA), provided with two nose-poking holes, a chamber light, a feeder device, a magazine where pellets (45 mg, BioServ, USA) were dropped, and a magazine light. The nose-poking in either hole was detected by a photocell and was recorded by a computer, which also controlled food delivery. After the 20-min session, animals were returned to their home cage, where they were given standard chow (approximately 10 g/each).
During the training phase (1 week), nose-poking in one of the two holes (called ‘SMALL & CERTAIN’ hole, H1) resulted in the delivery of one pellet of food, whereas nose-poking in the other hole (‘LARGE & UNCERTAIN’ hole, H5) resulted in the delivery of five pellets of food. After nose-poking and before food delivery, the chamber light was turned on for 1 s. Following the food delivery, the magazine light was turned on for 25 s, during which nose-poking was recorded, but was without any scheduled consequence (time-out).
During the testing phase (1 week), a probabilistic dimension was associated to the delivery of the five pellets following H5 nose-poking. The chamber and the magazine lights were turned on following the previous schedule. However, sometimes the delivery of food could be omitted according to a given level of probability (‘p’=percentage of actual food delivery) controlled by the computer. The probability level was kept fixed for each daily session, and was decreased progressively over subsequent days. A first dependent variable was the choice (%) for the certain reinforcer, namely percentage of H1 over total H5+H1 choices. A second dependent variable was the slope of the preference–probability curve, calculated with the Microsoft Excel ‘slope’ function, using H1-preference as the Y-axis data and (100−‘p’) as the X-axis data.
Probability values to be imposed can be divided into two distinct fields, separated by the indifference-point ‘p’ value (calculated as ‘small reward size’/‘big reward size’, ie 20% in our work). In the range of ‘p’ values before the indifference point (100%>p>20%), the risk of losing large reinforcement is mild relative to its size. Under these conditions, it is still ‘economically’ convenient for rats to choose H5 (the average outcome being still between 5 and 2.5 pellets per nose-poking) over H1 hole (only one pellet per nose-poking). Hence, animals may be expected to shift towards increased H5 demanding, as a reaction against a mild uncertainty challenge. In the range of ‘p’ values beyond the indifference point (20%>p>0%), it becomes ‘economically’ convenient for rats to choose H1 (one certain pellet per nose-poking) over the H5 hole (the average outcome being less than one pellet per nose-poking). Under these conditions, animals classically shift from the probabilistic towards the certain reward.
On this basis, we imposed two ranges of ‘p’ values: either above or below the indifference point. Animals were tested the first time during adolescence, to assess the subchronic effects of actual MPH treatment on levels of motivational-choice behavior. Operant-behavior sessions started at least 2 h after MPH or SAL injection (Adriani et al, 2004). During this 2-week testing period, ‘p’ decreased regularly from 100 to 50%. This range was chosen as a mild rarefaction challenge. The same subjects were tested again in a drug-free state in adulthood (ie 4 weeks after the end of treatment). This was aimed to assess the long-term carryover consequences of adolescent MPH exposure on levels of adult self-control behavior. During this 1-week testing period, rats were kept for a few days at p=100%, to re-obtain a stable baseline. Then, ‘p’ decreased regularly from 20 to 12.5%. This range was chosen as a stronger rarefaction challenge.
Design and data analysis
Data were analyzed by randomized-block ANOVA. The general design of the experiment was two treatments (MPH vs SAL) × session (various levels of probability ‘p’ fixed for each session). All variables were within-litter factors. Multiple comparisons within significant interactions were performed with the Tukey HSD test.
Expression Profiling of Striatal Genes Following Adolescent MPH Exposure
Subjects and rearing conditions
The subjects used for this experiment were four male rats per litter, siblings of those used in the previous experiment. Nine litters were used (‘first’ batch): within each litter, two siblings were assigned to a SAL control group and two others to an MPH treatment group, according to a split-litter design. The MPH treatment (0 or 2 mg/kg i.p. once daily) was administered during adolescence (from pnd 30 to 46). Two sibling animals were killed two hours following the last SAL or MPH injection during adolescence (ie at pnd 46), and the other two siblings were killed during adulthood (at pnd>90, ie at least 8 weeks after the last drug injection). Only adolescent sibling rats were used for the microarray experiments. In a separate (‘second’) batch of animals, five pairs of adolescent siblings were repeatedly treated as described above (0 or 2 mg/kg i.p. from pnd 30 to 46), to obtain an RT-PCR validation of microarray data on independently treated animals. Finally, four pairs of adolescent siblings were injected only at pnd 46 with SAL or MPH (0 or 2 mg/kg i.p.) and used to check the effects of a single acute injection of the drug. All animals were killed two hours after injection. The brain was quickly removed and rinsed in phosphate-buffered saline. The striatal complex, including both dorsal and ventral portions, was carefully dissected from the whole brain and processed for RNA isolation.
