Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

This dissertation explores the role of brainstem structures in the development and expression of generalized tonic-clonic seizures. The functional consequences of brainstem seizures are investigated using the kindling paradigm in order to understand the behavioral and cognitive effects of generalized seizures. <BR><BR> I begin by investigating the general characteristics of brainstem kindling. The first experiment demonstrates that certain brainstem sites are indeed susceptible to kindling and begins to delineate the features that distinguish brainstem seizures from those evoked at other brain regions. Further investigation of the EEG signal features using wavelet analysis reveals that changes in the spectral properties of the electrographic activity during kindling include significant changes to high-frequency activity and organized low-frequency activity. I also identify transitions that include frequency sweeps and abrupt seizure terminations. The changing spectral features are shown to be critically associated with the evolution of the kindled seizures and may have important functional consequences. The surprising responsiveness of some brainstem structures to kindling forces us to reconsider the overall role of these structures in epileptogenesis as well as in the healthy dynamical functioning of the brain. <BR><BR> In order to study the functional consequences, a series of experiments examines the changes in behavior, cognition and affect that follow these brainstem seizures. Although the results show no effects on spatial learning or memory, there are significant and complex effects on anxiety- and depression-like behavior that appear to be related to motivation. In order to further study the cognitive effects, a second set of behavioral experiments considers how context (i.e., the environment) interacts with the behavioral changes. The results indicate that changes in affect may only be apparent when choice between seizure-related and seizure-free contexts is given, suggesting that the environment and choice can play key roles in the behavioral consequences of seizures. This thesis also includes an appendix that applies synchrotron imaging to investigate the anatomical consequences of electrode implantation in kindling and shows that significantly increased iron depositions occur even with purportedly biocompatible electrodes widely used in research and clinical settings. <BR><BR> Examination of the role of brainstem structures in generalized seizures in this dissertation offers new perspectives and insights to epileptogenesis and the behavioral effects of epilepsy. The changes in EEG features, behavior, affect and motivation observed after brainstem seizures and kindling may have important clinical implications. For example, the results suggest a need to reexamine the concept of psychogenic seizures, a potential connection to Sudden Unexplained Death in Epilepsy (SUDEP), and the contribution of environmental factors. It is hoped that these findings will help elucidate the complex issues involved in understanding and improving the quality of life for people with epilepsy.

This dissertation explores the role of brainstem structures in the development and expression of generalized tonic-clonic seizures. The functional consequences of brainstem seizures are investigated using the kindling paradigm in order to understand the behavioral and cognitive effects of generalized seizures. <BR><BR> I begin by investigating the general characteristics of brainstem kindling. The first experiment demonstrates that certain brainstem sites are indeed susceptible to kindling and begins to delineate the features that distinguish brainstem seizures from those evoked at other brain regions. Further investigation of the EEG signal features using wavelet analysis reveals that changes in the spectral properties of the electrographic activity during kindling include significant changes to high-frequency activity and organized low-frequency activity. I also identify transitions that include frequency sweeps and abrupt seizure terminations. The changing spectral features are shown to be critically associated with the evolution of the kindled seizures and may have important functional consequences. The surprising responsiveness of some brainstem structures to kindling forces us to reconsider the overall role of these structures in epileptogenesis as well as in the healthy dynamical functioning of the brain. <BR><BR> In order to study the functional consequences, a series of experiments examines the changes in behavior, cognition and affect that follow these brainstem seizures. Although the results show no effects on spatial learning or memory, there are significant and complex effects on anxiety- and depression-like behavior that appear to be related to motivation. In order to further study the cognitive effects, a second set of behavioral experiments considers how context (i.e., the environment) interacts with the behavioral changes. The results indicate that changes in affect may only be apparent when choice between seizure-related and seizure-free contexts is given, suggesting that the environment and choice can play key roles in the behavioral consequences of seizures. This thesis also includes an appendix that applies synchrotron imaging