Abstract

Caffeine is the world's most popular psychostimulant and is frequently used as an active adulterant in many illicit drugs including cocaine. Previous studies have shown that caffeine can potentiate the stimulant effects of cocaine and cocaine-induced drug seeking behavior. However, little is known about the effects of this drug combination on reward-related learning, a key process in the maintenance of addiction and vulnerability to relapse. The goal of the present study was thus to determine caffeine and cocaine combined effects on the Conditioned Place Preference (CPP) test and to determine potential differential mRNA expression in the Nucleus Accumbens (NAc) and medial prefrontal cortex (mPFC) of immediate-early genes (IEGs) as well as dopamine and adenosine receptor subunits. Mice were treated with caffeine (5 mg/kg, CAF), cocaine (10 mg/kg, COC), or their combination (caffeine 5 mg/kg + cocaine 10 mg/kg, CAF-COC) and trained in the CPP test or treated with repeated injections inside the home cage. NAc and mPFC tissues were dissected immediately after the CPP test, after a single conditioning session or following psychostimulant injection in the home cage for mRNA expression analysis. CAF-COC induced a marked change of preference to the drug conditioned side of the CPP and a significant increase in locomotion compared to COC. Gene expression analysis after CPP test revealed specific up-regulation in the CAF-COC group of Drd1a, cFos, and FosB in the NAc, and cFos, Egr1, and Npas4 in the mPFC. Importantly, none of these changes were observed when animals received same treatments in their home cage. With a single conditioning session, we found similar effects in both CAF and CAF-COC groups: increased Drd1a and decreased cFos in the NAc, and increased expression of Drd1a and Drd2, in the mPFC. Interestingly, we found that cFos and Npas4 gene expression were increased only in the mPFC of the CAF-COC. Our study provides evidence that caffeine acting as an adulterant could potentiate reward-associated memories elicited by cocaine. This is associated with specific changes in IEGs expression that were observed almost exclusively in mice that received the combination of both psychostimulants in the context of CPP memory encoding and retrieval. Our results highlight the potential relevance of caffeine in the maintenance of cocaine addiction which might be mediated by modifying neural plasticity mechanisms that strengthen learning of the association between drug and environment.

Highlights

  • Addictions are brain disorders that affect neural pathways involved in reward, motivation, and memory (Volkow et al, 2012)

  • Previous work has indicated that when combined, low-doses of cocaine and caffeine enhance approach behavior to cues paired with their administration in rats, suggesting that reinforcement induced by these drugs may be additive (Bedingfield et al, 1998)

  • Our results show a tendency of caffeine to increase conditioned place preference (CPP) score values but the doses tested in this study did not show a clear additive effect (Figure 2A)

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Summary

Introduction

Addictions are brain disorders that affect neural pathways involved in reward, motivation, and memory (Volkow et al, 2012). Learned associations between the rewarding effects of a drug, and contextual stimuli present at the time of drug use, are a central component of acquiring and maintaining drug seeking behavior, and are capable of inducing relapse (Volkow et al, 2012). Energy drinks marketed as dietary supplements or beverages usually contain caffeine as their active ingredient (Sena et al, 2017). Such supplements are taken to enhance cognitive performance but might influence mood and sleep (Childs, 2014). Caffeine intake is positively correlated with substance-use disorders (Kendler et al, 2006) and has been shown to increase illicit drug use (Miller, 2008)

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