Hippocampal neurogenesis protects against cocaine-primed relapse
Abstract
Accumulating evidence demonstrates a functional role for the hippocampus in mediating relapse to cocaine-seeking behavior and extinction-induced inhibition of cocaine seeking, and dentate gyrus neurogenesis in the hippocampus may have a role. Here, we tested the hypothesis that disruption of normal hippocampal activity during extinction alters relapse to cocaine-seeking behavior as a function of dentate gyrus neurogenesis. Adult rats were trained to self-administer cocaine on a fixed-ratio schedule, followed by extinction and cocaine-primed reinstatement testing. Some rats received low-frequency stimulation (LFS; 2 Hz for 25 minutes) after each extinction session in the dorsal or ventral hippocampal formation. All rats received an injection of the mitotic marker 5-bromo-2′-deoxyuridine (BrdU) to label developing dentate gyrus neurons during self-administration, as well as before or after extinction and LFS. We found that LFS during extinction did not alter extinction behavior but enhanced cocaine-primed reinstatement. Cocaine self-administration reduced levels of 24-day-old BrdU cells and dentate gyrus neurogenesis, which was normalized by extinction. LFS during extinction prevented extinction-induced normalization of dentate gyrus neurogenesis and potentiated cocaine-induced reinstatement of drug seeking. LFS inhibition of extinction-induced neurogenesis was not due to enhanced cell death, revealed by quantification of activated caspase3-labeled cells. These data suggest that LFS during extinction disrupts hippocampal networking by disrupting neurogenesis and also strengthens relapse-like behaviors. Thus, newly born dentate gyrus neurons during withdrawal and extinction learning facilitate hippocampal networking that mediates extinction-induced inhibition of cocaine seeking and may play a key role in preventing relapse.
Introduction
The hippocampus is recognized as an important structure in learning and memory (Bast 2007; Churchwell et al. 2010). In this context, the hippocampus plays a crucial role in the recall of fear extinction through its direct and indirect [via the medial prefrontal cortex (mPFC)] influences on the amygdala (Santini, Muller & Quirk 2001; Hugues, Deschaux & Garcia 2004; Hugues et al. 2006; Bruchey, Shumake & Gonzalez-Lima 2007). Consistent with this role, electrophysiological findings have revealed that fear extinction is accompanied by increases in synaptic efficacy in dorsal and ventral hippocampal projections to the mPFC (Farinelli et al. 2006; Hugues & Garcia 2007; Deschaux et al. 2011). Additionally, artificial disruption of hippocampal synaptic activity by low-frequency stimulation [LFS; an invasive procedure that produces long-term depression (LTD); distinct from other invasive and noninvasive procedures such as intracranial injection of the local anesthetic lidocaine noted for its inhibitory effects on long-term potentiation (LTP); (Smith, Browning & Dunwiddie 1993) and repetitive transcranial magnetic stimulation, noted for producing LTP-like phenomena (Wang et al. 2011)], administered immediately after extinction impairs the retrieval of extinction memory (Farinelli et al. 2006; Garcia et al. 2008; Deschaux et al. 2010). These data support a role for intact hippocampal synaptic networks (i.e. hippocampal networking) in fear extinction memory. However, whether hippocampal networking, which is recruited during extinction following drug self-administration (del Olmo et al. 2006), plays a role in the recall of drug extinction memories remains to be determined.
The hippocampal formation receives projections from the mesocorticolimbic dopamine system and is involved in relapse to cocaine-seeking behavior (Neisewander et al. 2000; Kalivas & McFarland 2003; Noonan et al. 2008, 2010). The dorsal and ventral hippocampus is thought important for the association between cocaine and contexts that facilitate the development and maintenance of cocaine seeking and taking (Fuchs et al. 2005; Rogers & See 2007; Atkins, Mashhoon & Kantak 2008; Lasseter et al. 2010). Functional inactivation of the ventral hippocampus or ventral subiculum (an output region of the ventral hippocampus) attenuates cocaine-seeking behavior (Sun & Rebec 2003; Rogers & See 2007). Conversely, the reinstatement of extinguished cocaine-seeking behavior can be elicited by electrical stimulation of the ventral subiculum (Vorel et al. 2001). These studies demonstrate that the reinstatement of cocaine-seeking behavior critically relies on the functional integrity of the ventral hippocampus. Therefore, identifying the mechanisms that contribute to the neuroplasticity of hippocampal networks is critical for understanding drug-associated memories and relapse to drug seeking.
Spontaneous neurogenesis, a form of neuroplasticity in the hippocampal dentate gyrus, has been implicated in the maintenance of hippocampal networking (Aimone, Wiles & Gage 2006; Clark et al. 2012; Lacefield et al. 2012) and facilitates certain hippocampus-dependent behaviors (Feng et al. 2001; Deisseroth et al. 2004; Schmidt-Hieber, Jonas & Bischofberger 2004; Kim et al. 2011). Particularly relevant is the hypothesized role for dentate gyrus neurogenesis in cocaine seeking and self-administration (Noonan et al. 2008; Garcia-Fuster et al. 2010, 2011; Mustroph et al. 2011). Such changes in the levels of spontaneous plasticity in the dentate gyrus induced by cocaine exposure may predict behavioral outcomes produced by cocaine (Recinto et al. 2011; Sudai et al. 2011).
