24 results on '"Valeria Lallai"'
Search Results
2. Proteomic Profile of Circulating Extracellular Vesicles in the Brain after Δ9-Tetrahydrocannabinol Inhalation
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Valeria Lallai, TuKiet T. Lam, Rolando Garcia-Milian, Yen-Chu Chen, James P. Fowler, Letizia Manca, Daniele Piomelli, Kenneth Williams, Angus C. Nairn, and Christie D. Fowler
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cannabis ,THC ,extracellular vesicles ,cerebrospinal fluid ,proteomic ,Microbiology ,QR1-502 - Abstract
Given the increasing use of cannabis in the US, there is an urgent need to better understand the drug’s effects on central signaling mechanisms. Extracellular vesicles (EVs) have been identified as intercellular signaling mediators that contain a variety of cargo, including proteins. Here, we examined whether the main psychoactive component in cannabis, Δ9-tetrahydrocannabinol (THC), alters EV protein signaling dynamics in the brain. We first conducted in vitro studies, which found that THC activates signaling in choroid plexus epithelial cells, resulting in transcriptional upregulation of the cannabinoid 1 receptor and immediate early gene c-fos, in addition to the release of EVs containing RNA cargo. Next, male and female rats were examined for the effects of either acute or chronic exposure to aerosolized (‘vaped’) THC on circulating brain EVs. Cerebrospinal fluid was extracted from the brain, and EVs were isolated and processed with label-free quantitative proteomic analyses via high-resolution tandem mass spectrometry. Interestingly, circulating EV-localized proteins were differentially expressed based on acute or chronic THC exposure in a sex-specific manner. Taken together, these findings reveal that THC acts in the brain to modulate circulating EV signaling, thereby providing a novel understanding of how exogenous factors can regulate intercellular communication in the brain.
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- 2024
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3. Social isolation postweaning alters reward-related dopamine dynamics in a region-specific manner in adolescent male rats
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Valeria Lallai, Cristina Congiu, Giulia Craig, Letizia Manca, Yen-Chu Chen, Angeline J. Dukes, Christie D. Fowler, and Laura Dazzi
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Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 ,Neurology. Diseases of the nervous system ,RC346-429 ,Neurophysiology and neuropsychology ,QP351-495 - Abstract
Early development is characterized by dynamic transitions in brain maturation, which may be impacted by environmental factors. Here, we sought to determine the effects of social isolation from postweaning and during adolescence on reward behavior and dopaminergic signaling in male rats. Subjects were socially isolated or group housed at postnatal day 21. Three weeks later, extracellular dopamine concentrations were examined in the medial prefrontal cortex (mPFC) and nucleus accumbens shell (NAc) during a feeding bout. Surprisingly, opposing effects were found in which increased mPFC dopamine concentrations were observed in group housed, but not isolated, rats. In stark contrast, increased dopamine levels were found in the NAc of isolated, but not group housed, rats. Moreover, the absence of an effect in the mPFC of the isolated rats could not be reversed by subsequent group housing, demonstrating the remarkable long-term effects on dopamine signaling dynamics. When provided a highly palatable food, the isolated subjects exhibited a dramatic increase in mPFC dopamine levels when the chocolate was novel, but no effects following chronic chocolate consumption. In contrast, the group housed subjects showed significantly increased dopamine levels only with chronic chocolate consumption. The dopamine changes were correlated with differences in behavioral measures. Importantly, the deficit in reward-related behavior during isolation could be reversed by microinjection of either dopamine or cocaine into the mPFC. Together, these data provide evidence that social isolation from postweaning and during adolescence alters reward-induced dopamine levels in a brain region-specific manner, which has important functional implications for reward-related behavior.
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- 2024
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4. Differential Expression Patterns of Lynx Proteins and Involvement of Lynx1 in Prepulse Inhibition
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Yasmine Sherafat, Edison Chen, Valeria Lallai, Malia Bautista, James P. Fowler, Yen-Chu Chen, Julie Miwa, and Christie D. Fowler
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nicotinic acetylcholin receptor (nAChR) ,cholinergic signaling ,sensory gating ,learning and memory ,cognitive flexibility ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Negative allosteric modulators, such as lynx1 and lynx2, directly interact with nicotinic acetylcholine receptors (nAChRs). The nAChRs are integral to cholinergic signaling in the brain and have been shown to mediate different aspects of cognitive function. Given the interaction between lynx proteins and these receptors, we examined whether these endogenous negative allosteric modulators are involved in cognitive behaviors associated with cholinergic function. We found both cell-specific and overlapping expression patterns of lynx1 and lynx2 mRNA in brain regions associated with cognition, learning, memory, and sensorimotor processing, including the prefrontal cortex (PFC), cingulate cortex, septum, hippocampus, amygdala, striatum, and pontine nuclei. Since lynx proteins are thought to play a role in conditioned associations and given the expression patterns across brain regions, we first assessed whether lynx knockout mice would differ in a cognitive flexibility task. We found no deficits in reversal learning in either the lynx1–/– or lynx2–/– knockout mice. Thereafter, sensorimotor gating was examined with the prepulse inhibition (PPI) assessment. Interestingly, we found that both male and female lynx1–/– mice exhibited a deficit in the PPI behavioral response. Given the comparable expression of lynx2 in regions involved in sensorimotor gating, we then examined whether removal of the lynx2 protein would lead to similar behavioral effects. Unexpectedly, we found that while male lynx2–/– mice exhibited a decrease in the baseline startle response, no differences were found in sensorimotor gating for either male or female lynx2–/– mice. Taken together, these studies provide insight into the expression patterns of lynx1 and lynx2 across multiple brain regions and illustrate the modulatory effects of the lynx1 protein in sensorimotor gating.
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- 2021
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5. Method for Primary Epithelial Cell Culture from the Rat Choroid Plexus
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Valeria Lallai, Amina Ahmed, and Christie Fowler
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Biology (General) ,QH301-705.5 - Abstract
The choroid plexus consists of a network of secretory epithelial cells localized throughout the lateral, third and fourth ventricles of the brain. Cerebrospinal fluid (CSF) is generated by the choroid plexus and released into the ventricular environment. This biofluid contains an enriched source of proteins, ions, and other signaling molecules for extracellular support of neurons and glial cells within the central nervous system. Given that other cells in the brain also release factors into the CSF, in vitro investigations of choroid plexus function are necessary to isolate processes selectively occurring within and released from this tissue. Here, we describe a protocol to isolate choroid plexus tissue from each of the ventricular locations, and the cell culture conditions required to support growth and maintenance of these epithelial cells. This technique allows for investigations of the functional significance of the choroid plexus, such as for the examination of stimuli promoting the release of growth factors and extracellular vesicles (e.g., exosomes and microvesicles) from ventricle-specific choroid plexus epithelial cells.
