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Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Addiction to psychostimulants ie, amphetamines and cocaine imposes a major socioeconomic burden. Prevention and treatment represent unmet medical needs, which may be addressed, if the mechanisms underlying psychostimulant action are understood. Cocaine acts as a blocker at the transporters for dopamine DAT , serotonin SERT , and norepinephrine NET , but amphetamines are substrates that do not only block the uptake of monoamines but also induce substrate efflux by promoting reverse transport. Reverse transport has been a focus of research for decades but its mechanistic basis still remains enigmatic. Amphetamines constitute a class of psychostimulants that share a phenylethylamine core structure. They are used illicitly for recreational purposes, but also used clinically for the treatment of attention-deficit hyperactivity disorder ADHD and narcolepsy Kristensen et al, ; Steinkellner et al, The stimulant and addictive properties of amphetamines are thought to arise primarily from their interaction with the cocaine-sensitive dopamine transporter DAT Sulzer, Amphetamines are substrates of DAT and compete for reuptake with dopamine Sitte et al, In addition, amphetamines can induce transport reversal leading to transporter-mediated efflux of dopamine Sulzer, ; Sitte and Freissmuth, Both, competition for uptake and reverse transport lead to a pronounced increase in the extracellular concentrations of dopamine. The resulting increased dopaminergic input in the striatum has been associated with the rewarding properties of amphetamines Schultz, Accordingly, repeated amphetamine-induced enhancement of synaptic dopamine can promote the development of drug addiction via the induction of long-term changes leading to synaptic plasticity Nestler, ; Sulzer, In addition, the adaptive changes have been implicated in the emergence of stimulant-induced psychosis and schizophrenia Snyder, ; Yui et al, The molecular mechanism of amphetamine-induced DAT-mediated reverse transport is still a matter of debate Sulzer, ; Sitte and Freissmuth, Reverse transport is thought to involve the uptake of amphetamines via the transporter and their passive diffusion through the membrane which is due to their lipophilic nature Sitte et al, ; Sandtner et al, Besides, the weak-base hypothesis states that amphetamines are trapped within synaptic vesicles in the presynaptic specialization and deplete the vesicular stores of dopamine by dissipating the proton gradient that provides the driving force for the vesicular monoamine transporters VMATs. Thereby, amphetamines elevate the cytosolic dopamine concentration and render dopamine available for reverse transport by DAT Sulzer, Additionally, amphetamine is a substrate for VMATs and thereby competitively inhibits vesicular dopamine uptake. The resulting elevation of dopamine in the cytosol provides another explanation for how dopamine can efflux via DAT Sulzer, A crucial factor for amphetamine-induced reverse transport of DAT is its contingency on the intracellular sodium concentration Khoshbouei et al, However, the last years also revealed an intricate contribution of both, the membrane environment and interacting proteins Fog et al, ; Steinkellner et al, ; Pizzo et al, , ; Buchmayer et al, in the modulation of amphetamine-triggered reverse transport. The amphetamine-induced behavioral effects result from the complex interplay of at least three target areas, which are innervated by dopaminergic projection neurons. These include the prefrontal cortex, where dopamine impinges on executive function, the nucleus accumbens, in which dopamine encodes rewarding cues and incentive salience, and the corpus striatum, where dopamine controls locomotion. Dopaminergic projections in the brain express DAT at different levels. Food and water were provided ad libitum. Male mice were tested at 12—20 weeks of age. Uptake of \[ 3 H\]dopamine via DAT was measured in striatal synaptosomes as described Steinkellner et al, Vesicular uptake was performed in striatal synaptic vesicles. The radioactivity bound to the filters was measured by liquid scintillation counting. Striata were dissected and snap-frozen in liquid nitrogen. Acute drug effects were assessed by administering an intraperitoneal i. Acute drug effects were normalized to the distances traveled upon injection of saline and expressed as fold increase in locomotion. Baseline locomotor activity of mice was assessed on day zero d0 after injection of saline i. After 6 days of drug sensitization, amphetamine was withheld for 14 days. The apparatus used consisted of two chambers with distinguishable floor grid floor vs rod floor. Experiments consisted of preconditioning, conditioning, and test phases. On the next day d1 , mice were injected i. This procedure was repeated two more times with alternating drug d3, d5 and saline d4, d6 injections. On the last day d7 , mice were put into the apparatus and allowed to access both chambers to test for conditioned place preference. A screw was inserted into the left hemisphere to stabilize subsequent fixation with dental cement. All dialysis samples were analyzed using reversed-phase high-performance liquid chromatography with electrochemical detection HPLC—EC to measure the levels of dopamine and its metabolites. Striata were dissected and frozen in liquid nitrogen. Tissue was homogenized in 40 volumes of 0. Briefly, mice were anaesthetized with halothane and decapitated. Background-subtracted cyclic voltammograms were obtained by subtracting the