Therefore, the present study tested the hypothesis that extinction normalizes cocaine-induced decreases in the levels of neurogenesis and that disruption of extinction-induced neuroplastic changes by LFS in the hippocampus impairs the retrieval of extinction memory and enhances cocaine-primed reinstatement of cocaine seeking.
Methods
Animals
All of the animal procedures were approved by The Scripps Research Institute Institutional Animal Care and Use Committee and were in accordance with National Institutes of Health guidelines. Forty-one adult male Wistar rats (Charles River, Hollister, CA, USA), weighing 280–300 g at the time of surgery, were separated into six groups (Fig. 1a–f). They were housed in groups of two or three in plastic cages with a 12-hour/12-hour light/dark cycle with lights on at 8:00 pm. Food and water were available ad libitum except during behavior testing.

Timeline of cocaine self-administration and location of cannula placements for LFS. (a–f) Schematic representation of experimental procedures: (a) cocaine-naive rats; (b–f) cocaine rats. All cocaine rats self-administered cocaine (0.5 mg/kg; indicated by vertical lines) in 1-hour sessions under an FR1 schedule followed by FR2 and FR5 schedules. Both cocaine-naïve and cocaine self-administering rats received one injection of BrdU (indicated by a syringe) to label neural progenitors in the S phase of the cell cycle. Cocaine self-administering rats were divided into four groups: (b) continued cocaine self-administration, in which BrdU was injected and self-administration was continued; (c) pre-extinction group, in which BrdU was injected before extinction sessions began; (d) post-extinction group, in which BrdU was injected after eight extinction sessions; (e) ventral LFS group, in which animals received LFS in the ventral hippocampus after each extinction session, and BrdU was injected after the last LFS into the ventral hippocampus; (f) dorsal LFS group, in which animals received LFS in the dorsal hippocampus after each extinction session, without receiving BrdU injection. (g, h) Schematic representation of LFS injection cannula placements within the dorsal and ventral hippocampus. The symbols (closed red circles) on the schematics represent the most ventral point of the infusion cannulae tracts for rats that received unilateral LFS (Paxinos & Watson 1997). Numbers below each schematic indicate the distance from bregma in millimeters. LFS = low-frequency stimulation; FR = fixed-ratio; BrdU = 5-bromo-2′-deoxyuridine
Surgery and apparatus
Thirty-five rats underwent surgery for intravenous catheters for cocaine self-administration (Fig. 1b–f). The rats were anesthetized with 2–3% isoflurane and implanted with a silastic catheter (0.3 mm inner diameter, 0.64 mm outer diameter; Dow Corning, Midland, MI, USA) into the right external jugular vein under aseptic conditions (Vendruscolo et al. 2011). During self-administration sessions, each rat was placed in a standard operant chamber that was placed in a light- and sound-attenuating cubicle (28 × 26 × 20 cm; Med Associates, St. Albans, VT, USA). The front door and back wall of the chamber were made of transparent plastic, and the other walls were opaque metal. The chamber had two retractable response levers mounted on one side of the opaque walls and a food hopper located between the levers. A stimulus light was mounted above each lever. A drug injection was delivered by a syringe pump (Razel Scientific Instruments, Georgia, VT, USA) located on top of the cubicle. Experimental sessions were controlled and recorded by a computer with a custom interface and software in the experimental room.
Following intravenous surgeries, 22 rats were placed in a stereotaxic frame for unilateral (all in the right hemisphere) stimulating electrode implantation in area CA1 of the dorsal hippocampus according to coordinates 3.2 mm posterior to bregma, 1.6 mm lateral from midline, and 2.5 mm from dura or in area CA1 of the ventral hippocampus according to the coordinates 6.0 mm posterior to bregma, 5.2 mm lateral from midline, and 7.0 mm from dura [n = 11 dorsal hippocampus, n = 6 received LFS; n = 11 ventral hippocampus, n = 6 received LFS; Fig. 1g, h (Paxinos & Watson 1997) ]. These electrodes were made of twisted silver wires (90 mm diameter) that were insulated except at the tip. The entire miniature system was fixed onto the skull by means of three screws and dental cement. For LFS, some rats with electrodes (dorsal or ventral hippocampus, n = 6 each) were placed into a gray plastic cylindrical cage (22 cm diameter, 30 cm height) connected to a stimulator and subjected to hippocampal LFS (train of 100-ms pulses of 500 μA at 2 Hz for 25 minutes). These LFS parameters were based on our previous studies that demonstrated their capacity to induce fear return (Farinelli et al. 2006; Garcia et al. 2008; Deschaux et al. 2010).
Self-administration procedure
After surgery and recovery, 35 rats were trained to self-administer 0.5 mg/kg per 100 μl cocaine in 1 hour sessions (baseline sessions) under an FR1 schedule (i.e. every active lever press was reinforced with a dose of cocaine) for 29 sessions. A 20-second timeout period, during which responses had no scheduled consequences, followed each cocaine infusion. When the animals achieved stable responding under the FR1 schedule (i.e. less than 15% variation in response rates over 3 consecutive days), they were switched to an FR2 and then FR5 schedule until they achieved at least 3 days of stable performance according to the same criterion as the FR1 schedule (Fig. 1b–f). A group of rats continued cocaine self-administration until the end of the study, whereas another group of rats underwent an extinction phase after cocaine self-administration, during which cocaine was replaced with saline. Daily 1 hour extinction sessions were conducted until responding was less than 25% of the response rate maintained during cocaine self-administration. Immediately after each extinction session, the rats were subjected to hippocampal LFS as described above. Following the extinction phase, cocaine priming-induced reinstatement of drug-seeking behavior was assessed by an intravenous administration of 0.1 ml cocaine (0.5 mg/kg) or saline before the beginning of the reinstatement session (1 hour). The reinstatement session was identical to the self-administration session except that cocaine was not delivered. Each rat was submitted to only one reinstatement session followed the next day by re-exposure to an extinction session (1 hour, FR5). Thirty-one rats successfully completed the self-administration study.
