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O R I G I N A L I N V E S T I G AT I O N
Introduction
The benzodiazepines (BZs) have a behavioral profile
which includes sedative, disinhibitory, anticonvulsant,
and muscle relaxation effects. As a result of these pronounced effects, the BZs are a class of drugs with widespread clinical use. In the laboratory, it has been demonstrated that acute and chronic BZ exposure produces disruptions of both learned and unlearned behavior and that
repeated exposure produces tolerance to some of the behavioral and pharmacological actions of these compounds (see File 1985, 1990, for review). While tolerance does develop to some of the effects of BZs, the rate
of tolerance development varies widely for different behavioral effects of the BZs. The largest degree of tolerance is observed for the sedative and ataxic effects, with
little or no tolerance reported for the anti-anxiety effects
of BZs (Margules and Stein 1968; McMillan and Leander 1978; Sepinwall and Cook 1978; File 1981, 1985).
Tolerance to the acute sedative and ataxic effects of
BZs has been shown to develop when the effects are assessed by fixed-ratio (FR) (Sanger and Zivkovic 1987),
variable-interval (VI) (Sepinwall and Cook 1978), or differential reinforcement of low rates (DRL) schedules
(Fowler et al. 1993). In addition, our laboratory recently
reported that analysis of response duration and interresponse times (IRTs) from a multiple FR30DRL 20
operant schedule also reflected tolerance development to
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the sedative effects of the ultra-short-acting BZ triazolam (Fowler et al. 1993). While the conditions necessary
for the development of tolerance to the behavioral effects
of BZs have been well defined with traditional operant
procedures, in which rate of responding is the reinforced
variable, studies investigating the effects of repeated BZ
administration using micro-analysis techniques are
sparse. Several previous reports have shown that acutely
administered chlordiazepoxide increased the peak force
of operant responses at doses that increased, decreased,
or had no effect on response rate (Fowler 1974; Fowler
et al. 1977, 1983), suggesting that operant response force
may be a sensitive index of BZs effects rather than solely a correlate of rate-dependent effects.
The present experiment examined the development
of tolerance to two BZs using the PRE (animals receive
drug before the session) versus POST (animals receive
drug after the session) drug-exposure strategy in a
force-contingent operant schedule. Other investigators,
using the PREPOST dosing design with rate-contingent learning paradigms (Chen 1968) have shown that
behavioral factors are important modulators in the development of tolerance to the BZs (Herberg and Montgomery 1987; Tang et al. 1988; Lau et al. 1990; Fowler
et al. 1993). These previous experiments have demonstrated that animals that perform a behavior while under the influence of the drug develop a greater degree
of tolerance (i.e., contingent tolerance) than animals
that perform the behavior under the non-drug state. In
the present experiment, tolerance to the effects of BZ
administration was investigated in rats whose operant
responses were reinforced only if the peak force fell
within specified upper and lower force limits (Notterman and Mintz 1962). The purpose of the force-band
limits in the present investigation was to evaluate the
development of acquired tolerance to the effects of BZs
on a rate-free discriminative task that required fine motor control. In addition, two different sets of force-band
requirements were studied in order to evaluate the effects of kinetic requirements as a possible modulator of
learned tolerance to drug effects. Specifically, this task
required one group of rats to work harder by requiring a response with a higher force emission (4050 g)
than a second group whose response forces were restricted to lighter force emissions (810 g) with both
force-bands producing about equal rates of reinforcement. Previous reports have shown that operant response requirements determine, at least in part, the degree of drug disruption seen on operant performances
(Ettenberg et al. 1981; Fowler et al. 1986). In addition
to assessing the effects of BZs on response force, a secondary goal of this experiment was to investigate the
role that duration of drug activity plays in tolerance development, with MZ representing a relatively brief duration of action and DZ representing a longer duration
of action.