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- 2020
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6. Cannabinoid and nicotine exposure during adolescence induces sex-specific effects on anxiety- and reward-related behaviors during adulthood.
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Anna N Pushkin, Angeline J Eugene, Valeria Lallai, Alan Torres-Mendoza, J P Fowler, Edison Chen, and Christie D Fowler
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Medicine ,Science - Abstract
Nicotine and cannabis use during adolescence has the potential to induce long lasting changes on affective and cognitive function. Here, we examined whether adolescent exposure to nicotine, the cannabinoid agonist WIN55-212,2 (WIN), or co-exposure to both would alter operant learning, locomotion, and anxiety- and reward-related behaviors in male and female mice during adulthood. Males exposed to a moderate dose of WIN (2 mg/kg) or co-exposed to nicotine and the moderate dose of WIN exhibited decreased anxiety-associated behaviors and increased cognitive flexibility, but did not differ in operant learning or generalized locomotion. In contrast, differences were not found among the females in these measures at the moderate WIN dose or in both sexes with exposure to a low WIN dose (0.2 mg/kg). Furthermore, a sex-dependent dissociative effect was found in natural reward consumption. Males exposed to the moderate dose of WIN or co-exposed to nicotine and the moderate dose of WIN demonstrated increased sucrose consumption. In contrast, females exposed to the moderate dose of WIN exhibited a decrease in sucrose consumption, which was ameliorated with co-administration of nicotine. Together, these novel findings demonstrate that adolescent exposure to cannabinoids in the presence or absence of nicotine results in altered affective and reward-related behaviors during adulthood.
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- 2019
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7. Involvement of the cannabinoid CB1 receptor in modulation of dopamine output in the prefrontal cortex associated with food restriction in rats.
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Laura Dazzi, Giuseppe Talani, Francesca Biggio, Cinzia Utzeri, Valeria Lallai, Valentina Licheri, Stefano Lutzu, Maria Cristina Mostallino, Pietro Paolo Secci, Giovanni Biggio, and Enrico Sanna
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Medicine ,Science - Abstract
Increase in dopamine output on corticolimbic structures, such as medial prefrontal cortex (mPFC) and nucleus accumbens, has been related to reward effects associated with palatable food or food presentation after a fasting period. The endocannabinoid system regulates feeding behavior through a modulatory action on different neurotransmitter systems, including the dopaminergic system. To elucidate the involvement of type 1 cannabinoid receptors in the regulation of dopamine output in the mPFC associated with feeding in hungry rats, we restricted the food availability to a 2-h period daily for 3 weeks. In food-restricted rats the extracellular dopamine concentration in the mPFC increased starting 80 min before food presentation and returned to baseline after food removal. These changes were attenuated in animals treated with the CB1 receptor antagonist SR141716. To better understand how food restriction can change the response of mesocortical dopaminergic neurons, we studied several components of the neuronal circuit that regulates dopamine output in the mPFC. Patch-clamp experiments revealed that the inhibitory effect of the CB1 receptor agonist WIN 55,212-2 on GABAergic sIPSC frequency was diminished in mPFC neurons of FR compared to fed ad libitum rats. The basal sIPSC frequency resulted reduced in mPFC neurons of food-restricted rats, suggestive of an altered regulation of presynaptic GABA release; these changes were accompanied by an enhanced excitability of mPFC and ventral tegmental area neurons. Finally, type 1 cannabinoid receptor expression in the mPFC was reduced in food-restricted rats. Together, our data support an involvement of the endocannabinoid system in regulation of dopamine release in the mPFC through changes in GABA inhibitory synapses and suggest that the emphasized feeding-associated increase in dopamine output in the mPFC of food-restricted rats might be correlated with an altered expression and function of type 1 cannabinoid receptor in this brain region.
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- 2014
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8. Effects of Prenatal Nicotine, THC, or Co-Exposure on Cognitive Behaviors in Adolescent Male and Female Rats
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Valeria Lallai, Letizia Manca, Yasmine Sherafat, and Christie D Fowler
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Male ,Nicotine ,Pediatric Research Initiative ,Clinical Sciences ,Original Investigations ,Reproductive health and childbirth ,Electronic Nicotine Delivery Systems ,Basic Behavioral and Social Science ,Substance Misuse ,Cognition ,Pregnancy ,Behavioral and Social Science ,Tobacco ,Animals ,Humans ,2.2 Factors relating to the physical environment ,Dronabinol ,Aetiology ,Pediatric ,Marketing ,Tobacco Smoke and Health ,Prevention ,Public Health, Environmental and Occupational Health ,Neurosciences ,Perinatal Period - Conditions Originating in Perinatal Period ,Rats ,Good Health and Well Being ,Prenatal Exposure Delayed Effects ,Public Health and Health Services ,Female ,Public Health ,Drug Abuse (NIDA only) - Abstract
Introduction Although there has been a decrease in the prevalence of tobacco smoking, exposure to nicotine during pregnancy remains a substantial problem worldwide. Further, given the recent escalation in e-cigarette use and legalization of cannabis, it has become essential to understand the effects of nicotine and cannabinoid co-exposure during early developmental stages. Aims and Methods We systematically examined the effects of nicotine and/or THC prenatal exposure on cognitive behaviors in male and female offspring. Dams were exposed to nicotine vape or vehicle, and oral edible THC or vehicle, throughout pregnancy. Adolescent offspring were then tested in the prepulse inhibition test, novel object recognition task, and novelty suppressed feeding task. Results At birth, pups from mothers exposed to nicotine vape or oral THC exhibited reduced body weight, compared to control pups. Prenatal nicotine vape exposure resulted in a decreased baseline startle reactivity in adolescent male and female rats, and in females, enhanced sensorimotor gating in the prepulse inhibition test. Prenatal nicotine and THC co-exposure resulted in significant deficits in the prepulse inhibition test in males. Deficits in short-term memory were also found in males prenatally exposed to THC, either alone or with nicotine co-exposure, and in females exposed to THC alone. Finally, in males, a modest increase in anxiety-associated behaviors was found with THC or nicotine exposure in the latency to approach a novel palatable food. Conclusions These studies demonstrate differential effects of prenatal exposure to e-cigarette nicotine vape and/or edible THC on cognitive function, with differing effects within male and female groups. Implications These studies demonstrate an impact of nicotine, THC, or co-exposure during early developmental stages in utero on behavioral outcomes in adolescence. These findings have important translational implications given the continued use of nicotine and THC containing products by pregnant women worldwide, which can be applied to support healthcare and policy efforts restricting nicotine and THC use during pregnancy.
