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Transplantation with Lewis bone marrow induces the reinstatement of cocaine-seeking behavior in male F344 resistant rats.

Assis, María Amparo,Díaz López, David,Ferrado, Rosa,Ávila Zarza, Carmelo A.,Weruaga Prieto, Eduardo,Ambrosio, Emilio

Abstract

[EN]One of the main challenges to understand drug addiction is defining the biological mechanisms that underlie individual differences in recidivism. Studies of these mechanisms have mainly focused on the brain, yet we demonstrate here a significant influence of the peripheral immune system on this phenomenon. Lewis (LEW) and Fischer 344 (F344) rats have different immunological profiles and they display a distinct vulnerability to the reinforcing effects of cocaine, with F344 more resistant to reinstate cocaine-seeking behavior. Bone marrow from male LEW and F344 rats was transferred to male F344 rats (F344/LEW-BM and F344/F344-BM, respectively), and these rats were trained to self-administer cocaine over 21 days. Following extinction, these animals received a sub-threshold primer dose of cocaine to evaluate reinstatement. F344/LEW-BM but not F344/F344-BM rats reinstated cocaine-seeking behavior, in conjunction with changes in their peripheral immune cell populations to a profile that corresponded to that of the LEW donors. After cocaine exposure, higher CD4+ T-cells and lower CD4+CD25+ T-cells levels were observed in F344/LEW-BM rats referred to control, and the splenic expression of Il-17a, Tgf-β, Tlr-2, Tlr-4 and Il-1β was altered in both groups. We propose that peripheral T-cells respond to cocaine, with CD4+ T-cells in particular undergoing Th17 polarization and generating long-term memory, these cells releasing mediators that trigger central mechanisms to induce reinstatement after a second encounter. This immune response may explain the high rates of recidivism observed despite long periods of detoxification, shedding light on the mechanisms underlying the vulnerability and resilience of specific individuals, and opening new perspectives for personalized medicine in the treatment of relapse.

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B ain, Beha io , and Immuni y 93 (2021) 23–34 A ailable online 3 Decembe 2020 0889-1591/© 2020 Else ie Inc. All igh s ese ed. T ansplan a ion wi h Lewis bone ma ow induces he eins a emen o cocaine-seeking beha io in male F344 esis an a s Ma ía Ampa o Assis a , b , c , * , Da id Díaz d , e , Rosa Fe ado a , Ca melo An onio ´ A ila-Za za e , , Edua do We uaga d , e , Emilio Amb osio a a Depa amen o de Psicobiología, Facul ad de Psicología, Uni e sidad Nacional de Educaci´ on a Dis ancia (UNED), Mad id, Spain b Facul ad de Ciencias M´ edicas, Uni e sidad Nacional de San iago del Es e o (UNSE), San iago del Es e o, A gen ina c Labo a o io de Biología Molecula , Inmunología y Mic obiología, Ins i u o Mul idisciplina io de Salud, Tecnología y Desa ollo (IMSaTeD), CONICET-UNSE, San iago del Es e o, A gen ina d Ins i u o de Neu ociencias de Cas illa y Le´ on (INCyL), Uni e sidad de Salamanca (USAL), Salamanca, Spain e Ins i u o de In es igaci´ on Biom´ edica de Salamanca (IBSAL), Salamanca, Spain G upo de Es adís ica Aplicada, Depa amen o de Es adís icas, USAL, Salamanca, Spain ARTICLE INFO Keywo ds: Cocaine Relapse Lewis a s Fische 344 a s Bone ma ow ansplan a ion T-cells CD4 + CD25 + T-cells IL-17A Cy okines D 5 dopamine gic ecep o s ABSTRACT One o he main challenges o unde s and d ug addic ion is de ining he biological mechanisms ha unde lie indi idual di e ences in ecidi ism. S udies o hese mechanisms ha e mainly ocused on he b ain, ye we demons a e he e a signi ican in luence o he pe iphe al immune sys em on his phenomenon. Lewis (LEW) and Fische 344 (F344) a s ha e di e en immunological p o iles and hey display a dis inc ulne abili y o he ein o cing e ec s o cocaine, wi h F344 mo e esis an o eins a e cocaine-seeking beha io . Bone ma ow om male LEW and F344 a s was ans e ed o male F344 a s (F344/LEW-BM and F344/F344-BM, espec i ely), and hese a s we e ained o sel -adminis e cocaine o e 21 days. Following ex inc ion, hese animals ecei ed a sub- h eshold p ime dose o cocaine o e alua e eins a emen . F344/LEW-BM bu no F344/F344-BM a s eins a ed cocaine-seeking beha io , in conjunc ion wi h changes in hei pe iphe al immune cell popula ions o a p o ile ha co esponded o ha o he LEW dono s. A e cocaine exposu e, highe CD4 + T-cells and lowe CD4 + CD25 + T-cells le els we e obse ed in F344/LEW-BM a s e e ed o con ol, and he splenic exp ession o Il-17a, Tg -β, Tl -2, Tl -4 and Il-1β was al e ed in bo h g oups. We p opose ha pe iphe al T-cells espond o cocaine, wi h CD4 + T-cells in pa icula unde going Th17 pola iza ion and gene a ing long- e m memo y, hese cells eleasing media o s ha igge cen al mechanisms o induce eins a emen a e a second encoun e . This immune esponse may explain he high a es o ecidi ism obse ed despi e long pe iods o de oxi ica ion, shedding ligh on he mechanisms unde lying he ulne abili y and esilience o speci ic indi iduals, and opening new pe spec i es o pe sonalized medicine in he ea men o elapse. 