Abstract
Exposure to stress increases vulnerability to drug abuse, as well as relapse liability in addicted individuals. Chronic drug use alters stress response in a manner that increases drug seeking behaviors and relapse. Drug exposure and withdrawal have been shown to alter stress responses, and corticosteroid mediators of stress have been shown to impact addiction-related brain function and drug-seeking behavior. Despite the documented interplay between stress and substance abuse, the mechanisms by which stress exposure and drug seeking interact remain largely unknown. Recent studies indicate that microRNAs (miRNA) play a significant role in stress modulation as well as addiction-related processes including neurogenesis, synapse development, plasticity, drug acquisition, withdrawal and relapse. MiRNAs are short non-coding RNAs that function as bidirectional epigenetic modulators of gene expression through imperfect sequence targeted degradation and/or translational repression of mRNAs. They serve as dynamic regulators of CNS physiology and pathophysiology, and facilitate rapid and long-lasting changes to complex systems and behaviors. MiRNAs function in glucocorticoid signaling and the mesolimbic dopamine reward system, as well as mood disorders related to drug withdrawal. The literature suggests miRNAs play a pivotal role in the interaction between exposures to stress, addiction-related processes, and negative affective states resulting from extended drug withdrawal. This manuscript reviews recent evidence for the role of miRNAs in the modulation of stress and cocaine responses, and discusses potential mediation of the interaction of these systems by miRNAs. Uncovering the mechanism behind the association of stress and drug taking has the potential to impact the treatment of drug abuse and prevention of relapse. Further comprehension of these complex interactions may provide promising new targets for the treatment of drug addiction.
Neurocircuits and Pathways Common to Stress and Cocaine Abuse
Considerable evidence supports the overlap between the stress and reward systems of the brain and that alterations in stress systems may contribute to increased liability to abuse drugs including cocaine (de Jong and de Kloet, ). Both repeated stress and psychostimulant dependence are associated with alterations in the mesocorticolimbic dopamine system, the medial prefrontal cortex glutamatergic corticolimbic circuit, and corticotropin-releasing factor (CRF) signaling in the ventral tegmental area (VTA; Piazza and Le Moal, ; Everitt and Wolf, ).
The transition from drug-taking behavior to addiction is characterized by a shift from positive drug reinforcement involving dopamine signaling to negative reinforcement involving the stress systems of the brain where drug-taking now removes the dysphoria, anxiety and negative emotional state experienced during abstinence/withdrawal (Koob and Le Moal, ). The extended amygdala, comprised of the bed nucleus of the stria terminalis (BNST), central nucleus of the amygdala and the nucleus accumbens shell, serves as a common circuit between drug reward and the negative emotional state experienced during abstinence/withdrawal (Alheid et al., ; Koob and Le Moal, ). The extended amygdala receives afferent connections form limbic brain structures including the basolateral amygdala and hypothalamus, and sends efferent projections to the medial ventral pallidum and the lateral hypothalamus (Heimer et al., ). The extended amygdala also has interconnections with the VTA and ventral striatum. The BNST contains a large number of dopamine and norepinephrine terminals, CRF terminals and cell bodies, neuropeptide Y terminals, and receives afferent connections from the prefrontal cortex (Allen et al., ; Phelix and Paull, ; Pacak et al., ; Kozicz, ; Koob, ).
The extended amygdala functions in both the positive reinforcing effects of drugs of abuse and the negative reinforcing effects of drug abstinence and withdrawal. Drugs of abuse including cocaine increase extracellular levels of dopamine in the nucleus accumbens shell (Pontieri et al., ). Further, withdrawal from cocaine increases extracellular concentrations of CRF in the extended amygdala (Koob et al., ). Rats receiving repeated injections of corticosterone acquire cocaine self-administration at lower cocaine doses relative to rats receiving vehicle (Deroche et al., ), and blockade of glucocorticoid and CRF receptors suppresses cocaine self-administration in rats (Piazza and Le Moal, ; Goeders, ). Taken together, these findings suggest considerable overlap between and cross-regulation of the stress and reward systems of the brain. Interaction between the stress and reward systems can contribute to responding to drugs of abuse and abstinence/withdrawal following exposure to drugs of abuse. Long-lasting changes in the stress and reward systems of the brain are known to play a crucial role in the transition from recreational drug taking to compulsive drug abuse. Understanding of the role of miRNAs in the maintenance of homeostasis within and between these brain systems will significantly improve our understanding of the etiology of compulsive drug use and further provide new genetic targets for the treatment of substance abuse.