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- 2022
9. Disruption of VGLUT1 in Cholinergic Medial Habenula Projections Increases Nicotine Self-Administration
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Elizabeth A. Souter, Yen-Chu Chen, Vivien Zell, Valeria Lallai, Thomas Steinkellner, William S. Conrad, William Wisden, Kenneth D. Harris, Christie D. Fowler, and Thomas S. Hnasko
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Habenula ,Nicotine ,Tobacco Smoke and Health ,General Neuroscience ,Interpeduncular Nucleus ,Substance Abuse ,Neurosciences ,glutamate ,medial habenula ,General Medicine ,Fluorescence ,acetylcholine ,Brain Disorders ,Mice ,Tobacco ,Animals ,Disorders of the Nervous System ,Nicotinic Agonists ,corelease ,In Situ Hybridization ,Research Article: New Research ,In Situ Hybridization, Fluorescence - Abstract
Cholinergic projections from the medial habenula (MHb) to the interpeduncular nucleus (IPN) have been studied for their complex contributions to nicotine addiction and have been implicated in nicotine reinforcement, aversion, and withdrawal. While it has been established that MHb cholinergic projections corelease glutamate, no direct evidence has demonstrated a role for this glutamate projection in nicotine consumption. In the present study, a novel floxedSlc17a7[vesicular glutamate transporter 1 (VGLUT1)] mouse was generated and used to create conditional knock-out (cKO) mice that lack VGLUT1 in MHb cholinergic neurons. Loss ofSlc17a7expression in ventral MHb cholinergic neurons was validated using fluorescentin situhybridization, and immunohistochemistry was used to demonstrate a corresponding reduction of VGLUT1 protein in cholinergic terminals in the IPN. We also used optogenetics-assisted electrophysiology to evoke EPSCs in IPN and observed a reduction of glutamatergic currents in the cKO, supporting the functional disruption of VGLUT1 in MHb to IPN synapses. cKO mice exhibited no gross phenotypic abnormalities and displayed normal thigmotaxis and locomotor behavior in the open-field assay. When trained to lever press for food, there was no difference between control and cKO. However, when tested in a nicotine self-administration procedure, we found that the loss of VGLUT1-mediated glutamate corelease led to increased responding for nicotine. These findings indicate that glutamate corelease from ventral MHb cholinergic neurons opposes nicotine self-administration, and provide additional support for targeting this synapse to develop potential treatments for nicotine addiction.
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- 2022
10. Nasal Accumulation and Metabolism of Δ9-Tetrahydrocannabinol Following Aerosol (‘Vaping’) Administration in Adolescent Rats
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Alexa Torrens, Christina M. Ruiz, Pritam Roy, Dakota Grimes, Faizy Ahmed, Valeria Lallai, Maricela X. Martinez, Victoria Inshishian, Malia Bautista, Yen-Chu Chen, Christie D. Fowler, Marilyn A. Huestis, Aditi Das, Stephen V. Mahler, and Daniele Piomelli
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History ,Polymers and Plastics ,Business and International Management ,Industrial and Manufacturing Engineering - Published
- 2022
11. Nasal accumulation and metabolism of Δ9-tetrahydrocannabinol following aerosol (‘vaping’) administration in an adolescent rat model
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Alexa Torrens, Christina M. Ruiz, Maricela X. Martinez, Alex Mabou Tagne, Pritam Roy, Dakota Grimes, Faizy Ahmed, Valeria Lallai, Victoria Inshishian, Malia Bautista, Yen-Chu Chen, Marilyn A. Huestis, Aditi Das, Christie D. Fowler, Stephen V. Mahler, and Daniele Piomelli
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Pharmacology - Published
- 2023
12. Pharmacokinetic and Pharmacodynamic Properties of Aerosolized (‘Vaped’) THC in Adolescent Male and Female Rats
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Alexa Torrens, Erik Castillo, D. N. Justeson, Letizia Manca, Daniele Piomelli, Stephen V. Mahler, Valeria Lallai, Christie D. Fowler, Christina M. Ruiz, and M. X. Martinez
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Drug ,Male ,THC ,media_common.quotation_subject ,Wistar ,Hypothermia ,Anxiety ,Pharmacology ,Medical and Health Sciences ,Article ,Substance Misuse ,E-cigarette ,Pharmacokinetics ,Behavioral and Social Science ,mental disorders ,Blood plasma ,Medicine ,Animals ,Dosing ,Dronabinol ,Rats, Wistar ,media_common ,Pediatric ,Psychiatry ,Inhalation exposure ,biology ,Inhalation ,business.industry ,organic chemicals ,Vaping ,Psychology and Cognitive Sciences ,Neurosciences ,Brain ,Vapor ,biology.organism_classification ,Rats ,Blood ,Good Health and Well Being ,Pharmacodynamics ,Hallucinogens ,Female ,Cannabis ,Drug Abuse (NIDA only) ,business ,Locomotion - Abstract
RationaleAdolescent exposure to ∆9-tetrahydrocannabinol (THC), the psychotropic constituent of cannabis, might affect brain development, and in rodent models leads to long-term behavioral and physiological alterations. Yet, the basic pharmacology of this drug in adolescent rodents, especially when ingested via ecologically relevant routes like aerosol inhalation, commonly referred to as "vaping," is still poorly characterized. Moreover, sex differences exist in THC metabolism, kinetics, and behavioral effects, but these have not been rigorously examined after vapor dosing in adolescents.ObjectivesWe investigated the pharmacokinetics and pharmacodynamics of aerosolized THC (30min inhalation exposure, 25 or 100mg/ml) in adolescent Wistar rats of both sexes.MethodsLiquid chromatography/mass spectrometry analysis of THC and its major metabolites was conducted on blood plasma and brain tissue at 5, 30, 60, and 120min following a 30-min aerosol dosing session. Effects on activity in a novel environment for 120min after aerosol, and temperature, were measured in separate rats.ResultsWe found sex-dependent differences in the pharmacokinetics of THC and its active (11-OH-THC) and inactive (11-COOH-THC) metabolites in the blood and brain, along with dose- and sex-dependent effects on anxiety-like and exploratory behaviors; namely, greater 11-OH-THC levels accompanied by greater behavioral effects in females at the low dose but similar hypothermic effects in both sexes at the high dose.ConclusionsThese results provide a benchmark for dosing adolescent rats with aerosolized (or "vaped") THC, which could facilitate adoption by other labs of this potentially human-relevant THC exposure model to understand cannabis effects on the developing brain.
