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Opioids, Reward and Addiction: An Encounter of Biology ...

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the effects <strong>of</strong> morphine to induce conditioned place preference<br />

(Carlezon et al., 1997). The proposed functional<br />

NMDA antagonist acamprosate was found to prevent<br />

the acquisition <strong>of</strong> naloxone-precipitated morphine withdrawal-induced<br />

place aversion (Kratzer <strong>and</strong> Schmidt,<br />

1998).<br />

Administration <strong>of</strong> an antagonist <strong>of</strong> the CB1 cannabinoid<br />

receptor, SR 141716 (N-piperidino-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methylpyrazole-3-carboxamide)<br />

blocked the development <strong>of</strong> morphine place<br />

preference (Chaperon et al., 1998). In addition, prenatal<br />

exposure to 9 -tetrahydrocannabinol appeared to cause<br />

increased sensitivity to the ability <strong>of</strong> morphine to induce<br />

conditioned place preference (Rubio et al., 1998).<br />

Opposite roles for different types <strong>of</strong> cholecystokinin<br />

(CCK) receptors in the induction <strong>of</strong> morphine-induced<br />

place preference have been suggested. <strong>An</strong>tagonists <strong>of</strong><br />

CCK-A receptors, as well as mixed CCK receptor antagonists,<br />

appeared to block the development <strong>of</strong> morphineinduced<br />

conditioned place preference (Higgins et al.,<br />

1992b; Singh et al., 1996a,b). In contrast, blockade <strong>of</strong><br />

CCK-B receptors was reported to actually enhance opioid-induced<br />

place preference, although in another study<br />

a CCK-B antagonist appeared to have no such effect<br />

(Higgins et al., 1992b; Singh et al., 1996b; Valverde et<br />

al., 1996). When administered during the development<br />

<strong>of</strong> morphine physical dependence, CCK-B antagonists,<br />

but not CCK-A antagonists appeared to inhibit the place<br />

aversion induced by subsequent treatment with naloxone<br />

(Valverde <strong>and</strong> Roques, 1998).<br />

<strong>An</strong> inhibitory influence <strong>of</strong> histamine receptor stimulation<br />

on morphine-induced place-conditioning was suggested<br />

in a study which showed that administration <strong>of</strong> a<br />

histamine H2 antagonist, which by itself also induced<br />

place preference, potentiated the effects <strong>of</strong> morphine on<br />

place-conditioning. In addition, a histamine synthesis<br />

inhibitor was also shown to potentiate, whereas administration<br />

<strong>of</strong> a histamine precursor inhibited morphineinduced<br />

place preference (Suzuki et al., 1995b).<br />

The induction <strong>of</strong> place aversion induced by lithium chloride<br />

was found to be blocked by coadministration <strong>of</strong> naloxone<br />

as well as previous lesions <strong>of</strong> the mediobasal hypothalamus,<br />

which markedly reduced brain -endorphin levels<br />

(Shippenberg et al., 1988b). Chronic administration <strong>of</strong><br />

a lithium-containing diet, which did not modify central<br />

-endorphin levels or release, was shown to inhibit place<br />

preference <strong>and</strong> aversion induced by morphine or naloxone,<br />

respectively. The effects <strong>of</strong> amphetamine <strong>and</strong> U69,593 on<br />