Micrornas Modulate Cocaine Reward and Withdrawal
Several recent studies demonstrate that miRNAs play a direct and crucial role in the modulation of cocaine intake in rodent models (Table 1). MiRNAs exert their regulatory translational repression and degradation of mRNA through the RNA-induced silencing complex (RISC). A core component of the RISC complex is the Argonaute (Ago) miRNA binding proteins, particularly Ago2 which mediates miRNA-dependent degradation and translational repression of target mRNAs (Hammond et al., ; Liu et al., ; Song et al., ) and functions in the generation of selective miRNAs from their precursors (Diederichs and Haber, ; O’Carroll et al., ). Mice deficient in Ago2 expression in dopamine D2 (Drd2) expressing neurons in the striatum self-administer significantly fewer infusions of cocaine with a downward shift in the cocaine dose-response curve relative to control animals expressing normal levels of Ago2 (Schaefer et al., ). Further, in contrast to wild-type control mice, Ago2-deficient mice show no preference for cocaine paired environments in conditioned place preference experiments (Schaefer et al., ). Deficient expression of Ago2 in the striatum results in decreased expression of ~25% of the examined miRNA species, providing strong evidence for the modulation of cocaine self-administration and reward by miRNAs through the action of Ago2 in the RISC complex. Thus, Ago2 plays a critical role in cocaine reward and motivation to self-administer cocaine. Further, these studies demonstrate that miRNAs function to modulate complex behavioral responses through region specific post-transcriptional regulation of gene expression.
Table 1
| miR | Expression effects | Targets/regulators |
|---|---|---|
| miR-181a | Overexpression increases cocaine CPP (Chandrasekar and Dreyer, ) | BDNF, SIRT1, GluA2 (Rivetti di Val Cervo et al., ; Saba et al., ) |
| miR-124/124a | Overexpression attenuates cocaine CPP (Chandrasekar and Dreyer, ) | Mineralocorticoid receptor, BDNF, CREB (Chandrasekar and Dreyer, ; Sõber et al., ) |
| miR-134 | Modulates cocaine plasticity (Gao et al., ) | CREB, BDNF, SIRT1 (Gao et al., ) |
| miR-135a | Overexpression attenuates social defeat stress (Issler et al., ) | Mineralocorticoid receptor, serotonin transporter and receptor 1a (Sõber et al., ; Issler et al., ) |
| miR-375 | BDNF, MAP3K8, POMC, CRF (Abdelmohsen et al., ; Zhang et al., 2013) | |
| miR-212 | Overexpression decreases cocaine self-administration Down-regulation increases cocaine self-administration (Hollander et al., ) | BDNF, CREB:TORC, MeCP2 (Hollander et al., ) |
| miR-183 | mTor (Kye et al., ) | |
| miR-9 | BDNF, CREB, SIRT1 (Wu and Xie, 2006; Delaloy et al., ; Dajas-Bailador et al., ) | |
| miR-26a/26b | BDNF, CREB (Caputo et al., ) | |
| miR-449a | Overexpression decreases CRF-R1 expression Down-regulation attenuates CRF-R1 downregulation (Nemoto et al., ) | POMC, CRF-R1 (Nemoto et al., ) |
| miR-132 | BDNF, CREB, glucocorticoids, ERK, SIRT1, glutamate receptor (Strum et al., ; Kawashima et al., ; Numakawa et al., ; Yi et al., 2014) | |
| Let7 | Modulates cocaine plasticity (Chandrasekar and Dreyer, ) | SIRT1 (Helwak et al., ) |
| miR-34c | Overexpression decreases anxiety-like behavior (Haramati et al., ) | |
| miR-19b | Androgenic receptor B1, PTEN (Olive et al., ; Volk et al., ) |
Behavioral effects and molecular targets/regulators of microRNA(miRNAs) expression.
Exposure to cocaine significantly alters miRNA expression in many regions of the brain (Figures 1, 2). MiR-134 and miR-135a are upregulated in the hippocampus following exposure to cocaine (Chen et al., ). MiR-181a (Chandrasekar and Dreyer, ), miR-212 (Hollander et al., ), and miR-375 (Jonkman and Kenny, ) are upregulated in the striatum following cocaine exposure. MiR-9 and miR-124 are upregulated, whereas miR-183 is downregulated in striatal post-synaptic densities (Eipper-Mains et al., ). Further, altered expression of these miRNAs has been demonstrated to have profound effects on cocaine reward and intake (Table 1). For instance over-expression of miR-181a in the nucleus accumbens increases cocaine-induced conditioned place preference, whereas miR-181a knockdown has the opposite effect (Chandrasekar and Dreyer, ). Over-expression of miR-124 in the nucleus accumbens attenuates cocaine conditioned place preference (Chandrasekar and Dreyer, ). MiR-135a is upregulated 2.5-fold and miR-134 is upregulated greater than 7-fold following extinction of cocaine conditioned place preference (Chen et al., ). MiR-134 functions in memory formation and synaptic plasticity through sirtuin 1 (SIRT1), and regulates expression of cAMP response element binding protein (CREB) and brain-derived neurotrophic factor (BDNF) (Gao et al., ). Chronic cocaine induces SIRT1 expression in the nucleus accumbens (Ferguson et al., ). Over-expression of SIRT1 in the accumbens increases the rewarding effects of cocaine, and knockdown of SIRT1 has the inverse effect on cocaine reward (Ferguson et al., ). Further, a recent study by Quinn et al. (2015) identified several miRNAs predicted to function in synaptic plasticity which show differential expression in the dorsolateral and dorsomedial striatum of rats with high versus low propensity to self-administer cocaine. MiRs 101b, and 431 are significantly overexpressed, whereas miR-212 is significantly underexpressed in the dorsomedial striatum of the high cocaine responders. In the dorsolateral striatum, miRs 101b, 132, 181a, 431, and 708 are significantly overexpressed in vulnerable animals relative to those that show resilience to cocaine seeking (Quinn et al., 2015). These miRNAs may modulate responding to drugs of abuse through regulation of LTD, LTP, and specifically activity-regulated cytoskeleton-associated protein (Arc), a master regulator of synaptic plasticity.
