Abstract
Rationale:
Stress exposure has a lasting impact on motivated behavior and can exacerbate existing vulnerabilities for developing a substance use disorder. Several models have been developed to examine how stressful experiences shape drug-reward. These range from locomotor sensitization and conditioned place preference, to the propensity for drug self-administration or responding to drug-predictive cues. While self-administration studies are considered to have more translational relevance, most of the studies to date have been conducted in rats. Further, many self-administration studies are conducted in single-housed animals, adding the additional stressor of social isolation.
Objectives:
We sought to establish how chronic social defeat stress (CSDS) and social housing conditions impact cocaine self-administration and cocaine-seeking behaviors in C57BL/6 mice.
Methods:
We assessed self-administration behavior (cocaine or saline, 0.5 mg/kg/infusion) in C57BL/6 mice subjected to 10 days CSDS or in unstressed controls. Mice were either housed in pairs or in isolation during self-administration. We compared the effect of housing on acquisition of self-administration, seeking, extinction, drug-induced reinstatement, and after re-exposure to the social stressor.
Results:
Pair-housing during self-administration revealed increased social avoidance after CSDS is associated with decreased cocaine intake. In contrast, single-housing revealed stress-sensitive cocaine intake, with increased social avoidance after CSDS associated with increased early cocaine intake. Pair-, but not single-housed mice are susceptible to drug-induced reinstatement independent of CSDS history. Stress re-exposure sensitized cocaine-seeking in stressed single-housed mice.
Conclusions:
The social context surrounding cocaine intake can bidirectionally influence cocaine-related behaviors after psychosocial stress and should be considered when studying stress and drug cross-sensitization.
Keywords: cocaine, chronic social defeat stress, self-administration, social-isolation, drug-seeking, extinction, reinstatement
Introduction
Acute, moderate stress prepares animals to react to challenging stimuli by activating the hypothalamic pituitary adrenal (HPA) axis. However, repeated or severe stress has negative and debilitating effects often associated with the emergence of psychiatric disorders (Hollon et al. 2015; Sapolsky 2015). Psychosocial stress is a major risk factor for the development of drug addiction, where the cumulative number of stressful events is thought to predict future drug dependence (Lloyd and Turner 2008) (for review see (Sinha 2008). In turn, drug intake increases HPA axis activation, supporting increased stress responses, amplifying drug craving, and promoting relapse (Newman et al. 2018; Wemm and Sinha 2019). The dynamic interplay between stress and drug exposure whereby exposure to one increases the response to the other is usually termed “cross-sensitization”. Stress-sensitized responses to drugs of abuse play a major role in the development of addiction (Sinha 2008), particularly to psychostimulants (Kalivas and Stewart 1991; Newman et al. 2018).
Several rodent models have been developed to study the relationship between psychosocial stress exposure and substance abuse (Yap and Miczek 2008). Brief or intermittent social stress increases acquisition of cocaine self-administration (Haney et al. 1995; Tidey and Miczek 1997), progressive ratio break points (Burke and Miczek 2015) or “binge” drug intake in rats (Covington and Miczek 2001). In contrast, when rats are exposed to prolonged social stress, the effects on cocaine intake are either subtle (Kabbaj et al. 2001), or cocaine self-administration is drastically reduced (Miczek et al. 2011) (for review (Newman et al. 2018). Cross-sensitization studies are more limited in mice. While social stress can promote cocaine self-administration in mice (Han et al. 2015; Han et al. 2017), some studies indicate these effects are absent (Yap and Miczek 2007), or follow a bimodal distribution (Arena et al. 2019). Further, the effects of psychosocial stress appear to be dependent on mouse strain (CFW vs. C57BL/6) (Arena et al. 2019; Yap and Miczek 2007). To study the neurobiological substrates of drug and stress cross-sensitization, it is critical to fully characterize the influence of psychosocial stress on drug self-administration in C57BL/6 mice since many transgenic tools are preferentially developed in this strain (Gong et al. 2007).
Housing conditions provide an additional level of complexity when studying the influence of stress on drug intake. Both rats and mice are frequently single-housed during drug self-administration procedures (Arena et al. 2019; Griffin et al. 2007; Han et al. 2015; Holly et al. 2016; Kabbaj et al. 2001; McGrath et al. 2018; Ward and Walker 2009) for various reasons (catheter damage, specific tests, etc.). However, rats and mice are social animals and social isolation constitutes a stressor known to increase cocaine intake (Gipson et al. 2011; Green et al. 2010; Hofford et al. 2015; Neisewander et al. 2012; Westenbroek et al. 2013). Housing conditions thus become a factor that can impact drug-related behaviors and necessitate further investigation.
Here we used chronic social defeat stress (CSDS) in C57BL/6 mice to mimic the chronic adversity associated with increased vulnerability to drug use, craving and relapse in humans (Sinha 2008). CSDS is a highly standardized procedure (Berton et al. 2006; Golden et al. 2011; Krishnan et al. 2007) widely used in mice (Chandra et al. 2017b; Fox et al. 2020; Highland et al. 2019; Nam et al. 2019; Nasca et al. 2019; Pagliusi et al. 2020) including for the study of social stress on drug self-administration (Arena et al. 2019). CSDS induces anhedonia and loss of motivated behaviors in the majority of rodents (>60%, termed “stress-susceptible”) (Der-Avakian et al. 2014; Fox and Lobo 2019; Heshmati and Russo 2015; Krishnan et al. 2007), which are factors commonly associated with substance use disorders (Hatzigiakoumis et al. 2011). Following CSDS, we determined stress-susceptibility with a social interaction test. We then compared the effect of pair- and single-housing on cocaine self-administration acquisition, seeking, extinction, drug-induced reinstatement, as well as after re-exposure to the social stressor in CSDS and undefeated mice. We found divergent responses to cocaine depending on housing conditions, where pair housing uncovered CSDS reduced motivation for cocaine self-administration but preserved sensitivity to drug-induced relapse. Conversely, single housing revealed stress-sensitive individual differences in early cocaine self-administration and promoted drug seeking following acute stress.
Methods
Animals
Studies were conducted in accordance with guidelines set up by the Institutional Animal Care and Use Committees at University of Maryland School of Medicine (UMSOM). All animals were housed in UMSOM animal facilities on a 12:12 h light:dark cycle and were given food and water ad libitum during the entire experiment. Wild-type C57BL/6 male mice (University of Maryland Veterinary Resources) were 7 to 8 weeks old at the beginning of the experiments. Male CD-1 retired breeders (Charles River, >4 months) were used as aggressors for CSDS.