to investigate the anatomical consequences of electrode implantation in kindling and shows that significantly increased iron depositions occur even with purportedly biocompatible electrodes widely used in research and clinical settings. <BR><BR> Examination of the role of brainstem structures in generalized seizures in this dissertation offers new perspectives and insights to epileptogenesis and the behavioral effects of epilepsy. The changes in EEG features, behavior, affect and motivation observed after brainstem seizures and kindling may have important clinical implications. For example, the results suggest a need to reexamine the concept of psychogenic seizures, a potential connection to Sudden Unexplained Death in Epilepsy (SUDEP), and the contribution of environmental factors. It is hoped that these findings will help elucidate the complex issues involved in understanding and improving the quality of life for people with epilepsy.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

La compréhension des mécanismes physiologiques et physiopathologiques du contrôle la locomotion et de ses troubles, constitue un enjeu majeur de la recherche biomédicale, pour améliorer la qualité et l'espérance de vie des patients atteints de la maladie de Parkinson. A partir de données expérimentales, la stimulation cérébrale profonde de la formation réticulée mésencéphalique (FRM), incluant les noyaux pédonculopontins et cunéiformes, a été proposée en 2005 comme nouvelle stratégie thérapeutique pour traiter le freezing de la marche. Cependant, au regard de résultats cliniques très hétérogènes, de nombreuses interrogations se posent concernant les connaissances anatomiques et fonctionnelles de la FRM, marquées notamment par un nombre limité de données expérimentales chez le primate non-humain. Cette étude s'inscrit dans une approche translationnelle associant des données cliniques et pré-cliniques. Dans un premier temps, un modèle de locomotion bipède chez le primate non-humain a été développé puis validé à partir de données cinématiques. Une approche IRM multi-séquences a été développée pour permettre un suivi longitudinal du protocole et la construction d'un atlas du tronc cérébral de Macaca fascicularis. Un mapping électrophysiologique de la FRM a ensuite été réalisé chez deux primates éveillés, qui a permis de mettre en évidence pour la première fois, des activités neuronales qui répondaient à la locomotion, confirmant ainsi l'existence d'une région locomotrice mésencéphalique chez le primate. Après intoxication au MPTP, seule une modification du pattern de décharge des neurones de la FRM a été observée, ainsi que des arguments en faveur d'un dysfonctionnement de l'activité de certains neurones de la FRM durant le blocage du pas. Enfin, des enregistrements électrophysiologiques durant des phases de locomotion puis d'endormissement naturel, suggèrent une double implication de populations neuronales dans le contrôle de la locomotion et du niveau de vigilance. La réalisation d'un nouveau système de coordonnées adapté au tronc cérébral humain a permis de réaliser une étude de corrélations anatomo-cliniques des effets de la stimulation cérébrale profonde du noyau pédonculopontin et de proposer une cible probabiliste pour l'implantation d'électrodes dans la FRM pour traiter le freezing de la marche dans le contexte parkinsonien. / The comprehension of the physiological and pathophysiological mechanisms involved in the control of locomotion and gait troubles remains a major challenge for biomedical research in order to improve quality and expectancy of life in parkinsonian patient. On the basis of experimental data, deep brain stimulation of the mesencephalic reticular formation (MRF), including the pedunculopontine and cuneiform nuclei, was proposed in 2005 as a new target to treat freezing of gait. However, regarding the heterogeneity of the clinical results, different questions now raise concerning the lack of anatomical and functional data of the MRF especially in non-human primate. The present study falls within a translational approach using clinical and pre-clinical data. First, a non-human primate model of bipedal locomotion was developed and validated on the basis of kinematic data. Multi-sequences MRI methodology was developed, allowing a longitudinal monitoring of the primate protocol and to construct a brainstem atlas of Macaca fascicularis. Then, an electrophysiological mapping of the MRF was performed in two behaving primates during rest and locomotion periods. For the first time, neurons within the MRF were found to respond to locomotion confirming the existence of a mesencephalic locomotor region in primate. After MPTP intoxication, only changes in neuronal discharge pattern were observed and arguments in favor of a misfunctioning of some MRF neurons during gait blockage. Finally, electrophysiological recordings during locomotion and natural transition from wakefulness to sleep suggest a dual function of some MRF neurons in the control of locomotion and arousal. The development of a new coordinate system adapted to human brainstem anatomy allowed to perform an anatomo-clinical evaluation of deep brain stimulation of the pedunculopontine nucleus and to provide a probabilist target for electrode implantation in the MRF to treat freezing of gait in the parkinsonian context.