place-conditioning were not modified by lithium, suggesting<br />

that lithium might counteract the effects <strong>of</strong> receptor<br />

lig<strong>and</strong>s (Shippenberg <strong>and</strong> Herz, 1991).<br />

Calcium channel blockers have been shown to inhibit<br />

acquisition <strong>of</strong> morphine-place preference (Kuzmin et al.,<br />

1992a; Biala <strong>and</strong> Langwinski, 1996), as was also shown<br />

for nitric oxide synthase inhibitors (Kivastik et al.,<br />

1996). Calcium-dependent endopeptidase inhibitors<br />

were found to have a similar effect (Lyupina et al., 1996).<br />

OPIOIDS, REWARD AND ADDICTION 369<br />

Inhibition <strong>of</strong> morphine-induced place preference was<br />

also found with cyclosporine A; this effect was absent in<br />

a -opioid receptor-deficient mouse strain (Suzuki et al.,<br />

1993). In addition, inflammation blocked the development<br />

<strong>of</strong> morphine place preference, whereas adrenalectomy<br />

was found to potentiate it (Suzuki et al., 1995a,<br />

1996a). In diabetic mice, the capacity <strong>of</strong> morphine to<br />

induce place preference was enhanced, possibly through<br />

increased -opioid receptor function (Kamei et al., 1997).<br />

Naloxone blocked the place preference induced by Substance<br />

P or a Substance P analog (Hasenohrl et al.,<br />

1991).<br />

The involvement <strong>of</strong> nondopaminergic neurotransmitter<br />

<strong>and</strong> neuromodulator systems in opioid place-conditioning<br />

has only been sparsely investigated. Of these systems, a<br />

role for 5-HT <strong>and</strong> CCK systems in opioid place-conditioning<br />

can be proposed, as well as for NMDA receptors. With<br />

respect to the latter system, the effects <strong>of</strong> NMDA antagonists<br />

on morphine-induced place-conditioning are not due<br />

to the induction <strong>of</strong> state-dependent learning (Tzschentke<br />

<strong>and</strong> Schmidt, 1997), <strong>and</strong> it has been shown that in selfadministration<br />

<strong>and</strong> ICSS models, NMDA receptor antagonists<br />

potentiate the reinforcing properties <strong>of</strong> morphine<br />

<strong>and</strong> cocaine (Carlezon <strong>and</strong> Wise, 1993a; Ranaldi et al.,<br />

1996, 1997). Thus, it is likely that the effects <strong>of</strong> NMDA<br />

antagonists on morphine-induced place-conditioning reflect<br />

the disruptive effects <strong>of</strong> NMDA antagonists on learning<br />

(Morris et al., 1986; Bliss <strong>and</strong> Collingridge, 1993).<br />

B. Variables Interfering with Opioid Place Preference<br />

A meta-analysis has been conducted on conditioned<br />

place preference studies with morphine <strong>and</strong> heroin (as<br />

well as cocaine <strong>and</strong> amphetamine) in rats, published<br />

between 1979 <strong>and</strong> 1992 (Bardo et al., 1995). The influence<br />

<strong>of</strong> a variety <strong>of</strong> experimental factors was analyzed.<br />

These included drug dose, route <strong>of</strong> administration, number<br />

<strong>of</strong> conditioning trials, trial duration, test duration,<br />

drug compartment, number <strong>of</strong> apparatus compartments,<br />

<strong>and</strong> use <strong>of</strong> intervening saline trials or a preconditioning<br />

test, as well as sex, strain, <strong>and</strong> housing conditions <strong>of</strong> the<br />

animals. The data revealed no consistent influence <strong>of</strong><br />

the sex <strong>of</strong> the animals used. When the data were analyzed<br />

for strain effects, Sprague-Dawley <strong>and</strong> Wistar rats<br />

were found to be more sensitive to the place-conditioning<br />

effects <strong>of</strong> morphine <strong>and</strong> heroin than other strains. With<br />

regard to social circumstances, individual housing at the<br />

time <strong>of</strong> the experiment appeared to enhance the sensitivity<br />

for heroin-induced place-conditioning. It has, however,<br />

also been described that isolation rearing made<br />

rats less sensitive to the ability <strong>of</strong> morphine <strong>and</strong> heroin<br />

to establish conditioned place preference (Schenk et al.,<br />

1983, 1985; Wongwitdecha <strong>and</strong> Marsden, 1996). Indeed,<br />

it was recently shown that rats reared in enriched environments<br />

were more sensitive to morphine-induced<br />

place-conditioning than animals reared under impoverished<br />

circumstances, which included social isolation<br />

(Bardo et al., 1997). With respect to social status, dom-

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