Amphetamine and Methamphetamine Differentially Affect Dopamine Transporters in Vitro and in Vivo^*

The dopamine transporter (DAT)³ is a main target for psychostimulants, such as d-amphetamine (AMPH), methamphetamine (METH), cocaine (COC), and methylphenidate (Ritalin®). DAT is the major clearance mechanism for synaptic dopamine (DA) (1) and thereby regulates the strength and duration of dopaminergic signaling. AMPH and METH are substrates for DAT and competitively inhibit DA uptake (2, 3) and release DA through reverse transport (4–9). AMPH- and METH-induced elevations in extracellular DA result in complex neurochemical changes and profound psychiatric effects (2, 10–16). Despite their structural and pharmacokinetic similarities, a recent National Institute on Drug Abuse report describes METH as a more potent stimulant than AMPH with longer lasting effects at comparable doses (17). Although the route of METH administration and its availability must contribute to the almost four times higher lifetime nonmedical use of METH compared with AMPH (18), there may also be differences in the mechanisms that underlie the actions of these two drugs on the dopamine transporter.

Recent studies by Joyce et al. (19) have shown that compared with d-AMPH alone, the combination of d- and l-AMPH in Adderall® significantly prolonged the time course of extracellular DA in vivo. These experiments demonstrate that subtle structural features of AMPH, such as chirality, can affect its action on dopamine transporters. Here we investigate whether METH, a more lipophilic analog of AMPH, affects DAT differently than AMPH, particularly in regard to stimulated DA efflux.

METH and AMPH have been reported as equally effective in increasing extracellular DA levels in rodent dorsal striatum (dSTR), nucleus accumbens (NAc) (10, 14, 20), striatal synaptosomes, and DAT-expressing cells in vitro (3, 6). John and Jones (21), however, have recently shown in mouse striatal and substantia nigra slices, that AMPH is a more potent inhibitor of DA uptake than METH. On the other hand, in synaptosomes METH inhibits DA uptake three times more effectively than AMPH (14), and in DAT-expressing COS-7 cells, METH releases DA more potently than AMPH (EC₅₀ = 0.2 μm for METH versus EC₅₀ = 1.7 μm for AMPH) (5). However, these differences do not hold up under all conditions. For example, in a study utilizing C6 cells, the disparity between AMPH and METH was not found (12).

The variations in AMPH and METH data extend to animal models. AMPH- and METH-mediated behavior has been reported as similar (22), lower (20), or higher (23) for AMPH compared with METH. Furthermore, although the maximal locomotor activation response was less for METH than for AMPH at a lower dose (2 mg/kg, intraperitoneal), both drugs decreased locomotor activity at a higher dose (4 mg/kg) (20). In contrast, in the presence of a salient stimuli, METH is more potent in increasing the overall magnitude of locomotor activity in rats yet is equipotent with AMPH in the absence of these stimuli (23).

The simultaneous regulation of DA uptake and efflux by DAT substrates such as AMPH and METH, as well as the voltage dependence of DAT (24), may confound the interpretation of existing data describing the action of these drugs. Our biophysical approaches allowed us to significantly decrease the contribution of DA uptake and more accurately determine DAT-mediated DA efflux with millisecond time resolution. We have thus exploited time-resolved, whole-cell voltage clamp in combination with in vitro and in vivo microamperometry and Ca²⁺ imaging to compare the impact of METH and AMPH on DAT function and determine the consequence of these interactions on cell physiology.

We find that near the resting potential, METH is more effective than AMPH in stimulating DAT to release DA. In addition, at efficacious concentrations METH generates more current, greater DA efflux, and higher Ca²⁺ release from internal stores than AMPH. Both METH-induced or the lesser AMPH-induced increase in intracellular Ca²⁺ are independent of membrane potential. The additional Ca²⁺ response induced by METH requires intact phosphorylation sites in the N-terminal domain of DAT. Finally, our in vivo voltammetry data indicate that METH inhibits clearance of locally applied DA more effectively than AMPH in the rat nucleus accumbens, which plays an important role in reward and addiction, but not in the dorsal striatum, which is involved in a variety of cognitive functions. Taken together these data imply that AMPH and METH have distinguishable effects on DAT that can be shown both at the molecular level and in vivo, and are likely to be implicated in the relative euphoric and addictive properties of these two psychostimulants.

MATERIALS AND METHODS

Reagents and drugs were purchased from Sigma unless otherwise noted.

RESULTS

Quantification of DAT-induced Depolarization in HEK Cells—First, we investigated the electrogenic properties of DAT (24) and the impact of the leak current on membrane potential by comparing DAT-expressing cells with nontransfected parental cells. The cells were held at -20 mV and stepped in 20-mV increments from -100 to +60 mV. For the in vitro electrophysiology experiments, we empirically selected a holding potential of -20 mV, which improves the integrity of the cells and keeps them viable for up to 1 h. More negative holding potentials produce significant background inward current, and by holding at -20 mV and briefly probing more negative potentials, we more accurately assessed differences in AMPH- and METH-stimulated effects on human DAT. Fig. 1A shows the current-voltage relationships for parental versus DAT-expressing cells. Both data sets are shown after subtraction of currents measured in the presence of 10 μm COC, a DAT inhibitor. Parental cells displayed a COC-insensitive whole-cell current, whereas DAT-transfected cells displayed a constitutive COC-sensitive current.

