Abstract

Exercise has shown promise as a nonpharmacological intervention for addiction, with evidence suggesting a potential utility for relapse prevention. In humans, exercise as an intervention is typically introduced well after the initiation of abstinence, yet neurobiological data from preclinical studies suggest that it may be more effective if initiated during early abstinence. Here, using rat models, we determined whether the beneficial effects of exercise on relapse vulnerability depends on when exercise is first initiated, during early versus late abstinence. Once rats (n=47) acquired cocaine self-administration, they were given 24-h access to cocaine (1.5 mg/kg per infusion) under a discrete trial procedure (four infusions per hour) for 10 days. The rats then began a 14-day abstinence period in which they had access (2 h per day) to a locked wheel throughout abstinence (sedentary) or an unlocked wheel during early (days 1–7), late (days 8–14) or throughout (days 1–14) abstinence (n=10–14 per group). Cocaine seeking, as assessed under an extinction/cued-induced reinstatement procedure, was examined on day 15 of abstinence. Exercise beginning during early abstinence robustly attenuated subsequent cocaine seeking, and this effect persisted even when exercise ended on the seventh day of abstinence. In contrast, exercise during late abstinence was not effective and these animals displayed high levels of cocaine seeking similar to those observed in sedentary animals. These results indicate that the timing of exercise availability differentially impacts cocaine seeking with results suggesting that exercise during early, but not late, abstinence may provide long-term protection against cocaine relapse.

Highlights

  • Drug addiction is a leading cause of preventable death in the United States.[1]

  • Our recent work in males and the work of others supports its potential utility at reducing relapse vulnerability, with results showing that wheel-running exercise during abstinence attenuates subsequent cocaine seeking.[15,16,17,18]

  • On the basis of a neurobiological framework, we predicted that the timing of exercise availability during abstinence may be critical for producing an efficacious response

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Summary

Introduction

Drug addiction is a leading cause of preventable death in the United States.[1] several medications with modest efficacy have been approved for the treatment of alcohol, opioid and tobacco addiction, none have been approved for the treatment of cocaine addiction.[2,3] This deficit in effective treatments has led researchers to explore other methods, including exercise-based interventions. Epidemiological studies have long reported negative associations between levels of physical activity and illicit drug use.[4,5] There are many anecdotal reports suggesting that people in recovery turn to exercise to help maintain abstinence. Our recent work in males and the work of others supports its potential utility at reducing relapse vulnerability, with results showing that wheel-running exercise during abstinence attenuates subsequent cocaine seeking.[15,16,17,18]

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