Abstract
Rationale
The aversive aspects of nicotine withdrawal contribute to high relapse rates to tobacco smoking after cessation attempts.
Objectives
To investigate the influence of nicotine dose, duration of nicotine exposure, and withdrawal history on the severity of nicotine withdrawal in rats, as assessed by brain stimulation reward thresholds and somatic signs of withdrawal.
Methods
Repeated spontaneous and precipitated withdrawals were investigated through four successive removals of osmotic minipumps delivering nicotine/saline, or with daily injections of the nicotinic receptor antagonist dihydro-β-erythroidine during chronic nicotine/saline exposure, respectively. The effects of dose and duration of exposure were investigated using minipumps of varying duration delivering different nicotine doses.
Results
Increased duration of nicotine exposure: a) prolonged the duration but did not alter the magnitude of withdrawal-associated threshold elevations; b) increased somatic signs early during withdrawal. Increased total nicotine exposure (i.e. increased dose and exposure duration) increased the duration of threshold elevations (no effect on magnitude) but had no effect on somatic signs. Neither repeated spontaneous nor repeated precipitated withdrawals altered the magnitude of withdrawal significantly.
Conclusions
Increases in total nicotine dose resulted in increased severity of the affective aspects of withdrawal. Further, continuous drug exposure resulted in longer lasting withdrawal than intermittent administration even when the total nicotine dose was the same. There was no correlation between threshold elevations and somatic signs of withdrawal. In conclusion, the severity of nicotine withdrawal is mitigated by characteristics of the drug exposure regimen such as drug dose, duration of exposure and whether exposure is continuous or intermittent.
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References
Baer JS, Lichtenstein E (1988) Classification and prediction of smoking relapse episodes: an exploration of individual differences. J Consult Clin Psychol 56:104–110
Baker TB, Cannon DS (1979) Potentiation of ethanol withdrawal by prior dependence. Psychopharmacology 60:105–110
Baldo BA, Koob GF, Markou A (1999) Role of adenosine A2 receptors in brain stimulation reward under baseline conditions and during cocaine withdrawal in rats. J Neurosci 19:11017–11026
Becker HC, Hale RL (1993) Repeated episodes of ethanol withdrawal potentiate the severity of subsequent withdrawal seizures: an animal model of alcohol withdrawal "kindling". Alcohol Clin Exp Res 17:94–98
Benowitz NL (1986) Clinical pharmacology of nicotine. Annu Rev Med 37:21–32
Bond NW (1979) Impairment of shuttlebox avoidance learning following repeated alcohol withdrawal episodes in rats. Pharmacol Biochem Behav 11:589–591
Bozarth MA, Pudiak CM, KuoLee R (1998a) Effect of chronic nicotine on brain stimulation reward. I. Effect of daily injections. Behav Brain Res 96:185–188
Bozarth MA, Pudiak CM, KuoLee R (1998b) Effect of chronic nicotine on brain stimulation reward. II An escalating dose regimen. Behav Brain Res 96:189–194
Breslau N, Kilbey M, Andreski P (1992) Nicotine withdrawal symptoms and psychiatric disorders: findings from an epidemiologic study of young adults. Am J Psychiatry 149:464–469
Brown ME, Anton RF, Malcolm R, Ballenger JC (1988) Alcohol detoxification and withdrawal seizures: clinical support for a kindling hypothesis. Biol Psychiatry 23:507–514
Carmody TP (1992) Preventing relapse in the treatment of nicotine addiction: current issues and future directions. J Psychoact Drugs 24:131–158
Ceger P, Kuhn CM (2000) Opiate withdrawal in the neonatal rat: relationship to duration of treatment and naloxone dose. Psychopharmacology 150:253–259