1. In oduc ion Cocaine addic ion is one o he mos o e whelming examples o expe ience-dependen beha io al changes ha may be pe manen , in ol ing li elong memo y. Howe e , his phenomenon canno be ully explained by he neu al al e a ions epo ed ollowing ch onic exposu e o his d ug (Edwa ds and Koob, 2010; E e i and Robbins, 2005; Hyman e al., 2006; Lüsche and Malenka, 2011; Robinson and Kolb, 2004; Thomas e al., 2009). The dele e ious e ec s o psychos imulan s a e no exclusi ely beha io - ela ed, as immune unc ion is also comp omised (Assis e al., 2008; Kube a e al., 2008; Lo Iacono e al., 2018). In ac , while he b ain’s ewa d sys em can in luence he ac i i y o he pe iphe al immune sys em, his may also be di ec ly modula ed by d ugs o abuse, and cocaine may in luence immune cells by p o oking he elease o immuno ansmi e s (e.g. dopamine) and immunomodu- la o s (cy okines) ha ac in au oc ine/pa ac ine loops (A aos e al., 2015; Assis e al., 2011; Ben-Shaanan e al., 2018; Be gquis e al., 1994; Cosen ino e al., 2007; Nis ico e al., 1994; Obe beck, 2006; Pelleg ino and Baye , 1998; Yamada and Nabeshima, 2004). Mo eo e , as cocaine eaches leukocy es be o e c ossing he blood–b ain ba ie (BBB), he * Co esponding au ho a : Labo a o io de Biología Molecula , Inmunología y Mic obiología, IMSaTeD, UNSE-CONICET, Ru a Nacional N ◦9, Km 1125 S/N, Villa El Zanj´ on G4206, San iago del Es e o, A gen ina. E-mail add esses: [email p o ec ed], [email p o ec ed] (M.A. Assis). Con en s lis s a ailable a ScienceDi ec B ain Beha io and Immuni y jou nal homepage: www.else ie .com/loca e/yb bi h ps://doi.o g/10.1016/j.bbi.2020.11.039 Recei ed 12 July 2020; Recei ed in e ised o m 27 Oc obe 2020; Accep ed 22 No embe 2020 B ain Beha io and Immuni y 93 (2021) 23–34 24 e ec o cocaine on immunocy es may e en p ecede i s e ec s in he cen al ne ous sys em (CNS). The e ec s o cocaine on immuno- ansmission may also in luence he CNS esponse o his d ug since he immune sys em egula es lea ning, memo y, neu al plas ici y and neu- ogenesis (Yi miya and Goshen, 2011). Indeed, immunological dys unc ion has been linked wi h neu opa hologies, some o which can be e e ed by bone ma ow (BM) ansplan a ion (Chen e al., 2010; De ecki e al., 2012; Díaz e al., 2019, 2015, 2012; Kwan e al., 2012; Leona d, 2010; Liu e al., 2019a; Miyaoka e al., 2017). Due o di e ences in hei ulne abili y o d ugs o abuse, he inb ed Fische 344 (F344) and Lewis (LEW) a s ains ha e been used o s udy he biological co ela es o addic ion (Cadoni, 2016; Haile e al., 2001; Kos en e al., 1997; Kos en and Amb osio, 2002; Migu´ ens e al., 2011; Sanchez-Ca doso e al., 2007; S´ anchez-Ca doso e al., 2009). The LEW s ain is mo e sensi i e han he F344 a s in e ms o eins a ing cocaine-seeking beha io , e en a e ecei ing sub- h eshold cocaine p iming (K uzich and Xi, 2006; Migu´ ens e al., 2013). In addi ion, di - e ences in he immune sys em o hese a s ha e also been epo ed (Fecho e al., 2007; Macho e al., 2008; Ma apallil e al., 2008; Wilde e al., 2000), whe eby F344 a s ha e ewe mononuclea cells han LEW a s, a lowe p opo ion o CD4 + T-cells and less in ense CD4 s aining (G i in and Whi ac e, 1991). We also ound di e ences be ween he T/ B-cell a io, which in LEW a s is nea ly double ha o F344 a s (Ucha- To ue o, 2012). The beha io al di e ences be ween LEW and F344 a s, and hose in hei immune esponses, make hese s ains an a ac i e model o s udy he e ec s o cocaine on he pe iphe al immune sys em and i s ela- ionship wi h beha io . We p edic ed ha he di e ences in he lymphocy e popula ions, pa icula ly he highe p e alence o CD4 + T- cells in LEW a s, would in luence d ug-e oked long- e m memo y by igge ing mechanisms o immune ecogni ion, explaining he heigh - ened sensi i i y o hese a s o elapse. Acco dingly, o s udy he po- en ial e ec s o he immune sys em on elapse, we ans e ed BM om LEW o i adia ed F344 a s, assessing whe he hese LEW BM cells modi y he cocaine-induced beha io al esponse o F344 a s in a pa adigm o sel -adminis a ion and eins a emen o d ug-seeking beha io . 2. Me hods An abb e ia ed e sion o he me hods employed is p esen ed he e. Fo u he de ails, see he Supplemen a y ma e ial. 2.1. Animals Naï e male F344 a s (n =13) we e andomly ansplan ed wi h BM om male F344 a s (F344/F344-BM, con ol, n =7) o male LEW a s (F344/LEW-BM, expe imen al, n =6), using F344 a s and ansgenic g een luo escen p o ein (GFP + ) LEW a s as dono s. Male a s we e used in acco dance o he p e ious da a epo ed by Migu´ ens e al. (2013). All he a s we e main ained in a empe a u e-con olled i- a ium on a 12 h ligh /da k cycle, wi h ood and wa e ad libi um unless o he wise speci ied. All e o s we e made o minimize animal su e ing and he numbe o animals used, in acco dance wi h Eu opean (di ec i e 2010/63/EU) and Spanish Legisla ion (Law 32/2007, RD 53/2013). All he p o ocols used in his s udy we e app o ed by he local e hical commi ees (UNED and USAL). 2.2. BM ansplan a ion Ionizing adia ion was used o e icien BM cell ansplan a ion (Al a ez-Dolado e al., 2003; Massengale e al., 2005). On pos -na al day 19 (P19), he BM o he ecipien s was abla ed wi h a dose o 7.5 Gy (minimal le hal dose) adia ion using a Gammacell 1000 Eli e gamma i adia ion de ice (MDS No dion, O awa, Canada) wi h a 137 Cs sou ce (Díaz e al., 2012, 2011; Recio e al., 2011). A P20, ecipien s we e ansplan ed wi h BM om F344 o LEW-GFP + dono s (see Fig. 1A). The dono s (8- o 10-weeks-old) we e sac i iced wi h CO 2 , decapi a ed, and BM s em cells we e isola ed om hei ibiae and emu s, as desc ibed p e iously (Díaz e al., 2012). Each ecipien ecei ed 7.5 ×10 6 cells in PBS h ough a ail ein injec ion. 2.3. Beha io Animals we e ained on a ood ein o cemen schedule in ope an chambe s, ollowing by su ge y o implan he ein ca he e s, du ing which blood samples we e ob ained (see Fig. 1A). 2.3.1. Acquisi ion and main enance o sel -adminis a ion: Animals we e ained o e 21 daily sessions o p ess a le e o ecei e cocaine (1 mg/kg/in usion in 100 μ l, i. .), on a FR1, 30 s ime-ou ein o cemen schedule (Migu´ ens e al., 2015, 2011). 