RNA isolation
Independent RNA samples from the bilateral striatal complex of nonsibling rats were separately extracted for each experimental group (adolescent and adult SAL- and MPH-treated animals) using the TriReagent (Sigma-Aldrich, Milan, Italy), according to the manufacturer's instructions. After RNA extraction, any remaining genomic DNA was digested for 30 min using the DNA Free system (Ambion Inc., Milan, Italy), according to the manufacturer's instructions. An additional clean-up of total RNA was performed using the RNeasy kit (Qiagen, Milan, Italy). RNA concentration was spectrophotometrically determined, and RNA integrity was confirmed by agarose gel electrophoresis. RNA samples were further processed for microarray hybridization (from adolescent rats) or for RT-PCR experiments (from adolescent and adult rats).
Probe preparation and microarray hybridization
To minimize the biological variability, RNAs from nine adolescent animals per experimental group were used (‘first’ batch). Samples were pooled after purification, leading to three independent pooled-RNA samples (each deriving from three different animals) for both the SAL- and the MPH-treated group. cDNA synthesis, labeling, and hybridization were performed on the three pooled-RNA samples. Using the protocol supplied by the manufacturer (Affymetrix, Santa Clara, CA), double-stranded cDNA was synthesized from total RNA and was used to obtain biotin-labeled cRNA by an in vitro transcription reaction (ENZO Diagnostics, Farmingdale, NY). Biotin-labeled cRNA was fragmented and hybridized with Affymetrix RAE230A rat genome GeneChip microarrays (n=3 per group), according to the manufacturer's protocol, after verifying the quality of the biotin-labeled cRNA on a Test Chip (Affymetrix).
Microarray data analyses
Scanning of the slides was accomplished according to the manufacturer's instructions (see Supplementary information for further details).
Reverse transcription and semiquantitative PCR
RT-PCR analyses were performed on RNA samples from individual rats of both SAL- and MPH-treated groups. These analyses were run on the ‘first’ batch of animals (n=9 for rats killed during adolescence and also used for microarrays; n=9 for rats killed during adulthood) and on the ‘second’ independent batch of SAL- and MPH-injected animals, killed during adolescence (n=5 for rats treated subchronically; n=4 for rats treated acutely). See Table 1 and detailed methods in Supplementary information.
RESULTS
Cocaine Conditioning and Sensitization after Adolescent MPH Exposure
Cocaine-induced sensitization of locomotor activity in adulthood
During the pairing period (days 1, 2, 3 of the schedule; see Figure 1), adult animals receiving COC expressed significantly higher activity levels than animals receiving SAL in the paired compartment (drug, F(1,30)=49.6, p<0.001). The two pairing groups were analyzed separately. Within the SAL-pairing group, MPH pretreatment produced no carryover effects on basal levels of locomotion (no significant pretreatment effects, F(1,14)=1.40, NS). Conversely, within the COC-pairing group, MPH-pretreated rats showed significantly higher hyperactivity levels (pretreatment, F(1,16)=14.6, p<0.01), when compared to SAL-pretreated controls. Specifically, MPH pre-exposure in adolescence markedly potentiated the response to COC in adulthood. Furthermore, on examining the day-by-day values, the activity levels of the SAL-pretreated group did not vary across days (day, F(2,10)=0.919, NS), suggesting very low levels of sensitization. Conversely, a steady increase in COC-induced hyperactivity was evident over days within the MPH-pretreated group (day, F(2,22)=3.78, p<0.05). These results indicate a more marked profile of sensitization to COC effects in the adult as a consequence of MPH pre-exposure during adolescence.
