Cocaine-induced sensitization and glutamate plasticity in the nucleus accumbens core: effects of sex.

Background: The development and persistence of addiction is mediated in part by drug-induced alterations in nucleus accumbens (NAc) function. AMPA-type glutamate receptors (AMPARs) provide the main source of excitatory drive to the NAc and enhancements in transmission of calcium-permeable AMPARs (CP-AMPARs) mediate increased cue-triggered drug-seeking following prolonged withdrawal. Cocaine treatment regimens that result in psychomotor sensitization enhance subsequent drug-seeking and drug-taking behaviors. Furthermore, cocaine-induced locomotor sensitization followed by 14 days of withdrawal results in an increase in glutamatergic synaptic transmission. However, very few studies have examined cocaine-induced alterations in synaptic transmission of females or potential effects of experimenter-administered cocaine on NAc CP-AMPAR-mediated transmission in either sex. Methods: Male and female rats were given repeated systemic cocaine injections to induce psychomotor sensitization (15 mg/kg, i.p. 1 injection/day, 8 days). Controls received repeated saline (1 mL/kg, i.p). After 14–16 days of withdrawal brain slices were prepared and whole-cell patch-clamp approaches in the NAc core were used to measure spontaneous excitatory post-synaptic currents (sEPSC), paired pulse ratio, and CP-AMPAR transmission. Additional female rats from this same cohort were also given a challenge injection of cocaine at withdrawal day 14 to assess the expression of sensitization. Results: Repeated cocaine produced psychomotor sensitization in both sexes. In males this was accompanied by an increase in sEPSC frequency, but not amplitude, and there was no effect on the paired pulse ratio. Males treated with cocaine and saline had similar sensitivity to Naspm. In contrast, in females there were no significant differences between cocaine and saline groups on any measure, despite females showing robust psychomotor sensitization both during the induction and expression phase. Conclusions: Overall, these data reveal striking sex differences in cocaine-induced NAc glutamate plasticity that accompany the induction of psychomotor sensitization. This suggests that the neural adaptations that contribute to sensitization vary by sex. Plain language summary: Females are more vulnerable to substance use disorder than males. However, preclinical studies in females are lacking, particularly in regard to the function of neural regions that mediate reward and motivation such as the nucleus accumbens (NAc). Cocaine-induced changes in excitatory transmission within the NAc play important roles in cocaine-seeking and addiction, but are under-studied in females. Here we found that cocaine treatment enhances NAc excitatory transmission in males, but has no effects on this aspect of NAc function in females. The neural processes underlying addiction may vary according to gonadal sex. Highlights: Females transition to addiction more quickly than males. Neuroadaptations in the NAc that accompany psychomotor sensitization underlie behavioral features of drug addiction. Cocaine-induced alterations in NAc core glutamate transmission contribute to drug-seeking behaviors, but cocaine-induced plasticity in this region has not been thoroughly examined in females. Despite showing robust psychomotor sensitization, cocaine did not alter NAc core glutamate transmission in female rats, but did enhance NAc synaptic transmission in males. [ABSTRACT FROM AUTHOR]