BrdU injections and perfusions
Thirty rats from five experimental groups were injected with BrdU (group A, Fig. 1a – cocaine-naive control, n = 10; group B, Fig. 1b – continued cocaine, n = 5; group C, Fig. 1c – pre-extinction, n = 4; group D, Fig. 1d – post-extinction without LFS, n = 5 (note: only n = 5 rats from a group of n = 10); group E, Fig. 1e – post-extinction with LFS in the ventral hippocampus (VH), n = 6) and received one intraperitoneal injection of 150 mg/kg BrdU (Boehringer Mannheim Biochemica) dissolved in 0.9% saline and 0.007N NaOH at 20 mg/ml. We did not detect BrdU-labeled cells in six rats; 4 from naïve controls and 2 from LFS-VH group. The LFS-dorsal hippocampus (DH) group F (Fig. 1f) did not receive any BrdU injections. BrdU was injected in subgroups of cocaine rats to label S-phase cells (1) 16–22 hours after the self-administration session during acute withdrawal, after which the rats continued self-administration for an additional 20 sessions (group B), (2) 16–22 hours after the last self-administration session during acute withdrawal, after which the rats learned to extinguish operant behavior when cocaine was substituted for saline for 20 sessions (group C, pre-extinction group), (3) 2–3 hours after 10 extinction sessions without LFS (group D, post-extinction group), and (4) 2–3 hours after 10 extinction sessions with LFS in the ventral hippocampus (group E, LFS group). Perfusions were performed 20–24 days after the BrdU injections (Fig. 1a–f). After the last experimental session, rats with patent catheters were anesthetized using chloral hydrate (14 mg/kg, intravenous), and the rats without patent catheters were anesthetized using chloral hydrate (240 mg/kg, intraperitoneal) [(Lasseter et al. 2010); note: unpublished observations demonstrate that the route of administration of chloral hydrate did not produce acute effects on surviving BrdU cells in adult Wistar rats]. The rats were then transcardially perfused with phosphate-buffered saline (15 ml/minute over 2 minutes) and 4% paraformaldehyde (15 ml/minute over 20 minutes). The brains were dissected and postfixed in 4% paraformaldehyde at 4°C for 16–20 hours. Prior to sectioning in the coronal plane at a thickness of 40 μm on a freezing microtome, the entire right hemisphere of each brain was marked. The sections through the brain were collected in nine vials, and one-ninth of the brain region was used for immunohistochemical analysis.
Cannula placements, antibodies, immunohistochemistry, microscopic analysis, and cellular quantification
Hippocampal sections were slide mounted, stained with Vector FastRed, and visualized under light microscopy to verify cannula placements. The most ventral portion of each cannula tract was mapped onto schematics of appropriate plates from the rat brain atlas [Fig. 1g, h (Paxinos & Watson 1997)].
The following primary antibodies were used for immunohistochemistry (IHC): Ki-67 (1:1000), BrdU (1:400), Neuronal nuclease (NeuN, 1:50), and AC-3 (1:500). The left (unmarked) and right (marked) hemispheres of every ninth section through the hippocampus were slide mounted, coded, and dried overnight before IHC. After incubating with primary antibodies (BrdU, Ki-67, AC-3), the sections were incubated with biotinylated secondary antibody (1:200) followed by amplification with an avidin-biotin complex, and staining was visualized with nickel-3′,3-diaminobenzidine (DAB). Visual cell quantification was performed with a light microscope (Zeiss) by an observer blind to the experimental groups. For BrdU/NeuN colabeling IHC, six bilateral sections that contained the dentate gyrus were used for confocal analysis from each rat from each group.
For IHC, immunoreactive cells in each hemisphere (ipsilateral and contralateral to the LFS site) in the subgranular zone (SGZ; i.e. cells that touched and were within three cell widths inside and outside the hippocampal granule cell-hilus border for Ki-67) or granule cell layer (GCL; mature BrdU, AC-3) were visually quantified with a Zeiss Axiophot photomicroscope at 400× magnification using the optical fractionator method, in which sections through the dentate gyrus [−1.4 to −6.7 mm from bregma (Paxinos & Watson 1997)] were examined. Cells in the SGZ and GCL from each hemisphere were summed and multiplied by 9 to give the total number of cells (Eisch et al. 2000). For BrdU phenotype analysis, every 27th section through the hippocampus was triple-labeled with BrdU (CY2), NeuN (CY3), and glial fibrillary acidic protein (GFAP; CY5). All BrdU-immunoreactive cells in the GCL, approximately 15 BrdU-immunoreactive cells from each rat were scanned and analyzed for BrdU/NeuN or BrdU-alone labeling (cocaine naive: 11 ± 3; cocaine: 14 ± 3; pre-extinction: 11 ± 3; post-extinction without LFS: 9 ± 3; post-extinction with LFS: 17 ± 4). All labeling was visualized and analyzed using a confocal microscope (LaserSharp 2000, version 5.2, emission wavelengths 488, 568, and 647 nm; Bio-Rad Laboratories). The percentage of BrdU-immunoreactive cells that were NeuN-positive or GFAP/NeuN-negative in relation to the total number of BrdU cells was analyzed from each rat.