2.3.2. Ex inc ion o cocaine sel -adminis a ion: The animals unde wen ex inc ion om day 22 un il hey eached he ex inc ion c i e ion wi hin 3 weeks: h ee consecu i e days pe - o ming ≤20% o he a e age ac i e le e (AL) p esses eco ded on days 19–21. Du ing ex inc ion, cocaine was eplaced wi h he ehicle, injec ed i. . a e p essing he AL unde he same schedule indica ed p e iously. 2.3.3. Reins a emen o d ug-seeking beha io : Following ex inc ion, he eins a emen o d ug-seeking beha io was es ed wi h a sub- h eshold p iming injec ion o cocaine (7.5 mg/kg, i.p.). Du ing he eins a emen session, he ex inc ion condi ions we e main ained and a e he session, he animals we e sac i iced o ob ain b ain, spleen and blood samples. 2.4. Flow cy ome y Fou -colo low cy ome y was pe o med o iden i y GFP + BM- de i ed cells (BMDCs), ocusing on adap i e T- and B-cells and inna e immune cells, such as NK-cells, monocy es and g anulocy es (Table S1). We disc imina ed CD4 + and CD8 + T-cells and also ocused on CD4 + CD25 + T-cells since hey can syn hesize, s o e and elease dopa- mine (Cosen ino e al., 2007). Following e y h ocy e lysis, 1 ×10 6 leukocy es we e incuba ed o 30 min a 4 ◦C in he da k wi h 1 μ g o an i- a an ibodies. A e washing, he cells we e ixed and analyzed. 2.5. Immunohis ochemis y Indi ec dual o iple immuno luo escence was pe o med o de ec BMDCs in he b ain o F344/LEW-BM a s. Slices we e incuba ed in PBS con aining no mal donkey se um (5%), T i on X-100 (0.2%) and he p ima y an ibodies: polyclonal goa an i-GFP an ise um in combina ion wi h ei he a polyclonal abbi an i-Iba1 an ise um o a monoclonal abbi an i-CD3 an ibody. A e insing, an ibody binding was de ec ed wi h he co esponding luo escen seconda y an ibodies dilu ed in PBS: Cy2-conjuga ed donkey an i-goa an ibody and ei he Cy3- o Cy5- conjuga ed donkey an ibodies. Be o e he an ibodies we e isualized, he slices we e incuba ed wi h 4′-6-diamidino-2-phenylindole (DAPI) o coun e s ain he cell nuclei, insed, moun ed and co e slipped wi h an i- ading medium. 2.6. qRT-PCR Re e se ansc ip ion (RT) was ca ied ou in a he mal cycle (Ve i i, Applied Biosys ems, Fos e Ci y, CA, USA) on 500 ng o he o al RNA isola ed as de ailed in he Supplemen a y ma e ial. The cDNA ob ained was used as he empla e o he qPCR and ampli ied wi h he p ime s o in e es (Table S2) using he SYBR-G een me hod on a Quan S udio 7 Flex de ice (Applied Biosys ems). The GAPDH gene was used o M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 25 no maliza ion. 2.7. Da a analysis Fo compa ison, wo ailed S uden ’s - es s we e applied unless o he wise speci ied. Leukocy e subpopula ions we e analyzed using a wo-way epea ed measu es analysis o a iance (ANOVA), wi h he BM ansplan (F344 o LEW) as he be ween-subjec ac o and he ea - men (basal o pos -cocaine) as he wi hin-subjec ac o . A Fac o ial Analysis (FA) was pe o med o de ec possible ela ionships among he changes in gene exp ession and he expe imen al g oups. A P incipal Componen Analysis was also used o ex ac componen s when mul iple genes we e analyzed. S a is ical es s we e pe o med using ei he G aphPad.7 o SPSS 22.0 o Windows. 3. Resul s 3.1. T ansplan a ion and in eg a ion o BMDCs In bo h g oups, ansplan a ion o BMDCs was associa ed wi h a simila su i al a e 100 days a e ansplan a ion (90% o F344/F344- BM a s and 85% o F344/LEW-BM a s; Chi squa ed =.096; p =.76; Fig. S1), he ime poin om which he animals we e conside ed o be included in he expe imen ha ing eached 175–225 g body weigh . In hese analyses, we s udied F344/LEW-BM a s in which he e was a con inuous inc ease in he ela i e p opo ions ( e e ed o he ea e as %) o GFP + dono -de i ed blood cells (Fig. 1B, C), as well as F344/F344- BM a s ha main ained he usual leukocy e p o ile o he F344 s ain (see Fig. S2). Thus, a he ime o su ge y he alues o each o he leukocy e subse s we e conside ed as he basal le els, and hey we e compa ed be ween he g oups o con i m he success o he ansplan . A baseline, he F344/LEW-BM a s displayed a simila immune p o ile o ha desc ibed o LEW a s (Fig. S2; G i in and Whi ac e, 1991; Ucha-To ue o, 2012), wi h a highe % o T-cells, a lowe % o B-cells and a highe T/B-cell a io (Figs. 1D-E, and S3) han he F344 con ols. Fu he mo e, F344/LEW-BM a s had highe % o CD4 + T-cells and g anulocy es, ye a lowe % o CD4 + CD25 + T-cells han he con ols (Figs. 1D, S4 and S6). The e we e no di e ences in bo h g oups ega ding he % o CD8 + T-cells, he CD4 + /CD8 + T-cell a io, he % o NK cells o ha o monocy es (Figs. 1D, E, S4–S6). These da a con i m he e icacy o ou p ocedu e in econs i u ing he abla ed BM wi h he ansplan ed cells. 3.2. LEW-BM ans e induces he eins a emen o cocaine-seeking beha io in F344 a s Du ing he sel -adminis a ion pe iod, F344/F344-BM and F344/ LEW-BM a s deli e ed mo e ac i e le e p ess sco es (ALPS) han inac i e le e p ess sco es (ILPS: Fig. 2A and C), wi h no di e ences in he numbe o injec ions pe session (Fig. 2A) o he o al amoun o cocaine consumed (Table S3). No di e ences we e obse ed in he days o ul ill he ex inc ion c i e ion, wi h a simila numbe o ALPS and ILPS in he las ex inc ion session in bo h he g oups (Fig. 2B-C and Table S3). Howe e , du ing he eins a emen session, F344/LEW-BM a s p o- duced mo e ALPS han ILPS, while no di e ences we e obse ed in F344/F344-BM a s (Fig. 2C). In he ligh o his di e ence, we u he compa ed he ALPS pe o med du ing he eins a emen session wi h hose on he las day o ex inc ion o each g oup as desc ibed p e iously (Migu´ ens e al., 2013), which only di e ed signi ican ly in F344/LEW- BM a s ( (5) =4.043, p =.0099; da a no shown). These da a demon- s a ed ha only he F344 a s ansplan ed wi h LEW BM eins a ed cocaine-seeking beha io . Finally, he e we e no signs o g a - s-hos disease (GVHD) in F344/LEW-BM a s h oughou he expe imen : no dia hea, no hai loss and no weigh loss compa ed o he F344/F344- BM a s (Figu e S7). 