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / The present work evaluated the cytoprotective effect of chalcone-enriched fraction (CEF) and 2-methyl-inositol (MIT) in primary rat mesencephalic cell culture exposed to the neurotoxin 6-hydroxydopamine (6-OHDA). The CEF was obtained from Myracrodruon urundeuva, a Brazilian medicinal plant used as an antiinflamatory and wound healing agent.in female genital tract. In this fraction there are the dimerics chalcones urundeuvinas A, B e C The other compound was the MIT isolated from Magonia glabrata, a plant popularly known as âTingui de Bolaâ, which bark from its root is used as poison to catch the fishes from lakes and rivers. The immunohistochemical assay for tyrosine hydroxylase revealed that the percentage of dopaminergic cells in our cultures is approximately 2%. After exposition to 6-OHDA (40 and 200 microM) the cellular viability was reduced to 88,81% and 35,45% respectively. The mitochondrial activity was reduced to 88,8 and 35,4%, the nitrite levels was increased to 551,9% and 721,3% respectively and the lipid peroxidation was increased to 166,84% in the concentration of 200 microM, as observed in the MTT, nitrite and TBARS assays respectively. The results show that the exposition to CEF (100 microg/mL) before 6-OHDA (neuroprevention experiment) or after 6-OHDA (neurorescue experiment) reduced significantly the cell death caused by 6-OHDA (40 e 200 microM). The CEF prevented significantly the increase in nitrite levels induced by 6-OHDA (40 and 200 microM) (in both experiments), except in the neurorescue experiment in which the CEF failed to revert the increase in nitrite levels generated by 6-OHDA (200 microM). The CEF inhibited the lipid peroxidation induced by 6-OHDA (200 microM) in both experiments, and also showed antiapoptotic activity against 6-OHDA (40 and 200 microM) in both experiments. The MIT protected significantly TH- and TH+ cells from injury induced by 6-OHDA (40 and 200 microM) in both experiments. It showed a reduction in the nitrite levels generated by 6-OHDA in both experiments. The MIT also reverted the lipid peroxidation generated by 6-OHDA (200 microM) and showed antiapoptotic activity against 6-OHDA (40 and 200 microM) in both experiments. These results suggest that the neuroprotective action these compounds, CEF and MIT are due to antioxidant, besides a possible mitochondrial protection of these polyphenols. In related to MIT not must be discarded the idea of a second messenger action through the production of inositol triphosphate and protein kinase C activation. The findings may have a clinical importance in neurodegenerative conditions like Parkinsonâs disease / No presente trabalho, estudou-se o efeito citoprotetor da fraÃÃo enriquecida de chalconas (FEC) e do 2-O-metilinositol (MIT) em cultura primÃria de cÃlulas mesencefÃlicas de ratos expostas à neurotoxina 6-hidroxidopamina (6-OHDA). A FEC foi isolada de Myracrodruoun urundeuva, planta medicinal brasileira comumente utilizada como antiinflamatÃrio do trato genital feminino. Nesta fraÃÃo estÃo presentes as chalconas dimÃricas urundeuvinas A, B e C. Outro composto estudado foi o MIT, isolado de Magonia glabrata, uma planta popularmente conhecida como âTingui de Bolaâ, cujas cascas de suas raÃzes sÃo usadas como âvenenoâ para facilitar a pesca nos lagos e rios. O MIT à um monossacarideo com um Ãnico anel da estrutura poli-hidroxilada. Apesar de relatos da toxicidade desta planta, o composto estudado nÃo apresentou toxicidade. As cÃlulas foram cultivadas durante quatro dias e apÃs este tempo foram prÃ-incubadas com FEC ou MIT trÃs horas antes (Protocolo de neuroprevenÃÃo) ou trÃs horas apÃs (Protocolo de neuroresgate) a adiÃÃo da 6-OHDA. A imunohistoquÃmica para tirosina hidroxilase revelou um percentual de cÃlulas dopaminÃrgicas em torno de 2%. A 6-OHDA (40 e 200 microM), promoveu uma diminuiÃÃo na viabilidade celular em torno de 37,65% e 63,44% para cÃlulas nÃo dopaminÃrgicas (TH-) e (79,78% e 93,75%) para cÃlulas dopaminÃrgicas (TH+) e aumentou os nÃveis de nitrito para 551,9% e 721,3% respectivamente em relaÃÃo ao controle. AlÃm disso induziu uma grande peroxidaÃÃo lipÃdica (aumento de 166,84%) como observados pelos ensaios MTT, nitrito e TBARS, respectivamente. Na concentraÃÃo de 200microM a 6-OHDA induziu uma grande morte celular, com aumento de cÃlulas em apoptose tardia e necrose. Os resultados mostraram que a FEC (1; 10 e 100 microg/mL) reduziu significativamente e de maneira dose-dependente (p menor igual a0,05) a morte celular induzida pela 6-OHDA (40 e 200 microM). AlÃm disso preveniu o aumento de nitrito e a peroxidaÃÃo lipÃdica. A FEC demonstrou atividade antiapoptÃtica e preveniu a necrose causada pela 6-OHDA (200 microM) (nos dois Protocolos estudados). O MIT (1, 10 e 100 microg/mL) protegeu tanto as cÃlulas TH- quanto TH+ do dano induzido pela 6-OHDA (40 e 200microM) (em ambos os Protocolos), reduzindo os nÃveis de nitrito e a peroxidaÃÃo lÃpidica. TambÃm demonstrou uma potente atividade antiapoptÃtica. Estes resultados demonstram que a neuroproteÃÃo dos compostos estudados, FEC e MIT, se deva as aÃÃes antioxidante, alÃm de uma proteÃÃo a nÃvel mitocondrial destes polifenois, no caso do MIT tambÃm nÃo se podendo descartar uma aÃÃo a nÃvel de segundo mensageiro, via formaÃÃo de inositol trifosfato e ativaÃÃo de PKC. Os achados podem ter uma futura importÃncia clÃnica em doenÃas neurodegenerativas tais como na DoenÃa de Parkinson