Statistical analysis
The results are expressed as mean ± SEM. The number of lever presses was analyzed using a two-way repeated-measures analysis of variance (ANOVA), with electrical stimulation as the between-group variable and time as the repeated measure. Fischer's Least Significant Difference test was used for post hoc comparisons. The number of lever presses for the control group was compared between the extinction and reinstatement periods using Student's paired t-test. One-way ANOVA was used to determine differences in the levels of BrdU, Ki-67, and AC-3 cells (dependent variables). Two-way ANOVA was used to determine hemisphere differences in levels of BrdU cells (treatment x hemisphere differences). Students-t-test was performed to determine differences between levels of BrdU cells ipsilateral and contralateral sides of LFS treatment. Statistical analyses were performed using SPSS software. The accepted level of significance for all of the tests was P ≤ 0.05.
Results
Cocaine self-administration and extinction
Rats in groups B-F (Fig. 1) acquired cocaine self-administration without a significant difference in the rate of acquisition and maintenance over the entire self-administration period (Fig. 2a). The active lever presses for 0.5 mg/kg cocaine per infusion, i.v., on a fixed-ratio 5 (FR5) schedule on day 4 were the following: group B, 54 ± 16 (n = 5); group C, 53 ± 21 (n = 4); group D, 51 ± 9 (n = 10); group E-ventral hippocampus LFS, 55 ± 11 (n = 6); group F-dorsal hippocampus LFS: 68 ± 11 (n = 6); Fig. 2a, n.s. Following self-administration, groups C-E (Fig. 1) underwent extinction sessions in their operant chambers. During the extinction sessions, cocaine was no longer available. The cocaine-paired lever presses across all extinction groups were the following on the day after the first LFS session: group C- 19 ± 4 (n = 4) and group D- 21 ± 3 (n = 10) without LFS; group E-ventral hippocampus LFS, 30 ± 5 (n = 6); group F-dorsal hippocampus LFS, 32 ± 8 (n = 6); Fig. 2b, n.s. Responses during the sessions gradually declined to the criterion (significant main effect of day, F7,192 = 23.81, P < 0.001), which was reached with 2–4 days of training (P < 0.05 versus day 1). Extinction behavior did not significantly differ between groups (Fig. 2b).

Cocaine-paired lever responding during self-administration, extinction and reinstatement testing (a–c). (a) Rats from all groups did not significantly differ in rates of cocaine self-administration over FR schedules of reinforcement. (b) Rats from all groups did not significantly differ in cocaine-paired lever responses during extinction sessions. The latency to reach extinction also did not significantly differ between groups. (c) Disruption of hippocampal activity by LFS in the dorsal or ventral hippocampus enhances cocaine priming-induced reinstatement of cocaine-seeking behavior. The bar graphs (group D without LFS, gray bars; group E with LFS in the ventral hippocampus, light gray filled; group F with LFS in the dorsal hippocampus, light gray hatched) depict non-reinforced, cocaine-paired lever responses (mean ± SEM) during testing in extinction (Ext), cocaine-primed (cocaine) and saline-primed (saline) reinstatement (Rst). n = 4–10 each group. Data are expressed as mean ± SEM. *Significant difference relative to responding during extinction (P < 0.05); #Significant difference compared with group D during reinstatement (P < 0.05); $Significant difference relative to cocaine-primed treatment (P < 0.01). LFS = low-frequency stimulation; FR = fixed-ratio; SEM = standard error of measurement
LFS after extinction enhances reinstatement of cocaine seeking
Rats that did not receive LFS during the extinction sessions (group D) and rats that received LFS in the dorsal or ventral hippocampus after the extinction sessions (group E and F) showed significant cocaine-primed reinstatement, but rats that received LFS in the ventral or dorsal hippocampus after the extinction sessions (group E and F) exhibited dramatically more reinstatement (Fig. 2c). Two-way ANOVA revealed significant effects of time (F2,45 = 32.7, P < 0.001) and treatment (F2,45 = 5.3, P < 0.01) and a significant time × treatment interaction (F4,45 = 5.1, P < 0.001). Post hoc comparisons indicated that rats in the three groups showed significant cocaine-primed reinstatement after 0.5 mg/kg cocaine priming compared with the last extinction session (P < 0.05). Moreover, the number of lever presses increased in the groups subjected to LFS in the ventral (P < 0.01) and dorsal (P < 0.05) hippocampus compared with the non-LFS group (Fig. 2). No group differences in lever presses were found after the saline challenge.