Social Defeat Stress
Chronic social defeat stress was performed as previously described (Fox et al. 2020; Francis et al. 2017; Francis et al. 2019). For 10 consecutive days, mice were placed in hamster cages with perforated Plexiglas dividers containing a novel, aggressive CD1-resident. Mice were physically defeated by a new resident for 10 min, and then housed opposite the resident for 24 hr sensory interaction. After the last defeat, all mice were housed individually in cages with woodchip bedding. Twenty-four hours later, social avoidance was assessed in a social interaction test. Experimental mice were placed in an open field containing a perforated box. Time spent around the box (“interaction zone”) was acquired with a video tracking software (CleverSys, Reston, VA, USA) and compared between two 2.5 min trials during which the perforated box was empty or contained a novel CD-1. Social interaction ratios were calculated by dividing time spent in the interaction zone with and without the novel mouse present. After social interaction testing, mice were assigned to a self-administration group (saline or cocaine) based on individual social interaction ratios, such that each group contained a similar distribution of social interaction ratios. We did not divide CSDS mice into the traditional “susceptible” or “resilient” groups, but instead show individual social interaction ratios in the correlation analysis due to the complexity of these experiments which necessitates a lower N.
Intravenous surgery
Mice were anesthetized with ketamine (100 mg/kg) and xylazine (16 mg/kg) and implanted with long-term indwelling jugular catheters (Plastics One, Roanoke, VA) as described previously (Chandra et al. 2017a; Engeln et al. 2020). Mice were flushed daily with 50 IU/mL heparin (40%, in saline) and 2.27% Baytril (20%; Bayer, Shawnee, KS).
Housing
Following catheterization surgery mice were either single- or pair-housed, using a perforated Plexiglas divider, in a cage with woodchip bedding. Pair-housed mice were housed with mice from the same stress and drug condition. Housing conditions were maintained throughout the remainder of the experiment.
Intravenous cocaine self-administration
After 5 days of recovery, mice underwent 10 days of cocaine (or saline) self-administration under a fixed-ratio 1 (FR1) schedule of reinforcement (0.5 mg/kg/infusion in saline; 2 hours/day) using a 10s time out. Operant chambers (MED Associates, Fairfax, VT) had two nosepoke holes on one wall and a house-light on the middle of the opposite wall. Responses in the active nosepoke triggered a 10 μl infusion of cocaine and a 10s illumination of the active nosepoke light. During this 10 s time out period, nose pokes in the active port were recorded but did not result in further infusions. Responses on the inactive nose poke were also recorded but were without any programmed consequences. No prior training was used for FR1 acquisition. To avoid administering anesthetics for testing catheter patency, we instead assessed psychomotor activation at the end of each FR1 session. Mice that exhibited strong psychomotor activity after cocaine intake and differentiated between active and inactive nosepokes were considered to have acquired cocaine self-administration behavior. All responses made by cocaine self-administering mice were compared to those made by mice from an identical stress condition responding for saline. Twenty-four hours after the last FR1 session, a 1-hour seeking test was performed under extinction conditions (i.e. a response resulted in cue presentation but no drug delivery).
Drug-induced reinstatement
Following the seeking test, one half of mice was subjected to additional extinction sessions and drug induced reinstatement as described previously (Engeln et al. 2020). Extinction sessions consisted of 4 to 5 distinct 1-hour sessions separated by 5-minute intervals during which mice were placed back in their home cage. Extinction sessions are identical to the seeking test in that each response on the active nose poke resulted in cue presentation but no drug delivery. Here, we refer to “seeking” and “extinction” separately for the purposes of differentiating between the fully extinguished subgroup and the stress re-exposed subgroup (see below). On the following day, the extinguished mice were injected with cocaine (7.5 mg/kg in saline, intraperitoneal) or saline 5 minutes before a cocaine-induced reinstatement test where again, each response resulted in cue presentation but no drug delivery.
Stress-modulated seeking
Following the seeking test, the other half of mice underwent a one-day social defeat stress as described previously (Fox et al. 2020). Mice were defeated for 3 min by three different resident CD-1 mice on a single day, with each session separated by 15 min of sensory interaction. On the following day, mice were subjected to an additional seeking test. Experimental timelines are available in Figure 1a and Figure 3a.
Figure 1.
Social avoidance after chronic social defeat stress predicts cocaine self-administration behavior in pair-housed mice. (a) Experimental timeline. After 10 days chronic social defeat stress (CSDS), mice undergo social interaction (SI) testing, followed by iv catheterization surgery. Mice are pair-housed for recovery and all subsequent procedures. Mice then self-administer cocaine or saline on a fixed-ratio 1 (FR1) schedule for 10 days, are tested for drug seeking behavior, and then divided into two groups, undergoing either extinction and drug-induced reinstatement, or a single day of social defeat stress (SSDS) followed by a second seeking test. (b) Social interaction ratio in CSDS or No-CSDS control mice after 10 days CSDS. Individual data points represent individual mice that go on to self-administer cocaine (filled symbols) or saline (empty symbols); ***p<0.001. (c) Number of cocaine or saline infusions earned by No-CSDS (square) or CSDS (circle) mice during 10 days of self-administration procedure; *p<0.05 for both cocaine groups compared to their respective saline controls starting at day 4. (d) Scatter plots and Pearson’s correlations of time spent interacting with social target during SI test, and cumulative cocaine infusions earned after 3, 5, 7, and 10 days cocaine self-administration procedure in No-CSDS and CSDS mice. P values for each correlation are reported next to the legend. Note the changing Y axis in panel d.
Figure 3.
Social avoidance after chronic social defeat predicts early cocaine self-administration behavior in single-housed mice. (a) Experimental timeline. After 10 days chronic social defeat stress (CSDS), mice undergo social interaction (SI) testing, followed by iv catheterization surgery. Mice are single-housed during recovery and all subsequent procedures. Mice then self-administer cocaine or saline on a fixed-ratio 1 (FR1) schedule for 10 days, are tested for drug seeking behavior, and then divided into two groups, undergoing either extinction and drug-induced reinstatement, or a single day of social defeat stress (SSDS) followed by a second seeking test. (b) Social interaction ratio in No-CSDS or CSDS mice during the SI test. Individual data points represent mice that go on to self-administer cocaine (filled symbols) or saline (empty symbols); **p<0.01. (c) Number of cocaine or saline infusions earned by No-CSDS (square) or CSDS (circle) mice during 10 days of self-administration procedure; *p<0.05 for No CSDS-Cocaine starting at day 4 and #p<0.05 for CSDS-Cocaine starting at day 2 compared to their respective saline controls. (d) Scatter plots and Pearson’s correlations of time spent interacting with social target during SI test, and cumulative cocaine infusions earned after 3, 5, 7, and 10 days cocaine self-administration procedure in No-CSDS and CSDS mice. P values for each correlation are reported next to the legend. Note the changing Y axis in panel d.