Les informations olfactives sont connues pour leur capacité à induire des comportements moteurs spécifiques. En dépit de nombreuses observations comportementales chez les vertébrés, on ne connaît toujours pas les mécanismes et les voies nerveuses qui sous-tendent ces phénomènes de transformation olfacto-locomotrices. Chez la lamproie, des travaux récents ont permis de décrire cette voie, et les mécanismes responsables de la transformation des entrées olfactives en activité locomotrice (Derjean et al., 2010). Cette voie prend origine dans la partie médiane du bulbe olfactif, et envoie des projections vers le tubercule postérieur, une région qui se trouve dans le diencéphale. De là, les neurones projettent directement vers la Région Locomotrice Mésencéphalique, connue pour envoyer des connexions vers les neurones réticulospinaux, et activer la locomotion. L’objectif de cette étude était d’établir si l’ensemble des neurones réticulospinaux répond aux stimulations olfactives. Pour ce faire, nous avons utilisé sur une préparation de cerveau isolé de lamproie des techniques d’électrophysiologie et d’imagerie calcique. La stimulation électrique des nerfs olfactifs, de la région médiane du bulbe olfactif ou du tubercule postérieur a provoqué une activation de toutes les cellules réticulospinales qui se retrouvent dans les quatre noyaux réticulaires (ARRN : Noyau Réticulaire Rhombencéphalique Antérieur; MRN : Noyau Réticulaire Mésencéphalique; MRRN : Noyau Réticulaire Rhombencéphalique Moyen; PRRN : Noyau Réticulaire Rhombencéphalique Postérieur). Seule la partie médiane du bulbe olfactif est impliquée dans le passage de l’information olfactive vers les neurones réticulospinaux. Nous avons aussi découvert que le blocage des récepteurs GABAergiques dans la partie médiane du bulbe olfactif augmentait les réponses olfactives de façon considérable dans les cellules réticulospinales. Nous avons montré ainsi qu’il existe un tonus inhibiteur impliqué dans la dépression modulatrice de la voie olfacto-locomotrice. Ce travail a permis de montrer que la stimulation des afférences sensorielles olfactives active simultanément l’ensemble des populations de neurones réticulospinaux qui commandent la locomotion. De plus, il existerait un tonus inhibiteur GABAergique, au niveau de la partie médiane du bulbe olfactif, responsable d’une dépression modulatrice dans la voie olfacto-locomotrice. / Olfactory inputs are known for their ability to induce specific motor behaviors. Despite numerous behavioral observations in vertebrates, the mechanisms and the neural pathways underlying the olfactory-locomotor transformation are still unknown. In lamprey, recent studies have described this pathway and the mechanism underlying the transformation of olfactory input into a locomotor activity (Derjean et al., 2010). This pathway originates in the medial part of the olfactory bulb, sends projections to the posterior tuberculum, a diencephalic region. From there, the neurons project directly to the mesencephalic locomotor region that is known to send projections to the reticulospinal neurons to activate locomotion. Using lamprey brain preparation, electrophysiology and calcium imaging, the aim of this study was to establish whether all reticulospinal neurons respond to olfactory stimuli. Electrical stimulation of the olfactory nerves, the medial part of the olfactory bulb or the posterior tuberculum activates all reticulospinal cells in the four reticular nuclei (ARRN: Anterior rhombencephalic reticular nucleus; MRN: middle mesencephalic reticular nucleus; MRRN: middle rhombencephalic reticular nucleus; PRRN: posterior rhombencephalic reticular nucleus). The medial part of the olfactory bulb is the only region that is implicated in transmitting the olfactory information to reticulospinal neurons. We also discovered that when blocking the GABAergic receptors in the medial part of the olfactory bulb, the reticulospinal neurons have a stronger response to olfactory stimulation. Thus we showed that a tonic inhibition is involved in the modulating depression of the olfacto-locomotor pathway. Altogether, this work shows that stimulation of the olfactory sensory inputs activates simultaneously the entire population of reticulospinal neurons that control locomotion. In addition, there is a GABAergic tonic inhibition at the level of the medial part of the olfactory bulb that causes a modulating depression in the olfacto-locomotor pathway.