Figure 1
Figure 2

Brain region specific regulation of micrRNA expression by stress and cocaine. Regulation of microRNA expression by stress (red) and cocaine (blue) occurs in a region specific manner. Stress and cocaine exposure alters microRNA expression in brain regions involved in stress (amygdala), reward (striatum), and learning and memory (hippocampus and frontal cortex).
Evidence shows that miR-212 plays a particularly important role in the modulation of cocaine intake. MiR-212 is upregulated 1.75-fold in the dorsal striatum of rats provided extended daily access to cocaine self-administration compared to restricted access and yoked rats (Hollander et al.,
The kappa opioid system also plays a significant role in the modulation of cocaine reward. Dynorphin, an endogenous kappa opioid peptide, as well as exogenous kappa opioid agonists decrease dopaminergic tone in the striatum resulting in dysphoria and negative affective state (Tejeda et al., 2012). Chronic exposure to cocaine upregulates kappa opioid receptors and decrease dopaminergic activity (Unterwald et al., 1994; Maisonneuve et al., 1995). Further, stress induced activation of kappa opioid receptors through release of dynorphin potentiates the rewarding effects of cocaine as measured by conditioned place preference (McLaughlin et al., 2003). Thus far, there is little data in the literature on the regulation of kappa opioid receptors or prodynorphin by miRNAs. However, it is known that CREB regulates prodynorphin expression in rodents. Overexpression of CREB increases the expression of dynorphin whereas expression of mutant CREB has the opposite effect (Carlezon et al.,
In addition to CREB signaling, miRNAs also regulate BDNF which is known to function in the rewarding and reinforcing actions of cocaine. The effects of BDNF on cocaine reward and seeking behavior are brain region specific. BDNF infusion into the nucleus accumbens and VTA enhance the rewarding effects of cocaine (Lu et al.,
Increased BDNF activity in brain regions involved in drug reward potentiates the reinforcing effects of cocaine. BDNF infusions into the nucleus accumbens increases sensitivity to the psychomotor stimulant effects of cocaine (Horger et al.,
Interactions of Cocaine-Seeking and Stress
In addition to the reward system, it is known that the stress systems of the brain play a vital role in drug seeking behavior. It is hypothesized that dysregulation of both the reward and stress pathways of the brain lead to the transition from recreational to compulsive drug seeking, and long-term dysregulation of these systems leads to vulnerability to relapse. Dopaminergic projections from the VTA to the medial prefrontal cortex have been implicated in the stress-induced relapse of cocaine-seeking in rodent reinstatement models (Vranjkovic et al.,
Micrornas Modulate Stress Response and Negative Affective States
MiRNAs play a role in the short-term and long-term modulation of stress response and contribute to the etiology of anxiety and depression-like behaviors. Several miRNAs have been identified that function in the modulation of stress responses including miRNAs also shown to function in cocaine reward acting through similar signaling pathways to affect stress response as well as drug reward (Table 1). Mir-134 and miR-183 expression is increased in the central nucleus of the amygdala in response to acute immobilization stress, and miR-183 modulates expression of SC35, a protein which regulates stress-induced alternative splicing of acetylcholinesterase in vitro (Meerson et al.,
The literature shows that these miRNAs, which are modulated by both drug and stress exposure, in turn modulate drug seeking and stress response through transcriptional regulation of downstream targets in interacting canonical pathways (Table 1). For instance, chronic unpredictable stress decreases expression of miR-9 in the nucleus accumbens leading to increased expression of the dopamine D2 receptor (Zhang et al., 2015). Restraint stress significantly increases expression of miR-449a, increases expression of POMC mRNA, and decreases expression of CRF-R1 mRNA and protein in the anterior pituitary of rats (Nemoto et al.,
MiR-34c is upregulated in the amygdala of mice exposed to acute restraint stress and repeated social defeat stress, and over-expression of miR-34c in the amygdala protects against the anxiogenic effects of acute restraint stress possibly through regulation of CRF-R1 (Haramati et al.,
Summary