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- 2021
13. Nicotine e‐cigarette vapor inhalation and self‐administration in a rodent model: Sex‐ and nicotine delivery‐specific effects on metabolism and behavior
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Yen-Chu Chen, James P. Fowler, Eashan R Kotha, Christie D. Fowler, Angelique N. Cortez, Mikayla M Roybal, Andres Staben, and Valeria Lallai
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Male ,Nicotine ,Metabolite ,Drug-Seeking Behavior ,Medicine (miscellaneous) ,Self Administration ,Electronic Nicotine Delivery Systems ,Pharmacology ,Article ,03 medical and health sciences ,chemistry.chemical_compound ,Sex Factors ,0302 clinical medicine ,Neurochemical ,Animals ,Medicine ,Rats, Wistar ,Cotinine ,Inhalation ,business.industry ,Rodent model ,Metabolism ,Rats ,030227 psychiatry ,Psychiatry and Mental health ,chemistry ,E-Cigarette Vapor ,Female ,Self-administration ,business ,Locomotion ,030217 neurology & neurosurgery ,medicine.drug - Abstract
E-cigarettes, which deliver vaporized nicotine, have dramatically risen in popularity in recent years, despite many unanswered questions about safety, efficacy in reducing dependence, and overall impact on public health. Other factors, such as sex, also play an important role in determining behavioral and neurochemical responses to drugs of abuse. In these studies, we sought to develop a protocol for vaporized e-cigarette nicotine self-administration in rats, as a foundation to better understand the differing effects of nicotine exposure routes on behavior and physiological function. We report a novel method that elicits robust nicotine vapor self-administration in male and female rats. Our findings indicate that 5 mg/ml nicotine vape solution provides a high level of consistency in lever-pressing behavior for both males and females. Moreover, in male rats, we find that such e-cigarette nicotine vapor induces similar blood levels of nicotine’s main metabolite, cotinine, as that found with intravenous nicotine self-administration. Therefore, the breathing pattern during vapor exposure in males leads to similar levels of titrated nicotine intake as with intravenous nicotine self-administration. Interestingly, a differential effect was found in the females, in which the same conditions of vapor exposure led to decreased cotinine levels with vapor compared to intravenous self-administration. Finally, differences in nicotine-mediated locomotion provide further support of the physiological effects of e-cigarette vapor inhalation. Taken together, our findings reveal important sex differences in nicotine intake based on the route of exposure, and we further establish a protocol for nicotine vapor self-administration in rats.
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- 2021
14. Adolescent Cannabinoid and Nicotine Exposure Differentially Alters Adult Nicotine Self-Administration in Males and Females
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Anna N. Pushkin, James P. Fowler, Christie D. Fowler, Angeline J. Dukes, and Valeria Lallai
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Male ,Cannabinoid receptor ,Mouse ,medicine.medical_treatment ,Original Investigations ,Self Administration ,Electronic Nicotine Delivery Systems ,Inbred C57BL ,Nicotine ,Mice ,0302 clinical medicine ,Psychology ,media_common ,Pediatric ,Marketing ,0303 health sciences ,biology ,Substance Abuse ,Reinforcement ,Self-Administration ,5.1 Pharmaceuticals ,Public Health and Health Services ,Female ,Mental health ,Public Health ,Development of treatments and therapeutic interventions ,Self-administration ,Reinforcement, Psychology ,medicine.drug ,Drug ,Agonist ,Adult ,medicine.medical_specialty ,Drug Abuse (NIDA Only) ,Adolescent ,medicine.drug_class ,NICOTINE EXPOSURE ,media_common.quotation_subject ,Clinical Sciences ,Basic Behavioral and Social Science ,03 medical and health sciences ,Reward ,Internal medicine ,Behavioral and Social Science ,Tobacco ,medicine ,Animals ,Humans ,Cannabis ,030304 developmental biology ,Tobacco Smoke and Health ,Cannabinoid Research ,Cannabinoids ,Public Health, Environmental and Occupational Health ,biology.organism_classification ,Mice, Inbred C57BL ,Endocrinology ,Cannabinoid ,030217 neurology & neurosurgery - Abstract
Introduction During adolescence, exposure to nicotine or cannabis independently induces effects on neuromaturation and later cognitive function. However, the potential effect of both drugs under co-use conditions has become of increasing concern given the prevalence of e-cigarettes, legalization of cannabis, and availability of synthetic “spice” cannabinoid agonists. Aims and Methods The current studies investigated the effects of exposure to a cannabinoid receptor agonist (WIN55,212-2) and/or nicotine over a discrete time period in mid-adolescence on later intravenous nicotine self-administration in adult male and female mice. We further examined whether cannabinoid agonist administration in adulthood would alter nicotine reinforcement, with either acute or chronic pairing across 7 days. Results We found that adult males exhibited increased nicotine self-administration at a lower, rewarding nicotine dose following adolescent cannabinoid exposure, either alone or with nicotine coadministration. In contrast, adult females demonstrated an opposing effect in which adolescent cannabinoid and nicotine coexposure resulted in decreased nicotine intake compared with the nicotine only and control groups. Furthermore, after maintaining nicotine self-administration across sessions, pretreatment with a low dose of the cannabinoid agonist decreased nicotine intake in both male and female control mice, and this lowering effect was evidenced after both acute and chronic treatment. However, the cannabinoid agonist was ineffective in altering nicotine intake in mice previously exposed to nicotine, cannabinoid agonist, or both during adolescence. Conclusions These data provide evidence that adolescent drug exposure can alter later nicotine reinforcement in a sex-specific manner and can further modulate the effectiveness of interventions in reducing nicotine intake during adulthood. Implications These studies demonstrate a significant impact of nicotine, cannabinoids, or coexposure on developmental processes during adolescence. Differential effects were observed within each sex, with opposing results found for cannabinoid exposure on nicotine intake in males and females. Intriguingly, we also evidenced resistance to the lowering effects of a cannabinoid agonist on nicotine intake in adulthood based on adolescent drug exposure. Thus, these findings have important implications for our understanding of the impact of nicotine and cannabinoids (eg, Δ9-tetrahydrocannabinol (THC) and synthetic “spice” cannabinoids) during development, with further implications for the effectiveness of therapeutic interventions based on prior drug exposure in youth.