Cocaine-induced place-conditioning in adulthood
During the test in a drug-free state (day 4 of the schedule; see Figure 1), animals pretreated with MPH during adolescence showed a quite different profile when compared to the SAL-pretreated ones (pretreatment × drug, F(1,30)=3.59, p<0.05). Multiple comparisons confirmed that the two SAL-pairing groups did not differ significantly, thus ruling out the potential carryover effects of MPH pre-exposure in basal preference within the apparatus. The two pretreatment groups were then analyzed separately. As for the SAL-pretreatment group, COC pairing produced a significant conditioned preference for the drug-paired environment (drug, F(1,9)=14.5, p<0.01), when compared to the SAL-pairing control group. Conversely, within the MPH-pretreatment group, no significant conditioned place preference was found between COC- and SAL-pairing (no significant drug effects, F(1,21)=1.67, NS). Specifically, MPH pre-exposure in adolescence somewhat dampened the ability of COC to induce place conditioning in adulthood.
Choice Behavior Following Adolescent MPH Exposure
MPH modulation of choice behavior during adolescence
Following 1 week of training with the operant protocol, all rats exhibited a significant preference for the H5 over the H1 hole. However, a certain ‘baseline’ level (average 18.8±1.8% at p=100%) of H1 nose-poking was always present. This finding indicates that animals were not completely fixed on the more rewarding H5 choice, but constantly probed the outcome of H1 choices.
When ‘p’ was gradually reduced from 100 to 50%, an interesting profile emerged as a function of ongoing MPH treatment (see Figure 2). Namely, the SAL-injected controls showed a further decrease in H1 choice, which reached a level of 11.6±3.7% at p=50% (half of the previous levels). This profile was somewhat expected, based on behavioral-economy considerations (see Materials and methods).
Conversely, the MPH-injected rats did not show any decrease in H1 choice, which maintained a constant level (19.4±5.9% at p=50%). ANOVA performed on slope data supported this conclusion (main effect of treatment, F(1,8)=4.66, p<0.05). The preference–probability curve exhibited by SAL-injected controls had a clearly decreasing slope (negative, −0.248±0.082). This parameter was conversely rather flat (0.041±0.130) for MPH-treated siblings.
Carryover effects of adolescent MPH on choice behavior in adulthood
Following a few days of re-exposure to the operant protocol, all rats exhibited a significant preference for the H5 over the H1 hole. The ‘baseline’ level for the H1 nose-poking was 13.1±3.8% at p=100%. Again, animals exhibited a certain degree of probing for H1-choice outcome. During this testing period, ‘p’ was initially reduced to 20% and then gradually decreased to 12.5%. This schedule provided animals with a stronger challenge, allowing them to express (in)tolerance to large-reward rarefaction (see Figure 2). ANOVA yielded significance for session (F(4,32)=5.26, p<0.01) and pretreatment × session interaction (F(4,32)=3.25, p<0.05). Specifically, the SAL pre-exposure controls showed little and no significant changes in H1 choice, which reached a level of 17.2±5.1% at p=12.5%. Conversely, the MPH-pretreated rats showed no significant change at p=20%, followed by a prominent increase in H1 choice (which reached a level of 32.8±7.6% at p=12.5%). This set of findings was confirmed by the ANOVA performed on slope data (main effect of pretreatment, F(1,8)=10.5, p<0.05). The preference–probability curve exhibited by SAL pre-exposure controls was rather flat (0.163±0.345), whereas it had a steeply increasing slope (positive, +2.431±0.722) for their MPH-pretreated siblings.
Data during adulthood indicate that SAL-pre-exposed subjects showed little or no reaction to a high degree of probabilistic rarefaction. In other words, control animals seem to have learned that, despite a great number of lost rewards, a large food reinforcer will eventually come. These animals preferred to wait for this ‘lucky’ but ‘rare’ event, and kept demanding at the H5 hole. In contrast, MPH-pretreated subjects exhibited sensitivity to the enhancement of large-reinforcer rarefaction. Indeed, they reacted by showing a marked shift towards H1 nose-poking, delivering the smaller but certain reward. Previous MPH administration during adolescence rendered adult animals more sensitive to changes in stochastic loss of reward. In other words, MPH exposure in the adolescent period enhanced the ability to exhibit a reaction against reward rarefaction in adulthood. Since the same animals were tested twice, it is possible that behavior shown in adulthood was somewhat influenced by previous exposure during adolescence. However, it is worth noting that SAL rats, who displayed flexible behavioral adaptation as adolescents, did not change strategy as adults, and conversely for MPH subjects. This observation allows to dismiss the possibility that adult behavior was a mere replication of the adolescent one, and actually strengthens the originality and validity of data obtained at either age.