MicroRNAs (miRNAs) play significant roles in the modulation of both the stress and reward systems of the brain. The literature has long documented that both the reward and stress systems function in responding to the acute effects of drugs of abuse, as well as withdrawal/abstinence from chronic drug exposure. Chronic exposure to cocaine results in dysregulation of brain reward circuitry and recruitment of the brain stress systems leading to long-term cocaine dependence. Long lasting changes in both reward and stress systems lead to increased vulnerability to relapse during periods of abstinence. Several miRNAs have been identified which are co-regulated by chronic cocaine exposure and various models of rodent stress responding. These include, but are not limited to miR-134, 135a, 375, and the miR-212/132 family. Further, these miRNAs function in signaling pathways long known to regulate reward and stress response such as dopamine and CRF signaling, and glutamate transmission. It is well-established that CREB, CRF, and BDNF, among other molecules, play key roles in both stress and drug seeking/abuse. These molecules are therefore widely theorized to mediate the interaction between stress and drug seeking/abuse. Further, many of the miRNAs shown to regulate these molecules also function in immune and inflammatory responses, mechanisms known to play vital roles in the etiology of addiction. For instance, miR-132 and miR-212, shown to play a critical role in cocaine self-administration, also play important roles in TLR2 ligand-mediated TNF-α secretion (Nahid et al., 2013). The kappa opioid system is also known to modulate both stress response and the rewarding properties of drugs of abuse. However, to date, few studies have examined the regulation of kappa opioid signaling by miRNAs. These interactions are currently not very well understood, however, deciphering these complex signaling pathways will be vital to furthering our understanding of the addicted brain.
This review posits that miRNAs serve as master regulators of both the stress and reward systems through coordinated regulation of a large number key molecules and facilitate cross-talk between stress, reward, synaptic plasticity, and immune/inflammatory responses. Through integration of these signaling pathways, miRNAs serve as master regulators of downstream behavioral and cellular responses to drugs of abuse. In turn, miRNA expression is itself regulated by external stimuli including stress and drug exposure. MicroRNAs are highly conserved between species, however, species specific differences do exist. Within species, there are tissue and cell type differences in expression regulated by post-transcriptional modification of more ubiquitously expressed pre-miRNAs. This is likely necessary due to the ability of a single miRNA to regulate numerous target genes. While the complexity of miRNA regulation of gene expression poses a daunting challenge, it is an area of study that holds immense promise for future advancement of drug abuse research and the biomedical sciences as a whole. We argue that miRNAs co-regulated by stress and chronic cocaine represent prime targets for study in order to further elucidate the etiology of the transition from casual drug use to drug dependence. Further, this population of miRNAs represents promising targets for identification of novel treatments for drug abuse.
Statements
Author contributions
MBD and EMU wrote the manuscript.
Acknowledgments
We would like to acknowledge the following NIDA funded grants T32DA007237 and R01 DA018326.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
- Ago
argonaute
- Arc
activity-regulated cytoskeleton-associated protein
- BDNF
brain derived neurotrophic factor
- BNST
bed nucleus of the stria terminalis
- CREB
cAMP response element-binding protein
- CRF
corticotrophin releasing factor
- Drd2
D2 dopamine receptors
- ERK
Extracellular signal-regulated kinase
- MAP3K8
mitogen-activated protein kinase kinase kinase 8
- MeCP2
methyl CpG binding protein 2
- POMC
proopiomelanocortin
- RISC
RNA-induced silencing complex
- SIRT
NAD-dependent deacetylase sirtuin
- TLR
Toll-like receptor
- TNF
tumor necrosis factor
- TORC
target of rapamycin complex
- VTA
ventral tegmental area.
Abbreviations
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Summary
Keywords
microRNA, stress, cocaine, extended amygdala, corticotropin-releasing factor, brain-derived neurotrophic factor
Citation
Doura MB and Unterwald EM (2016) MicroRNAs Modulate Interactions between Stress and Risk for Cocaine Addiction. Front. Cell. Neurosci. 10:125. doi: 10.3389/fncel.2016.00125
Received
11 March 2016
Accepted
29 April 2016
Published
26 May 2016
Volume
10 - 2016
Edited by
Hansen Wang, University of Toronto, Canada
Reviewed by
Hermona Soreq, The Hebrew University of Jerusalem, Israel; Bronwyn Maree Kivell, Victoria University of Wellington, New Zealand; Christopher V. Dayas, University of Newcastle, Australia
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© 2016 Doura and Unterwald.
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*Correspondence: Menahem B. Doura tue87292@temple.edu
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