Statistics
Statistical analyses were performed using GraphPad Prism 7 and 8 software (GraphPad Software, San Diego, CA). Normality was assessed with Bartlett’s test. A two-tailed Student t-test was used for social interaction. For cocaine-related experiments, 3-way analysis of variance (ANOVA), 3-way ANOVA with repeated measures (RM-ANOVA), and 2-way ANOVA were run when appropriate, followed by Tukey or Sidak post hoc tests. In the absence of main effect of Chronic Stress for data analyzed by 3-way RM ANOVA, we used Drug and Session as factors in a 2-way RM-ANOVA (extinction data in Figs 2d, 4d). Pearson’s correlation was used to examine relationships between social interaction and cocaine-related behaviors. Mice were excluded from the entire study if they did not acquire cocaine self-administration or failed Grubbs’ outlier test. For single-housed mice: 1 No-CSDS-saline and 1 CSDS-cocaine mice were excluded. For pair-housed mice: 1 No-CSDS-saline, 1 CSDS-saline and 1 CSDS-cocaine mice were excluded. Sample sizes were determined from previous studies (Engeln et al. 2020; Fox et al. 2020). The threshold for significance was set at p≤ 0.05. All graphs represent mean ± SEM. In graphs, individual values are plotted to report that variation is similar between compared groups.
Figure 2.
History of chronic social defeat stress does not alter cocaine seeking or drug-induced reinstatement in pair housed mice. (a) Number of active responses during the 1-hour, non-reinforced seeking test in No-CSDS and CSDS mice. Individual data points represent individual mice who administered saline (empty symbols) or cocaine (filled symbols); ***p<0.001 and ****p<0.0001 vs. respective saline group. (b) Scatter plot and Pearson’s correlations comparing active responses during seeking and time spent interacting with social target during SI test in No-CSDS (square) and CSDS (circle) cocaine mice. (c) Scatter plot and Pearson’s correlation comparing active responses during seeking and cumulative cocaine infusions over 10 days cocaine self-administration in No-CSDS and CSDS cocaine mice. P values for each correlation are reported below the legend. (d) Active responses over four, 1-hour extinction sessions in the subgroup of cocaine and saline mice that underwent extinction; ****p<0.0001 for both cocaine groups compared to their respective saline controls. (e) Comparison of active responses during the seeking test and the first extinction session in the extinguished subgroup of mice; ***p<0.001. (f) Active responses after drug-induced reinstatement (7.5 mg/kg cocaine or saline, ip) in the extinguished subgroup of mice; *p<0.05 vs. respective saline control. (g) Active responses during the second seeking test in mice exposed to single day social defeat stress. (h) Comparison of responses during the first seeking test, and the second seeking test in the stress re-exposed subgroup; *p<0.05.
Figure 4.
Single housing blocks drug-induced reinstatement independent of social defeat history. (a) Number of active responses during the 1-hour, non-reinforced seeking test in No-CSDS and CSDS mice. Individual data points represent individual mice who administered saline (empty symbols) or cocaine (filled symbols); **p<0.01 vs. respective saline control. (b) Scatter plot and Pearson’s correlations comparing active responses during seeking and time spent interacting with social target during SI test in No-CSDS (square) and CSDS (circle) cocaine mice. (c) Scatter plot and Pearson’s correlation comparing active responses during seeking and cumulative cocaine infusions over 10 days cocaine self-administration in No-CSDS and CSDS cocaine mice. P values for each correlation are reported below the legend. (d) Active responses over four, 1-hour extinction sessions in the subgroup of cocaine and saline mice that underwent extinction; **p<0.01 vs. respective saline control. (e) Comparison of active responses during the seeking test and the first extinction session in the extinguished subgroup of mice. (f) Active responses after drug-induced reinstatement (7.5 mg/kg cocaine or saline) in the extinguished subgroup of mice. (g) Active responses during the second seeking test in mice exposed to single day social defeat stress; *p<0.05, **p<0.01 vs. respective saline control. (h) Comparison of responses during the first seeking test, and the second seeking test in the stress re-exposed subgroup; *p<0.05.
Results
Social stress is associated with lower cocaine intake during self-administration acquisition in pair-housed mice.
After CSDS, mice showed reduced social interaction ratios (t-test: t(37)= 4.10, p< 0.001; Figure 1b), and were subsequently divided into subgroups later self-administering either cocaine or saline such that each group contained a similar distribution of social interaction ratios. Mice were paired with a mouse from the same drug and stress condition. The effect of stress was present in both subgroups of mice later taking cocaine or saline (2-way ANOVA, Chronic Stress F(1,35)= 16.59, p< 0.001; Future drug group F(1,35)= 0.26, p= 0.61) demonstrating no differences in social interaction prior to self-administration (Figure 1b). Pair-housed CSDS and No-CSDS mice both developed cocaine self-administration compared to their respective saline controls (3-way ANOVA: Day x Drug F(9,315)= 3.97, p< 0.0001; Tukey post hoc: p< 0.05 starting at day 4 (Figure 1c). The number of cocaine doses taken by pair-housed CSDS and No-CSDS mice did not significantly differ over the 10 days (3-way ANOVA: Chronic Stress F(1,35) =0.56, p=0.46; Day x Chronic Stress F(9,315)= 1.18, p= 0.31). Pair-housed CSDS and No-CSDS mice self-administering cocaine learned to differentiate between the active and inactive nose-poke to a similar extent (3-way RMANOVA: Chronic Stress, F(1,36)=2.65, p=0.11; Day x Nosepoke F(9,324)=4.61, p<0.0001; Tukey’s post hoc, Active vs. Inactive, p<0.05 from day 5 for No-CSDS, p<0.05 from day 7 for CSDS, Supplementary Figure 1a). Pair-housed mice self-administering saline did not differentiate between the nosepokes (3-way RMANOVA: Chronic Stress F(1,34)=0.95, p=0.33; Day x Nosepoke F(9,306)=0.48, p=0.88, Supplementary Figure 1a).