Clemmesen L, Hemmingsen R (1984) Physical dependence on ethanol during multiple intoxication and withdrawal episodes in the rat: evidence of a potentiation. Acta Pharmacol Toxicol 55:345–350
Cryan JF, Bruijnzeel AW, Skjei KL, Markou A (2003a) Bupropion enhances brain reward function and reverses the affective and somatic aspects of nicotine withdrawal in the rat. Psychopharmacology DOI 10.1007/s00213-003-1445-7
Cryan JF, Hoyer D, Markou A (2003b) Withdrawal from chronic amphetamine induces depression-like behavioural effects in rodents. Biol Psychiatry 23:238–245
Cummings KM, Giovino G, Jaen CR, Emrich LJ (1985a) Reports of smoking withdrawal symptoms over a 21 day period of abstinence. Addict Behav 10:373–381
Cummings KM, Jaen CR, Giovino G (1985b) Circumstances surrounding relapse in a group of recent exsmokers. Prev Med 14:195–202
Curry SJ, McBride CM (1994) Relapse prevention for smoking cessation: review and evaluation of concepts and interventions. Annu Rev Public Health 15:345–366
Dixon WJ (1992) BMDP statistical software package. University of California Press, Los Angeles
Epping-Jordan MP, Watkins SS, Koob GF, Markou A (1998) Dramatic decreases in brain reward function during nicotine withdrawal. Nature 393:76–79
Fiore MC, Bailey WC, Cohen SJ, Dorfman SF, Goldstein MG, Gritz ER, Heyman RB, Jaen CR, Kottke TE, Lando HA, Mecklenburg RE, Mullen PD, Nett LM, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME (2000) Treating tobacco use and dependence. Clinical practice guideline. US Department of Health and Human Services, Public Health Service, Rockville, Md.
Fraser HF, Jasinski DR (1977) The assessment of the abuse potentiality of sedative/hypnotics (depressants). In: Martin WR (ed) Drug addiction I (series title: Handbook of experimental pharmacology, vol 45[1/2]). Springer, New York, pp 589–612
Gritz ER, Carr CR, Marcus AC (1991) The tobacco withdrawal syndrome in unaided quitters. Br J Addict 86:57–69
Gross J, Stitzer ML (1989) Nicotine replacement: ten-week effects on tobacco withdrawal symptoms. Psychopharmacology 98:334–341
Gulliver SB, Hughes JR, Solomon LJ, Dey AN (1995) An investigation of self efficacy, partner support and daily stresses as predictors of relapse to smoking in self-quitters. Addiction 90:767–772
Hall SM, Havassy BE, Wasserman DA (1990) Commitment to abstinence and acute stress in relapse to alcohol, opiates, and nicotine. J Consult Clin Psychol 58:175–181
Hammersley R (1994) A digest of memory phenomena for addiction research. Addiction 89:283–293
Harrison AA, Gasparini F, Markou A (2001) Nicotine potentiation of brain stimulation reward reversed by DHβE and SCH 23390, but not by eticlopride, LY 314582 or MPEP in rats. Psychopharmacology 160:56–66
Hatsukami D, Morgan SF, Pickens RW, Hughes JR (1987) Smoking topography in a nonlaboratory environment. Int J Addict 22:719–725
Hsu YN, Amin J, Weiss DS, Wecker L (1996) Sustained nicotine exposure differentially affects alpha 3 beta 2 and alpha 4 beta 2 neuronal nicotinic receptors expressed in Xenopus oocytes. J Neurochem 66:667–675
Hughes JR, Hatsukami D (1986) Signs and symptoms of tobacco withdrawal. Arch Gen Psychiatry 43:289–294
Hughes JR, Miller SA (1984) Nicotine gum to help stop smoking. JAMA 252:2855–2858
Hughes JR, Hatsukami DK, Skoog KP (1986) Physical dependence on nicotine in gum: a placebo-substitution trial. JAMA 255:3277–3279
Hughes JR, Higgins ST, Hatsukami D (1990) Effects of abstinence of tobacco: a critical review. In: Kozlowski LT, Annis HM, Cappell HD, Glaser FB, Goodstadt MS, Israel Y, Kalant H, Sellers EM, Vingilis ER (eds) Research advances in alcohol and drug problems, vol 10. Plenum Press, New York, pp 317–398