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- 2020
15. E-cigarette vape and lung ACE2 expression: Implications for coronavirus vulnerability
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Letizia Manca, Valeria Lallai, and Christie D. Fowler
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Male ,alpha7 Nicotinic Acetylcholine Receptor ,Health, Toxicology and Mutagenesis ,ACE2 ,Electronic Nicotine Delivery Systems ,Receptors, Nicotinic ,010501 environmental sciences ,Inbred C57BL ,Nicotinic ,Toxicology ,medicine.disease_cause ,01 natural sciences ,Nicotine ,Mice ,Complementary ,Receptors ,2.2 Factors relating to the physical environment ,Nicotinic Agonists ,Aetiology ,Respiratory system ,Lung ,Coronavirus ,Sex Characteristics ,0303 health sciences ,Inhalation ,Vaping ,Pharmacology and Pharmaceutical Sciences ,General Medicine ,Nicotinic acetylcholine receptor ,Infectious Diseases ,medicine.anatomical_structure ,Respiratory ,Female ,Angiotensin-Converting Enzyme 2 ,hormones, hormone substitutes, and hormone antagonists ,medicine.drug ,medicine.medical_specialty ,DNA, Complementary ,Environmental Science and Management ,Protein subunit ,e-cigarette ,Article ,03 medical and health sciences ,E-cigarette ,Internal medicine ,Tobacco ,medicine ,Animals ,COVID-19 individual differences ,030304 developmental biology ,0105 earth and related environmental sciences ,Pharmacology ,Tobacco Smoke and Health ,business.industry ,Prevention ,COVID-19 ,DNA ,Mice, Inbred C57BL ,Good Health and Well Being ,Endocrinology ,Individual differences ,business ,Blood sampling - Abstract
Evidence in humans suggests a correlation between nicotine smoking and severe respiratory symptoms with COVID-19 infection. In lung tissue, angiotensin-converting enzyme 2 (ACE2) appears to mechanistically underlie viral entry. Here, we investigated whether e-cigarette vapor inhalation alters ACE2 and nicotinic acetylcholine receptor (nAChR) expression in male and female mice. In male lung, nicotine vapor inhalation induced a significant increase in ACE2 mRNA and protein, but surprisingly, these differences were not found in females. Further, both vehicle and nicotine vapor inhalation downregulated α5 nAChR subunits in both sexes, while differences were not found in α7 nAChR subunit expression. Finally, blood ACE2 levels did not differ with exposure, indicating that blood sampling is not a sufficient indicator of lung ACE2 changes. Together, these data indicate a direct link between e-cigarette vaping and increased ACE2 expression in male lung tissue, which thereby reveals an underlying mechanism of increased vulnerability to coronavirus infection in individuals vaping nicotine.
- Published
- 2021
16. Paternal nicotine enhances fear memory, reduces nicotine administration, and alters hippocampal genetic and neural function in offspring
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Dana Zeid, Istvan Albert, Robert D. Cole, Munir Gunes Kutlu, Christie D. Fowler, Lisa R. Goldberg, Valeria Lallai, Vinay Parikh, Thomas J. Gould, and Aswathy Sebastian
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Male ,Nicotine ,Offspring ,Spontaneous recovery ,Medicine (miscellaneous) ,Hippocampal formation ,Biology ,Hippocampus ,Article ,Extinction, Psychological ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Memory ,Conditioning, Psychological ,Neuroplasticity ,medicine ,Animals ,Fear conditioning ,Pharmacology ,Fear ,Extinction (psychology) ,Up-Regulation ,030227 psychiatry ,Mice, Inbred C57BL ,Psychiatry and Mental health ,Nicotinic acetylcholine receptor ,Paternal Exposure ,Female ,Cues ,Neuroscience ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Nicotine use remains highly prevalent with tobacco and e-cigarette products consumed worldwide. However, increasing evidence of transgenerational epigenetic inheritance suggests that nicotine use may alter behavior and neurobiology in subsequent generations. We tested the effects of chronic paternal nicotine exposure in C57BL6/J mice on fear conditioning in F1 and F2 offspring, as well as conditioned fear extinction and spontaneous recovery, nicotine self-administration, hippocampal cholinergic functioning, RNA expression, and DNA methylation in F1 offspring. Paternal nicotine exposure was associated with enhanced contextual and cued fear conditioning and spontaneous recovery of extinguished fear memories. Further, nicotine reinforcement was reduced in nicotine-sired mice, as assessed in a self-administration paradigm. These behavioral phenotypes were coupled with altered response to nicotine, upregulated hippocampal nicotinic acetylcholine receptor binding, reduced evoked hippocampal cholinergic currents, and altered methylation and expression of hippocampal genes related to neural development and plasticity. Gene expression analysis suggests multigenerational effects on broader gene networks potentially involved in neuroplasticity and mental disorders. The changes in fear conditioning similarly suggest phenotypes analogous to anxiety disorders similar to post-traumatic stress.
