yavin shaham neurobiology of relapse section behavioral neuroscience branch

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Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch IRP/NIDA/NIH/DHHS, Baltimore Post-doctoral fellows: Sunila Nair, Udi Ghitza Students (NIH training program): Sarah Gray, Sam Golden, Tristan Adams-Deutsch Relapse to food seeking: Role of CRF, PYY3-36, and hypocretin CRF = Corticotropin-releasing factor PYY3-36 = Peptide YY3-36 Hypocretin = Orexin

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Relapse to food seeking: Role of CRF, PYY3-36, and hypocretin. Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch IRP/NIDA/NIH/DHHS, Baltimore Post-doctoral fellows: Sunila Nair , Udi Ghitza - PowerPoint PPT Presentation

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Page 1: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Yavin Shaham

Neurobiology of Relapse SectionBehavioral Neuroscience BranchIRP/NIDA/NIH/DHHS, Baltimore

Post-doctoral fellows: Sunila Nair, Udi Ghitza

Students (NIH training program): Sarah Gray, Sam Golden, Tristan Adams-Deutsch

Relapse to food seeking:Role of CRF, PYY3-36, and hypocretin

CRF = Corticotropin-releasing factor

PYY3-36 = Peptide YY3-36

Hypocretin = Orexin

Page 2: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Shaham laboratory

Staff scientist: Jennifer Bossert

Post-doctoral fellows: Sunila Nair, Charles Pickens

Post-baccalaureate students: Sam Golden, Kristina Wihbey, Tristan Adams-Deutsch

Hope laboratory

Staff scientist: Bruce Hope

Post-doctoral fellow: Eisuke Koya

Graduate student: Danielle Guez (Yale U)

Post-baccalaureate student: Alex Berkow

Neurobiology of Relapse Section

Page 3: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Ongoing research projects

1. Relapse to food seeking

2. Context-induced reinstatement of heroin seeking

3. Incubation of cocaine craving (time-dependent increases in cue-induced cocaine seeking)

4. Incubation of conditioned fear (time-dependent increases in conditioned fear)

5. Neuronal mechanisms of context-dependent cocaine sensitization (Hope lab)

Extramural collaborations:

AD Le (Toronto U): Stress-induced relapse to alcohol (NIAAA)

Geoff Schoenbaum (U of Maryland): Effect of cocaine self-administration on learning and memory (NIDA)

Abraham Zangen (Weizmann Inst., Israel): Developing a novel conflict model of drug (NIDA)

Marina Wolf and Micky Marinelli (Rosalind Franklin University): Accumbens synaptic plasticity and incubation of craving (NIDA)

Page 4: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Outline

• A brief description of a reinstatement model—an animal model of relapse to drug-taking behavior

• The adaptation of the reinstatement model to study:

1. Role of CRF in reinstatement of food seeking induced by:

* A pharmacological stressor (yohimbine) * Acute re-exposure to food pellets (pellet priming)

2-3. Effect of PYY3-36 and hypocretin 1 receptor antagonist on reinstatement induced by:

* Yohimbine* Pellet priming* Cue (a tone-light cue previously paired with pellet delivery)

Page 5: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

The reinstatement model of drug relapse

Reinstatement studies

(1971-2007)

Year

0 3 4 101320

96

332

478

0

100

200

300

400

500

70 75 80 85 90 95 00 05 07

Cum

ula

tive #

of

public

ati

ons

Drug primingDrug cuesStress

X

Lever

pre

sses

Self-administration training(Drug is available)

Extinction(Drug is NOT available)

TESTING(Drug is NOT available)

Experimental day

X

Page 6: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Study 1

The role of CRF in reinstatement of food seeking induced by the pharmacological stressor yohimbine

Hypothalamic-pituitary-adrenal (HPA) axis

Extra-hypothalamic CRF systems

From Behan et al. 1996

Page 7: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

The clinical problem: Excessive eating of unhealthy food is a major health problem

The preclinical situation: This issue has not been explored in preclinical laboratory studies, which have primarily focused on the effect of stress on ongoing feeding behavior

Stress can provoke relapse to unhealthy eating habits, and humans are particularly vulnerable to this effect when dieting

Stress and relapse to maladaptive eating habits

Page 8: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Why yohimbine?