Method
Subjects
The subjects were 64 experimentally naive, male Sprague-Dawley
rats (Holtzman Co., Madison, Wis.). Rats weighed approximately
350 g at the beginning of data collection. Subjects were housed individually in stainless steel cages (181824 cm) in a colony
room where a 12-h/12-h light/dark cycle was maintained (light onset approximately 0600 hours). Temperature was controlled to
262C and relative humidity levels were kept between 40% and
70%. All testing was conducted during the light phase of the cycle. Throughout the experiment, all subjects were maintained on
fixed access to water (5 min/day), which occurred after completion of the daily session. This water restriction slowed weight
gain. Animals were allowed free access to Purina Rat Chow in
their home cage.
Apparatus
Experimental sessions were conducted in four computer-interfaced
chambers, which have been previously described (Fowler et al.
1983). Briefly, test chambers contained floors consisting of parallel
stainless-steel rods; the front of the chambers were constructed of
aluminum. A cylindrical recess was mounted in the lower
center of the front panel, which permitted access to a solenoidoperated dipper that delivered water reinforcements at a volume of
0.1 ml for a period of 4 s. Each chamber was equipped with a
24-V house light and a silent, virtually isometric, force-sensing manipulandum (Model 31 load cell, 0250 g range, Sensotec, Columbus, Ohio). Transducers were positioned so that the center of the
disk was 2.5 cm from the outside of the chamber wall and the surface of the disk was 0.5 cm above the lower edge of the access window. Temporal resolution of measurements was 0.01 s and force
resolution of measurement was 1 g equivalent weight. A PC clone
computer equipped with a Labmaster interface simultaneously controlled events of the four experimental chambers and recorded data
collected from each of the chambers. The variables that were recorded using this system included the mean of the peak forces, duration (amount of time the transducer was held down during each
response), IRT, response rate, and number of reinforcers delivered.
Procedure training
Following 3 days of acclimation to the water-deprivation schedule, all rats were trained through successive approximations to
reach through the aperture and press the force-sensing manipulandum with the forepaw to receive water reinforcement. Initially, the manipulandum was positioned close to the opening to facilitate acquisition of the desired response. Once animals had learned
to make contact with the manipulandum, it was gradually moved
back to its final position of 2.5 cm from the inside of the chamber.
After the subjects reliably pressed the disc manipulandum, they
were randomly separated into two groups of 32 rats. A successive
approximation procedure was used to train each rat to press the
disc with a force within a restricted force-band. A strike of the disc
(i.e., a ballistic response) within the restricted force-band defined
the criterion response. For rats in the low-force group, the criterion
force-band was gradually changed to 810 g. For rats in the highforce group, the criterion force-band was gradually changed to
4050 g. For all rats, termination of each press within the criterion
force band was reinforced with water under a FR1 schedule. After
initial shaping of responses, daily (7 days/week) testing sessions of
15-min in duration were conducted.
Initial doseeffect determination
After responding stabilized within a 10% range for each force requirement group, the effects of diazepam (DZ) and midazolam
329
(MZ) were assessed. Half of the high-force trained group (n=16)
and half of the low-force trained group (n=16) were assigned to
DZ treatment (n=32) and the remaining animals (n=32) were assigned to MZ treatment. An acute dose effect determination was
obtained for MZ and DZ such that three intervening days were interspersed between days when dose effects were determined. Doses of 0.3, 1.0, 3.0, 10.0, and 30.0 mg/kg and the appropriate propylene glycol vehicle were administered once by gavage in a completely counterbalanced dosing order. Oral drug gavage was conducted 30-min pre-session and was based on data obtained from
previous studies (Hironaka et al. 1984; Friedman et al. 1986; Lau
et al. 1996).
Chronic exposure
Upon completion of the initial doseeffect determinations, each of
the low and high groups (n=16) for DZ and MZ were further separated into pre-session squads (PRE, n=8 per squad) and postsession squads (POST, n=8) matched for baseline response rates.
For the next 36 days, PRE subjects were administered 10 mg/kg of
DZ or MZ 30 min before the experimental session. The POST animals received the same doses, but 30 min after the test session.