Hughes JR, Gust SW, Skoog K, Keenan RM, Fenwick JW (1991) Symptoms of tobacco withdrawal: a replication and extension. Arch Gen Psychiatry 48:52–59
Hughes JR, Goldstein MG, Hurt RD, Shiffman S (1999) Recent advances in the pharmacology of smoking. JAMA 281:72–76
Hymowitz N, Sexton M, Ockene J, Grandits G (1991) Baseline factors associated with smoking cessation and relapse. Prevent Med 20:590–601
Kalant H, LeBlanc AE, Gibbins RJ (1971) Tolerance to, and dependence on, some non-opiate psychotropic drugs. Pharmacol Rev 23:135–191
Katz JL, Valentino RJ (1986) Pharmacological and behavioral factors in opiod dependence in animals. In: Goldberg SR, Stolerman IP (eds) Behavioral analysis of drug dependence. Academic Press, New York, pp 287–315
Kenny PJ, Markou A (2001) Neurobiology of the nicotine withdrawal syndrome. Pharmacol Biochem Behav 70:531–549
Killen JD, Fortmann SP, Newman B, Varady A (1991) Prospective study of factors influencing the development of craving associated with smoking cessation. Psychopharmacology 105:191–196
Killen JD, Fortmann SP, Kraemer HC, Varady A, Newman B (1992) Who will relapse? Symptoms of nicotine dependence predict long-term relapse after smoking cessation. J Consult Clin Psychol 60:797–801
Kokkinidis L, Zacharko RM (1980a) Enhanced lateral hypothalamic self-stimulation responding after chronic exposure to amphetamine. Behav Neural Biol 29:493–497
Kokkinidis L, Zacharko RM (1980b) Response sensitization and depression following long-term amphetamine treatment in a self-stimulation paradigm. Psychopharmacology 68:73–76
Kornetsky C, Esposito RU (1979) Euphorigenic drugs: effects on the reward pathways of the brain. Fed Proc 38:2473–2476
Leith NJ, Barrett RJ (1976) Amphetamine and the reward system: evidence for tolerance and post-drug depression. Psychopharmacologia 46:19–25
Leith NJ, Barrett RJ (1980) Effects of chronic amphetamine or reserpine on self-stimulation responding: animal model of depression? Psychopharmacology 72:9–15
Levin ED, Westman EC, Stein RM, Carnahan E, Sanchez M, Herman S, Behm FM, Rose JE (1994) Nicotine skin patch treatment increases abstinence, decreases withdrawal symptoms, and attenuates rewarding effects of smoking. J Clin Psychopharmacol 14:41–49
Lin D, Koob GF, Markou A (1999) Differential effects of withdrawal from chronic amphetamine or fluoxetine administration on brain stimulation reward in the rat: interactions between the two drugs. Psychopharmacology 145:283–294
Lin D, Koob GF, Markou A (2000) Time-dependent alterations in ICSS thresholds associated with repeated amphetamine administrations. Pharmacol Biochem Behav 65:407–417
Maier DM, Pohorecky LA (1989) The effects of repeated withdrawal episodes on subsequent withdrawal severity in ethanol-treated rats. Drug Alcohol Depend 23:103–110
Majchrowicz E (1977) Comparison of ethanol withdrawal syndrome in humans and rats. Adv Exp Med Biol 85B:15–23
Malin DH (2001) Nicotine dependence: studies with a laboratory model. Pharmacol Biochem Behav 70:551–559
Malin DH, Lake JR, Newlin-Maultsby P, Roberts LK, Lanier JG, Carter VA, Cunningham JS, Wilson OB (1992) A rodent model of nicotine abstinence syndrome. Pharmacol Biochem Behav 43:779–784
Markou A, Koob GF (1991) Postcocaine anhedonia: an animal model of cocaine withdrawal. Neuropsychopharmacology 4:17–26
Markou A, Koob GF (1992a) Bromocriptine reverses the elevation in intracranial self-stimulation thresholds observed in a rat model of cocaine withdrawal. Neuropsychopharmacology 7:213–224
Markou A, Koob GF (1992b) Construct validity of a self-stimulation threshold paradigm: effects of reward and performance manipulations. Physiol Behav 51:111–119