Expression Profiling of Striatal Genes Following Adolescent MPH Exposure
Microarray data analyses
To identify the molecular changes elicited by chronic MPH administration, we performed gene profiling of striatal transcripts by a genome-wide microarray technique using Affymetrix RAE230A rat genome GeneChips that contain over 15 000 probesets, analyzing about 15 000 transcripts. Data underwent a series of stringent statistical analyses (see details in Materials and methods). The hierarchical clustering of the microarray data showed that pools of three independent biological replicates, namely striatal tissues from MPH- and SAL-treated rats, displayed highly similar profiles of gene expression, thus demonstrating excellent reproducibility within each treatment group. It was possible to draw the same tree clustering for the normalized data set before and after prefiltering and after statistical filter (data not shown). Stringent statistical filtering allowed the identification of 2373 striatal probesets that differed in expression between MPH- and SAL-treated rats, corresponding to 15% of the screened sequences. These genes were clustered into groups by biological function, as defined by the Gene Ontology consortium (www.geneontology.org). Interestingly, the majority of affected genes encode proteins involved in mechanisms of signal transduction, transport, transcription, and neural transmission. Among the gene families significantly affected by MPH, those potentially involved in synaptic plasticity were highly represented (ie the following Gene Ontology families: synapse organization and biogenesis, synaptogenesis, development, morphogenesis, regulation of morphogenesis, learning and memory, and cytoskeletal organization; see Table 2 in Supplementary information).
In order to retrieve relevant information from such large data sets of genes modulated by MPH, we selected transcripts with at least a 1.5-fold higher expression compared with SAL-treated animals (754 probesets corresponding to 4.7% of the total probesets analyzed). In order to establish a relationship between behavioral changes observed after chronic MPH treatment and changes of expression of this broad class of genes, we focused our attention on classical neurotransmitter receptors and on postsynaptic-density (PSD) proteins, two families likely to be directly or indirectly related to the plastic behavioral changes observed. Among the genes belonging to the PSD family, microarray data showed that Homer1, Shank2, and the ‘MAGUK p55 subfamily member 3′ (Mpp3) mRNAs were all increased in the MPH-treated striata by a 1.6-fold change (see Supplementary information, Table 2). Among the genes coding for classical neurotransmitter receptors, microarray data showed that Grik2, Htr7, adrenergic receptor (Adr)α1b, GABAA receptor γ1 subunit (GabRγ1), and GABAA receptor β3 subunit (GabRβ3) transcripts were increased following MPH treatment with a fold change of 1.6 or more (see Supplementary information, Table 2).
RT-PCR validation
To validate the microarray data on the selected genes, we performed RT-PCR analyses on single (not pooled) striatal RNAs from the SAL- and the MPH-treated animals, killed 2 h after the last injection. These analyses were performed on samples from two independent batches of adolescent rats: the ‘first’ batch, also used for microarray (n=9), and the ‘second’ batch of independently injected animals (n=5) (see Materials and methods). In both analyses, results were consistently reproduced. To evaluate the long-term molecular effects of adolescent MPH administration, we performed RT-PCR analyses on striatal tissues of nine adult rats, belonging to the ‘first’ batch and killed in adulthood (at pnd>90, ie at least 8 weeks after the end of the treatment). We found a strong correlation between the expression patterns predicted by microarrays and those determined by RT-PCR analyses: all the eight upregulated genes selected from the microarray data were validated, whereas other similar genes, not varying in the microarray experiments, did not show variation by RT-PCR analyses (see below). These results strengthen the reliability of our microarray data.