We next compared cumulative drug intake with individual social interaction behavior. Assessing pair-housed mice independent of their CSDS exposure, we found positive correlations between social interaction time and cumulative drug intake, indicating mice with greater social interaction (i.e. the least stress-susceptible) administered more cocaine. The correlation was statistically significant after 3 and 5 days, but was weakened at 7 and 10 days: (r= 0.45; R2= 0.20, p= 0.049 after 3 days, r= 0.44; R2= 0.19, p= 0.05 after 5 days, r= 0.439; R2= 0.19, p= 0.053 after 7 days and r= 0.38; R2= 0.14, p= 0.095 after 10 days; Figure 1d). Since stress exposure drives the differences in social interaction, we next assessed the social interaction-drug relationship in No-CSDS and CSDS mice separately. Again we found a positive correlation between social interaction time and cumulative drug intake in pair-housed CSDS mice after 3 days of self-administration (r= 0.71; R2= 0.50, p< 0.02; Figure 1d). This correlation was not statistically significant in No-CSDS mice (r= 0.37; R2= 0.14, p= 0.29; Figure 1d). Over the course of the self-administration procedure, social interaction time and cocaine infusions remained positively correlated in pair-housed CSDS mice (r= 0.69; R2= 0.48, p= 0.03 after 5 days, r: 0.68; R2= 0.46, p= 0.03 after 7 days; r= 0.68; R2= 0.46, p= 0.03 after 10 days; Figure 1d), but in No-CSDS mice, this relationship remained non-significant (r= 0.42; R2= 0.18, p= 0.23 after 5 days, r= 0.44; R2= 0.20, p= 0.20 after 7 days and r= 0.50; R2= 0.25, p= 0.14 after 10 days; Figure 1d). Together, this suggests that the individual response to chronic stress impacts acquisition of cocaine intake in pair-housed mice. Correlations were similar when comparing cocaine intake and social interaction ratio instead of social interaction time (Supplementary Table 1).
Chronic social defeat stress does not alter cocaine seeking but decouples drug intake from drug seeking in pair-housed mice.
We next asked if chronic stress exposure would influence the motivation to seek drug under non-reinforced conditions. Twenty-four hours following the last cocaine self-administration session, pair-housed mice underwent a 1-hour drug-seeking test. Both pair-housed CSDS and No-CSDS mice showed high responses in the active nosepoke compared to their respective saline controls (2-way ANOVA: Drug, F(1,35)= 45.65, p< 0.0001; Sidak’s post hoc: p< 0.001 and p< 0.0001 respectively; Figure 2a). CSDS had no significant effect on active responses in pair-housed mice (2-way ANOVA: Chronic Stress, F(1,35)= 0.38, p= 0.54). However CSDS reduced inactive responses during seeking (2-way ANOVA: Chronic Stress, F(1,35)= 6.49, p= 0.02). Post hoc analysis revealed a difference in inactive responses only between pair-housed No-CSDS saline and No-CSDS cocaine mice (Sidak’s post hoc: p< 0.05, Supplementary Figure 1b).
To determine if stress-susceptibility influenced cocaine-seeking behavior, we next compared social interaction with drug seeking behavior. Unlike cumulative FR1 intake, we found no significant correlation in either pair-housed CSDS or No-CSDS mice (CSDS: r = −0.41; R2= 0.17, p= 0.24; No-CSDS: r= 0.40; R2= 0.16, p= 0.25, Figure 2b). To determine how drug-intake history influenced cocaine seeking, we compared cumulative cocaine intake with drug seeking behavior. We found a positive correlation in No-CSDS mice, such that mice with greater intake history exhibited greater active responses during drug seeking (r= 0.71; R2= 0.51, p= 0.02; Figure 2c). However, in CSDS mice, cocaine intake and seeking responses were not correlated, suggesting CSDS decouples drug intake from drug seeking behavior (r= −0.24; R2= 0.06, p= 0.51; Figure 2c).
Non-contingent cocaine reinstates drug seeking while re-exposure to social stress has limited impact in pair-housed mice.
Following the seeking test, one half of the pair-housed mice underwent 4 additional extinction sessions. Both CSDS and No-CSDS mice previously taking cocaine started with high responding compared to saline groups regardless of chronic stress history (3-way RM-ANOVA: Drug, F(1,16)= 17.50, p<0.001; Chronic Stress, F(1,16)= 0.037 p=0.85; Figure 2d). Cocaine-experienced No-CSDS mice decreased their responding between the seeking test and the subsequent extinction session (“extinction session 1”, 3-way RM-ANOVA: Session x Drug, F(1,16)= 7.48, p< 0.05; Sidak’s post hoc: No-CSDS-cocaine p< 0.001). This effect was not observed in the CSDS-cocaine mice (p= 0.40) suggesting slightly slower initial extinction in the stress-experienced group (Figure 2e). However all pair-housed cocaine-experienced mice stopped responding for non-reinforced actions by “extinction session 3” (2-way RM-ANOVA, Session x Drug, F(3,48)= 21.83, p<0.0001, Sidak’s post hoc vs. saline controls: Session 1, p< 0.0001; Session 2, p=0.03; all other sessions, p>0.05; Figure 2d). On the next day, the extinguished groups of mice were tested for drug-induced reinstatement. Both No-CSDS and CSDS mice showed increased responding compared to their saline controls (2-way ANOVA, Drug, F(1,16)= 18.09, p< 0.001; Sidak’s post hoc: No-CSDS, p< 0.01; CSDS, p< 0.05). CSDS had no impact on responses, indicating CSDS in pair-housed mice neither promotes, nor impairs drug-induced reinstatement (2-way ANOVA: Chronic Stress, F(1,16)= 0.67, p= 0.42; Figure 2f).
Instead of additional extinction sessions, the second half of pair-housed mice were subjected to a single day of social defeat stress and tested in a second seeking test the following day. Regardless of CSDS history, there were no significant differences in responding compared to saline mice (2-way ANOVA: Drug, F(1,15)= 3.10, p= 0.1; Chronic Stress, F(1,15)= 0.41, p= 0.53; Figure 2g). When we compared seeking behavior before and after the stress (re) exposure, we found a significant effect of the drug condition on responding and a trending Drug x Session Interaction (3-way RM-ANOVA: Drug, F(1,15)= 7.09, p< 0.05; Drug x Session, F(1,15)= 4.17, p= 0.06). Sidak’s post hoc revealed that only CSDS-cocaine mice significantly decreased responding following the acute stress re-exposure (p< 0.05 vs. CSDS-saline; Figure 2h). Together this suggests that exposure to stress only affected previously stressed mice. Importantly, this effect was not likely due to extinction of responding alone since CSDS mice from the extinguished subgroup did not show a significant decrease between “seeking” and “extinction session 1” (see above; Figure 2e). Of note, the subgroups tested for drug-induced reinstatement and stress-modulated seeking did not differ in their baseline seeking behavior (3-way ANOVA: Future group, F(1,31)= 2.53, p= 0.12; Future group x Chronic stress, F(1,31)= 0.03, p= 0.86, Supplementary Figure 1c).