Cocaine self-administration reduces levels of spontaneous neurogenesis in the dentate gyrus
After four FR5 sessions of cocaine self-administration, neural progenitors in the synthesis (S) phase of the cell cycle in the dentate gyrus were labeled with one injection of a saturating dose of BrdU (Fig. 1b). In parallel, cocaine-naïve, age-matched rats were also injected with BrdU (Fig. 1a). Although it could be argued that this group of rats may not represent suitable ‘control’ conditions (e.g. intravenous surgery and post-surgery maintenance) compared to all other groups, unpublished observations demonstrated that invasive procedures such as intravenous surgery and antibiotic maintenance post-surgery do not significantly alter labeling and survival of BrdU cells. Therefore we are confident that the levels of BrdU cells in drug-naïve controls provide a sufficiently valid comparison for evaluating the effects of cocaine, extinction, and LFS during extinction on survival of BrdU cells. Cocaine self-administering rats continued on the FR5 schedule for 20 additional sessions and were euthanized 16 to 22 hours after the last self-administration session. Because the BrdU labeled cells were 20 days old at the time of euthanasia, BrdU labeling experiments determined whether cocaine self-administration decreases the number of newly born neurons in the dentate gyrus. Mature BrdU cells were round and less clustered and presented more punctate BrdU staining (Fig. 3a, b), typical of neural progenitor cells 4 weeks after BrdU injection (Cameron & McKay 2001; Dayer et al. 2003). One-way ANOVA (total BrdU cells) demonstrated a significant effect of cocaine on levels of neurogenesis (F4,24 = 3.6, P < 0.05). Two-way ANOVA (BrdU cells per hemisphere) did not detect a significant cells x treatment interaction (F4,38 = 0.04, P = 0.9) or effect of hemisphere (F4,38 = 0.006, P = 0.93), but showed a significant effect of cocaine self-administration on both hemispheres (F4,38 = 5.6, P < 0.01). The post hoc analysis revealed a significant decrease in the number of BrdU cells compared with cocaine-naive controls, an effect that was seen combined (P < 0.05; Fig. 3d) and individually in each hemisphere (Fig. 3c; ipsilateral side, P < 0.05; contralateral side, P < 0.05). The confocal analysis of BrdU cells showed that cocaine self-administration did not significantly alter the percentage of BrdU cells that became granule cell neurons in the dentate gyrus (Fig. 3e).

Effects of cocaine self-administration, extinction learning and LFS during extinction learning on dentate gyrus neurogenesis. Photomicrograph of nickel-3′,3-diaminobenzidine (DAB)-labeled (a) or fluorescent-labeled, single z-stack image (BrdU, CY2, green; NeuN, CY3, red) (b) mature BrdU cell in the granule cell layer of the hippocampal dentate gyrus labeled with a BrdU antibody. Images presented are at 400× magnification. BrdU-labeled 20- to 24-day-old surviving cells are visible as oval-to-round-shaped cells. BrdU-labeled cells colocalized with NeuN cells, suggesting maturation and differentiation into granule cell neurons.. Images are 400× magnification. (c–e) Quantitative analysis of BrdU cell counts from cocaine-naive and cocaine rats from serial coronal sections. Total number of BrdU cells per hemisphere ipsilateral (I) or contralateral (C) to the LFS site (c) or combined (d). Ratio of BrdU-labeled cells colabeled with NeuN analyzed by confocal analyses (e). n = 4–6 each group. Data are expressed as mean ± SEM. *P < 0.05, compared with group A (control); #P < 0.05, compared with group D (non-LFS group); $P < 0.05, compared with group B (continued cocaine group). LFS = low-frequency stimulation; BrdU = 5-bromo-2′-deoxyuridine; SEM = standard error of measurement; GCL = granule cell layer; H = hilus
Extinction after cocaine self-administration normalizes cocaine-induced reduction of the number of mature BrdU cells, and LFS during extinction prevents extinction-induced normalization of neurogenesis
Because cocaine self-administration reduced the number of newly born dentate gyrus neurons, we next determined whether extinction during withdrawal following cocaine exposure alters the survival of newly born dentate gyrus neurons. Twenty-four-day-old BrdU cells were quantified from group C and D extinction groups (Fig. 1). One-way ANOVA revealed a significant effect of extinction on the cocaine-induced reduction of the levels of BrdU cells (F4,24 = 3.6, P < 0.05). The post hoc analysis revealed a significant difference between group B (cocaine group) and group D (post-extinction group, P < 0.05; Fig. 3c, d). No significant differences were observed between group B (cocaine group) and group C (pre-extinction group). These data suggest that extinction did not alter the maturation and survival of newly born cells labeled before the commencement of extinction, whereas extinction enhanced certain developmental stages of neural progenitors and normalized the levels of neurogenesis.
Rats that received LFS in the ventral hippocampus were injected with BrdU 2–3 hours after LFS after the last extinction session (Fig. 1d versus e) to label S-phase cells. LFS occurred unilaterally, and brain tissue was marked to differentiate the ipsilateral and contralateral hemispheres. Twenty-four-day-old BrdU cells were quantified, and the levels of mature BrdU cells were compared between each hemisphere and between groups. Student's t-test did not detect significant differences in the number of mature BrdU cells between the hemispheres in LFS-exposed rats (Fig. 3c). One-way ANOVA (total BrdU cells) demonstrated a significant effect of LFS on the extinction-induced normalization of neurogenesis (F4,24 = 3.6, P < 0.05). Two-way ANOVA (BrdU cells per hemisphere) did not detect a significant cells × treatment interaction (F4,38 = 0.04, P = 0.9) or effect of hemisphere (F4,38 = 0.006, P = 0.93), but showed a significant effect of LFS on both hemispheres (F4,38 = 5.6, P < 0.01). The post hoc analysis demonstrated a significant decrease in the number of BrdU cells ipsilateral and contralateral to the LFS hemisphere compared with cocaine-naive controls (group A, P < 0.001; Fig. 3c, d) and non-LFS rats (group D, P < 0.01).