Markou A, Koob GF (1993) Intracranial self-stimulation thresholds as a measure of reward. In: Saghal A (ed) Behavioural neuroscience: a practical approach, vol 2. Oxford University Press, New York, pp 93–115
Markou A, Hauger RL, Koob GF (1992) Desmethylimipramine attenuates cocaine withdrawal in rats. Psychopharmacology 109:305–314
Martin WR (1977) Drug addiction (series title: Handbook of experimental pharmacology, vol 45[1/2]). Springer, New York
Matheny KB, Weatherman KE (1998) Predictors of smoking cessation and maintenance. J Clin Psychol 54:223–235
McNeill AD, West RJ, Jarvis M, Jackson P, Bryant A (1986) Cigarette withdrawal symptoms in adolescent smokers. Psychopharmacology 90:533–536
Mello NK, Mendelson JH (1977) Clinical aspects of alcohol dependence. In: Martin WR (ed) Drug addiction (series title: Handbook of experimental pharmacology, vol 45[1/2]). Springer, New York, pp 613–666
Mendelson JH, Stein S, McGuire MT (1966) Comparative psychophysiological studies of alcoholic and nonalcoholic subjects undergoing experimentally induced ethanol intoxication. Psychosom Med 28:1–12
Mossberg D, Liljeberg P, Borg S (1985) Clinical conditions in alcoholics during long-term abstinence: a descriptive, longitudinal treatment study. Alcohol 2:551–553
Mothersill KJ, McDowell I, Rosser W (1988) Subject characteristics and long term post-program smoking cessation. Addict Behav 13:29–36
Nides MA, Rakos RF, Gonzales D, Murray RP, Tashkin DP, Bjornson-Benson WM, Lindgren P, Connett JE (1995) Predictors of initial smoking cessation and relapse through the first 2 years of the Lung Health Study. J Consult Clin Psychol 63:60–69
Norregaard J, Tonnesen P, Petersen L (1993) Predictors and reasons for relapse in smoking cessation with nicotine and placebo patches. Prevent Med 22:261–271
Ockene JK, Emmons KM, Mermelstein RJ, Perkins KA, Bonollo DS, Voorhees CC, Hollis JF (2000) Relapse and maintenance issues for smoking cessation. Health Psychol 19:17–31
Olale F, Gerzanich V, Kuryatov A, Wang F, Lindstrom J (1997) Chronic nicotine exposure differentially affects the function of human α3, α4, and α7 neuronal nicotinic receptor subtypes. Pharmacol Exp Ther 283:675–683
Paterson NE, Myers C, Markou A (2000) Effects of repeated withdrawal from continuous amphetamine administration on brain reward function in rats. Psychopharmacology 152:440–446
Pellegrino LJ, Pellegrino AS, Cushman AJ (1979) A stereotaxic atlas of the rat brain, 2nd edn. Plenum Press, New York
Piasecki TM, Fiore MC, Baker TB (1998) Profiles in discouragement: two studies of variability in the time course of smoking withdrawal symptoms. J Abnorm Psychol 107:238–251
Piasecki TM, Niaura R, Shadel WG, Abrams D, Goldstein M, Fiore MC, Baker TB (2000) Smoking withdrawal dynamics in unaided quitters. J Abnorm Psychol 109:74–86
Schulteis G, Markou A, Gold LH, Stinus L, Koob GF (1994) Relative sensitivity to naloxone of multiple indices of opiate withdrawal: a quantitative dose-response analysis. J Pharmacol Exp Ther 271:1391–1398
Schulteis G, Markou A, Cole M, Koob GF (1995) Decreased brain reward produced by ethanol withdrawal. Proc Natl Acad Sci USA 92:5880–5884
Semenova S, Markou A (2003) Clozapine treatment attenuated somatic and affective signs of nicotine and amphetamine withdrawal in subsets of rats that exhibited hyposensitivity to the initial effects of clozapine. Biol Psychiatry (in press)
Shiffman SM (1979) The tobacco withdrawal syndrome. In: Krasnegor NA (ed), Cigarette smoking as a dependence process (series title: NIDA Research Monograph, vol 23). National Institute on Drug Abuse, Rockville, Md., pp 158–184
Smolka M, Schmidt LG (1999) The influence of heroin dose and route of administration on the severity of the opiate withdrawal syndrome. Addiction 94:1191–1198