Social stress is associated with inter-individual differences in cocaine intake during early stages of self-administration in single-housed mice.
Previous work describing increased motivation for cocaine after CSDS mostly used single-housed animals. Since mice that displayed enhanced susceptibility to CSDS, as observed by lower social interaction ratios, had relatively decreased motivation for cocaine when pair-housed, we next repeated the same set of experiments in mice that would remain single-housed throughout all cocaine-related procedures. As before, mice subjected to CSDS had reduced social interaction ratios (t-test: t(31)= 3.03, p< 0.01; Figure 3b). Following social interaction, mice were divided into subgroups later self-administering either cocaine or saline such that both groups contained a similar distribution of social interaction ratios. The effect of stress was present in both subgroups, but did not differ between single-housed mice later taking cocaine or saline (2-way ANOVA: Chronic Stress, F(1,29)= 8.56, p< 0.01; Future drug group, F(1,29)= 0.24, p= 0.63, Figure 3b) demonstrating no difference between the groups prior to self-administration. Following surgery and recovery, single-housed CSDS and No-CSDS mice acquired cocaine self-administration when compared to their respective saline controls (3-way RM-ANOVA: Chronic Stress, F(1,29)= 6.055, p<0.05; Drug, F(1,29)= 89.55, p< 0.0001. Day x Drug, F(9,261)= 12.79, p< 0.0001; Tukey post hoc: CSDS-cocaine vs CSDS-saline p< 0.05 starting at day 2; No-CSDS cocaine vs. No-CSDS saline p<0.05 starting at day 4; Figure 3c). There was no significant Chronic Stress x Drug or Day interaction (Chronic Stress x Drug, F(1,29) = 0.9474, p=0.3384; Chronic Stress x Day, F(9,261)= 1.16, p= 0.32), and both CSDS and No-CSDS mice acquired similar cocaine self-administration behavior by the end of the FR1 procedure (Figure 3c). Single-housed CSDS and No-CSDS mice self-administering cocaine learned to differentiate between active and inactive nosepoke to a similar extent (3-way RMANOVA: Chronic Stress, F(1,32)=0.49, p=0.4882; Day x Nosepoke, F(9,288)=8.00, p<0.0001, Tukey’s post hoc, Active vs. inactive, p<0.05 from day 2 for No-CSDS, p<0.05 from day 3 for CSDS, Supplementary Figure 1d). Single-housed saline mice did not differentiate between the nosepokes, although single-housed CSDS mice made fewer responses overall (3-way RMANOVA: Chronic Stress, F(1,28)=6.85, p=0.014; Day x Nosepoke F(9,252)=0.94, p=0.493; Supplementary Figure 1d). We also assessed if housing condition influenced FR1 cocaine intake. We compared FR1 cocaine intake between single- and pair-housed mice and found no overall differences, indicating similar acquisition between the groups regardless of housing (3-way ANOVA: Housing x Chronic Stress, F(1,33)= 2.23, p=0.14; Day x Housing x Chronic Stress, F(9,297)= 0.79, p=0.62, Supplementary Figure 2a).
As before, we further assessed the relationship between stress and the development of cocaine self-administration, by comparing cumulative doses of cocaine taken by single-housed mice in the FR1 procedure with social interaction. Contrary to pair-housed mice, there was no relationship between social interaction and drug intake in single-housed mice independent of CSDS exposure (r= −0.24; R2= 0.06, p= 0.35 after 3 days, r= −0.17; R2= 0.03, p= 0.50 after 5 days, r= −0.21; R2= 0.04, p= 0.42 after 7 days and r= −0.30; R2= 0.09, p= 0.24 after 10 days; Figure 3d). However when we assessed single-housed CSDS and No-CSDS mice separately, we found a strong negative correlation between social interaction time and cumulative cocaine doses after 3 days of self-administration in CSDS mice only, with the most stress-susceptible mice taking the most cocaine (CSDS: r= −0.89; R2= 0.80, p< 0.01; No-CSDS: r= 0.38; R2= 0.14, p= 0.32; Figure 3d). As stable drug intake developed, the relationship between social interaction and cumulative cocaine infusions lost statistical significance in CSDS mice suggesting that chronic stress differentially impacts early, but not late cocaine intake in CSDS mice based on their response to stress (r= −0.59; R2= 0.35, p= 0.13 after 5 days, r= −0.41; R2= 0.17, p= 0.31 after 7 days; r= −0.35; R2= 0.12, p= 0.39 after 10 days; Figure 3d). In No-CSDS mice, this relationship was never statistically significant (r= 0.20; R2= 0.04, p= 0.61 after 5 days, r= 0.005; R2= 0.005, p= 0.99 after 7 days; r= −0.31; R2= 0.09, p= 0.42 after 10 days; Figure 3d). We found similar correlations when comparing cocaine intake and social interaction ratio as when comparing intake with social interaction time (Supplementary Table 1).
Chronic social defeat stress does not alter cocaine seeking in single-housed mice.
Twenty-four hours after the last cocaine self-administration session, single-housed mice were tested for drug seeking. Both CSDS and No-CSDS mice showed high responding on the active nosepoke compared to their respective saline control group (2-way ANOVA: Drug, F(1,29)= 24.81, p< 0.0001; Sidak’s post hoc: p< 0.005; Figure 4a). The chronic stress condition had no significant effect on active responses (2-way ANOVA: Chronic Stress, F(1,29)= 2.25, p= 0.14). Similarly, CSDS had no impact on inactive responses during seeking (2-way ANOVA: Chronic Stress, F(1,29)= 0.60, p= 0.45 ; Supplementary Figure 1e).