3.3. In eg a ion o BMDCs in o b ain The in eg a ion o BMDCs in o he b ain o ecipien s depends on he expe imen al condi ions, and i may in ol e glia, neu ons and ound leucocy e-like cells (Díaz e al., 2015; Recio e al., 2011). We sac i iced F344/LEW-BM a s a P155-170, su icien ly long a e ansplan a ion o be able o de ec a conside able numbe o BM-de i ed neu ons in hei b ains (Díaz e al., 2015). Ye in con as o p e ious indings (Díaz e al., 2015; Recio e al., 2011), only mic oglia (Iba1 + ) and ound GFP + cells we e de ec ed, cells ha appea ed o mainly in eg a e in o he meninges and cho oid plexus, wi h only a mino p esence in he pa- enchyma (Figs. 3 and S8). Mo eo e , no p e e ence owa ds in eg a ion in o addic ion- ela ed a eas was obse ed (i.e. p e on al co ex, s ia- um, hippocampus, basal ganglia, amygdala, o en al egmen al a ea: Hyman e al., 2006). Thus, aking in o accoun he small numbe o GFP + elemen s and hei dis ibu ion, no u he cell quan i ica ion was pe o med. In e ms o mic oglial cells, no appa en di e ences in hei dis i- bu ion o mo phology we e de ec ed be ween he wo expe imen al g oups. In addi ion, no speci ic changes in hese cells we e obse ed ela i e o s anda d si ua ions (Fig. S8A). Tha is, he shape, densi y and dis ibu ion o mic oglia we e consis en wi h ea u es o heal hy b ains, di e ing om he amoeboid p o ile o he egional con luence o mic oglia in pa hological si ua ions (Bal an´ as e al., 2013; Díaz e al., 2011). The ound GFP + cells we e cha ac e ized by CD3 immunos aining e ealing a small numbe o T-cells (Figs. 3D and S8B), poo ly in eg a ed in o he cho oid plexus (Fig. S8C). Finally, a ew ound GFP + CD3 − cells we e also de ec ed (Figs. 3D, S8B, and C). 3.4. Cocaine induces di e en e ec s on F344- and LEW-de i ed leukocy es The his o y o exposu e o cocaine (including cocaine sel - adminis a ion and he challenge dose ecei ed ollowing ex inc ion) may di e en ially a ec F344 o LEW-BMDCs. Thus, cocaine ea men ( ac o ea men : basal o pos -cocaine), as well as he e ec o ans- plan ed BM (F344 o LEW), we e analyzed by epea ed measu es ANOVA. Addi ionally, he pos -cocaine da a we e exp essed ela i e o he baseline (Fig. S9). The da a ob ained ega ding cocaine ea men could be g ouped in o i e ca ego ies: I) a simila e ec in bo h g oups; II) an e ec on he F344/F344-BM a s; III) an e ec on he F344/LEW- BM a s; IV) opposi e e ec s be ween he wo g oups; and V) no e ec s. In e ms o ca ego y I, lowe % o B-cells was ound in bo h g oups, such ha he basal di e ences we e main ained (Figs. 4, S3 and S9). In ca ego y II, cocaine dec eased he % o CD4 + T-cells bu inc eased ha o CD8 + T-cells in F344/F344-BM a s, educing he CD4 + /CD8 + T-cell a io. The di e ences in hese pa ame e s obse ed a baseline pe sis ed in he wo g oups a e ea men (Figs. 4, S4 and S9), al hough in- e ac ions o hese ac o s we e de ec ed in all cases and no u he compa isons we e possible. The % o NK cells inc eased a e cocaine ea men in F344/F344-BM a s, al hough his alue was no di e en o ha obse ed in he F344/LEW-BM a s (Figs. 4, S5 and S9). In ca ego y III, a highe % o T-cells was obse ed in F344/LEW-BM a s, causing a ma ked ise in he T/B-cell a io (Figs. 4, S3 and S9), al hough an in e ac ion was de ec ed in he la e . On o he hand, he % o CD4 + CD25 + T-cells in F344/LEW-BM animals in e es ingly ell a e ea men . These h ee pa ame e s di e ed be ween he g oup’s pos - cocaine consump ion (Figs. 4, S4 and S9). In ca ego y IV, an opposi e e ec o cocaine was obse ed on g anulocy es, wi h a highe % in F344/F344-BM a s and a lowe % in F344/LEW-BM a s, in con as o he baseline alues (Figs. 4, S6 and S9). In ca ego y V, cocaine did no a ec he % o monocy es in ei he g oup (Figs. 4, S6 and S9). M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 26 GFP Basal le el Pos -cocaine C B E P0 P19 P20 Bi h I adia ion BM Tx P > 120 Food aining S 10-14 d 10-14 d Cocaine i. . 21 d Su ge y Sel - adminis a ion Veh i. . Ex inc ion R ~10-20 d Cocaine i.p. (7.5 mg/kg) A Blood (Basal Le els) Blood (Pos -cocaine) B ain Spleen D T-cells B-cells CD4+ T-cells CD8+ T-cells CD4+CD25+ T-cells NK cells Monocy es G anulocy es 0 10 20 30 40 50 60 70 80 Pe cen age F344/F344-BM F344/LEW-BM T/B-cells CD4+/CD8+ T-cells 0 1 2 3 4 5 Ra io F344/F344-BM F344/LEW-BM *** ** * ** * * 60 70 80 90 100 % Leucocy es GFP+ Basal le el Pos -cocaine Fig. 1. Timeline o he expe imen al p ocedu es (A) and low cy ome y analysis o bone ma ow-de i ed cells. The e was an inc ease in GFP + leukocy es in he pe iphe al blood o Fische 344 (GFP −/− ) a s ansplan ed wi h bone ma ow om Lewis a s (GFP +/+ ) o e ime (81% ±3.62 basal le els, and 87% ±2.80 pos - cocaine, B), as seen in ep esen a i e his og ams showing GFP + (FL1) leukocy es in pe iphe al blood (C). The alues we e ob ained on he day o su ge y, 10–14 days be o e commencing he sel -adminis a ion p o ocol (basal le el). The samples we e also analyzed o s udy he pe iphe al blood subpopula ions (D): CD3 + CD45RA − lymphocy es (T-cells) ela i e o he o al lymphocy es ( (11) =5.061, p =.0004); CD3 − CD45RA + lymphocy es (B-cells) ela i e o he o al lymphocy es ( (9) =3.946, p =.0034); CD3 + CD4 + lymphocy es (CD4 + T-cells) ela i e o he T-cells ( (10) =2.421, p =.036); CD3 + CD8 + lymphocy es (CD8 + T-cells) ela i e o he T-cells; CD3 + CD4 + CD25 + lymphocy es (CD4 + CD25 + T-cells) ela i e o he T-cells ( (8) =3.356, p =.01); CD3 − CD161a + lymphocy es (NK cells) ela i e o he o al lymphocy es; CD11b/c + monocy es (Monocy es) ela i e o he leukocy es; and CD11b/c + g anulocy es (G anulocy es) ela i e o he leukocy es ( (8) =3.085, p = .015). The a ios be ween he pe iphe al T-cells and B-cells ( (9) =2.398, p =.04), and be ween CD4 + T-cells and CD8 + T-cells, we e also assessed (E). P, pos -na al day; BM Tx, Bone ma ow ansplan a ion; S, Su ge y; Veh, Vehicle; R, Reins a emen o d ug-seeking beha iou ; d, day/s; F344/F344-BM, Fische 344 a s ansplan ed wi h bone ma ow om Fische 344 a s; F344/LEW-BM, Fische 344 a s ansplan ed wi h bone ma ow om Lewis a s. The da a a e exp essed as he mean ±SEM: *p <.05, **p <.01, ***p <.001 unpai ed S uden ’s - es compa ed o he F344/F344-BM con ol g oup. M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 27 3.5. LEW-BM ans e induces a less immunosupp essi e splenic en i onmen in F344 a s a e cocaine, associa ed wi h Th17 pola iza ion and weake inna e signaling Gi en ha he beha io o F344 a s depended on he BMDCs ans e ed, i is no able ha hei immunological pa ame e s a e bio- logically ela ed o he eins a emen da a, albei in a complex manne . This complexi y is one eason why we pe o med a mul i-dimensional analysis ha allowed us examine he ela ionship be ween all o hese complex ac o s. Fu he mo e, as he exp ession o mul iple ela ed genes was s udied simul aneously, we used a FA as a mul i-dimensional s a is ical es . This FA analysis did no e eal any ela ionship be ween he immune cell pa ame e s and he eins a emen da a, and he e o e, we analyzed he immune- ela ed genes. Bea ing in mind he complexi y o his mul i a ia e analysis and o a oid con usion, only he signi ican esul s ob ained a e desc ibed below. In his sense, conside ing he dec ease in he CD4 + CD25 + T-cells le els in LEW-BM ansplan ed a s, we e alua ed he splenic exp ession o i e genes ela ed o hese cells (Table S2). Ini ially, using he FA, we e i ied ha he i s wo componen s explained 88.35% o he a iance (Table 1.AI), which enabled he dimensionali y o he da a o be educed om 5 (numbe o genes o ini ial dimensions) o 2 (componen s). Componen 1 was ela ed o he exp ession o D 5 , Foxp3 and C la-4, whe eas he second componen was mainly explained by Il-10 and Tg - β1 exp ession (Fig. 5A and Table 1.AII). Thus, componen 1 con i med a close ela ionship amongs non-sec e ed p o eins, while componen 2 was ela ed o sec e ed cy okines. Once hese genes had been so ed in o g oups o ela ed a iables, a Mann-Whi ney U es con i med he e we e no di e ences among he genes o componen 1, unlike he sec e ed cy okines due o he inc ease in Tg -β1 exp ession in F344/F344-BM ela i e o F344/LEW-BM a s (Fig. 5C). The lowe numbe s o CD4 + CD25 + T-cells and he weake TGF-β1 exp ession sugges ed weake immunosupp essi e modula ion, which migh boos he expansion o e ec o T-cells in F344/LEW-BM a s. Thus, we e alua ed he splenic exp ession o genes ela ed o T helpe 17 (Th17) cells (Table S2). Following a simila FA, wo i s componen s explained 93.68% o he a iance in he da a (Table 1.BI), which again enabled he dimensionali y o he da a o be educed om 5 o 2. Componen 1 was ela ed o Il-1β, Il-23 and Tg -β1 exp ession, while he second componen was explained by Il-17a and Il-6 exp ession (Fig. 5B and Table 1.BII). A Mann-Whi ney U es e ealed highe Tg -β1 and IL- 1β exp ession in F344/F344-BM a s (Fig. 5C), p obably ela ed o an associa ion wi h CD4 + CD25 + T cells (see abo e) and inna e immuni y (see below), espec i ely. Rega ding he second componen , he e was s onge exp ession o Il-17a in F344/LEW-BM a s, sugges ing a p e- dominan Th17 p o ile in hese animals (Fig. 5C). An addi ional analysis plo ed he gene exp ession da a co esponding o he expe imen al a s in he i s ac o ial plane, which suppo ed ou hypo hesis o Th17 A B C 0 5 10 15 20 25 F344/F344-BM F344/LEW-BM Le e p esses *** ** Sel -adminis a ion F344/F344-BM F344/LEW-BM Ex inc ion Ac i e Le e Inac i e Le e F344/F344-BM F344/LEW-BM ** Reins a emen Fig. 2. Cocaine sel -adminis a ion, ex inc ion and eins a emen . A, I adia ed Fische 344 a s ansplan ed wi h Fische 344 bone ma ow (F344/F344-BM, squa es, n =7) o wi h Lewis bone ma ow (F344/LEW-BM, ci cles, n =6) we e ained o sel -adminis e cocaine (1 mg/kg/in usion) du ing 21 days unde a ixed a io 1 (FR1) schedule. The daily sessions las ed 2 h. No signi ican di e ences we e obse ed in cocaine sel -adminis a ion (A) o ex inc ion beha io (B) be ween F344/F344-BM and F344/LEW-BM a s. C, In he las sel -adminis a ion session, bo h g oups showed signi ican di e ences in he numbe o ac i e and he inac i e le e p esses (C, le panel (12) =4.703, p =.0005, F344/F344-BM; (10) =4.584, p =.001, F344/LEW-BM: **p <.01, ***p <.005 unpai ed S uden ’s - es ), di e ences ha had disappea ed by he las ex inc ion session (C, middle panel). Howe e , he cocaine p iming injec ion (7.5 kg/mg, i.p.) in F344/LEW-BM a s was associa ed wi h mo e esponses using he le e p e iously associa ed wi h cocaine (C, igh panel: (10) =3.883, p =.003, **p <.01, unpai ed S uden ’s - es ). Reins a emen o cocaine-seeking beha io was no obse ed in F344/F344-BM a s, as e lec ed by he lack o s a is ically signi ican di e ences in his g oup be ween he numbe o ac i e and inac i e le e esponses ( (12) =1.657, p =.1233, unpai ed S uden ’s - es ). M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 28 pola iza ion (Fig. S10). Finally, inna e immuni y was e alua ed by conside ing Tl -2, Tl -4 and Il-1β exp ession using he classic non-pa ame ic Mann-Whi ney U es . These h ee genes we e exp essed mo e s ongly in F344/F344-BM animals (Fig. 5C), highligh ing a s ong educ ion in he inna e signaling a e LEW BM ans e . Fu he mo e, he ela i e splenic weigh was highe in F344/LEW-BM a s (7.25 ±0.77 mg/g) han in hei con ol coun e pa s (4.12 ±0.39 mg/g; Fig. S11). 