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- 2019
17. Nicotine Acts on Cholinergic Signaling Mechanisms to Directly Modulate Choroid Plexus Function
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Margaret Coutts, Edwin S. Monuki, Agenor Limon, William E. Bunney, Nickolas P. Grimes, Preston M. Cartagena, Valeria Lallai, Angelo Demuro, James P. Fowler, Christie D. Fowler, and P. Adolfo Sequeira
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Male ,Nicotine ,drug dependence ,Endogeny ,Receptors, Nicotinic ,transthyretin ,03 medical and health sciences ,0302 clinical medicine ,microRNA ,medicine ,Animals ,Humans ,Prealbumin ,Nicotinic Agonists ,Rats, Wistar ,030304 developmental biology ,0303 health sciences ,choroid plexus ,biology ,Chemistry ,General Neuroscience ,3.1 ,General Medicine ,Middle Aged ,New Research ,Cell biology ,Rats ,Transthyretin ,Nicotinic acetylcholine receptor ,MicroRNAs ,biology.protein ,Cholinergic ,Choroid plexus ,Female ,Disorders of the Nervous System ,nicotinic acetylcholine receptors ,sense organs ,030217 neurology & neurosurgery ,Function (biology) ,medicine.drug ,Signal Transduction ,nicotine - Abstract
Neuronal cholinergic circuits have been implicated in cognitive function and neurological disease, but the role of cholinergic signaling in other cellular populations within the brain has not been as fully defined. Here, we show that cholinergic signaling mechanisms are involved in mediating the function of the choroid plexus, the brain structure responsible for generating CSF and releasing various factors into the brain. The choroid plexus was found to express markers of endogenous cholinergic signaling, including multiple nicotinic acetylcholine receptor (nAChR) subtypes in a region-specific manner, and application of nicotine was found to induce cellular activation, as evidenced by calcium influx in primary tissue. During intravenous nicotine self-administration in male rats, nicotine increased expression of transthyretin, a protein selectively produced and released by the choroid plexus, and microRNA-204 (mir-204), a transcript found in high levels in the choroid plexus and CSF. Finally, human choroid plexus tissue from both sexes was found to exhibit similar nAChR, transthyretin and mir-204 expression profiles, supporting the translational relevance of the findings. Together, these studies demonstrate functionally active cholinergic signaling mechanisms in the choroid plexus, the resulting effects on transthyretin and mir-204 expression, and reveal the direct mechanism by which nicotine modulates function of this tissue.
- Published
- 2019
18. More Than Just Chillin': Interactive Effects of Menthol and Nicotine in Drug Reward
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Christie D. Fowler and Valeria Lallai
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Pharmacology ,Drug ,Psychiatry ,Medical And Health Sciences ,Extramural ,business.industry ,media_common.quotation_subject ,Psychology and Cognitive Sciences ,MEDLINE ,Nicotine ,03 medical and health sciences ,Psychiatry and Mental health ,chemistry.chemical_compound ,0302 clinical medicine ,Interactive effects ,chemistry ,Commentary ,Medicine ,030212 general & internal medicine ,business ,Menthol ,030217 neurology & neurosurgery ,media_common ,medicine.drug - Published
- 2017
19. Altered Baseline and Nicotine-Mediated Behavioral and Cholinergic Profiles in ChAT-Cre Mouse Lines
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James P. Fowler, Yasmine Sherafat, Valeria Lallai, Anna N. Pushkin, Edison Chen, Christie D. Fowler, and Nickolas P. Grimes
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0301 basic medicine ,Male ,Chromosomes, Artificial, Bacterial ,Vesicular Acetylcholine Transport Proteins ,Hippocampus ,Medical and Health Sciences ,Transgenic ,Nicotine ,Mice ,0302 clinical medicine ,Models ,Nicotinic Agonists ,Research Articles ,Behavior, Animal ,General Neuroscience ,Bacterial ,Choline acetyltransferase ,Mental Health ,Genetic Techniques ,Artificial ,Models, Animal ,Female ,Locomotion ,medicine.drug ,Genetically modified mouse ,mice ,Transgene ,education ,Cre recombinase ,Mice, Transgenic ,Biology ,Internal Ribosome Entry Sites ,Basic Behavioral and Social Science ,Chromosomes ,Choline O-Acetyltransferase ,03 medical and health sciences ,intravenous nicotine self-administration ,Vesicular acetylcholine transporter ,Behavioral and Social Science ,medicine ,Genetics ,Animals ,cre recombinase ,Behavior ,Neurology & Neurosurgery ,Integrases ,Animal ,Psychology and Cognitive Sciences ,Neurosciences ,choline acetyltransferase ,acetylcholine ,030104 developmental biology ,Cholinergic ,Neuroscience ,030217 neurology & neurosurgery - Abstract
The recent development of transgenic rodent lines expressing cre recombinase in a cell-specific manner, along with advances in engineered viral vectors, has permitted in-depth investigations into circuit function. However, emerging evidence has begun to suggest that genetic modifications may introduce unexpected caveats. In the current studies, we sought to extensively characterize male and female mice from both the ChAT(BAC)-Cre mouse line, created with the bacterial artificial chromosome (BAC) method, and ChAT(IRES)-Cre mouse line, generated with the internal ribosome entry site (IRES) method. ChAT(BAC)-Cre transgenic and wild-type mice did not differ in general locomotor behavior, anxiety measures, drug-induced cataplexy, nicotine-mediated hypolocomotion, or operant food training. However, ChAT(BAC)-Cre transgenic mice did exhibit significant deficits in intravenous nicotine self-administration, which paralleled an increase in vesicular acetylcholine transporter and choline acetyltransferase (ChAT) hippocampal expression. For the ChAT(IRES)-Cre line, transgenic mice exhibited deficits in baseline locomotor, nicotine-mediated hypolocomotion, and operant food training compared with wild-type and hemizygous littermates. No differences among ChAT(IRES)-Cre wild-type, hemizygous, and transgenic littermates were found in anxiety measures, drug-induced cataplexy, and nicotine self-administration. Given that increased cre expression was present in the ChAT(IRES)-Cre transgenic mice, as well as a decrease in ChAT expression in the hippocampus, altered neuronal function may underlie behavioral phenotypes. In contrast, ChAT(IRES)-Cre hemizygous mice were more similar to wild-type mice in both protein expression and the majority of behavioral assessments. As such, interpretation of data derived from ChAT-Cre rodents must consider potential limitations dependent on the line and/or genotype used in research investigations.SIGNIFICANCE STATEMENTAltered baseline and/or nicotine-mediated behavioral profiles were discovered in transgenic mice from the ChAT(BAC)-Cre and ChAT(IRES)-Cre lines. Given that these cre-expressing mice have become increasingly used by the scientific community, either independently with chemicogenetic and optogenetic viral vectors or crossed with other transgenic lines, the current studies highlight important considerations for the interpretation of data from previous and future experimental investigations. Moreover, the current findings detail the behavioral effects of either increased or decreased baseline cholinergic signaling mechanisms on locomotor, anxiety, learning/memory, and intravenous nicotine self-administration behaviors.
