Insular cortex subregions have distinct roles in cued heroin seeking after extinction learning and prolonged withdrawal in rats

Opposing effects of aIC vs. pIC inactivation on cued reinstatement of heroin seeking after extinction in males

In this experiment, the aIC or pIC was inactivated during either a cued or heroin-primed reinstatement test after extinction to determine the effect on active lever pressing (Fig. 1C). Rats underwent either cued or heroin-primed reinstatement tests (but not both) and received BM or vehicle immediately prior to the tests in a counterbalanced manner. The total number of extinction sessions preceding each reinstatement test did not significantly differ between conditions (Table 1). Figures 2A, B show self-administration and extinction data, respectively, for rats that would receive aIC injections before cued reinstatement. Figure 2C shows active lever presses during cued reinstatement for those rats receiving aIC injections. A two-way repeated measures ANOVA of active lever presses revealed a significant main effect of reinstatement (F1,10 = 21.35, p < 0.001), a significant main effect of manipulation (F1,10 = 6.60, p < 0.05), and a significant interaction (F1,10 = 7.84, p < 0.05). Post hoc tests revealed that rats had increased active lever pressing during cued reinstatement in both the vehicle- and BM-treated conditions compared with extinction baselines (p < 0.01; p < 0.0001, respectively). However, rats had significantly more active lever presses during cued reinstatement in the BM-treated condition compared to the vehicle-treated condition (p < 0.05), indicating that aIC inactivation increased cued reinstatement.

Table 1 Total number of extinction sessions before each reinstatement test condition.Fig. 2: Opposing effects of aIC vs pIC inactivation on cued reinstatement of heroin seeking in males.figure 2

A Lever presses and infusions during the final 10 d of heroin self-administration for rats that would receive aIC injections before cued reinstatement. B Lever presses during the first 6 d of extinction for rats that would receive aIC injections before cued reinstatement. C Active lever presses during cued reinstatements and extinction baselines (left) and within-subjects comparison of reinstatement conditions (right). Intra-aIC baclofen/muscimol infusions increased lever pressing during cued reinstatement compared to vehicle controls. D Lever presses and infusions during the final 10 d of heroin self-administration for rats that would receive aIC injections before heroin-primed reinstatement. E Lever presses during the first 6 d of extinction for rats that would receive aIC injections before heroin-primed reinstatement. F Active lever presses during heroin-primed reinstatements and extinction baselines (left) and within-subjects comparison of reinstatement conditions (right). Intra-aIC baclofen/muscimol infusions had no effect on heroin-primed reinstatement compared to vehicle controls. G Lever presses and infusions during the final 10 d of heroin self-administration for rats that would receive pIC injections before cued reinstatement. H Lever presses during the first 6 d of extinction for rats that would receive pIC injections before cued reinstatement. I Active lever presses during cued reinstatements and extinction baselines (left) and within-subjects comparison of individual animals (right). Intra-pIC baclofen/muscimol infusions decreased lever pressing during cued reinstatement compared to vehicle controls. J Lever presses and infusions during the final 10 d of heroin self-administration for rats that would receive pIC injections before heroin-primed reinstatement. K Lever presses during the first 6 days of extinction for rats that would receive pIC injections before heroin-primed reinstatement. L Active lever presses during heroin-primed reinstatements and extinction baselines (left) and within-subjects comparison of individual animals (right). Intra-pIC baclofen/muscimol infusions had no effect on heroin-primed reinstatement compared to vehicle controls. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001.

Figures 2D, E show self-administration and extinction data, respectively, for rats that would receive aIC injections before heroin-primed reinstatement. Figure 2F shows active lever presses during heroin-primed reinstatement for those rats receiving aIC injections. A two-way repeated measures ANOVA of active lever presses revealed a significant main effect of reinstatement (F1,9 = 16.87, p < 0.01), but no main effect of manipulation (F1,9 = 0.12, p > 0.15) or interaction (F1,9 = 0.46, p > 0.15). Post hoc tests revealed that, although rats had increased active lever pressing during heroin-primed reinstatement in both the vehicle- and BM-treated conditions compared to extinction baselines (both p < 0.05), the vehicle- and BM-treated conditions did not differ in terms of reinstatement of active lever pressing (p > 0.15).