4. Discussion We demons a e he e ha LEW BM ansplan a ion in o F344 a s p oduces a shi in he a ’s immune cell p o ile and in hei eins a e- men o cocaine-seeking beha io , bo h esembling ha o LEW a s (Migu´ ens e al., 2013; Ucha-To ue o, 2012). LEW-BM ans e augmen ed he numbe o T-cells and he T/B-cell a io, which was u he enhanced ollowing cocaine exposu e, as epo ed p e iously (Gan e al., 1998; Lax e al., 2018; Le andowski e al., 2016). Ou indings sugges ha T-cells, and pa icula ly he CD4 + T-cell esponse igge ed by cocaine e-exposu e, may unde lie his beha io al change. A CD4 + T-cell esponse pola ized o a Th17 p o ile could be ac i a ed by ecognizing cocaine, a o ed by a dampened in luence o immunosup- p essi e elemen s like CD4 + CD25 + T-cells, TGF-β1 and IL-10. In addi- ion, s onge D 5 dopamine gic signaling in lymphocy es migh also pa icipa e in his phenomenon. The e ec s o cocaine in he CNS ha e been widely s udied (Ri z e al., 1990) and i is known o in luence immuni y h ough pe iphe al pa hways (Bhowmick e al., 2009; Ma asco e al., 2014; Nis ico e al., 1994). Mo eo e , as ca echolamine ecep o s and memb ane anspo e s a e widesp ead in immune cells (Amen a e al., 2001, 1999; Cosen ino e al., 2002; Ma and Gaskill, 2020; Mignini e al., 2009; Ricci and Amen a, 1994), immunocy es may be di ec ly s imula ed by sus- ained ca echolamine le els on exposu e o cocaine. Cocaine may also be ecognized as a o eign subs ance by leukocy es, ac i a ing adap i e and inna e immuni y. Indeed, we p e iously ound ha cocaine sel - adminis a ion p oduces a s iking inc ease in spleen size, as desc ibed elsewhe e (Kube a e al., 2008), and in he splenic leukocy e coun in LEW a s, augmen ing he T/B-cell a io as seen he e (Assis e al., 2020). These e en s esemble he splenic p oli e a i e T-cell esponse igge ed by blood-bo ne subs ances (e.g. cocaine), which is cap u ed by splenic an igen-p esen ing cells (APCs) o be p esen ed o and ecognized by CD4 + T-cells. This immune ecogni ion o cocaine by T-cells could ha e long-las ing consequences, especially in e ms o elapse. The lowe le els o CD4 + CD25 + T-cells de ec ed in F344/LEW-BM a s we e consis en wi h hei weake Tg -β1 exp ession, accompanied by a educ ion in Il-10 and a endency owa ds s onge splenic D 5 exp ession. These da a is consis en wi h D1- ype ecep o ac i a ion limi ing he syn hesis o hese immunosupp essi e cy okines (Cosen ino e al., 2007; Fe ei a e al., 2014; Kipnis e al., 2004; Le i e, 2016). Since cocaine may heigh en pe iphe al dopamine gic one, enhanced D 5 signaling in LEW-de i ed cells could u he inhibi he syn hesis o hese cy okines by CD4 + CD25 + T-cells (“inhibi ion o inhibi ion”: Cosen ino e al., 2007; Kipnis e al., 2004). In line wi h cocaine inducing a less immunosupp essi e s a e, he e is less IL-10 a e cocaine ein- s a emen , in conjunc ion wi h an inc ease in CD4 + and CD8 + T-cells (Fox e al., 2012; Gan e al., 1998; Kube a e al., 2008; Mo ei a e al., 2016). Indeed, he CD4 + /CD8 + T-cell a io in Wis a a s inc eased ollowing cocaine consump ion (Jankowski e al., 2010), a simila Fig. 3. Analysis o he ansplan -de i ed cells in he b ain o F344/LEW-BM a s. A, The as majo i y o ansplan -de i ed cells (GFP + , g een) appea ed in he meninges (a owheads), some o which we e mic oglia (Iba1, ed). B, The cho oid plexus has a high densi y o ansplan -de i ed mic oglial cells: GFP + (g een) and Iba1 + ( ed). C, D, A ew bone ma ow-de i ed cells (GFP + ) we e e iden in he hippocampus, some o which we e mic oglial cells (Iba1 + , ed: C) and o he s we e ound elemen s, ei he T-cells (CD3 + , ed: D) o o he immune-like cells (a ow). In A, B and D, all he cell nuclei we e coun e s ained wi h DAPI (blue). Scale ba 200 µm o A, 100 µm o B, and 50 µm o C and D. (Fo in e p e a ion o he e e ences o colo in his igu e legend, he eade is e e ed o he web e sion o his a icle.) M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 29 esponse as ha o F344/LEW-BM a s. Thus, clinical and expe imen al da a suppo ou hypo hesis ha cocaine igge s an e ec o CD4 + T-cell esponse, boos ed by a less immunosupp essi e en i onmen in LEW- de i ed lymphocy es. We had expec ed o de ec di e ences in Foxp3 and C la-4 mRNA exp ession be ween he expe imen al g oups, al hough a ecen pa a- digm shi ega ding T-cell lineage de elopmen highligh s he plas ici y o T eg cells and hei po en ial o pa adoxically con e in o highly p o- B A Fig. 4. Flow cy ome y analysis o BMDCs om F344 a s ansplan ed wi h F344 (F344/F344-BM) o Lewis (F344/LEW-BM) BM a e he eins a emen session. The alues we e compa ed wi h hose ob ained on he day o su ge y, be o e s a ing he sel -adminis a ion p o ocol (Basal Le els: BL), o e alua e he esponse o a his o y o cocaine ea men (sel -adminis a ion and cocaine challenge dose: Pos -cocaine, PC). The samples we e analyzed o s udy he pe iphe al blood sub- popula ions (A): CD3 + CD45RA − lymphocy es (T-cells) ela i e o he o al lymphocy es ( epea ed measu es ANOVA BL/PC F =5.631, p =.042; (11) =5.061, p = .0004, BL; and (9) =3.036, p =.0141, PC; epea ed measu es ANOVA o a g oups F =16.726, p =.003; (5) =3.987, p =.0105, F344/LEW-BM a s); CD3 − CD45RA + lymphocy es (B-cells) ela i e o he o al lymphocy es ( epea ed measu es ANOVA BL/PC F =36.020, p =.000; (9) =3.946, p =.0034, BL; and (9) =3.637, p =.0054, PC; epea ed measu es ANOVA o a g oups F =19.733, p =.002; (4) =3.586, p =.0231, F344/F344-BM a s; and (5) =5, p =.0041, F344/ LEW-BM a s); CD3 + CD4 + lymphocy es (CD4 + T-cells) ela i e o he T-cells ( epea ed measu es ANOVA showed in e ac ion