The Homer1, Shank2, and Mpp3 transcripts were upregulated in the MPH-treated adolescent striatal complex (see Figure 3, panels a, c, and e). None of these modifications persisted in the adult striatal complex (see Figure 3 panels b, d, and f).
The Homer 1 gene has two splice variants: 1a and 1b. They have opposite functional effects in cultured neurons, resulting in reduced or increased density and size of dendritic spines and synapses, respectively (Sala et al, 2001, 2003). Therefore, we analyzed the expression of both splice variants separately. As shown in Figure 4, Homer 1a and Homer 1b transcripts were differently affected by MPH treatment. The former did not show short-term drug-induced variation in the adolescent striatal complex, but was significantly increased as enduring drug consequence in the adult (fold change 1.9); conversely, the latter was transiently increased in the adolescent (fold change 1.5), but this change did not persist in the adult striatal complex. The Homer1a upregulation did not cause a global increase of Homer1 mRNA during adulthood, probably because the expression of this splicing variant represents only a minor fraction of Homer1 transcripts. On the contrary, the upregulation of Homer 1b during adolescence likely accounted for the observed global increase of Homer1 transcripts at this age.
As for the neurotransmitter receptor genes, the Grik2, the Htr7, the Adrα1b, the GabRγ1, and the GabRβ3 subunits were significantly upregulated in the MPH-treated adolescent striatal complex (Figure 5, panels a, c, e, g, and i). Interestingly, these modifications persisted in the adult striatal complex (ie 1 month after the end of the MPH treatment) only for the Grik2 and the Htr7 transcripts, but not for the other receptors (see Figure 5, panels b, d, f, h, and l). Interestingly, both these transcripts did not vary in the adolescent or in the adult cerebellum (data not shown), thus confirming the regional specificity of the observed effects.
In addition, both microarray and RT-PCR experiments did not detect modulation either in adolescent or in adult striata for expression of other genes, belonging to the same families of those showing MPH-induced modulation, or known to be affected by other psychostimulants. This was true for Homer2, Homer3, PSD95, ionotropic glutamate receptor-A (Gria1 also known as GluRA), 5-hydroxytryptamine receptor 2a (Htr2a), DA receptor 1 (Drd1), DA receptor 2 (Drd2), dynorphin, and the transcription factor ΔFosB (data not shown). On the contrary, CREB transcripts were not modulated by MPH in the adolescent striatal complex (microarray and RT-PCR experiments), but were upregulated in the adult striatal complex when compared to the SAL control (see Figure 6). This result is consistent with previous data, showing that rats exposed to MPH during adolescence had increased CREB expression within the NAc shell in adulthood (Andersen et al, 2002).
Finally, none of the eight genes modulated in the arrays by subchronic MPH treatment (16 days) was altered by a single acute MPH injection during adolescence. On the contrary, the transcripts for the immediate-early genes Homer1a and c-fos were increased by acute MPH treatment by 1.5- and 2.25-fold, respectively, when compared to SAL-treated rats (data not shown); these data are consistent with previous experiments (Yano and Steiner, 2004, 2005).
DISCUSSION
The aim of this study was to examine at the behavioral and molecular levels how subchronic exposure to MPH in adolescent rats affects neurobehavioral development, both shortly after exposure and in adulthood. To achieve this goal, we have analyzed reward-related behavioral alterations and changes in expression profiling by a genome-wide approach. Adolescent MPH pretreatment resulted in adult animals showing more flexible choice behavior. Also, COC-induced place conditioning was compromised, while COC-induced sensitization of locomotor activity was markedly increased. Expression profiling experiments showed that, among genes up-regulated in the adolescent rat striatal complex after subchronic MPH, there are members of the PSD family, potentially involved in controlling the efficiency of synaptic transmission, and members of the classical neurotransmitter receptors. Interestingly, only some of these effects were long-lasting, being still present in the adult striatal complex.
The effects observed with the genome-wide approach are a consequence of the subchronic MPH treatment (16 days). Indeed, the last injection alone cannot account for these effects, since none of the genes modulated in the arrays was affected in the acute-treatment condition. However, the latter treatment did exert a stimulatory effect on the expression of immediate early genes, such as Homer 1a and c-fos, according to recent data (Yano and Steiner, 2004, 2005). Contrary to other reports (Brandon and Steiner, 2003), we did not observe increased expression of dynorphyn, probably due to differences in the age of animals, length, and dose of subchronic MPH administration. Consistent with the literature data, we did observe increased CREB expression only in adulthood (Andersen et al, 2002).