Subsequent experimental analysis verified whether extinction enhanced proliferation. The analysis of the levels of the endogenous cell proliferation marker Ki-67 (Fig. 4, inset) in all groups (groups A–F; Fig. 1a–f) demonstrated that extinction learning enhanced the net proliferation of neural progenitors in the dentate gyrus (F5,28 = 13.13, P < 0.005). The post hoc analysis indicated a significantly higher number of Ki-67 cells in group C compared with all other groups (P < 0.05; Fig. 4). Group B also displayed a higher number of Ki-67 cells compared with groups D, E and F (P < 0.05).

Effects of cocaine self-administration, extinction and LFS during extinction on cell proliferation. (Main panel) Quantitative analysis of the number of DAB-labeled Ki-67-immunoreactive cells in the subgranular zone of the dentate gyrus of the hippocampus. (Inset; image presented is at 400× magnification) Photomicrograph of DAB-labeled Ki-67-immunoreactive cells. Image is 400× magnification. n = 4–6 each group. Data are expressed as mean ± SEM. *P < 0.05, compared with group B; #P < 0.05, compared with group C. DAB = nickel-3′,3-diaminobenzidine; LFS = low-frequency stimulation; GCL = granule cell layer; H = hilus; SEM = standard error of measurement
Cocaine self-administration and LFS inhibit spontaneous neurogenesis in the dentate gyrus without increasing apoptosis in the dentate gyrus
To determine whether enhanced apoptosis contributed to the cocaine- and LFS-induced reduction of the number of newly born neurons in the dentate gyrus, activated caspase 3 (AC-3)-labeled apoptotic cells were quantified. One-way ANOVA showed no significant difference in the levels of apoptosis in any of the experimental groups (Fig. 5). Unpaired t-tests demonstrated a significant difference between groups A and E (P = 0.05).

Effects of cocaine self-administration, extinction and LFS during extinction on cell death. (Main panel) Quantitative analysis of the number of DAB-labeled activated caspase 3 (AC-3)-immunoreactive cells in the granule cell layer of the dentate gyrus of the hippocampus. (Inset; image presented is at 400× magnification) Photomicrograph of DAB-labeled AC-3-immunoreactive cells. Image is 400× magnification. n = 4–6 each group. Data are expressed as mean ± SEM. *P < 0.05, compared with group A. DAB = nickel-3′,3-diaminobenzidine; LFS = low-frequency stimulation; GCL = granule cell layer; H = hilus; SEM = standard error of measurement
Discussion
The present study demonstrated that the hippocampus regulates the consolidation of the extinction of cocaine-seeking behavior. The LFS-induced disruption of hippocampal (dorsal or ventral) function during extinction did not impair extinction. However, LFS in the dorsal or ventral hippocampus during extinction was sufficient to potentiate relapse to cocaine-seeking behavior triggered by low-dose cocaine priming injections. LFS in the ventral hippocampus during extinction prevented the extinction-induced normalization of hippocampal neurogenesis, thus providing a putative mechanism for LFS-induced alterations in hippocampal network function and plasticity. Furthermore, the analysis of developmental stages of hippocampal neurogenesis demonstrated that extinction increased the levels of neural progenitors in the dentate gyrus to normalize the levels of neurogenesis reduced by cocaine self-administration. Altogether, these results indicate that extinction modulates hippocampal networking to produce a form of behavioral inhibition that attenuates cocaine-seeking behavior, partly mediated by neurogenesis, and these effects are abolished by LFS, which disrupts the hippocampal synaptic network.
Inactivation of hippocampal networking by LFS during extinction was sufficient to facilitate relapse to cocaine seeking triggered by cocaine priming without altering cocaine seeking during extinction. These results suggest that the effects of LFS were associated with the motivational responses to cocaine itself (Sutton et al. 2003; Larson et al. 2011). In contrast, LFS disrupts the consolidation of extinction in cued fear conditioning (Farinelli et al. 2006; Garcia et al. 2008; Deschaux et al. 2010). These differences could involve paradigm differences between extinction learning in fear conditioning and extinction learning in cocaine-seeking tests. For example, differences in the latency to extinguish fear learning versus operant self-administration behavior or differences in the neuroanatomical substrates involved in the extinction of fear versus drug memories could play a role (Burke et al. 2006; Maren 2011). Therefore, the lack of an effect of LFS on cocaine seeking during extinction may be explained by the hypothesis that decreases in the number of lever presses during extinction is more likely attributable to a neurobiological interaction between cocaine history and LFS than a mnesic effect per se.