o ac o s F =4.600, p =.064); CD3 + CD8 + lymphocy es (CD8 + T-cells) ela i e o he T-cells ( epea ed measu es ANOVA showed in e ac ion o ac o s F =9.690, p =.014); CD3 + CD4 + CD25 + lymphocy es (CD4 + CD25 + T-cells) ela i e o he T-cells ( epea ed measu es ANOVA BL/PC F =9.600, p =.015; (8) =3.356, p =.01, BL; and (9) =2.612, p =.0282, PC; epea ed measu es ANOVA o a g oups F =12.110, p =.008; (4) =4.572, p =.0102, F344/LEW-BM a s); CD3 − CD161a + lymphocy es (NK cells) ela i e o he o al lymphocy es; CD11b/c + monocy es (Monocy es) ela i e o he leukocy es; and CD11b/c + g anulocy es (G anulocy es) ela i e o he leukocy es ( epea ed measu es ANOVA showed in e ac ion o ac o s F =14.127, p =.006). Mo eo e , he a ios be ween he pe iphe al T-cells and B-cells ( epea ed measu es ANOVA showed in e ac ion o ac o s F =5.420, p =.045), and he CD4 + T-cells and CD8 + T-cells ( epea ed measu es ANOVA showed in e ac ion o ac o s F =4.738, p = .061) we e ob ained (B). The da a a e exp essed as he mean ±SEM: *p <.05, **p <.01, ***p <.001 unpai ed S uden ’s - es compa ed o he F344/F344-BM con ol g oup; # p <.05, ## p <.01 pai ed S uden ’s - es compa ed o he BL. M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 30 in lamma o y Th17 cells (Bo enschen e al., 2011; Remedios e al., 2018). FoxP3 + cells om indi iduals wi h au oimmune diseases can easily di e en ia e in o IL-17A p oducing cells as FoxP3 exp ession is p og essi ely los (“T eg ins abili y”: Du e al., 2014). These IL- 17A + FoxP3 + T-cells may also e ain he exp ession o o he T eg- ela ed p o eins like CTLA-4 (Du e al., 2014). We ound highe Il-17a splenic exp ession in F344/LEW-BM a s coinciden wi h high le els o Il-6 bu less Il-23 and Il-1b mRNA ( he exp ession o which a ies oge he wi h Tg -β1 and is lowe in F344/LEW-BM a s). These da a sugges ha a Th17 subse , p obably induced by an IL-6-dependen mechanism, may be he e ec o T-cells esponsible o ecognizing cocaine a e LEW-BM ans e . Some Th17 cells may de i e om FoxP3 + cells ha also exp ess CTLA-4, and ha p og essi ely ans o m in o IL-17A-p oducing cells in F344/LEW-BM a s. Ou da a s ongly ag ee wi h e idence ha dopa- mine s imula es he expansion o IL-17-p oducing T-cells in au oimmune diseases h ough i s abili y o induce IL-6 p oduc ion by monocy es and CD4 + T-cells (Fe ei a e al., 2014). Thus, his Th17 pola iza ion in LEW- BMDCs migh be due o T eg ins abili y and/o s onge D 5 signalling, possibly also explaining he high incidence o au oimmuni y in LEW a s (Wilde e al., 2000). A Th-17 p o ile could also be induced in F344/ LEW-BM a s by mino his ocompa ibili y an igens, which di e ed in bo h s ains, al hough he low mo ali y a e (simila in bo h g oups) and he absence o signs o GVHD incline us o ule ou his possibili y, e en mo e so i we conside he ulne abili y o LEW a s o au oim- muni y desc ibed p e iously. Indeed, we sugges ha he T eg/Th17 balance (immunosupp ession/p o-in lamma ion) is skewed owa ds an ac i a ed s a e in LEW-de i ed lymphocy es, con as ing wi h he s a us o F344-de i ed cells. This is consis en wi h LEW a s ha ing ewe inhibi o y cy okines han F344 a s, wi h hei immunocy es main ained mo e e icien ly in a p oli e a i e s a e (Ma apallil e al., 2008). Finally, as cocaine u he educed he CD4 + CD25 + T-cells in F344/LEW-BM a s, hese da a could also explain he mild au oimmune esponse e- po ed a e cocaine exposu e (T ima chi e al., 2013). Rega ding inna e immuni y, se e al s udies ha e ocused on cocaine and mic oglia (Cla k e al., 2013; Hu chinson and Wa kins, 2014). Al hough no associa ion was ound be ween his d ug and mic oglial s imula ion (Na end an e al., 2014), addic ion was ecen ly p oposed o be a consequence o inna e immune ac i a ion in he b ain (C ews e al., 2011). This heo y and ou T-cell hypo hesis a e no mu ually exclusi e, since bo h inna e and adap i e immuni y migh ac in pa allel, in lu- encing each o he o ul ima ely modula e beha io . This idea is sup- po ed by ecen e idence ega ding IL-17A as an ac i a o o mic oglia in Pa kinson’s disease (Liu e al., 2019b). Cocaine can ac i a e TLR-4 and TLR-2 on mic oglia (Liao e al., 2016; No hcu e al., 2015), and pe haps also on pe iphe al inna e immunocy es (including APCs). Ou da a demons a es s onge Tl -4, Tl -2 and Il-1β mRNA exp ession in F344-BMDCs, which oge he wi h he inc eased g anulocy e le els sugges s ha he F344 s ain may moun a s onge inna e esponse o cocaine, while i s adap i e immuni y migh be limi ed by enhanced immunosupp ession. Conco dan ly, inc eased TLR-4 exp ession by monocy es p omo es CD4 + CD25 + T-cell di e en ia ion (Hao e al., 2017). In pa allel, he ac i a ion o TLRs on APCs imp o es he e ec- i eness o an igen p esen a ion (Abbas e al., 2017). Thus, i cocaine is hap enized and p esen ed by APCs o T-cells in he spleen, his p ocess could be exagge a ed by cocaine ac i a ing TLR-4 and TLR-2 in pa allel, e en in LEW-de i ed cells exp essing lowe le els o TLRs. Such a mechanism migh unde lie he enhanced an igen p esen a ion p o oked by cocaine and epo ed some 20 yea s ago (Shen e al., 1999). In conjunc ion, splenic ac i a ion induced by cocaine (in ol ing TLRs, APCs and CD4 + T-cells) migh explain he splenomegaly we and o he s ha e obse ed (Khan e al., 2017; Kube a e al., 2008). Indeed, F344/ LEW-BM a s de elop a ela i ely hea ie spleen han hei con ol coun e pa s. Toge he hese da a ein o ce he idea ha he balance owa ds an inna e immune esponse would p edomina e o e he adap i e esponse in F344/F344-BM a s. By con as , he la e would p edomina e in F344/LEW-BM a s, unde lying immune-media o elease ha induces beha io al eins a emen . The in luence ha CD4 + T-cells