To determine if stress-susceptibility influenced cocaine-seeking behavior in single-housed mice, we compared social interaction with drug seeking behavior. Unlike early FR1 intake, we found no significant correlation in either cocaine group (CSDS: r= 0.12; R2= 0.02, p= 0.77; No-CSDS: r= −0.47; R2= 0.22, p= 0.21; Figure 4b). To determine how drug-intake history influenced cocaine-seeking in single-housed mice, we compared cumulative cocaine intake with drug seeking behavior. Cumulative cocaine infusions over 10 days were not correlated with active responses during seeking in CSDS mice (r= 0.30; R2= 0.09, p= 0.47; Figure 4c). In single-housed No-CSDS mice, there was a trending positive correlation between cumulative cocaine intake and responses during seeking, similar to pair-housed No-CSDS mice, however it failed to reach statistical significance (r=0.55; R2= 0.30, p= 0.12; Figure 4c). We also assessed if single-housing impacted drug-seeking behavior, and found comparable cocaine-seeking regardless of housing (3-way ANOVA: Drug, F(1,64)= 67.80, p<0.001; Housing, F(1,64)= 0.09, p= 0.77; Drug x Housing, F(1,64)= 0.49, p= 0.49 ; Supplementary Figure 2b).
Re-exposure to social stress maintains drug-seeking behavior, while non-contingent cocaine fails to reinstate drug seeking in single-housed mice.
Following the seeking test, one half of single-housed mice underwent 5 additional extinction sessions. Both single-housed CSDS and No-CSDS cocaine mice started with high responding compared to saline control groups independent of stress history (3-way RM-ANOVA: Drug, F(1,12) =14.17, p<0.005; Chronic Stress, F(1,12) = 1.095, p=0.32; Drug x Chronic Stress, F(1,12)= 0.1267, p=0.73; Figure 4d). Contrary to the pair-housed mice, there was no significant decrease in active responses during “extinction session 1” when compared to seeking in either single-housed No-CSDS or CSDS mice (3-way RM-ANOVA: Session x Chronic Stress, F(1,12) =1.09, p=0.32; Figure 4e). However, all single-housed cocaine mice quickly stopped responding for non-reinforced actions when compared to their respective saline controls by “extinction session 2” (2-way RM-ANOVA: Session x Drug, F(4,56) =27.88, p<0.0001; Sidak’s post hoc vs. saline control, Session 1 p<0.005, other sessions p>0.05; Figure 4d). The following day, the extinguished mice were tested for drug-induced reinstatement. Contrary to pair-housed mice, neither single-housed CSDS nor No-CSDS cocaine mice showed increased responding compared to saline controls independent of CSDS history (2-way ANOVA: Drug, F(1,12)= 0.89, p= 0.36; Chronic Stress, F(1,12)= 0.43, p= 0.53; Figure 4f). We also assessed if housing condition influenced responding during drug-induced reinstatement Although 52% lower, active responses in single-housed CSDS-Cocaine mice did not significantly differ from pair-housed CSDS-Cocaine mice (3-way ANOVA: Drug, F(1,28)= 14.25, p<0.001; Drug x Housing, F(1,28)= 6.97, p= 0.013; Drug x Chronic stress x Housing, F(1,28)= 0.964, p= 0.334; Tukey post hoc: CSDS-Cocaine single-housed vs. CSDS-Cocaine pair-housed, p= 0.61, Supplementary Figure 2c). There were also no differences in active responses between single-housed and pair-housed No-CSDS Cocaine mice during drug-induced reinstatement (Tukey post hoc: p= 0.926, Supplementary Figure 2c).
As before, the other half of single-housed mice did not undergo extinction but were instead subject to one day of social defeat stress. As with the pair-housed mice, the subgroups of single-housed mice tested for drug-induced reinstatement and stress-modulated seeking did not differ in their baseline seeking behavior (3-way ANOVA: Future group, F(1,25) =1.62, p=0.21; Future group x Chronic stress, F(1,25) =0.11, p=0.74; Supplementary Figure 1f). When single-housed mice were retested for seeking after SSDS, both cocaine-experienced groups showed high responding compared to their respective saline control groups independent of the previous chronic stress condition (2-way ANOVA: Chronic Stress, F(1,13)= 1.78, p= 0.20; Drug, F(1,13)= 24.06, p< 0.001; Sidak’s post hoc: p<0.05 for No-CSDS and p< 0.005 for CSDS mice; Figure 4g). When we compared seeking behavior of single-housed mice before and after the stress (re) exposure, we found that acute stress decreased cocaine seeking behavior, but only in No-CSDS mice (3-way ANOVA: Session, F(1,13) =19.54, p<0.001; Sidak’s post hoc p<0.05 for No-CSDS mice, p>0.05 for CSDS mice; Figure 4h). Importantly, this effect was not likely due to extinction of responding, since No-CSDS mice subjected to extinction did not decrease responding between seeking and “extinction session 1” (see above, Figure 4e). Unlike drug-induced reinstatement, both No-CSDS and CSDS single-housed mice showed significant drug seeking after acute stress compared to saline controls. However in No-CSDS mice, statistically significant seeking is partially driven by decreased responding in No-CSDS saline mice, since they exhibited differences in seeking before and after acute stress (3-way RM-ANOVA: Drug, F(1,13)=29.07, p<0.001, Sidak’s post hoc: p<0.05 for saline No-CSDS, p>0.05 for saline CSDS; Figure 4h). We also assessed if housing condition influenced cocaine-seeking behavior after SSDS, and found single-housed mice did not differ from pair-housed mice (3-way ANOVA: Drug, F(1,28)= 22.27, p<0.001; Housing, F(1,28)= 3.28, p= 0.08; Drug x Housing, F(1,28)= 5.96, p= 0.02; Tukey post hoc: Pair-housed vs. Single-housed No-CSDS Cocaine, p> 0.99 and Pair-housed vs. Single-housed CSDS Cocaine, p= 0.99, Supplementary Figure 2d). Altogether, these data suggest that acute stress had limited impact on pair-housed mice or single-housed mice already exposed to chronic stress, however it significantly decreased responding in single-housed and previously stress-naïve mice.
Discussion
Here we show housing conditions during self-administration have a divergent effect on CSDS-sensitized cocaine intake and seeking. In pair-housed mice, cocaine intake throughout self-administration positively correlated with social interaction. In single-housed mice, early cocaine intake levels were instead negatively correlated with social interaction, however this association was lost in late self-administration. When tested for relapse-like behaviors, pair-housed, but not single-housed mice showed drug-induced reinstatement of cocaine seeking. In contrast, only single-housed mice displayed sensitivity to stress re-exposure during cocaine seeking. Together, these observations further explain why studies on stress and drug cross-sensitization in mice have led to contradictory findings.