Cocaine-Induced Place Conditioning and Sensitization
Long-term consequences of adolescent MPH exposure led to an important dissociation between the rewarding and the arousing power of cocaine. Specifically, the incentive memory of COC-induced pleasurable effects was reduced, according to available literature (Andersen et al, 2002, but see also Brandon et al, 2001). On the other hand, drug-induced locomotor sensitization was markedly potentiated. Such a finding raises some concern about the safety of MPH prescription to ADHD children. Indeed, behavioral sensitization has been implied in the pathogenesis of compulsive drug-seeking habits (Stewart and Badiani, 1993; Robinson and Berridge, 1993; Gerdeman et al, 2003). The findings of enhanced psychomotor effect and lower rewarding efficacy of COC are not in contrast: these two phenomena are served by distinct DA pathways and receptors (Robbins and Everitt, 1996; Wise, 2002). Strikingly, a similar picture, consisting of increased sensitization and decreased place conditioning, has been suggested as a characteristic trait of adolescence (Adriani and Laviola, 2002, 2003). We may hence suggest that adolescent MPH exposure resulted in adult individuals showing persistence of some adolescent behavioral features (Spear, 2000). The latter include a basal tone of unsatisfaction and anhedonia, due to reduced reward sensitivity (Laviola et al, 2003; Tirelli et al, 2003). The depressive-like status, found in rats after adolescent MPH exposure (Carlezon et al, 2003; Bolanos et al, 2003), seems highly consistent with this proposed interpretation.
Choice Behavior
When testing adolescent animals, in a range of ‘p’ values above the Indifference Point (see Materials and methods), control subjects showed increased H5 demands and a clear tendency towards disappearance of H1 responses, which attained a floor level. It should be noted that, with this range of ‘p’ values, H5 shifting was actually more convenient than H1 shifting. Indeed, by further increasing H5 responding, control animals apparently tried to compensate for the drop in large-reward delivery. Consistently, it has been shown that the proportion of ‘risky’ choices does increase as the scheduled availability of a feeding resource decreases (Hastjarjo et al, 1990; Kaminski and Ator, 2001). In other words, control rats showed an economically forced shift in their choice behavior. Interestingly, MPH-treated subjects did not apparently react to the stochastic-rarefaction challenge and were less dependent upon being actually food-rewarded, possibly due to direct MPH-induced hedonic activation (Marsteller et al, 2002). In conclusion, in agreement with similar previous evidence (Adriani et al, 2004), a subchronic MPH administration allowed adolescent animals to increase their ability to cope with adverse reinforcement contingencies, represented here by the unpredictable omission of large-reward delivery.
When animals were re-tested in a drug-free state in adulthood, a more severe challenge was introduced (‘p’ level <20%, beyond the point of ‘economical indifference’, see Materials and methods). Control rats maintained their preference for H5, and continued to choose the five-pellet reward, despite almost 80% of H5 nose-poking not triggering food delivery, with an average waiting time of around 100 s. In other words, receiving a larger reward eventually and all at once continued to be preferred over receiving a certain but smaller reward, and this in spite of adverse long-term consequences on total foraging. This observation is consistent with preliminary evidence in our lab, suggesting a strong ‘instinctive’ preference for binge reinforcement in naive food-restricted rats (Hastjarjo et al, 1990; Kaminski and Ator, 2001). As an alternative explanation, adult control rats expressed a kind of fixed habit-based responding. Accordingly, recent findings suggest that adult individuals are less flexible than adolescents (Laviola et al, 2003). While control rats were quite insensitive to the schedule-related challenge, their MPH-pretreated siblings quickly displayed a marked reaction against decreased frequency of large reinforcement. An increase in H1 responding, shown by MPH-pretreated subjects, is only apparently consistent with enhanced impulsivity (Mobini et al, 2000). Indeed, the present enduring effects of adolescent MPH shall be interpreted in terms of (a) increased ‘economical’ efficiency, and/or (b) enhanced behavioral flexibility. While the latter is possibly due to an improvement of striatal plasticity (see below), the former feature may result from a lower impact of ‘subcortical’ drives (the binge-reward preference) and/or a more careful ‘cortical’ evaluation of the long-term payoff (McClure et al, 2004; Ridderinkhof et al, 2004). MPH-exposed rats may perceive the ‘global’ effects of accumulating omitted rewards (the ‘losses’) across time, rather than being merely driven by the ‘unitary’ size of the eventual outcome (the binge but rare ‘wins’). Alternatively, MPH-pretreated rats may be less dependent on established behavioral habits compared to the SAL-pretreated siblings. Interestingly, enhanced flexibility may represent another ‘adolescent-like’ feature in adult rats pre-exposed to MPH.