Yohimbine (an alpha-2 adrenoceptor antagonist) increases brain noradrenaline release and induces stress-like responses in humans and laboratory animals

Yohimbine induces heroin craving in human addicts

Yohimbine reinstates drug seeking in monkeys and rats

Methamphetamine

Yohimbine dose (mg/kg, i.p.)

0

25

50

75

100

0 1.25 2.5

* *

Shepard et al. 2004Biol. Psychiatry

Alcohol

Le et al. 2005Psychopharmacology

0

15

30

45

60

0 1.25 2.5

* *

0 2.5

*

0

20

40

60

80

100

Yap & Shaham. 2000 (unpublished)

Lever

pre

sses

Heroin

0

40

80

120

0 0.625 1.25

Le et al. 2007(Unpublished)

*

*

Nicotine

Page 9: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Why CRF?

CRF injections into the ventricles and several extrahypothalamic sites (BNST, VTA, median raphe) reinstate drug seeking

Non-selective and selective CRF1 receptor antagonists attenuate stress-induced reinstatement of drug seeking

Heroin Cocaine

Intermittent footshock

No stress

0 15 30

CP-154,526 dose (mg/kg)

0

15

30

45

60

Lever

pre

sses

0 15 30

* *

* *

Shaham et al. Psychopharmacology, 1998

Alcohol

0 15 30

*

*

Gehlert et al. J Neurosci, 2007

MTIP dose (mg/kg)

*

0 15 30

CP-154,526 dose (mg/kg)

Le et al. Psychopharmacology, 1998

Page 10: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Pellet self-administration Three 3-h sessions/d every other day

(FR-1; 20 sec timeout)

Extinctionpellets NOT available

Tests for reinstatement pellets NOT available

Limited access to regular food: ~75% of daily intake

Limited access to regular food: ~75% of daily intake (diet condition)

Experimental procedure

Exposure to: YohimbineNon-contingent pellet (priming)45 mg pellets:

25% fat48% carbohydrate

Page 11: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Changes in body weight during training, extinction, and reinstatement (n=35)

Pellet self-administration Three 3-h sessions/d every other day

(FR-1; 20 sec timeout)

Extinction(pellets NOT available)

Tests for reinstatement (pellets NOT available)

Limited access to regular food: ~75% of daily intake

Limited access to regular food: ~75% of daily intake (diet condition)

Daily weight fluctuations

Training

Extinction &Reinstatement

-20

-10

0

10

20

10 20 30 40Day

Weig

ht

change

(g)

No pellets

Pellets available

Ghitza et al. Neuropsychopharmacology, 2006

Page 12: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Development of “compulsive” food-taking behavior during training

Pellet self-administration Three 3-h sessions/d every other day

(FR-1; 20 sec timeout)

Extinction Tests for reinstatement

Limited access to regular food: ~75% of daily intake

Limited access to regular food: ~75% % of daily intake (diet

condition)

Pellets

2 4 6 8 10 12

Training day

Resp

onse

s or

pelle

ts (

9 h

)

600

900

1200

0

300

Timeout responses

Page 13: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Pellet self-administration Extinction(pellets NOT available)

Tests for reinstatement (pellets NOT available)

Limited access to regular food: ~75% of daily intake

Limited access to regular food: ~75% of daily intake (diet condition)

The CRF1 receptor antagonist antalarmin decreases yohimbine-induced reinstatement of food seeking

Reinstatement

Pellet priming

**

20 mg/kg40 mg/kg

Antalarmin doseVehicle

0 2.0

Yohimbine dose (mg/kg, i.p.)

0

25

50

75

100

Lever

pre

sses

(3 h

)Extinction

0

150

300

450

600

1 2 3 4 5 6 7 8 9 10

Extinction day

Lever

pre

sses

9 h/day

3 h/day

Antalarmin was synthesized by Dr. Kenner Rice

Page 14: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Antalarmin decreases yohimbine-induced reinstatement of alcohol seeking

Marinelli et al. Psychopharmacology, 2007

Yohimbine-induced reinstatement

0

20

40

60

80

20100

*

Antalarmin dose (mg/kg, i.p.)

Lever

pre

sses

(1 h

)

*

VehicleYohimbine (1.25 mg/kg)

Yohimbine-induced plasma corticosterone release

0

250

500

750

0 20

VehicleYohimbine (1.25 mg/kg)

Antalarmin dose (mg/kg, i.p.)