Les informations olfactives sont connues pour leur capacité à induire des comportements moteurs spécifiques. En dépit de nombreuses observations comportementales chez les vertébrés, on ne connaît toujours pas les mécanismes et les voies nerveuses qui sous-tendent ces phénomènes de transformation olfacto-locomotrices. Chez la lamproie, des travaux récents ont permis de décrire cette voie, et les mécanismes responsables de la transformation des entrées olfactives en activité locomotrice (Derjean et al., 2010). Cette voie prend origine dans la partie médiane du bulbe olfactif, et envoie des projections vers le tubercule postérieur, une région qui se trouve dans le diencéphale. De là, les neurones projettent directement vers la Région Locomotrice Mésencéphalique, connue pour envoyer des connexions vers les neurones réticulospinaux, et activer la locomotion. L’objectif de cette étude était d’établir si l’ensemble des neurones réticulospinaux répond aux stimulations olfactives. Pour ce faire, nous avons utilisé sur une préparation de cerveau isolé de lamproie des techniques d’électrophysiologie et d’imagerie calcique. La stimulation électrique des nerfs olfactifs, de la région médiane du bulbe olfactif ou du tubercule postérieur a provoqué une activation de toutes les cellules réticulospinales qui se retrouvent dans les quatre noyaux réticulaires (ARRN : Noyau Réticulaire Rhombencéphalique Antérieur; MRN : Noyau Réticulaire Mésencéphalique; MRRN : Noyau Réticulaire Rhombencéphalique Moyen; PRRN : Noyau Réticulaire Rhombencéphalique Postérieur). Seule la partie médiane du bulbe olfactif est impliquée dans le passage de l’information olfactive vers les neurones réticulospinaux. Nous avons aussi découvert que le blocage des récepteurs GABAergiques dans la partie médiane du bulbe olfactif augmentait les réponses olfactives de façon considérable dans les cellules réticulospinales. Nous avons montré ainsi qu’il existe un tonus inhibiteur impliqué dans la dépression modulatrice de la voie olfacto-locomotrice. Ce travail a permis de montrer que la stimulation des afférences sensorielles olfactives active simultanément l’ensemble des populations de neurones réticulospinaux qui commandent la locomotion. De plus, il existerait un tonus inhibiteur GABAergique, au niveau de la partie médiane du bulbe olfactif, responsable d’une dépression modulatrice dans la voie olfacto-locomotrice. / Olfactory inputs are known for their ability to induce specific motor behaviors. Despite numerous behavioral observations in vertebrates, the mechanisms and the neural pathways underlying the olfactory-locomotor transformation are still unknown. In lamprey, recent studies have described this pathway and the mechanism underlying the transformation of olfactory input into a locomotor activity (Derjean et al., 2010). This pathway originates in the medial part of the olfactory bulb, sends projections to the posterior tuberculum, a diencephalic region. From there, the neurons project directly to the mesencephalic locomotor region that is known to send projections to the reticulospinal neurons to activate locomotion. Using lamprey brain preparation, electrophysiology and calcium imaging, the aim of this study was to establish whether all reticulospinal neurons respond to olfactory stimuli. Electrical stimulation of the olfactory nerves, the medial part of the olfactory bulb or the posterior tuberculum activates all reticulospinal cells in the four reticular nuclei (ARRN: Anterior rhombencephalic reticular nucleus; MRN: middle mesencephalic reticular nucleus; MRRN: middle rhombencephalic reticular nucleus; PRRN: posterior rhombencephalic reticular nucleus). The medial part of the olfactory bulb is the only region that is implicated in transmitting the olfactory information to reticulospinal neurons. We also discovered that when blocking the GABAergic receptors in the medial part of the olfactory bulb, the reticulospinal neurons have a stronger response to olfactory stimulation. Thus we showed that a tonic inhibition is involved in the modulating depression of the olfacto-locomotor pathway. Altogether, this work shows that stimulation of the olfactory sensory inputs activates simultaneously the entire population of reticulospinal neurons that control locomotion. In addition, there is a GABAergic tonic inhibition at the level of the medial part of the olfactory bulb that causes a modulating depression in the olfacto-locomotor pathway.