current obtained before the stimulation from all recordings. We reported in Figure 3b the dopamine concentration measured and we used normalized current in all the other graphs. However, this was not the case. PowerPoint slide. Baseline extracellular dopamine concentrations are at low nanomolar range, but can be measured reliably by microdialysis employing a quantitative low-perfusion rate microdialysis 0. WT: K d and B max values are not significantly different K m : WT: Representative traces in control and KO animal exemplify the higher peak height in mutants compared with control. This manipulation induces dopamine release from vesicles of the readily releasable pool at the active zone of dopaminergic terminals. Dopamine released in response to the electrical pulse was measured by fast-scan cyclic voltammetry. The increase in vesicular dopamine release does not seem to be contingent on increased VMAT2 levels or elevated vesicular dopamine uptake: we measured both, total VMAT2 protein levels in the striatum and reserpine-sensitive dopamine uptake in purified striatal synaptic vesicles. Dopamine D 1 and D 2 receptor expression levels were quantified by binding of \[ 3 H\]SCH and \[ 3 H\]raclopride to striatal membranes, respectively Figure 3f and g. Persistent elevations of extracellular dopamine ie, as a result of exposing mice to cocaine or of ablating DAT can also result in downregulation of striatal levels of PSD95 Yao et al, We examined whether reverse transport by DAT was also blunted in vivo by implanting microdialysis probes into the dorsal striatum of these animals. Amphetamine-induced dopamine release was normalized to baseline dopamine levels see Figure 2 legend and is presented as percentage of basal level. However, the amphetamine-induced rise in extracellular dopamine was blunted in these animals Figure 4. Total distances traveled after D-amphetamine were normalized to baseline locomotion and are expressed as fold increase in locomotion. Mice were withdrawn from D-amphetamine for 14 days before they received an additional drug injection on day The amphetamine-induced locomotor response is subject to sensitization, ie, repeated administration of amphetamine or other psychostimulants including cocaine results in an increase in the response Steketee and Kalivas, This sensitization represents a long-lasting adaptation to the psychostimulant action and is triggered by the sequential activation of transcriptional programs Nestler, This was predicted from our earlier experiments that had been conducted in vitro Steinkellner et al, However, dopaminergic neurons project to three major brain areas ie, the nucleus accumbens in the ventral striatum, the dorsal striatum, and the prefrontal cortex that contribute to a different extent to the acute biological response, to the emergence of addiction and to psychotic symptoms resulting from long-term abuse. They also differ in the level of DAT expression. It was, for instance, surprising to see that the rewarding properties of amphetamine requiring effective memory-related processes were not affected to any appreciable extent. While some of these differences can be rationalized in hindsight, it is evident that this was not to be predicted a priori. This is, in part, accounted for by its role in shaping glutamatergic synapses in the brain Baucum et al, This conjecture is based on observations with several drugs of abuse such as cocaine Pierce et al, ; Licata et al, ; Anderson et al, , alcohol Easton et al, , or opioids Lou et al, We used conditioned place preference CPP as a test to measure the addictive and rewarding potential of amphetamine and cocaine. However, it should be pointed out that CPP does not represent the most reliable measurement of rewarding and addictive properties of a drug. It should be noted that amphetamine and cocaine still demonstrate significant CPP in mice lacking the DAT Budygin et al, and even cocaine self-administration Rocha et al, Additionally, in mice with a cocaine-insensitive DAT, cocaine reward is lost Chen et al, These observations indicate that DAT-related processes still seem to be most essential for the rewarding properties of these drugs. Potential compensatory and developmental changes in knockout mice have to be considered and certainly preclude definite conclusions. Besides, it has to be emphasized that CPP measures reward differently compared with self-administration: while CPP primarily measures the reinforcing effects of drugs, self-administration allows to discriminate between the reinforcing effects of a substance and the motivation to consume it. Regardless, small increases in psychostimulant-induced dopamine release might suffice to reach the threshold level required for the induction of reward-related behavior as measured by CPP. This is in accordance with our previous in vitro and ex vivo findings Fog et al, ; Steinkellner et al, A similar result was obtained in C. This conclusion is also supported by recently published analogous observations made in Drosophila melanogaster Pizzo et al, Repeated administration of amphetamine results in behavioral sensitization of locomotor responses in rodents Steketee and Kalivas, Sensitization is also important for the emergence of addiction to psychostimulants; the underlying reprogramming of synaptic connections is orchestrated by the sequential activation of transcription factors, which creates a long-lasting memory of repeated drug exposure Nestler, They seem to be more pronounced in the striatum, where DAT expression levels are higher than in the nucleus accumbens, where DAT expression levels are