Cort

icost

ero

ne (

ng/m

l)

Page 15: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

The CRF1 antagonist antalarmin reverses yohimbine’s effects on social and “antisocial”

behaviors

“Antisocial” behavior

Social and “antisocial” behaviors were evaluated using a social interaction test:

Social behavior: crawling together, grooming, sniffing, licking

“Antisocial” behavior: wrestling, distress vocalization, confrontation

Social behavior

20 mg/kg

0 2.0Yohimbine dose (mg/kg, i.p.)

0

10

20

30

40

Anti

soci

al bou

ts (

10 m

in)

*

0

25

50

75

100

Soci

al bouts

(10 m

in)

0 2.0 Yohimbine dose (mg/kg, i.p.)

*Vehicle

Antalarmin dose

Page 16: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Conclusions: Study 1

As in the case of drug relapse, the reinstatement model can be used to study mechanisms underlying relapse to maladaptive eating habits

The effect of antalarmin on yohimbine-induced reinstatement of food and alcohol seeking is likely mediated by extrahypothalamic CRF1 receptors

Page 17: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Project 2

Effect of PYY3-36 on yohimbine-, pellet-priming- and cue-induced reinstatement of

high-fat food seeking

The gut peptide PYY3-36 is an endogenous Y2 NPY receptor agonist that decreases home-cage feeding after systemic or arcuate nucleus injections

PYY3-36 systemic effects are reversed by systemic or arcuate injections of the Y2 receptor antagonist BIIE0246.

Background

Page 18: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Batterham + 9 authors (2002) Gut hormone PYY(3-36) physiologically inhibits food intake. Nature 418:650-654.

Batterham + 7 authors (2003) Inhibition of food intake in obese subjects by peptide YY3-36. N Engl J Med 349:941-948.

Pittner + 9 authors (2004) Effects of PYY(3-36) in rodent models of diabetes and obesity.

Int J Obes Relat Metab Disord 28, 963-971

But….

Tschop + 42 authors (2004) Does gut hormone PYY3-36 decrease food intake in rodents? Nature 430:1 p following 165; discussion 162 p following 165.

Boggiano + 36 authors (2005) PYY3-36 as an anti-obesity drug target. Obesity Reviews 6:307-322

* The effect of PYY(3-36) on operant food self-administration and reinstatement has not been assessed

Page 19: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Pellet self-administration Two 3-h sessions/d every other day

(FR-1; 20 sec timeout)

Extinctionpellets NOT available

Tests for reinstatement pellets NOT available

Limited access to regular food: ~65% of daily intake

Limited access to regular food: ~65% of daily intake (diet condition)

Experimental procedure

Exposure to:YohimbineNon-contingent pellet

45 mg pellets: 35% fat45% carbohydrate

Cue

(Tone-light cue available)(Tone-light cue NOT available)

X X

Page 20: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

PYY3-36 has a minimal effect on high-fat pellet self-administration

Pellet self-administration two 3-h sessions/d every other day

(FR-1; 20 sec timeout)

Limited access to regular food: ~65% of daily intake

Session 1: Total intake

Food

pelle

ts (

3 h

)0

75

150

225

0 100 200

PYY3-36 dose (µg/kg, i.p.)0 100 200

Session 2: Total intake

Ghitza, Nair et al. The Journal of Neuroscience, 2007

Page 21: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

PYY3-36 inhibits pellet-priming- and cue-induced reinstatement, but not yohimbine-induced

reinstatementCue

0

25

50

75

100

Lever

pre

sses

(3 h

)

0 100 200

PYY3-36 dose (µg/kg, i.p.)

**

No cueCue

0

25

50

75

100Le

ver

pre

sses

(3 h

)

0 100 200PYY3-36 dose (µg/kg, i.p.)

No pelletPellet

**

Pellet priming

Yohimbine

0

50

100

150

200

250

0 100 200

PYY3-36 dose (µg/kg, i.p.)

VehicleYohimbine (2.0 mg/kg)

Lever

pre

sses

(3 h

)

Page 22: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Conclusions: PYY3-36

Systemic PYY3-36 decreased pellet-priming-induced reinstatement at doses that had minimal effect on ongoing high-fat food self-administration

The systemic effect of PYY3-36 on reinstatement generalizes to cues- but not to yohimbine-induced reinstatement of food seeking

The systemic effect of PYY3-36 is dependent on Y2 receptors

Systemic PYY3-36 had no effect on reinstatement of heroin seeking, suggesting that its effects are specific to food relapse

Page 23: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Project 3

Effect of the hypocretin 1 receptor antagonist SB 334867 on high-fat food self-administration and

relapse to food-seeking in rats

Prepro-hypocretin

Hypocretin 1 Hypocretin 2

Hypocretin 1 receptor Hypocretin 2 receptor

From Sakurai, 2006 and 2007

The hypocretins (orexins)

Page 24: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Why hypocretin 1 receptors?