While many studies have established a link between psychosocial stress and subsequent cocaine self-administration, there are comparatively fewer studies using mice, especially C57BL/6 mice. To address this gap, we used well-defined social stress and drug intake procedures that reliably induce stress-related behaviors in C57BL/6 mice (Fox et al. 2020; Francis et al. 2017; Golden et al. 2011), and are effective for assessing cocaine intake or relapse-like behaviors (Chandra et al. 2017a; Engeln et al. 2020). Since social isolation can be a confounding factor in the development of cocaine self-administration (Gipson et al. 2011; Hofford et al. 2015; Westenbroek et al. 2013) we typically pair-house our animals using perforated dividers to allow for sensory interaction between self-administration sessions (Chandra et al. 2017a; Engeln et al. 2020). In our pair-housed mice, we found CSDS exposure had no major effect on cocaine intake using a FR1 schedule of reinforcement. In rats, CSDS promotes the acquisition of cocaine self-administration (Haney et al. 1995; Tidey and Miczek 1997), however in C57BL/6 mice, CSDS can either promote or attenuate cocaine intake, generating two separate subgroups (Arena et al. 2019). Given that CSDS often divides mice into susceptible (low social interaction) and resilient (high social interaction) subgroups (Krishnan et al. 2007), we analyzed the relationship between social avoidance and the progressive development of cocaine intake. In line with decreased social interaction as a proxy for decreased motivated behavior (Fox and Lobo 2019; Krishnan et al. 2007), we found pair-housed mice with lower social interaction after CSDS made fewer responses for cocaine throughout the entire self-administration procedure. This finding agrees with reports of reduced cocaine “binge” intake following continuous social stress in rats (Miczek et al. 2011) or decreased cocaine self-administration in “low responders” to sucrose (Arena et al. 2019). Interestingly, we found lower cocaine intake in socially avoidant mice that were pair-housed between self-administration sessions, while the mice tested by Arena et al. were single-housed and underwent self-administration testing in the home cage (Arena et al., 2019). In the home cage, low cocaine intake is thought to be influenced by the mismatch between the positive emotional state associated with the “home” environment, and the activating and potentially anxiogenic effect of cocaine (for review (Ahmed et al. 2020). CSDS may potentiate this anxiogenic effect thereby reducing cocaine intake. While we did not measure anxiety-like behavior in our study, we may have created an anxiogenic environment by “forcing” social interaction via the pair housing of socially avoidant mice. This may have increased the overall anxiogenic effects, thereby leading to lower drug intake. Oppositely in mice with preserved social functions, pair-housing may have promoted development of cocaine self-administration due to peer influence (Smith 2012). Ultimately our work agrees with the work of Arena et al., in that, in a subset of C57BL/6 mice, CSDS may decrease reward processing thereby reducing self-administration behavior. However, disentangling the value of the drug reward from the overall motivation to self-administer drug will require additional work varying the response requirement and/or the reward magnitude (Roberts et al. 2013).
After mice acquired self-administration, we tested them for cocaine seeking 24 hours after the last session to determine if CSDS exposure influenced responding when cocaine was suddenly removed. At the group level, regardless of CSDS history or housing conditions all cocaine-experienced mice showed similar levels of responding. In rats, cocaine seeking is enhanced by social stress after 2 weeks of forced abstinence, and is associated with persistent elevation of corticotropin releasing factor (CRF) levels in the ventral tegmental area (VTA) (Holly et al. 2016). Aside from potential species differences, these changes may not be present at the 24-hour time point used in our study, but instead develop over more prolonged periods of abstinence. When we examined seeking behavior in individual pair-housed mice, we found cocaine seeking correlated with total drug intake in unstressed control (No-CSDS) mice, illustrating the reinforcing effects of cocaine. Along with high active responses, the pair-housed No-CSDS mice also exhibit high inactive responding during the seeking test, an indicator of strong drug seeking behavior. Pair-housed CSDS mice did not show high levels of inactive responding during seeking. Unlike pair-housed No-CSDS mice, previous cocaine intake was decoupled from cocaine seeking behavior in CSDS mice such that mice with lower drug intake showed seeking levels comparable to those with a history of high drug intake. It is possible the low intake CSDS mice were more sensitive to the anxiogenic effect of cocaine during FR1 (Paine et al. 2002), and removing cocaine during seeking could promote responding for the cue (i.e. a non-drug reward). In support of increased sensitivity to cocaine, socially defeated Swiss Webster mice show greater response rate for low cocaine doses (Han et al. 2015). Thus, a subset of mice in our study may be more sensitive to dysphoric effects induced by the higher dose used here (0.5 mg/kg/inf). Alternatively, the decoupling of intake history with seeking could reflect increased motivation for cocaine in some animals, since social stress can increase progressive ratio breakpoints in rats pair-housed prior to (but not during) cocaine self-administration (Burke and Miczek 2015). Whether the decoupling is due to reduced dysphoric state, increased motivation, or both will require further work.
After the seeking test, we subjected mice to either additional extinction sessions and drug-induced reinstatement, or acute social stress followed by a second seeking test. Regardless of CSDS history in the extinguished group, pair-housed cocaine-experienced mice showed strong drug-induced reinstatement. This indicates the moderate dose of cocaine (7.5 mg/kg) was sufficient to override any differences due to stress history. In contrast, we found no major effect on drug seeking in pair-housed No-CSDS mice after the acute stress, however the stress re-exposure decreased responding in pair-housed CSDS mice. This indicates that the acute stress did not enhance relapse-like behaviors, and in CSDS-experienced mice it suppressed responding, consistent with the relationship between lower intake and stress responsivity during FR1. These findings were surprising to us, given that acute stress exposure increases vulnerability to reinstatement of conditioned place preference for both cocaine (Ribeiro Do Couto et al. 2009) and morphine (Ribeiro Do Couto et al. 2006). However Ribeiro Do Couto et al. used drug-primed reinstatement, while our acutely stressed mice remained cocaine abstinent. Our acute stress paradigm also differs from the stress-induced reinstatement methods commonly used in rats (yohimbine or footshock (Funk et al. 2006; Le et al. 2005; Shaham et al. 1997)) since mice were not first completely extinguished, and our stressor was not conditioned as in (Manvich et al. 2016). Collectively, these data suggest that when mice are pair-housed, CSDS can reduce cocaine self-administered during FR1 acquisition depending on stress-susceptibility. Similarly, stress re-exposure further decreases responding and blunts cocaine seeking. However, pair-housed CSDS-mice show preserved drug-induced reinstatement suggesting drug re-exposure drives relapse under these conditions.
