Multiple drug use among female cocaine abusers is common during pregnancy.
Estimates are that 85% of pregnant cocaine users also smoke cigarettes;
while use of alcohol, marijuana, amphetamine an tranquilizers decreases
between the first and third trimesters, tobacco use does not. Despite the
frequency of their combined use, there has been no systematic study of the
effects of prenatal cocaine and nicotine exposure. However, use of either
drug alone during pregnancy is linked with pregnancy complications,
impaired growth and subtle behavioral abnormalities, maternal smoking is
also a marker variable for long-term intellectual impairment.
The proposed research will determine the behavioral sequelae of prenatal
exposure to cocaine and nicotine, either alone or in combination, in
offspring using a rat model developed in our laboratory. The working
hypothesis is that exposure of the developing brain to non-teratogenic
doses of these drugs will disrupt the structural and functional
organization of the CNS, which in turn will alter behavior in the
offspring. The model involves the daily subcutaneous administration of 20
mg/kg of cocaine and/or 5 mg/kg of nicotine by osmotic pump on gestation
days (GD) 8 through 21. Both pair-fed and saline-treated dams will serve
as controls. Plasma levels of cocaine, nicotine and their major
metabolites will be determine in dams on GD 15 and mothers and pups at
birth; dopamine and DOPAC levels will be assayed in several brain region
in offspring at various ages. Using a split-litter design, males and
females from the 5 prenatal treatment conditions will be tested in a
variety of behavioral paradigms. A longitudinal (from 1 week to 15 months
of age] approach will be used to: 1) identify the behavioral domains
(cognitive, emotional/motivational and motor) affected by prenatal cocaine
and nicotine exposure; 2) determine whether combined drug exposure
exacerbates or ameliorates the behavioral effects of either drug alone; 3)
investigate whether these changes represent a delay in the rat of
development, a later appearing alteration in functional capacity of the
adult, or an induction of premature senescence; and 4) assess the
possibility of gender-specific effects.
These experiments will provide some of the first longitudinal data on the
effects of prenatal exposure to cocaine and/or nicotine on both male and
female offspring, and should begin to establish a consensus about the
nature of the behavioral abnormalities produce by gestational exposure to
these two drugs. The use of a large battery of behavioral tests, and the
choice of the prenatal exposure window and drug doses most frequently used
will allow for the replication and extension of the work of several
laboratories and facilitate the resolution of conflicting findings
regarding the effects of prenatal exposure to either drug alone. As the
behaviors targeted also reflect cognitive and/or performance deficits
reported in the clinical literature, the outcome of this research may
serve as a guideline for determining the relative risks of combined use of
these two drugs during pregnancy to the offspring. The identification of
deficits as transient of long-term and the domains affected may impact the
choice of treatment options.
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