low. The remaining authors declare no conflict of interest. CaMKII: a biochemical bridge linking accumbens dopamine and glutamate systems in cocaine seeking. Neurosci 11 : — Differential association of postsynaptic signaling protein complexes in striatum and hippocampus. J Neurochem : — Amphetamine actions at the serotonin transporter rely on the availability of phosphatidylinositol-4,5-bisphosphate. Dissociation of rewarding and dopamine transporter-mediated properties of amphetamine. Neuron 14 : — Abolished cocaine reward in mice with a cocaine-insensitive dopamine transporter. Curr Opin Neurobiol 14 : — Neuropsychopharmacology 38 : Article Google Scholar. Neuron 36 : — Calmodulin kinase II interacts with the dopamine transporter C terminus to regulate amphetamine-induced reverse transport. Neuron 51 : — Google Scholar. Dopaminergic supersensitivity in G protein-coupled receptor kinase 6-deficient mice. Neuron 38 : — Reduced D2-mediated signaling activity and trans-synaptic upregulation of D1 and D2 dopamine receptors in mice overexpressing the dopamine transporter. Cell Signal 21 : 87— Hyperlocomotion and indifference to cocaine and amphetamine in mice lacking the dopamine transporter. Nature : — Mol Pharmacol 66 : — Synaptic vesicle phosphoproteins and regulation of synaptic function. Science New York, NY : — Hell JW, Jahn R Preparation of synaptic vesicles from mammalian brain. Cell Biol 1 : — Nat Neurosci 10 : — Mechanisms of amphetamine action revealed in mice lacking the dopamine transporter. J Neurosci 18 : — Amphetamine-induced dopamine efflux. J Biol Chem : — SLC6 neurotransmitter transporters: structure, function, and regulation. Pharmacol Rev 63 : — Real-time measurement of dopamine release in rat brain. Brain Res : — Genes and common pathways underlying drug addiction. PLoS Comput Biol 4 : e2. Eur J Neurosci 19 : — Mol Pharmacol 55 : — Nestler EJ Is there a common molecular pathway for addiction? Nat Neurosci 8 : — Calcium-mediated second messengers modulate the expression of behavioral sensitization to cocaine. J Pharmacol Exp Ther : — Mol Psychiatry 19 : — The membrane raft protein Flotillin-1 is essential in dopamine neurons for amphetamine-induced behavior in Drosophila. Mol Psychiatry 18 : — Genetic NMDA receptor deficiency disrupts acute and chronic effects of cocaine but not amphetamine. Neuropsychopharmacology 33 : — Membrane-permeable C-terminal dopamine transporter peptides attenuate amphetamine-evoked dopamine release. Pathway-specific dopaminergic deficits in a mouse model of Angelman syndrome. J Clin Invest : — A closer look at amphetamine-induced reverse transport and trafficking of the dopamine and norepinephrine transporters. Mol Neurobiol 39 : 73— Cocaine self-administration in dopamine-transporter knockout mice. Nat Neurosci 1 : — Schultz W Getting formal with dopamine and reward. A quantitative model of amphetamine action on the serotonin transporter. Br J Pharmacol : — Impaired spatial learning in alpha-calcium-calmodulin kinase II mutant mice. Science : — Sitte HH, Freissmuth M Carrier-mediated release, transport rates, and charge transfer induced by amphetamine, tyramine, and dopamine in mammalian cells transfected with the human dopamine transporter. J Neurochem 71 : — Snyder SH Proceedings: drugs, neurotransmitters, and psychosis. Psychopharmacol Bull 10 : 4—5. Biol Chem : — Drug wanting: behavioral sensitization and relapse to drug-seeking behavior. Sulzer D How addictive drugs disrupt presynaptic dopamine neurotransmission. Neuron 69 : — Tan S-E Neuropharmacology 42 : — Dramatically decreased cocaine self-administration in dopamine but not serotonin transporter knock-out mice. J Neurosci 29 : — Identification of PSD as a regulator of dopamine-mediated synaptic and behavioral plasticity. Neuron 41 : — Neurobiological basis of relapse prediction in stimulant-induced psychosis and schizophrenia: the role of sensitization. Molr Psychiatry 4 : — Download references. Gu, The Ohio State University, to establish the described research program. All authors contributed significantly to the writing of the final version of the article. You can also search for this author in PubMed Google Scholar. Correspondence to Harald H Sitte. Reprints and permissions. Steinkellner, T. Neuropsychopharmacol 39 , — Download citation. Received : 09 January Revised : 01 May Accepted : 05 May Published : 29 May Issue Date : October Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content Thank you for visiting nature. Download PDF. Subjects Addiction Mechanism of action Neurochemistry. Abstract Addiction to psychostimulants ie, amphetamines and cocaine imposes a major socioeconomic burden. Ethanol inhibits dopamine uptake via organic cation transporter 3: Implications for ethanol and cocaine co-abuse Article Open access 13 June Interactions of calmodulin kinase II with the dopamine transporter facilitate cocaine-induced enhancement of evoked dopamine release Article Open access 13 June D-amphetamine-induced locomotor sensitization Baseline locomotor activity of mice was assessed on day zero d0 after injection of saline i. Neurochemical Measurement of Monoamine Tissue Levels Striata were dissected and frozen in liquid nitrogen. Figure 1. Full size image. Figure 2. Figure 3. Figure 4. Figure 5. View author publications. PowerPoint slides. PowerPoint slide for Fig. About this article. Cite this article Steinkellner, T. Copy to clipboard. Mauna S. Harris G. Search Search articles by subject, keyword or author. Show results from All journals This journal. Advanced search.

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