DIFFERENTIAL EFFECTS OF A FOOD-BASED CONDITIONED INHIBITOR ON FOOD- OR COCAINE-SEEKING BEHAVIOR

The Winding Road to Relapse: Forging a New Understanding of Cue-Induced Reinstatement Models and Their Associated Neural Mechanisms

In drug addiction, cues previously associated with drug use can produce craving and frequently trigger the resumption of drug taking in individuals vulnerable to relapse. Environmental stimuli associated with drugs or natural reinforcers can become reliably conditioned to increase behavior that was previously reinforced. In preclinical models of addiction, these cues enhance both drug self-administration and reinstatement of drug seeking. In this review, we will dissociate the roles of conditioned stimuli as reinforcers from their modulatory or discriminative functions in producing drug-seeking behavior. As well, we will examine possible differences in neurobiological encoding underlying these functional differences. Specifically, we will discuss how models of drug addiction and relapse should more systematically evaluate these different types of stimuli to better understand the neurobiology underlying craving and relapse. In this way, behavioral and pharmacotherapeutic interventions may be better tailored to promote drug use cessation outcomes and long-term abstinence.

Configurations of the interoceptive discriminative stimulus effects of ethanol and nicotine with two different exteroceptive contexts in rats: Extinction & recovery

Interoceptive states interact with exteroceptive contexts in modulating operant behavior, which is maintained by its consequences. Evaluating discriminative stimulus control by overlapping interoceptive and exteroceptive configurations (gestalts) and the contribution of each modality may be clinically important for understanding aspects of relapsing behavior (e.g., drug abuse). With rats, the current investigation used a completely counterbalanced one-manipulandum operant drug discrimination procedure that established discriminative stimulus control between nicotine (0.3mg/kg) in one exteroceptive context and EtOH (1.0g/kg) in a differing exteroceptive context. One combined interoceptive-exteroceptive condition occasioned sessions of food reinforcement (S(D)) and the other counterbalanced condition occasioned sessions of non-reinforcement (S(Δ)). Each stimulus modality contributed to discriminative control, but to lesser extents than the combined intero-exteroceptive compound configurations (Experiments 1 & 2). In Experiment 1, responding was extinguished in the interoceptive stimulus conditions alone in a neutral exteroceptive context, but then renewed by reconfiguring the drugs with the exteroceptive contexts, and reversed in the opposing exteroceptive contexts. In Experiment 2, responding was extinguished in the interoceptive and exteroceptive contexts separately. Reconfiguration of the full intero-exteroceptive compound configurations did not promote recovery. These results suggest that interoceptive and exteroceptive discriminative control can be methodologically configured in modulating operant behavior during acquisition, extinction, and recovery of behavior; however, configuring interoceptive and exteroceptive discriminative stimuli do not appear to function as unique cues that differ from each stimulus modality alone. Clinical implications are discussed.

Outcome specificity in deepened extinction may limit treatment feasibility: co-presentation of a food cue interferes with extinction of cue-elicited cocaine seeking

BACKGROUND

We previously showed that presenting two cocaine cues simultaneously during extinction deepens the extinction of cue-elicited cocaine seeking (Kearns et al., 2012). The present study investigated whether compounding a non-drug appetitive cue with a cocaine cue would similarly deepen extinction.

METHODS

In Experiment 1, tone and click were each first established as discriminative stimuli for cocaine-reinforced responding and light was a cue for food-reinforced responding. In an initial extinction phase, all stimuli were presented individually. Then, during an additional compound extinction session, rats received 8 presentations of one of the cocaine cues (counterbalanced over subjects) simultaneously with light and 8 presentations of the other cue alone. A spontaneous recovery test was used to evaluate the effectiveness of the extinction treatments. Experiment 2 was performed under conditions designed to match those of Experiment 1, except food was the reinforcer in tone and click instead of cocaine.

RESULTS

In Experiment 1, the cocaine cue compounded with the food cue during extinction controlled greater spontaneous recovery of cocaine seeking than the cocaine cue always presented alone. In contrast, Experiment 2 demonstrated deepened extinction of responding to a food cue when both compounded cues were food cues.

CONCLUSIONS

Results suggest that deepened extinction depends on the compound presentation of cues associated with the same reinforcer. Compound presentation of cues associated with different reinforcers could lead to an enhancement of responding. Care is urged in attempts to deepen the extinction of cue-elicited drug seeking by compounding drug cues with non-drug cues.

Extinguished cocaine cues increase drug seeking when presented simultaneously with a non-extinguished cocaine cue

BACKGROUND

Previous research with non-drug reinforcers has shown that simultaneously presenting (compounding) an extinguished cue with another cue formerly associated with the same reinforcer can increase rates of cue-controlled behavior. The present study investigated whether an extinguished cocaine cue would energize cocaine seeking when presented simultaneously with another cocaine cue. This study also investigated whether extinction could be enhanced by subjecting an extinguished cocaine cue to further extinction after administration of reinstating injections of cocaine.

METHODS

Rats were first trained to self-administer cocaine in the presence of three different cues. Then, one of the cues was subjected to the standard extinction treatment. Another cue was subjected to a modified extinction treatment where additional extinction sessions were preceded by non-contingent cocaine injections. The third cue was not extinguished.

RESULTS

The cue subjected to standard extinction ceased to control cocaine seeking when presented alone, but significantly increased cocaine seeking when compounded with the non-extinguished cocaine cue. The cocaine cue subjected to the modified extinction treatment also significantly increased cocaine seeking occasioned by the non-extinguished cocaine cue.

CONCLUSIONS

Extending results of previous studies involving non-drug stimuli, the present study showed that extinguished cocaine cues can enhance cocaine seeking when compounded with other cocaine cues. These results illustrate the persistence of drug cues in controlling behavior despite extinction and highlight the need for developing treatments that eliminate this residual energizing capacity that survives extinction.