The dorsal and ventral hippocampus (but not dentate gyrus) is required for the expression of drug context-, cue- and cocaine priming-induced cocaine-seeking behavior in rats (Fuchs et al. 2005; Rogers & See 2007; Lasseter et al. 2010). Additionally, electrical stimulation of glutamate fibers in the ventral subiculum induces drug context-induced cocaine seeking (Vorel et al. 2001), while inactivation of the ventral subiculum attenuates cue-induced and drug-primed reinstatement (Sun & Rebec 2003). Interestingly, neonatal ventral hippocampal lesions produce long-lasting changes in reward sensitivity to saccharin, ethanol, cocaine and methamphetamine. For example, neonatal ventral hippocampal lesions increase rates of acquisition, consumption and seeking of sucrose-sweetened ethanol solutions, as well as cocaine and methamphetamine intake, and also promote relapse to cocaine seeking during adulthood (Chambers & Self 2002; Brady et al. 2008; Berg, Czachowski & Chambers 2011). These findings suggest that disruption of the hippocampus enhances addiction liability by influencing vulnerability to drug-seeking behavior. In contrast, other studies have reported that inactivation of either the dorsal or ventral subiculum had no effect on cue- or drug–priming-induced reinstatement (Black et al. 2004). These discrepancies may be attributable to the fact that the hippocampus projects to the mPFC [a brain region involved in both drug seeking and fear conditioning (Peters, Kalivas & Quirk 2009)] and that many other brain regions display synaptic changes following hippocampal train stimulation [e.g. amygdala (Maren & Fanselow 1995), nucleus accumbens (Dong, Cao & Xu 2007) and thalamus (Hugues & Garcia 2007)]. The present findings demonstrate that disruption of hippocampal activity by LFS in both the dorsal and ventral hippocampus equally facilitate relapse to cocaine seeking triggered by cocaine priming, perhaps by disrupting the consolidation of drug extinction memories. However, some caution is warranted when interpreting our cocaine- and saline-induced reinstatement procedures, as the sessions were not counterbalanced. Importantly, higher levels of cocaine-paired lever responses in response to cocaine- versus saline-priming suggest that the reinstatement effect is specific to cocaine-seeking responses. Nevertheless, these results are consistent with previous reports on fear extinction that showed LFS-induced disruption of the consolidation of fear extinction memory (Garcia et al. 2008; Deschaux et al. 2010). These findings suggest that the disruption of extinction recall by hippocampal LFS could be provoked by direct changes in hippocampal outputs and that the hippocampus proper (i.e. CA regions) modulates the recall of cocaine-associated extinction processes via its direct projections to other limbic regions. Altogether, these data support an important role for the dorsal and ventral hippocampus, via neurogenesis, in the mediation of the extinction-induced inhibition of relapse to cocaine seeking (Feng et al. 2001; Deisseroth et al. 2004; Schmidt-Hieber et al. 2004; Kim et al. 2011).
The dentate gyrus in the hippocampus harbors neural stem cells, and these cells undergo a process of neuronal development during adulthood to produce dentate gyrus granule cell neurons (Abrous, Koehl & Le Moal 2005). Moreover, recent evidence demonstrated functional incorporation of newly born dentate gyrus neurons into hippocampal circuitry. These newly born neurons assist with the plasticity, activity and functional networking of the adult hippocampus (Aimone, Deng & Gage 2011; Lacefield et al. 2012; Song et al. 2012). Furthermore, cocaine exposure affects spontaneous neurogenesis in the dentate gyrus of the hippocampus (Yamaguchi et al. 2004; Dominguez-Escriba et al. 2006; Andersen et al. 2007; Lloyd et al. 2010). Notably, reinforcing doses of cocaine decrease neurogenesis in the dentate gyrus, and withdrawal from cocaine self-administration reduces net proliferation and produces aberrant maturation and survival of neural progenitors, perhaps mediated by the altered expression of molecular markers associated with the propensity for cocaine abuse (Noonan et al. 2008; Garcia-Fuster et al. 2010, 2011; Sudai et al. 2011). Additionally, recent causal evidence demonstrated a role for dentate gyrus neurogenesis in cocaine taking and seeking behaviors (Noonan et al. 2010). Our work adds to the growing number of studies on cocaine exposure and hippocampal neurogenesis in demonstrating that cocaine self-administration reduces the survival of BrdU cells and neurogenesis, and that the reduction is uniform in both hemispheres. For example, our findings show that cocaine self-administration does not alter the intrinsic hemispheric relationship in neurogenesis in the dentate gyrus (Urrea et al. 2007). The results also demonstrate that extinction (i.e. diminished cocaine seeking in the absence of cocaine) increases neurogenesis when compared with continued cocaine self-administration and that the increase is equal in both hemispheres. This observation is important because intrinsic hemispheric differences in levels of cell proliferation are noted in other proliferative regions of the brain (e.g. mPFC), and pharmacological treatments have abolished these intrinsic differences (Czeh et al. 2007). The effects of extinction and protracted abstinence on the survival of neural progenitors were abolished by LFS uniformly in both hemispheres, suggesting that disruption of hippocampal networking affected developmental processes related to hippocampal neural progenitors ipsilateral and contralateral to the site of stimulation (Chun, Sun & Jung 2009; Guo et al. 2012).
