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α2A-adrenergic heteroreceptors are required for stress-induced reinstatement of cocaine conditioned place preference.


ABSTRACT: The α2a-adrenergic receptor (α2a-AR) agonist guanfacine has been investigated as a potential treatment for substance use disorders. While decreasing stress-induced reinstatement of cocaine seeking in animal models and stress-induced craving in human studies, guanfacine has not been reported to decrease relapse rates. Although guanfacine engages α2a-AR autoreceptors, it also activates excitatory Gi-coupled heteroreceptors in the bed nucleus of the stria terminalis (BNST), a key brain region in driving stress-induced relapse. Thus, BNST α2a-AR heteroreceptor signaling might decrease the beneficial efficacy of guanfacine. We aimed to determine the role of α2a-AR heteroreceptors and BNST Gi-GPCR signaling in stress-induced reinstatement of cocaine conditioned place preference (CPP) and the effects of low dose guanfacine on BNST activity and stress-induced reinstatement. We used a genetic deletion strategy and the cocaine CPP procedure to first define the contributions of α2a-AR heteroreceptors to stress-induced reinstatement. Next, we mimicked BNST Gi-coupled α2a-AR heteroreceptor signaling using a Gi-coupled designer receptor exclusively activated by designer drug (Gi-DREADD) approach. Finally, we evaluated the effects of low-dose guanfacine on BNST cFOS immunoreactivity and stress-induced reinstatement. We show that α2a-AR heteroreceptor deletion disrupts stress-induced reinstatement and that BNST Gi-DREADD activation is sufficient to induce reinstatement. Importantly, we found that low-dose guanfacine does not increase BNST activity, but prevents stress-induced reinstatement. Our findings demonstrate a role for α2a-AR heteroreceptors and BNST Gi-GPCR signaling in stress-induced reinstatement of cocaine CPP and provide insight into the impact of dose on the efficacy of guanfacine as a treatment for stress-induced relapse of cocaine use.

SUBMITTER: Perez RE 

PROVIDER: S-EPMC7360592 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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α<sub>2A</sub>-adrenergic heteroreceptors are required for stress-induced reinstatement of cocaine conditioned place preference.

Perez Rafael E RE   Basu Aakash A   Nabit Bretton P BP   Harris Nicholas A NA   Folkes Oakleigh M OM   Patel Sachin S   Gilsbach Ralf R   Hein Lutz L   Winder Danny G DG  

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology 20200219 9


The α<sub>2a</sub>-adrenergic receptor (α<sub>2a</sub>-AR) agonist guanfacine has been investigated as a potential treatment for substance use disorders. While decreasing stress-induced reinstatement of cocaine seeking in animal models and stress-induced craving in human studies, guanfacine has not been reported to decrease relapse rates. Although guanfacine engages α<sub>2a</sub>-AR autoreceptors, it also activates excitatory G<sub>i</sub>-coupled heteroreceptors in the bed nucleus of the stria  ...[more]

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