The doses of DZ and MZ selected for chronic administration were
based on the data obtained during the initial doseeffect determination. To maintain identical gavage experience, both the PRE and
POST groups received a vehicle gavage when their counterparts
received the drug solution (i.e., all animals were subjected to gavage both before and after test sessions). The dose of MZ and DZ
administered chronically was selected because it produced approximately a 50% reduction in the ratio of reinforcements to responses on the force-differentiation task when the drugs were given
acutely before the session.
Doseeffect re-determination
Following the period of chronic dosing, doseeffect functions for
MZ and DZ were re-determined using the same procedure as in
the initial determination. However, subjects continued testing and
received their chronic gavage of MZ or DZ on the days between
doseeffect test days to maintain the tolerance condition. Each
subject received only one dose of the drug on a test day by administering the drug 30 min before the session in a counterbalanced
Latin square design. Higher doses than those used in the initial
doseeffect assessment were not examined for re-determining the
doseeffect curves for MZ and DZ.
Drugs
Diazepam (valium; Hoffman-La Roche) and midazolam (dormicum; Hoffman-La Roche) were dissolved in a propylene glycol
vehicle to produce a total dosage volume of 1 ml/kg for oral
administration. The vehicle consisted of propylene glycol (40%),
ethyl alcohol (10%), benzyl alcohol (1.5%), sodium benzoate
(4.9 g), and benzoic acid (120 mg). Water was added to produce a
total volume of 100 ml.
Dependent variable
Response force(g)
Response duration(s)
Responses
Reinforcements
Data analysis
The effects of MZ and DZ on performance during each experimental session were represented by four dependent measures:
mean peak force of responses (MPF), mean duration of responding, number of responses emitted, and a ratio of reinforcers to
responses. Drug effects were expressed as a percentage of the vehicle control. Separate repeated-measures analyses of variance
(ANOVA) were performed on data collected for each drug during
individual phases of the experiment. Prior to the application of
ANOVA procedures on peak force data, the force proportions
were logarithmically transformed, which normalized the data and
produced near homoscedasticity. Due to hardware problems, the
responses of animals tested in chamber number 4 were not properly reinforced on chronic days 2225. In order to maintain equal N
values, the data recorded for all animals were not included in the
analysis for those days. Degrees of freedom for ANOVA procedures were corrected for all incidences of lost data values due to
equipment problems.
Results
Similar to previous work with force tasks (Fowler et al.
1977, 1986), operant responding in the present experiments stabilized for each force-requirement group within
approximately 25 sessions. Characteristics of response
patterns prior to drug testing are presented in Table 1.
Whereas the distribution of forces was disbursed about
each force-band requirement, response forces for the
high-force group were distributed over a wider force
range than was observed for the low-force group (data
not shown). This is similar to the results of a previous
report which utilized a separate force-band criterion
(Kallman and Fowler 1994). However, this variation in
the force distributions for the low and high-force groups
did not result in a significantly different number of reinforcements delivered to the two groups.
Initial doseeffect determination
The initial determination of the effects of DZ and MZ on
peak force of responses is shown in Fig. 1. DZ and MZ
produced dose-dependent increases in operant force for
both high- and low-force criterion groups (F4,116=4.29,
P<0.01; F4,108=9.59, P<0.01). Post-hoc tests indicated
that doses of 330 mg/kg MZ and 1030 mg/kg DZ produced over-productions of force, with MZ being roughly
threefold more potent than DZ. While no main effect
was observed for low- versus high-force groups, a significant force requirement dose interaction was observed
for MZ (F4,108=2.47, P<0.05). Post-hoc analysis of this
Diazepam
Midazolam
Low force
High force
Low force
High force
10.22 (0.57)
0.06 (0.006)
302.53 (20.00)
83.40 (5.03)
38.27 (1.05)
0.101 (0.008)
249.81 (17.19)
88.06 (5.53)
10.04 (0.425)
0.05 (0.008)
286.64 (21.59)
83.07 (4.44)
39.04 (1.52)
0.14 (0.015)
233.33 (24.25)
74.20 (2.56)
330
331
332
Fig. 5 The chronic effects of
orally administered diazepam
(DZ) (left panels) and midazolam (MZ) (right panels). The
top panels depict the mean
peak forces, middle panels
show response rates, and the
lower panels represent the ratio
of reinforcements to responses.