The effects of cocaine on BrdU survival and neurogenesis were independent of the effects on net proliferation as cocaine self-administration did not reduce levels of Ki-67 cells, suggesting that cocaine influenced later stages of neuronal development (Noonan et al. 2008). Conversely, extinction increased levels of net proliferation, and it can be hypothesized that the higher number of proliferating progenitors generated during extinction normalized the levels of neurogenesis during abstinence. Moreover, we show that extinction-induced increases in proliferation were not evident during protracted abstinence (weeks after extinction terminated). This suggests that the enhanced proliferation during extinction is transient and could have contributed to enhanced survival during protracted abstinence seen in cocaine-exposed animals that did not receive LFS during extinction compared with continuously cocaine-exposed animals. The effects of extinction on proliferation in cocaine-exposed animals that received LFS during extinction were probably inhibited by LFS during extinction, and these changes could have contributed to the reduced survival during protracted abstinence compared with cocaine-exposed animals without LFS during extinction. However, the present data do not provide evidence for immediate effects of LFS during extinction on extinction-induced proliferation and differentiation of neural progenitors. Nevertheless, these findings suggest that the normalization of cocaine-impaired neurogenesis in the dentate gyrus may help reverse aberrant neuroplasticity in the hippocampus during abstinence and thus may help reduce vulnerability to relapse to cocaine seeking (Noonan et al. 2010; Mandyam & Koob 2012).
We also investigated whether the LFS-induced inhibition of the proliferation and survival of neural progenitors was attributable to enhanced cell death. Programmed cell death (i.e. apoptosis) was quantified in the granule cell layer of the hippocampus to assess this possibility. The present study demonstrated a significant reduction of the levels of AC-3 cells in LFS rats, suggesting that cell survival mechanisms (such as alterations in apoptosis) could compensate for the reduced levels of spontaneous neurogenesis produced by LFS.
Hippocampal memory processes are induced by ongoing neuronal plasticity, such as LTP (Bliss & Collingridge 1993), LTD (Dudek & Bear 1992) and depotentiation (Staubli & Chun 1996), which are believed to represent the cellular mechanisms that underlie information storage in the adult hippocampus (Heynen, Abraham & Bear 1996). Cocaine self-administration facilitates the induction and maintenance of different forms of LTP in the hippocampus, and these changes strengthen during withdrawal (Thompson et al. 2004) and are reduced, although they persist, after extinction (del Olmo et al. 2006). However, facilitatory mechanisms of LTP in the hippocampus can be altered by subsequent LFS in the hippocampus (Bashir & Collingridge 1994), a process that produces depotentiation because of LTD (Abraham 1996), and assists with erasing new memories (Huang & Hsu 2001). Furthermore, LFS after extinction can enhance dopamine activity (resulting from cocaine exposure)-mediated LTD in the hippocampus (Mu, Zhao & Gage 2011), suggesting an additive effect to LFS-induced depotentiation. Therefore, considering that LTP is a major candidate for the processes underlying hippocampal learning and memory, the correlation between extinction and enhanced neurogenesis suggests a close relationship between LTP and neurogenesis. In support of this hypothesis, several studies suggest bi-directional interactions between LTP and dentate gyrus neurogenesis. Neurogenesis contributes to LTP induction (van Praag et al. 1999; Derrick, York & Martinez 2000; Snyder, Kee & Wojtowicz 2001; Farmer et al. 2004) and, conversely, LTP induction promotes dentate gyrus neurogenesis (Chun et al. 2006, 2009). Furthermore, LTD induction (through LFS) before LTP induction in perforant path synapses significantly suppresses LTP-induced neurogenesis (Chun et al. 2009). These findings suggest that LFS during extinction may inhibit neurogenesis (new memories) associated with extinction through LTD-dependent mechanisms (Quirk & Mueller 2008) and thereby enhance the recall of drug-associated memories. Because newly born granule cell neurons in the dentate gyrus of the hippocampus modulate the processing of the overall tone of dentate gyrus activity and maintain hippocampal networking (Lacefield et al. 2012), depotentiation induced by LFS in the CA1 region may be assisted by the reduced survival of newly born granule cell neurons.
In summary, our findings define a novel and distinct impact of the disruption of hippocampal activity on relapse to cocaine-seeking behavior, with spontaneous neurogenesis in the adult dentate gyrus being decreased by this disruption of normal hippocampal activity. These studies indicate a critical role of spontaneous neurogenesis in the amelioration of relapse to cocaine-seeking behavior.
Acknowledgements
The research was supported by the National Institutes of Health grants DA022473 (CDM) and DA004398 (GFK) from the National Institute on Drug Abuse and the funding from the Alcoholic Beverage Medical Research Foundation (CDM) and Pearson Center for Alcoholism and Addiction Research (GFK). LDA was supported by an AMGEN scholarship. We acknowledge the excellent technical assistance of Siddharth Iyengar, Wednesday Bushong, and Jan Kirby Zabala from the Life Sciences Summer Internship Program at The Scripps Research Institute and Airee Kim and Mathew Soleiman from the independent study program at the University of California, San Diego, for assistance with immunohistochemistry. We appreciate the technical support of Robert Lintz and Yanabel Grant and the editorial assistance of Michael Arends. We thank Dr. Scott Edwards for helpful comments on the manuscript. This is publication number 21637 from The Scripps Research Institute.
Authors Contribution
OD, OG, LFV, GFK and CDM designed the research. OD, LFV, JES, LD-A, CJY, JCS and CDM performed the research. OD, OG, GFK and CDM contributed new reagents/analytic tools. OD and CDM wrote the paper. All authors have critically reviewed content and approved final version submitted for publication.