- Published
- 2017
20. Cannabinoid and nicotine exposure during adolescence induces sex-specific effects on anxiety- and reward-related behaviors during adulthood
- Author
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Alan Torres-Mendoza, Angeline J. Eugene, James P. Fowler, Valeria Lallai, Anna N. Pushkin, Edison Chen, Christie D. Fowler, and Homberg, Judith
- Subjects
Male ,Sucrose ,Physiology ,medicine.medical_treatment ,Social Sciences ,Anxiety ,Disaccharides ,Dissociative ,Nicotine ,Mice ,0302 clinical medicine ,Medicine and Health Sciences ,Psychology ,Medicine ,Pediatric ,Mammals ,Sex Characteristics ,Multidisciplinary ,Animal Behavior ,biology ,Organic Compounds ,Substance Abuse ,Cognitive flexibility ,Eukaryota ,Drugs ,humanities ,Chemistry ,Physiological Parameters ,Behavioral Pharmacology ,Vertebrates ,Physical Sciences ,Mental health ,Female ,medicine.symptom ,Locomotion ,psychological phenomena and processes ,Research Article ,Sex characteristics ,medicine.drug ,Agonist ,Pediatric Research Initiative ,Drug Abuse (NIDA Only) ,medicine.medical_specialty ,General Science & Technology ,medicine.drug_class ,Morpholines ,Science ,Carbohydrates ,Naphthalenes ,Basic Behavioral and Social Science ,Rodents ,Operant ,03 medical and health sciences ,Reward ,Recreational Drug Use ,Internal medicine ,Tobacco ,Behavioral and Social Science ,MD Multidisciplinary ,Animals ,Humans ,Cannabis ,Pharmacology ,Behavior ,Tobacco Smoke and Health ,Cannabinoid Research ,Cannabinoids ,Biological Locomotion ,Animal ,business.industry ,Body Weight ,Organic Chemistry ,Organisms ,Chemical Compounds ,Biology and Life Sciences ,biology.organism_classification ,Benzoxazines ,030227 psychiatry ,Disease Models, Animal ,Endocrinology ,Amniotes ,Disease Models ,Conditioning, Operant ,Cannabinoid ,business ,Zoology ,030217 neurology & neurosurgery ,Conditioning - Abstract
Nicotine and cannabis use during adolescence has the potential to induce long lasting changes on affective and cognitive function. Here, we examined whether adolescent exposure to nicotine, the cannabinoid agonist WIN55-212,2 (WIN), or co-exposure to both would alter operant learning, locomotion, and anxiety- and reward-related behaviors in male and female mice during adulthood. Males exposed to a moderate dose of WIN (2 mg/kg) or co-exposed to nicotine and the moderate dose of WIN exhibited decreased anxiety-associated behaviors and increased cognitive flexibility, but did not differ in operant learning or generalized locomotion. In contrast, differences were not found among the females in these measures at the moderate WIN dose or in both sexes with exposure to a low WIN dose (0.2 mg/kg). Furthermore, a sex-dependent dissociative effect was found in natural reward consumption. Males exposed to the moderate dose of WIN or co-exposed to nicotine and the moderate dose of WIN demonstrated increased sucrose consumption. In contrast, females exposed to the moderate dose of WIN exhibited a decrease in sucrose consumption, which was ameliorated with co-administration of nicotine. Together, these novel findings demonstrate that adolescent exposure to cannabinoids in the presence or absence of nicotine results in altered affective and reward-related behaviors during adulthood.
- Published
- 2019
21. Changes in stress-stimulated allopregnanolone levels induced by neonatal estradiol treatment are associated with enhanced dopamine release in adult female rats: reversal by progesterone administration
- Author
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Valeria Lallai, Valeria Serra, Laura Dazzi, Sandro Catzeddu, Mariangela Serra, Andrea Locci, Alessandra Concas, Maria Giuseppina Pisu, and Patrizia Porcu
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Hypothalamo-Hypophyseal System ,medicine.drug_class ,Dopamine ,Hypothalamus ,Pituitary-Adrenal System ,Prefrontal Cortex ,Pregnanolone ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Receptors, Glucocorticoid ,Corticosterone ,Internal medicine ,medicine ,Animals ,Progesterone ,Pharmacology ,Estradiol ,business.industry ,Allopregnanolone ,Brain ,Estrogens ,Electric Stimulation ,Rats ,030104 developmental biology ,Endocrinology ,Receptors, Mineralocorticoid ,chemistry ,Animals, Newborn ,Mineralocorticoid ,Estrogen ,Estradiol benzoate ,Female ,Progestins ,business ,030217 neurology & neurosurgery ,Glucocorticoid ,Stress, Psychological ,medicine.drug - Abstract
Allopregnanolone plays a role in the stress response and homeostasis. Alterations in the estrogen milieu during the perinatal period influence brain development in a manner that persists into adulthood. Accordingly, we showed that a single administration of estradiol benzoate (EB) on the day of birth decreases brain allopregnanolone concentrations in adult female rats. We examined whether the persistent decrease in allopregnanolone concentrations, induced by neonatal EB treatment, might affect sensitivity to stress during adulthood. Female rats were treated with 10 μg of EB or vehicle on the day of birth. During adulthood, the response to acute foot shock stress was assessed by measuring changes in brain allopregnanolone and corticosterone levels, as well as extracellular dopamine output in the medial prefrontal cortex (mPFC). Neonatal EB treatment enhanced stress-stimulated allopregnanolone levels in the hypothalamus, as well as extracellular dopamine output in the mPFC; this latest effect is reverted by subchronic progesterone treatment. By contrast, neonatal EB treatment did not alter stress-induced corticosterone levels, sensitivity to hypothalamic-pituitary-adrenal (HPA) axis negative feedback, or abundance of glucocorticoid and mineralocorticoid receptors. The persistent decrease in brain allopregnanolone concentrations, induced by neonatal EB treatment, enhances stress-stimulated allopregnanolone levels and extracellular dopamine output during adulthood. These effects are not associated to an impairment in HPA axis activity. Heightened sensitivity to stress is a risk factor for several neuropsychiatric disorders; these results suggest that exposure to estrogen during development may predispose individuals to such disorders.