Figures 2G, H show self-administration and extinction data, respectively, for rats that would receive pIC injections before cued reinstatement. Figure 2I shows active lever presses during cued reinstatement for those rats receiving pIC injections. A two-way repeated measures ANOVA of active lever presses revealed a significant main effect of reinstatement (F1,10 = 19.62, p < 0.01), a significant main effect of manipulation (F1,10 = 5.67, p < 0.05), and a significant interaction (F1,10 = 6.51, p < 0.05). Post hoc tests revealed that, although rats had increased active lever pressing during cued reinstatement in the vehicle-treated condition compared to extinction baseline (p < 0.01), they did not in the BM-treated condition (p > 0.15) and this condition had significantly fewer active lever presses compared with the vehicle-treated condition (p < 0.05). Thus, pIC inactivation significantly reduced cued reinstatement of active lever pressing.

Figures 2J, K show self-administration and extinction data, respectively, for rats that would receive pIC injections before heroin-primed reinstatement. Figure 2L shows active lever presses during heroin-primed reinstatement for those rats receiving pIC injections. A two-way repeated measures ANOVA of active lever presses revealed a significant main effect of reinstatement (F1,9 = 15.06, p < 0.01), but no main effect of manipulation (F1,9 = 1.18, p > 0.15) or interaction (F1,9 = 1.37, p > 0.15). Post hoc tests revealed that rats had significant reinstatement in both the vehicle- and BM-treated conditions compared to their extinction baselines (p < 0.01; p < 0.05, respectively), but the vehicle- and BM-treated conditions did not differ in terms of reinstatement of active lever pressing (p > 0.15).

Decreased cued heroin seeking after prolonged withdrawal with pIC, but not aIC, inactivation in males, but not females

In this experiment, the aIC or pIC was inactivated during a cued heroin-seeking test after 14 days of withdrawal (Fig. 1D). Figure 3A shows self-administration data for the aIC groups, with males and females showing similar levels of lever pressing and heroin infusions during late self-administration days. Two-way ANOVA of inactive lever presses, active lever presses, and heroin infusions during the final 10 d of self-administration revealed no differences between groups that would be treated with BM vs vehicle during the seeking test. (Table 2). Figure 3B shows active lever presses during the day 1 and day 14 cued seeking tests for those rats receiving aIC injections, with injections of vehicle or BM given on day 14 in a between-subjects manner. Analysis of active lever presses during the first 30 min of each seeking test revealed a significant main effect of day (F1,23 = 51.31, p < 0.0001), but no main effect of manipulation (F1,23 = 0.14, p > 0.15) or interaction (F1,23 = 0.48, p > 0.15). Post hoc tests revealed that both vehicle- and BM-treated groups had increased active lever pressing on day 14 compared to day 1 (p < 0.0001; p < 0.001, respectively). However, there was no effect of manipulation on day 14 lever pressing (p > 0.15), indicating that aIC inactivation did not alter the incubation of heroin craving.

Fig. 3: Attenuated incubation of heroin craving with pIC, but not aIC, inactivation in males.figure 3

A Lever presses and infusions during the final 10 d of heroin self-administration for both sexes (left), males and females (right) in the aIC groups. B Intra-aIC baclofen/muscimol infusions had no effect on incubation of heroin craving, as measured by active lever presses during the first 30 min of a day 14 incubation test, compared to vehicle controls in males or females. C Lever presses and infusions during the final 10 days of heroin self-administration for males (left) and females (right) in the pIC groups. D Intra-pIC baclofen/muscimol infusions decreased incubation of heroin craving, as measured by active lever presses during the first 30 min of a day 14 incubation test, compared to vehicle controls in males (left) but not females (right). #p < 0.11, *p < 0.05, ****p < 0.0001.

Table 2 Statistics for self-administration measures from incubation of craving experiments.

