Ethanol consumption by Fawn-Hooded rats following abstinence: Effect of naltrexone and changes in mu-opioid receptor density

Background: Relapse after abstinence can be modelled in rats using an alcoh ol deprivation effect (ADE) of enhanced ethanol consumption after a period of enforced abstinence from ethanol; however, not all rat strains display s uch an effect. We wanted to examine the effect of naltrexone on ethanol con sumption by ethanol-preferring Fawn-Hooded (FH) rats using such a model. Methods: FH rats were given continual free-choice access to a 5% ethanol so lution or water (4 weeks) followed by 2 weeks of water alone. At the end of this abstinence period, osmotic minipumps were implanted subcutaneously to deliver saline (n = 4) or naltrexone (n = 4; 8.4 mg/kg/day for 4 weeks). A fter recovery from surgery, the rats were again given access to 5% ethanol under the same free-choice conditions (4 weeks). A third group of age-match ed controls drank only water during the behavioral trial. At the end of the behavioral trial, the rats were decapitated and an autoradiographic examin ation was made of mu-opioid receptor density through the forebrain using th e ligand [I-125]FK-33824. Results: First, a period of enforced abstinence from ethanol consumption ca used a significant (p < 0.05) and prolonged increase in ethanol preference (+18%) and decrease in water consumption (-53%), although the volume of eth anol consumed (ml/day) did not vary, indicating an atypical ADE in this rat strain. Second, naltrexone significantly (p < 0.05) decreased ethanol cons umption by the FH rats in terms of absolute amount of ethanol consumed and preference for ethanol solution, but this effect of naltrexone diminished o ver time, concurrent with a robust and significant elevation in mu-opioid r eceptor density in all brain regions examined (p < 0.05). Finally, ethanol consumption alone also upregulated mu-opioid receptor density relative to n ondrinking controls in a number of brain regions, which included the nucleu s accumbens (+29%) and caudate-putamen (+15%, p < 0.05), but decreased mu-o pioid receptor density in other regions including the substantia nigra pars reticulata, which was suggestive of an indirect effect on mu-opioid recept ors. Conclusions: The data suggest that continual long-term naltrexone treatment may not be effective in the treatment of alcoholism, possibly because of t he induced increase in mu-opioid receptor density.