Abstract

Depression is a core symptom of methamphetamine (METH) withdrawal during the first several weeks of abstinence. However, the precise mechanisms underlying METH withdrawal symptoms remain unknown. Brain-derived neurotrophic factor (BDNF) and its specific receptor, tropomyosin-related kinase (TrkB), have a role the in pathophysiology of depression. In this study, we examined the role of BDNF–TrkB signaling in different brain regions of male mice with METH withdrawal symptoms. Repeated METH (3 mg kg−1 per day for 5 days) administration to mice caused a long-lasting depression-like behavior including anhedonia. Western blot analysis showed that BDNF levels in the nucleus accumbens (NAc) of METH-treated mice were significantly higher than those of control mice whereas BDNF levels in other regions, including the prefrontal cortex and hippocampus, were not altered. METH-induced depression-like behavior, behavioral sensitization and dendritic changes in the NAc shell were improved by subsequent subchronic administration of TrkB antagonist ANA-12 (0.5 mg kg−1 per day for 14 days), but not TrkB agonist 7,8-dihydroxyflavone (10 mg kg−1 per day for 14 days). In vivo microdialysis showed that METH (1 mg kg−1)-induced dopamine release in NAc shell of METH-treated mice was attenuated after subsequent subchronic ANA-12 administration. Interestingly, a single bilateral infusion of ANA-12 into the NAc shell, but not NAc core, showed a rapid and long-lasting therapeutic effect. However, ketamine and paroxetine had no effect. These findings suggest that increased BDNF–TrkB signaling in the NAc shell has an important role in the behavioral abnormalities after withdrawal from repeated METH administration, and that TrkB antagonists are potential therapeutic drugs for withdrawal symptoms in METH abusers.

Highlights

  • IntroductionMETH is a powerfully addictive stimulant associated with serious health risks such as cognitive impairment, aggression, psychotic symptoms and behavior, and potential heart and brain damage.[1,2,3,4,5,6] In humans, many psychiatric and psychological symptoms emerge after withdrawal from the repeated use of METH

  • Abuse of methamphetamine (METH) is a major public health problem

  • We examined whether the subchronic administration of ANA-12 or 7,8-DHF in mice could correct the behavioral sensitization induced by repeated METH administration

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Summary

Introduction

METH is a powerfully addictive stimulant associated with serious health risks such as cognitive impairment, aggression, psychotic symptoms and behavior, and potential heart and brain damage.[1,2,3,4,5,6] In humans, many psychiatric and psychological symptoms emerge after withdrawal from the repeated use of METH. Major METH withdrawal symptoms include depression (for example, anhedonia, dysphoria and anergia), agitation and irritability, fatigue (for example, increased sleeping and inactivity) and cognitive impairment. These symptoms may last from a few days to a few months.[7] Withdrawal symptoms have been linked to a propensity for METH abuse relapse. The precise mechanisms underlying METH withdrawal symptoms remain unknown

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