can exe on beha io a ises om cy okines ha c oss he BBB and/o by hei ansmig a ion in o he CNS (Filiano e al., 2017; P inz and P ille , 2017), which can a ec se e al Table 1 Reduc ion o dimensionali y using he PCA as ex ac ion me hod (I, le ) and he associa ed o a ed componen ma ices showing he esul s o he FA (II, igh ), o he CD4 + CD25 + T-cell ela ed genes (A) and Th17- ela ed genes (B). No e ha he wo i s componen s (shadowed lines, I, le ) explain he 88.345 % and he 93.674 % o he a iance ( ha is o say, much mo e han he 75 %) o A and B, espec i ely, hus allowing he educ ion o ou da a o a bidimensional space (plane) in bo h analyses. Each o a ed componen ma ix explains he con ibu ion o each a iable o he a iance o hese wo i s componen s o he bidimensional space (shadowed lines, II, igh ). No e ha he i e genes in A and B ( a iables; II, igh side) a e clea ly so ed in bo h componen s (i.e. con ibu ion alues close o 1 o one componen and close o 0 o he ano he ). Con ibu ions lowe han 0.3 ha e been so ened on he o a ed componen ma ices. Comp., componen ; cumul., cumula i e. I. To al a iance explained II. Ro a ed componen ma ices a A Comp. Ini ial au o alues Ex ac ion sums o squa ed loadings Ro a ion sums o squa ed loadings Va iables (CD4+CD25+T-cell ela ed genes) To al % o a iance Cumul. % To al % o a iance Cumul. % To al % o a iance Cumul. % C la-4 D5Foxp3 Il-10 Tg - 1 12.799 55.977 55.977 2.799 55.977 55.977 2.523 50.458 50.458 0.922 0.934 0.833 -0.117 -0.096 21.618 32.367 88.345 1.618 32.367 88.345 1.894 37.887 88.345 0.017 -0.207 -0.135 0.955 0.959 30.320 6.402 94.747 40.161 3.212 97.959 50.102 2.041 100.000 B Comp. Ini ial au o alues Ex ac ion sums o squa ed loadings Ro a ion sums o squa ed loadings Va iables (Th17- ela ed genes) To al % o a iance Cumul. % To al % o a iance Cumul. % To al % o a iance Cumul. %Il- Il-6 Il-17a Il-23 Tg - 1 12.765 55.309 55.309 2.765 55.309 55.309 2.733 54.658 54.658 0.973 0.198 -0.120 0.958 0.903 21.918 38.365 93.674 1.918 38.365 93.674 1.951 39.016 93.674 -0.022 0.979 0.992 0.041 0.077 30.259 5.185 98.858 40.055 1.105 99.964 50.002 0.036 100.000 M.A. Assis e al. B ain Beha io and Immuni y 93 (2021) 23–34 31 b ain p ocesses (e.g. social beha iou , spa ial lea ning and memo y) and may in ol e plas ici y in T-cell esponses (Filiano e al., 2016; Kipnis and Filiano, 2018; Ko n and Kallies, 2017; Sub amanian e al., 2001; Wilson e al., 2010; Yi miya and Goshen, 2011). The ec ui men o T- cells o he CNS is pa ially unde s ood as hey can mig a e ac oss he cho oid epi helium and c oss he BBB when i is al e ed, while ascula channels connec ing he skull BM and b ain ha e also ecen ly been desc ibed (He isson e al., 2018; Ko n and Kallies, 2017; S azielle e al., 2016; Wilson e al., 2010). Fu he mo e, psychos imulan s can al e BBB pe meabili y (Da idson e al., 2018; Kousik e al., 2012). Ne e heless, we ound GFP + cells o be sca ce in he b ain o F344/LEW-BM a s and hence, ou indings sugges a mo e p ominen pe iphe al immune in- luence on eins a emen (e.g. IL-17A eleased pe iphe ally) a he han an e ec o T-cells ha ha e ansmig a ed in o he b ain. In e es ingly, IL-17A was ecen ly ela ed o dopamine gic dys unc ions in Pa kinson’s disease (Liu e al., 2019b). A pe iphe al in luence associa ed wi h cocaine elapse was p oposed when cocaine me hiodide, which canno c oss he BBB, induced eins a emen in animals ha had p e iously sel - adminis e ed cocaine (Wang e al., 2013a; Wise e al., 2008). This componen was a ibu ed o in e ocep i e keys ha “p ecede and p edic he ewa ding ac ion o cocaine in expe ienced use s” and ha can al e he ac i i y o en al egmen al a ea (Mejías-Apon e and Kiya kin, 2012; Wise e al., 2008). In he ligh o he cu en indings, hese e ec s migh be explained by CD4 + T-cells eleasing media o s a e ecognizing cocaine me hiodide pe iphe ally. Fu he s udies will be necessa y o con i m he neu o-immune connexions unde lying hese phenomena. Repea ed cocaine exposu e p oduces las ing changes in neu al ci - cui s ha unde lie addic ion (E e i and Robbins, 2016; Guillem and Ahmed, 2018; Higue a-Ma as e al., 2011). One consequence o his plas ici y is he beha io al and incen i e-mo i a ional sensi iza ion ha ollows e-exposu e o cocaine (Bickel e al., 2018; Robinson and Be - idge, 2008, 1993; Robinson and Kolb, 2004; Vezina, 2004; Wang e al., 2013b), which is dis inc in LEW and F344 a s (Kos en e al., 1994). In e es ingly, he phenomenon o sensi iza ion is no exclusi e o he Fig. 5. Analysis o gene exp ession. A, Fi s ac o ial plane in o a ed space displays he ela ionship amongs he cha ac e is ic genes o CD4 + CD25 + T-cells. No e ha C la-4, D 5 and Foxp3 (genes encoding wo memb ane ecep o s and a ansc ip ion ac o , i.e. non-sec e ed p o eins) ha e a clea dis ibu ion in he i s componen o he FA, whe eas Tg -β1 and Il-10 (sec e ed cy okines) a e dis ibu ed in he second componen . B, Fi s ac o ial plane in he o a ed space showing he ela ionship amongs ep esen a i e genes o Th17 cells. He e, Il-1β, Il-23 and Tg -β1 (genes associa ed wi h Th17 pola iza ion ha sha e ac i i ies wi h o he immunological p ocesses) ha e a clea dis ibu ion in he i s componen o he FA, whe eas Il-6 and Il-17a (genes in ol ed in Th17 pola iza ion and sec e ion, espec i ely) a e dis ibu ed in he second componen . C, The g aphs showing he change in exp ession o he ele en genes analysed, so ed by immunological cell ype o p ocess. No e ha Tl -2 (p =.022), Tl -4 (p =.035), Tg -β1, (p =.035) and Il-1β (p =.035) a e all exp essed mo e s ongly in F344/F344-BM a s, whe eas Il- 17a (p =.014) is exp essed mo e s ongly by F344/LEW-BM a s (*p <.05, Mann-Whi ney U es ). M.A. Assis e al.