In summary, the presence or absence of a preference shift, shown by rats when re-tested in adulthood, is discussed here in terms of flexibility and economical efficiency of the choice behavior. These functional parameters may be influenced by a balance between (a) subcortical binge-reward preference and/or established behavioral habits, which would both promote response perseverance, and (b) cortical evaluation of actual outcomes (ie impact of omitted rewards on long-term pay off), which would promote a flexible response shift. Integration of such opposite drives might occur within a crosstalk between the striatal DA pathways and the serotonergic systems of the prefrontal cortex (Ragozzino, 2003; Yin et al, 2004; McClure et al, 2004; Ridderinkhof et al, 2004).
Gene-Expression Changes
Enduring behavioral changes caused by repeated exposure to psychoactive drugs, such as sensitization, are likely to involve changes in gene expression within the mesocorticolimbic DA pathway. The striatal complex was chosen for microarray experiments as a representative target area of this reward-related circuit, since molecular changes induced by acute MPH treatment have been observed in most sectors of the rat caudate putamen (Yano and Steiner, 2004). By genome-wide expression profiling, followed by RT-PCR validation, eight genes, belonging to two families, show significant changes in their striatal expression at the end of the MPH treatment: three PSD genes (Homer1, Shank2, and MPP3), and five neurotransmitter receptors (Grik2, Gabrγ1, Gabrβ3, Htr7, and Adrα1b).
The PSD family forms a network of interacting proteins anchoring and linking neurotransmitter receptors and other postsynaptic membrane proteins to cytoskeletal elements and signaling pathways (Scannevin and Huganir, 2000). Many of these genes have been involved in processes related to long-term synaptic plasticity in the striatum, and psychostimulants are known to exert a pronounced influence on these processes (Nestler, 2001; Gerdeman et al, 2003). Homer and Shank proteins are core components of the PSD family, interacting directly with each other and being associated with the NMDA receptor and with type I-metabotropic GluRs (Scannevin and Huganir, 2000). Interestingly, members of the Homer subfamily are modulated by acute and chronic cocaine administration, and regulate sensitivity to this drug (Szumlinski et al, 2004). The MPP3 gene belongs to the MAGUK subfamily of synaptic membrane-associated proteins, involved in functions that modulate NMDA receptors, including synaptic targeting, clustering, and coupling to second-messenger signaling systems (Scannevin and Huganir, 2000).
MPH-induced changes in PSD genes could act through regulation of synaptic efficacy and (glutamate) receptor function (targeting, clustering, coupling to second messengers, etc), and/or through structural alterations, like those observed in dendrite morphology following repeated administration of psychostimulants (Robinson and Kolb, 2004). Indeed, Homer and Shank2 cooperate to induce structural and functional organization of dendritic spines and synapses (Sala et al, 2001, 2003). Thus, our data showing coordinated upregulation of transcripts for both Homer1 and Shank2 strongly suggest that remodeling of dendritic spines could occur during adolescence following subchronic MPH treatment. The splice variant Homer 1b (which cooperates with Shank to induce morphological growth and maturation; Sala et al, 2001) was not modulated in adulthood. Conversely, the splice variant Homer1a (which reduces the density and size of dendritic spines by inhibition of Shank targeting to the synapses; Sala et al, 2003) was upregulated only in the adult striatal complex. We hypothesize that these two specific MPH effects on Homer1 splice variants might underlie opposite consequences: structural growth and functional improvement of striatal circuits during MPH treatment in adolescence, and conversely a reduction of synaptic size and efficacy as a long-term consequence of adolescent MPH treatment in the adult brain. Future morphological and electrophysiological analyses are needed to test this hypothesis.