Figure 3C shows self-administration data for the pIC groups. Because sex differences were observed in incubation of craving, both sexes were fully powered, and analyses were performed for each sex separately. Two-way ANOVA of inactive lever presses, active lever presses, and heroin infusions during the final 10 days of self-administration revealed no differences between groups subsequently treated with BM vs vehicle during the seeking test (Table 2). Figure 3D shows active lever presses, separated by sex, during the day 1 and day 14 tests for those rats receiving pIC injections, with injections of vehicle or BM given on day 14 in a between-subjects manner. For the males (left panel), a two-way ANOVA of active lever presses during the first 30 min of each seeking test revealed a significant main effect of day (F1,15 = 38.38, p < 0.0001), a trend toward a main effect of manipulation (F1,15 = 3.39, p = 0.0857), and a significant interaction (F1,15 = 6.26, p < 0.05). Post hoc tests revealed that both vehicle- and BM-treated groups had increased active lever pressing on day 14 compared to day 1 (p < 0.0001; p < 0.05, respectively). However, the BM group had significantly fewer active lever presses compared to the vehicle group (p < 0.05), indicating that pIC inactivation decreased the incubation of heroin craving in males. For the females (right panel), a two-way ANOVA of active lever presses during the first 30 min of each seeking test revealed a significant main effect of day (F1,16 = 7.24, p < 0.05), but no main effect of manipulation (F1,16 = 0.12, p > 0.15) or interaction (F1,16 = 0.08, p > 0.15). Post hoc tests revealed that both vehicle- and BM-treated groups had increased active lever pressing on Day 14 compared to Day 1 that, when separately analyzed, produced non-significant trends (p = 0.1070; p = 0.1019, respectively). However, there was no effect of manipulation on day 14 lever pressing (p > 0.15), indicating that pIC inactivation did not alter the incubation of craving in females.

No sex differences in 6 h heroin self-administration

We also conducted ancillary analyses of self-administration data, collapsed across the aIC and pIC incubation-of-craving experiments, to determine whether there were any sex differences in 6 h heroin self-administration. Figure 4A–C show, respectively, the total daily active lever presses, total daily heroin infusions, and total daily mg/kg heroin intake across the final 10 days of self-administration for males and females. A two-way ANOVA of active lever presses revealed a significant main effect of day (F3.06,177.30 = 2.73, p < 0.05), but no main effect of sex (F1,58 = 0.76, p > 0.15) and no interaction (F9,522 = 1.53, p = 0.1355). Analysis of heroin infusions revealed a significant main effect of day (F3.38,195.80 = 4.62, p < 0.01), no effect of sex (F1,58 = 2.13, p = 0.1496), and no interaction (F9,522 = 1.03, p > 0.15). When adjusted for body weight, the amount of heroin self-administered did not differ between the sexes, as analysis of mg/kg heroin intake revealed a significant main effect of day (F3.00,174.00 = 4.49, p < 0.01), but no main effect of sex (F1,58 = 0.19, p > 0.15) or interaction (F9,522 = 0.83, p > 0.15).

Fig. 4: No sex differences in 6-h heroin self-administration.figure 4

To analyze for potential sex differences in 6 h heroin self-administration, rats were collapsed across the aIC and pIC experiments and the baclofen/muscimol and vehicle groups, and data were analyzed for the final 10 days of self-administration. A Daily active lever presses. B Daily heroin infusions. C Daily heroin intake (mg/kg). There were no significant differences between males and females across the three measures.

No effect of pIC and aIC inactivation on locomotor activity

Figure 5A, B show, respectively, the total distance traveled in an open field test following aIC and pIC inactivation. Paired t-tests of total distance travelled revealed no effect of aIC (t(9) = 0.94, p > 0.15) or pIC (t(8) = 0.06, p > 0.15) inactivation on locomotor activity in males and females.

Fig. 5: No effect of aIC or pIC inactivation on locomotor activity in either sex.figure 5

A Intra-aIC baclofen/muscimol infusions had no effect on distance traveled in an open field compared to vehicle controls in males or females. B Intra-pIC baclofen/muscimol infusions had no effect on distance traveled compared to vehicle controls in males or females.

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