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Alcohol and cocaine are commonly co-abused drugs, and those meeting criteria for both cocaine and alcohol use disorders experience more severe behavioral and health consequences than those with a single disorder. Chronic alcohol (ethanol) drinking increased the reinforcing and dopamine (DA) neuronal stimulating effects of ethanol within mesolimbic regions of the central nervous system (CNS) of alcohol-preferring (P) rats. The objectives of the current study were to determine if chronic continuous ethanol drinking produced: (1) alterations in the sensitivity of the nucleus accumbens shell (AcbSh) to the reinforcing effects of cocaine, (2) changes in the magnitude and time course of the local stimulating effects of cocaine on posterior ventral tegmental area (pVTA) DA neurons, and (3) a persistence of alterations in the stimulating effects of cocaine after a period of protracted abstinence. Female P rats received continuous, free-choice access to water and 15% v/v ethanol for at least 10 wk (continuous ethanol-drinking; CE) or access to water alone (ethanol-naïve; N). A third group of rats received the same period of ethanol access followed by 30 d of protracted abstinence from ethanol (ethanol-abstinent; Ab). CE and Ab rats consumed, on average, 6-7 g/kg/d of ethanol. Animals with a single cannula aimed at the AcbSh responded for injections of cocaine into the AcbSh during four initial operant sessions. Cocaine was not present in the self-infused solution for the subsequent three sessions, and cocaine access was restored during one final session. Animals with dual ipsilateral cannulae aimed at the AcbSh and the pVTA were injected with pulsed microinfusions of cocaine into the pVTA while DA content was collected for analysis through a microdialysis probe inserted into the AcbSh. During the initial four sessions, neither CE nor N rats self-infused artificial cerebrospinal fluid (aCSF) or 0.1 mM cocaine into the AcbSh. CE, but not N, rats self-administered 0.5 mM cocaine into the AcbSh, whereas both groups self-infused concentrations of 1.0, 2.0, 4.0, or 8.0 mM cocaine. When cocaine access was restored in Session 8, CE rats responded more on the active lever and obtained more infusions of 0.5, 1.0, 2.0, or 4.0 mM cocaine compared to N rats. Microinjection of aCSF into the pVTA did not alter AcbSh DA levels in N, CE, or Ab rats. Microinjections of 0.25 mM cocaine into the pVTA did not significantly alter AcbSh DA levels in N animals, moderately increased DA levels in CE rats, and greatly increased DA levels in Ab rats. Microinjections of 0.5 mM cocaine into the pVTA modestly increased AcbSh DA levels in N animals, robustly increased DA levels in CE rats, and did not significantly alter DA levels in Ab rats. Microinjections of 1.0 or 2.0 mM cocaine into the pVTA modestly increased AcbSh DA levels in N animals but decreased DA levels in CE and Ab rats. Overall, long-term continuous ethanol drinking by P rats enhanced both the reinforcing effects of cocaine within the AcbSh and the stimulatory and inhibitory effects of cocaine on pVTA DA neurons. Alterations in the stimulatory and inhibitory effects of cocaine on pVTA DA neurons were not only enduring, but also enhanced, following a period of protracted abstinence from ethanol exposure. Translationally, prevention of chronic and excessive alcohol intake in populations with a genetic risk for substance abuse may reduce the likelihood of subsequent cocaine use.