- Published
- 2016
22. Social Isolation Blunted the Response of Mesocortical Dopaminergic Neurons to Chronic Ethanol Voluntary Intake
- Author
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Laura Dazzi, Letizia Manca, and Valeria Lallai
- Subjects
0301 basic medicine ,Microdialysis ,medicine.medical_specialty ,social isolation ,media_common.quotation_subject ,mPFC ,stress ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,chemistry.chemical_compound ,Basal (phylogenetics) ,0302 clinical medicine ,Dopamine ,Internal medicine ,medicine ,Extracellular ,Original Research ,media_common ,Ethanol ,business.industry ,Addiction ,Dopaminergic ,030104 developmental biology ,Endocrinology ,chemistry ,Turnover ,psychological ,ethanol ,dopamine ,business ,030217 neurology & neurosurgery ,Neuroscience ,medicine.drug - Abstract
Previous studies have shown that stress can increase the response of mesolimbic dopaminergic neurons to acute administration of drugs of abuse included ethanol. In this study, we investigated the possible involvement of the mesocortical dopaminergic pathway in the development of ethanol abuse under stress conditions. To this aim we trained both socially isolated (SI) and group housed (GH) rats to self administer ethanol which was made available only 2 ha day (from 11:00 to 13:00 h). Rats have been trained for 3 weeks starting at postnatal day 35. After training, rats were surgically implanted with microdialysis probes under deep anesthesia, and 24 hlater extracellular dopamine concentrations were monitored in medial prefrontal cortex (mPFC) for the 2 hpreceding ethanol administration (anticipatory phase), during ethanol exposure (consummatory phase) and for 2 hafter ethanol removal. Results show that, in GH animals, dopamine extracellular concentration in the mPFC increased as early as 80 min before ethanol presentation (+50% over basal values) and remained elevated for 80 min during ethanol exposure. In SI rats, on the contrary, dopamine extracellular concentration did not show any significant change at any time point. Ethanol consumption was significantly higher in SI than in GH rats. Moreover, mesocortical dopaminergic neurons in SI animals also showed a decreased sensitivity to an acute administration of ethanol with respect to GH rats. Our results show that prolonged exposure to stress, as in social isolation, is able to induce significant changes in the response of mesocortical dopaminergic neurons to ethanol exposure and suggest that these changes might play an important role in the compulsivity observed in ethanol addiction.
- Published
- 2016
23. Involvement of the cannabinoid CB1 receptor in modulation of dopamine output in the prefrontal cortex associated with food restriction in rats
- Author
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Maria Cristina Mostallino, Enrico Sanna, Giovanni Biggio, Laura Dazzi, Stefano Lutzu, Giuseppe Talani, Francesca Biggio, Pietro Paolo Secci, Valentina Licheri, C Utzeri, and Valeria Lallai
- Subjects
Male ,Central Nervous System ,Cannabinoid receptor ,medicine.medical_treatment ,Dopamine ,lcsh:Medicine ,Ligands ,Nucleus Accumbens ,Rats, Sprague-Dawley ,Piperidines ,Receptor, Cannabinoid, CB1 ,lcsh:Science ,gamma-Aminobutyric Acid ,Neurons ,Multidisciplinary ,musculoskeletal, neural, and ocular physiology ,Dopaminergic ,digestive, oral, and skin physiology ,Neurochemistry ,Neurotransmitters ,Endocannabinoid system ,Ventral tegmental area ,medicine.anatomical_structure ,GABAergic ,Rimonabant ,psychological phenomena and processes ,medicine.drug ,Research Article ,medicine.medical_specialty ,Prefrontal Cortex ,Neurophysiology ,Nucleus accumbens ,Internal medicine ,medicine ,Animals ,Biology ,Ventral Tegmental Area ,lcsh:R ,Feeding Behavior ,Anticipation, Psychological ,Diet ,Rats ,Endocrinology ,Gene Expression Regulation ,nervous system ,Synapses ,Exploratory Behavior ,Pyrazoles ,lcsh:Q ,Cannabinoid ,Extracellular Space ,Neuroscience - Abstract
Increase in dopamine output on corticolimbic structures, such as medial prefrontal cortex (mPFC) and nucleus accumbens, has been related to reward effects associated with palatable food or food presentation after a fasting period. The endocannabinoid system regulates feeding behavior through a modulatory action on different neurotransmitter systems, including the dopaminergic system. To elucidate the involvement of type 1 cannabinoid receptors in the regulation of dopamine output in the mPFC associated with feeding in hungry rats, we restricted the food availability to a 2-h period daily for 3 weeks. In food-restricted rats the extracellular dopamine concentration in the mPFC increased starting 80 min before food presentation and returned to baseline after food removal. These changes were attenuated in animals treated with the CB1 receptor antagonist SR141716. To better understand how food restriction can change the response of mesocortical dopaminergic neurons, we studied several components of the neuronal circuit that regulates dopamine output in the mPFC. Patch-clamp experiments revealed that the inhibitory effect of the CB1 receptor agonist WIN 55,212-2 on GABAergic sIPSC frequency was diminished in mPFC neurons of FR compared to fed ad libitum rats. The basal sIPSC frequency resulted reduced in mPFC neurons of food-restricted rats, suggestive of an altered regulation of presynaptic GABA release; these changes were accompanied by an enhanced excitability of mPFC and ventral tegmental area neurons. Finally, type 1 cannabinoid receptor expression in the mPFC was reduced in food-restricted rats. Together, our data support an involvement of the endocannabinoid system in regulation of dopamine release in the mPFC through changes in GABA inhibitory synapses and suggest that the emphasized feeding-associated increase in dopamine output in the mPFC of food-restricted rats might be correlated with an altered expression and function of type 1 cannabinoid receptor in this brain region.
- Published
- 2014
24. P.1.005 Role of cannabinoid CB1 receptors in modulation of dopamine output in the prefrontal cortex associated with food restriction in rats
- Author
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Valentina Licheri, Valeria Lallai, Francesca Biggio, E. Sanna, C Utzeri, Giuseppe Talani, Laura Dazzi, S Lutzu, and Giovanni Biggio
- Subjects
Pharmacology ,Cannabinoid receptor ,Chemistry ,medicine.medical_treatment ,Food restriction ,Psychiatry and Mental health ,Neurology ,Dopamine ,medicine ,Pharmacology (medical) ,Neurology (clinical) ,Cannabinoid ,Receptor ,Prefrontal cortex ,Neuroscience ,Biological Psychiatry ,medicine.drug - Published
- 2013
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