Data show that chronic MPH administration, which is thought to increase extracellular DA in the ventral striatum by blocking the DA transporter (Swanson and Volkow, 2002), alters the expression of ionotropic receptor subunits (Grik2, GabRγ1, and GabRβ3) and G-coupled receptors (Htr7 and Adrα1b), thus involving various classical neurotransmitters (glutamate, GABA, serotonin, and noradrenaline). However, only Grik2 and Htr7 transcripts were still upregulated in adulthood. Hence, most of the neurotransmission of the basal ganglia circuits is affected at the end of the treatment and only some of these alterations are long-lasting. In the striatum, a dynamic communication is established between midbrain DA afferents and cortical glutamatergic terminals, which converge on GABAergic spiny projection neurons (Smith and Bolam, 1990). Glutamate and GABA receptors are pivotal in the induction, expression, and/or modulation of synaptic plasticity (Collingridge et al, 2004). Thus, alterations of glutamatergic and/or GABAergic receptor subunits following chronic MPH treatment were expected. Moreover, psychostimulants also affect the excitability of DA neurons via the noradrenergic and serotonergic systems (Auclair et al, 2004; Paladini et al, 2004). Recent experiments implicate Adrα1b in DA release, locomotion, and behavioral sensitization induced by psychostimulants (Drouin et al, 2002; Battaglia et al, 2003). The increased striatal expression of Adrα1b following MPH administration supports its critical role in the behavioral and molecular effects of psychostimulants.
Recent data demonstrate that Grik2 subunits are important modulators of heterosynaptic facilitation (Contractor et al, 2003, 2001), and that significant Grik2 alterations are linked to reward dysfunctions (Tang et al, 2004, 2003).
It is well established that the serotonergic pathways play a role in timing behavior (Wogar et al, 1993; Morrissey et al, 1994), and either reduced or increased serotonin function may cause tendencies towards perseverative behavior (Dalley et al, 2002; Puumala and Sirvio, 1998; Harrison et al, 1997; Wolff and Leander 2002). In addition, genetic knockout and pharmacological blockade studies of the Htr7 receptor suggest its potential involvement in depression (Guscott et al, 2005). Thus, the persistent modulation of Htr7 gene expression after chronic MPH treatment is particularly intriguing. A key role of Htr7 receptors in behavioral flexibility and/or reward-evaluation processes is proposed. This hypothesis deserves future neuro-pharmacological analyses.
Further experiments will establish a causal functional link between enduring changes in the expression levels of Grik2 or Htr7 and the observed behavioral phenotype.
To our knowledge, this is the first study that combines a behavioral analysis and a genome-wide approach, aimed to investigate the molecular bases of neurobehavioral changes due to chronic MPH exposure during adolescence. In summary, our observations indicate that exposure to MPH during adolescence is able to modulate striatal gene expression of members of the PSD and neurotransmitter-receptor families. We suggest that these alterations underlie the fundamental plastic structural and functional plastic changes in striatal circuits. These changes may in turn account for alterations in processing of incentive information and in flexibility/habit balance.
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Acknowledgements
This research was supported by the Project ‘Pathogenesis and recovery in animal and in-vitro models of Alzheimer disease’, Italian Ministry of Health; by MURST/MIUR Cofin. 2003 (No. 2003059030_002); by FIRB Neuroscienze (No. RBNE01WY7P); and by the EU FP5 grant QLRT-2001-01000-GDNF. We thank Dr S Crispi and Dr P De Luca for their help in the microarray experiments, M Sbragi for operant-chamber computer software, and M Terracciano and L Leone for their technical assistance. We disclose any involvement (financial or otherwise) that might potentially bias our work.
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Adriani, W., Leo, D., Greco, D. et al. Methylphenidate Administration to Adolescent Rats Determines Plastic Changes on Reward-Related Behavior and Striatal Gene Expression. Neuropsychopharmacol 31, 1946–1956 (2006). https://doi.org/10.1038/sj.npp.1300962
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DOI: https://doi.org/10.1038/sj.npp.1300962
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