Many cocaine self-administration studies rely on single-housed animals. Since higher social avoidance was associated with lower drug intake in pair-housed mice, we asked if single housing would impact the same cocaine-related behaviors and explain the discrepancies between our study and others. When single housed during self-administration, CSDS cocaine mice showed statistically significantly higher intake compared to their respective saline controls much earlier in FR1 than pair-housed CSDS mice (from day 2 vs. day 4 of FR1), and either pair- or single-housed No-CSDS cocaine mice (both from day 4 of FR1). This difference illustrates two points. First, housing condition may explain why we failed to see differences in self-administration acquisition between pair-housed stressed and unstressed mice—i.e. the pair housing may have mitigated some effects of stress. Second, including a saline control group is important for self-administration experiments in mice. C57BL/6 mice are notorious for responding for visual cues even in the absence of food or drug reward (Baron and Kish 1962; Olsen and Winder 2009). Here, the single housed CSDS-saline mice made fewer responses during early FR1, likely driven by stress and/or anxiety, causing reduced responding for the moderately rewarding light cue (see also seeking after acute stress below). Thus, early cocaine intake in single-housed CSDS mice appears much greater when considered against the background of depressed responding in the saline group. This difference in time it took to reach significant FR1 levels in single-housed CSDS mice is also supported by a strong negative correlation between social interaction and cocaine intake in the first 3 days of FR1. However, the correlation lost statistical significance at later FR1 time points. Together this suggests that, when mice are single-housed, social stress may accelerate the development of cocaine intake during early FR1, but has limited effect on sustained drug consumption. This may also explain why previous studies reported no overall effect of social defeat on cocaine self-administration in mice (Yap and Miczek 2007).
As with pair-housed mice, we found that regardless of CSDS history, both cocaine groups showed comparable cocaine seeking at 24 hours. Similar to the pair-housed mice, single-housed No-CSDS mice showed a trending positive correlation between cumulative drug intake and seeking. However contrary to pair-housed mice, both single-housed CSDS and No-CSDS mice were insensitive to drug-induced reinstatement following extinction of responding. This observation in both defeated and undefeated mice suggests that the housing conditions have a greater influence than prior stress exposure. Drug intake can be influenced by social peers (Smith 2012) and reinstatement of nicotine seeking following extinction is enhanced by the social context (Wang et al. 2014). The absence of a cage mate serving as an additional drug cue could thus contribute to the lack of drug-induced reinstatement observed in single-housed mice.
Contrary to pair-housed mice, none of the single-housed mice showed significant drug-induced reinstatement after extinction of responding. However, both groups of single-housed mice showed significant cocaine seeking following acute stress exposure independent of CSDS history. Interestingly in No-CSDS mice, we found that active responding was decreased by acute stress between the two seeking tests. The global decrease in responding is consistent with preclinical and clinical work showing that acute stress can induce hedonic deficits for both nondrug and drug rewards (Bogdan and Pizzagalli 2006; Funk et al. 2005; van Erp and Miczek 2001) and is reminiscent of low responding levels in the early stages of FR1 in saline CSDS mice. Moreover, as this effect was absent in pair-housed mice, it suggests that acute stress potentially reduces motivation only when previously stress-naïve mice are single-housed. In CSDS mice, active responses were instead unaltered between the two seeking tests suggesting that previous stress exposure made stress-experienced animals insensitive to stress re-exposure. This could illustrate different parts of the inverted U-shaped curve described for stress (Sapolsky 2015): in stress-naïve mice, an acute stressor produces behavioral inhibition while in stress-experienced mice this effect is lost. Thus, a history of repeated stress may abolish the “protective”, anti-drug effects of stress to support a higher risk for stress-induced relapse. More detailed work on that aspect will however be needed as the number of animals in this task might have been too low to efficiently highlight differences between groups.
In summary, our work in C57BL/6 mice showed that while reduced social interaction/enhanced stress-susceptibility was associated with decreased cocaine intake in pair-housed mice, reduced social interaction in single-housed animals was associated with greater early cocaine intake as compared with unstressed controls. Additionally, pair-housed mice were more susceptible to drug-induced reinstatement of cocaine seeking, while stress re-exposure sensitized cocaine seeking in single-housed mice. Together this suggests that following psychosocial stress, the social context surrounding cocaine intake bidirectionally influences cocaine-related behaviors. Moreover, this work further demonstrates that CSDS can be a powerful tool to understand the interaction between stress and relapse-like behaviors when appropriate (stress-modulated or drug-induced) tests are considered. Although some of these conditions have a limited number of mice due to the complexity of these experiments, our correlation analyses revealed important relationships between social stress and cocaine intake. Future work will need to evaluate the neurobiological substrates of these discrepancies at different stages of this cross-sensitization process. Indeed, both stress and cocaine increase dopamine concentrations in the nucleus accumbens (NAc) (Di Chiara and Imperato 1988; Kalivas and Duffy 1995), produce common synaptic adaptations in dopaminergic neurons through CRF signaling (Newman et al. 2018; Saal et al. 2003) and alters synaptic strength in the NAc (Khibnik et al. 2016). Understanding how the social environment impacts these changes will be crucial for the development of new therapeutics. Moreover, assessing if our paradigm similarly produces divergent outcomes for drugs of abuse such as opioids and alcohol will provide information on the shared mechanisms involved in stress/drug cross-sensitization. Finally, it should be noted this study was conducted exclusively in male mice. There are known sex differences in the development of drug dependence, craving and relapse (Greenfield et al. 2010). In mice, sex differences in cocaine intake, extinction and reinstatement have been reproduced using our self-administration paradigm (Engeln et al. 2020). Future work using new social stress models in female mice (Harris et al. 2018; Iniguez et al. 2018; Newman et al. 2019; Takahashi et al. 2017) in conjunction with drug self-administration procedures will allow for the study of how psychosocial stress impacts drug abuse in females.
Supplementary Material
Acknowledgments
Funding: This work was funded by NIH grants R01MH106500, R01DA038613, R01DA047843 (to MKL) and K99DA050575 (to MEF).
Footnotes
Conflict of Interest: The authors declare they have no conflicts of interest.
Publisher's Disclaimer: This Author Accepted Manuscript is a PDF file of a an unedited peer-reviewed manuscript that has been accepted for publication but has not been copyedited or corrected. The official version of record that is published in the journal is kept up to date and so may therefore differ from this version.
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