Systemic injections of SB 334,867 decrease home-cage food intake and reverse hypocretin 1-induced increases in food intake (Rodgers et al. 2002)

Systemic injections of SB 334,867 decrease:

Reinstatement of morphine conditioned place preference induced stimulation of lateral hypothalamus hypocretin neurons (Harris et al. 2005)

Footshock stress-induced reinstatement of cocaine seeking (Boutrel et al. 2005)

Cue-induced reinstatement of alcohol seeking (Lawrence et al. 2006)

Page 25: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

SB 334,867 decreases high-fat pellet self-administration

Nair et al. British Journal of Pharmacology, 2008

Pellet intake

0

100

200

300

400

0 10 20

SB 334867 dose (mg/kg, i.p.)

Pelle

ts (

3 h

)

*

*

SB 334867 dose (mg/kg i.p.)

Timeout lever presses per pellet

0

2

4

6

0 10 20

Tim

eou

t re

spon

ses/

pelle

t

Pelle

ts

Time course

Vehicle10 mg/kg20 mg/kg

Session minutes

0

10

20

30

40

50

30 60 90 120 150 180

Training

0

500

1000

1500

1 2 3 4 5 6 7 8 9Training session

Pelle

ts o

r le

ver

pre

sses

Timeout responsesPellets

Page 26: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

SB 334,867 has no effect on hypocretin 1-induced reinstatement of food seeking

Hypocretin 1-induced reinstatement

0

25

50

75

100

0 3.0 6.0

Lever

pre

sses

(3 h

)

*

Hypocretin 1 dose (µg, icv)

Vehicle

10 mg/kg

20 mg/kg

Effect of SB 334,867

0

25

50

75

100

0 6.0Hypocretin 1 dose (µg, icv)

Lever

pre

sses

(3 h

)

Page 27: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

SB 334,867 has no effect on pellet-priming-, pellet-cue- or yohimbine-induced reinstatement of food seeking

Pellet priming

0

25

50

75

100

No pellet Pellet

Lever

pre

sses

(3 h

)

Vehicle

20 mg/kg

Cue

No cue Cue

Vehicle

20 mg/kg

Yohimbine

0 2.0

Yohimbine (mg/kg, i.p.)

Vehicle

20 mg/kg

Page 28: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

The hypocretin 1 receptor plays a role in the self-administration of high-fat pellets

The hypocretin 1 receptor likely plays a minimal role in reinstatement induced acute re-exposure to hypocretin 1, food priming, cues and stress

Conclusions: hypocretin 1 receptor

Page 29: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

From Shalev et al. Neurobiology of relapse to heroin and cocaine seeking: a review. Pharmacol Rev, 2002

“Taken together, it appears that multiple and dissociable brain systems are involved in relapse to heroin and cocaine seeking induced by drug priming, conditioned cues and stress. Somewhat surprisingly, it also appears that the neuronal events that mediate heroin- or cocaine-induced reinstatement are to some degree different from those involved in their reinforcing effects.”

Implications of the findings

Our data suggest:

1. A dissociation between the neuronal mechanisms mediating stress-induced relapse to food seeking versus food priming- or cue-induced relapse

2. A potential dissociation between the neuronal mechanisms mediating food self-administration versus food priming- or cue-induced relapse

Page 30: Yavin Shaham Neurobiology of Relapse Section Behavioral Neuroscience Branch

Clinical implications

CRF1 receptor antagonists (currently in clinical development for the treatment of anxiety, depression and drug abuse) should be considered as pharmacological adjuncts in dietary treatments of maladaptive or excessive eating habits

PYY3-36 (currently in clinical development for the treatment of obesity) may be a more effective treatment for relapse prevention than for decreasing ongoing high-fat food intake

Hypocretin 1 receptor antagonists may be a more effective treatment for decreasing ongoing high-fat food intake than for relapse prevention

“The best material model for a cat is another, or preferably the same cat”Norbert Wiener, 1945

Acknowledgments

Dr. Jennifer BossertJamie UejimaKristina WihbeyDr. Kenner Rice