Due to hardware problems, animals tested in chamber number
4 were not reinforced properly
on chronic days 2225. In order to maintain equal N values,
the data recorded for all animals were not included in the
analysis or graphics for those
days
Discussion
The oral administration of DZ and MZ produced very
similar patterns of behavioral disruption, which would be
expected with two drugs of the same class. Both drugs
induced dose-related increases in response rate, duration,
and force, which resulted in a marked decrease in the
proportion of reinforced responses. Both MZ and DZ are
very lipophilic and, as a result, have comparable brain
uptakes (Arendt et al. 1987). In addition, while MZ is a
short-acting BZ in both rats and humans, DZ is not. Although DZ is a long-acting BZ in humans with a half-life
between 20 h and 70 h (Greenblatt et al. 1982), it is
short-acting in the rat, being quickly taken up into the
brain (Hironaka et al. 1984). Indeed, a 5-mg/kg dose of
DZ has been reported to produce a plasma half-life of
333
334
was observed for the high-force task when drug exposures were repeated for 36 days.
Regarding learned tolerance, both DZ and MZ rats
dosed pre-session displayed a greater attenuation of drug
effect than those animals receiving drug post-session.
Initial versus re-determination differences were most
pronounced for the response rate and reinforcement ratio
measures for DZ, while MZ-treated animals displayed
some degree of tolerance on all of the dependent measures. Interestingly, no indication of sensitization to the
effects of the BZs was seen in this study for the rats
dosed after the session or for any of the non-forcedependent variables. Figure 2 and Figure 3 reveal that, as
the proportion of reinforced responses declined with increasing doses (decreased in-band efficiency), the rate of
response correspondingly increased, resulting in an almost constant rate of reinforcement (Fig. 4). Thus, rats
were able to compensate for their overshoot errors by responding more frequently per unit of time. In effect, the
variable ratio of reinforcement became leaner as the
acute dose increased and as the frequency of overshoot
or out-of-band errors increased. This reasoning implies
that the ratio of effort to reward is a factor in determining tolerance effects. Consequently, the reinforcementloss hypothesis (Schuster et al. 1966) can be extended to cover conditions in which the initial drug effect produces a greater effort-to-reward ratio without affecting the rate of reinforcement. Apart from these considerations, the results suggest that practicing a skilled
motor task in the drugged state affords some additional
tolerance beyond that engendered by equivalent drug
treatment, which is not correlated with task performance.
Although these findings tend to support a reinforcementloss hypothesis, there are studies in the literature
that do not support this hypothesis. Branch (1979) reported tolerance to drug-induced increases in rates of responding maintained by a fixed-interval schedule that
did not produce reductions in reinforcements. In a later
study, Dworkin and Branch (1982) reported the development of morphine tolerance in monkeys trained to respond on a continuous shock-avoidance schedule. Tolerance to the rate suppression produced by morphine did
occur, but only sufficiently to re-establish baseline levels
of shock frequency, while response rates continued to remain somewhat depressed. Clearly, other variables such
as dose of drug delivered chronically, behavioral effect
examined, frequency of drug exposure, and degree of behavioral alteration may all play a role in the degree and
topography of learned tolerance that is displayed.
In summary, DZ and MZ produced graded increases
in response forces in rats under two different force-band
conditions, with the acute effects of both drugs being
slightly greater on the low-force requirement than on the
high-force requirement. Repeated pre-session or postsession treatment with either drug produced a shift to the
right in the doseeffect function for response forces.
These effects, like similar effects reported previously for
chlordiazepoxide, may reflect the central nervous system
muscle relaxant and ataxic properties of BZs. Addition-
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