Spielewoy C, Markou A (2003). Withdrawal from chronic treatment with phencyclidine induces long-lasting depression in brain reward function. Neuropsychopharmacology (in press)
Stapleton J (1998) Cigarette smoking prevalence, cessation and relapse. Stat Meth Med Res 7:187–203
Stellar JR, Stellar E (1985) The neurobiology of motivation and reward. Springer, New York
Stitzer ML, Gross J (1988) Smoking relapse: the role of pharmacological and behavioral factors. In: Pomerleau OF, Pomerleau CS (eds) Nicotine replacement: a critical evaluation (series title: Progress in clinical and biological research, vol 261). Alan Liss, New York, pp 163–184
Stolerman IP (1999) Inter-species consistency in the behavioural pharmacology of nicotine dependence. Behav Pharmacol 10:559–580
Swan GE, Ward MM, Jack LM (1996) Abstinence effects as predictors of 28-day relapse in smokers. Addict Behav 21:481–490
US Department of Health and Human Services (1988) The health consequences of smoking: nicotine addiction. A report of the Surgeon General. USDHHS Publication No. (CDC) 88-8406, Public Health Service, Centers for Disease Control, Center for Health Promotion and Education, Office on Smoking and Health, Washington D.C.
US Department of Health and Human Services, Centers for Disease Control and Prevention (1993) Smoking cessation during previous year among adults—United States, 1990 and 1991. Morb Mortal Wkly Rep 42:504–507
US Department of Health and Human Services (2000) Reducing tobacco use: a report of the Surgeon General. USDHHS, Centers for Disease Control, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, Ga.
Watkins SS, Koob GF, Markou A (2000a) Neural mechanisms underlying nicotine addiction: acute positive reinforcement and withdrawal. Nicotine Tobacco Res 2:19–37
Watkins SS, Stinus L, Koob GF, Markou A (2000b) Reward and somatic changes during precipitated nicotine withdrawal in rats: centrally and peripherally mediated effects. J Pharmacol Exp Ther 292:1053–1064
West RJ, Russell MAH (1985a) Effects of withdrawal from long-term nicotine gum use. Psychol Med 15:891–893
West RJ, Russell MAH (1985b) Pre-abstinence smoke intake and smoking motivation as predictors of severity of cigarette withdrawal symptoms. Psychopharmacology 87:334–336
West RJ, Jarvis MJ, Russell MAH, Carruthers ME, Feyerabend C (1984) Effects of nicotine replacement on the cigarette withdrawal syndrome. Br J Addict 79:215–219
West RJ, Hajek P, Belcher M (1989) Severity of withdrawal symptoms as a predictor of outcome of an attempt to quit smoking. Psychol Med 19:981–985
Winer BJ (1971) Statistical principles in experimental design, 2nd edn. McGraw-Hill, New York
Wise RA, Munn E (1995) Withdrawal from chronic amphetamine elevates baseline intracranial self-stimulation thresholds. Psychopharmacology 117:130–136
Woods JH, Katz JL, Winger G (1987) Abuse liability of benzodiazepines. Pharmacol Rev 39:251–413
Acknowledgements
This is publication number 14312-NP from The Scripps Research Institute. This work was supported by Tobacco-Related Disease Research Program grant 10RT-0074, National Institute on Drug Abuse grant 1RO1 DA11946, and a Novartis Research grant to A.M. The authors would like to thank Ms. Jessica Chevrette for technical assistance, Drs. John F. Cryan and Paul Kenny for helpful comments on the manuscript, and Mr. Michael Arends for editorial assistance.
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Skjei, K.L., Markou, A. Effects of repeated withdrawal episodes, nicotine dose, and duration of nicotine exposure on the severity and duration of nicotine withdrawal in rats. Psychopharmacology 168, 280–292 (2003). https://doi.org/10.1007/s00213-003-1414-1
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DOI: https://doi.org/10.1007/s00213-003-1414-1