The average values of the currents recorded from DAT-expressing cells versus parental cells were profoundly different. At +60 mV, the current recorded in parental cells was 32.5 ± 13.6 pA, n = 9, whereas in DAT-expressing cells it was 118.9 ± 30.7 pA, n = 8 (p < 0.05) (Fig. 1A). At -60 mV, the current in parental cells was -0.25 ± 2.9 pA, n = 9, and in DAT-expressing cells it was -18.1 ± 1.7 pA, n = 8 (p < 0.05) (Fig. 1A). Interestingly, parental cells have a resting potential of -56.3 ± 4.7 mV, whereas the resting potential in DAT-expressing cells was -36.5 ± 5.5 mV (p < 0.05) (Fig. 1B). Thus, even in the absence of DA, the presence of DAT at the plasma membrane of YFP-DAT-expressing cells depolarizes the cells. This finding is consistent with the presence of a well characterized endogenous DAT leak current in the absence of the substrate (24).

Direction of DAT-mediated, DA-induced Currents Depends on Whether DA Is Inside or Outside the Cell—We found that exposure of DAT-expressing cells to DA produces currents, and that the direction of these currents differs when DA is present inside versus outside the cells. As shown in Fig. 2, bath application of 2 mm DA generated inward currents in DAT-expressing cells (closed squares) consistent with previous findings (24), and when DA was perfused into these cells via a whole-cell pipette, it generated outward currents (open circles). Both of these currents were inhibited by bath application of 10 μm COC, and neither of these DA-dependent currents was detected in parental cells (data not shown). It is also of interest that intracellular application of DA shifted the reversal potential of the DAT-dependent currents to more negative potentials, whereas extracellular (i.e. bath) application of DA shifted the reversal potential to more positive potentials, consistent with the direction of current.

METH Is More Effective than AMPH in Releasing DA—Extracellular levels of METH in the rat striatum, contingent on the route, regimen, and dose of METH administration, could be in the range of ∼5 μm (37–39). Thus, we compared the ability of METH and AMPH to modify DAT-mediated whole-cell currents and DA efflux at multiple concentrations within this range. We used a combination of patch clamp and amperometry, as shown schematically in Fig. 3A and described in detail under “Materials and Methods.” The oxidative current has been shown to be a quantitative measure of the release of DA in this preparation (see “Materials and Methods”). The vertical arrows in the right-hand panel of Fig. 3A indicate the on and off of voltage steps in our protocol, and the representative traces in this panel reflect changes in both whole-cell and oxidative currents. Stepping from a holding potential of -20 mV to more positive voltages increased the oxidative currents (DA efflux). Returning to the holding potential decreased the oxidative currents, which returned to base line. Fig. 3B demonstrates that at a constant voltage of +60 mV METH was both more potent and more efficacious than AMPH in promoting DA release. Thus, 5 μm METH under depolarizing conditions led to five times more DA release than with 5 μm AMPH (p < 0.05). At concentrations above 10 μm, METH-mediated DA efflux decreased. It is possible that METH desensitizes the transporter at these higher concentrations or activates systems with an ancillary inhibitory effect on DA efflux. Future studies will be needed to examine these possibilities. Because METH and AMPH were both maximally effective in releasing DA at 10 μm, we used 10 μm AMPH and METH throughout the remainder of this study. Furthermore, 10 μm AMPH has been extensively used to assess human DAT-mediated functions, including changes in intracellular Na⁺, DA efflux, and whole-cell currents (25–27, 33, 40).

Compared with AMPH, METH Stimulates More DA Efflux, and It Does So at More Negative Membrane Potentials—Fig. 4A demonstrates that 10 μm METH evoked dramatically enhanced outward currents compared with 10 μm AMPH. METH-induced current reversed at more negative membrane potentials. METH-induced whole-cell currents reversed at -44.2 ± 0.68 mV, whereas AMPH-induced current reversed at -17.5 ± 2.08 mV (p < 0.05). The marked increase in whole-cell currents in response to METH compared with AMPH was paralleled by dramatic differences in oxidative currents, a measure of DA efflux, evoked by these agents. METH produced a significantly higher increase in DAT-mediated DA efflux at positive voltages (p < 0.05) (Fig. 4A). Furthermore, similar to whole-cell currents, oxidative currents evoked by METH were initiated at a lower membrane potential, -58.38 ± 0.08 mV for METH compared with -38.42 ± 0.03 mV for AMPH (p < 0.05) (Fig. 4B). Thus, METH-mediated DA efflux far exceeded that following AMPH stimulation, and the reversal potential for DA efflux was significantly more negative for METH than AMPH. This finding could be of considerable physiological importance, because the onset of METH-induced DA efflux occurred nearer the resting potential of neuronal cells (approximately -70 mV) and thus required less depolarization compared with AMPH-induced DA efflux.

In Rat NAc, METH Inhibits DAT-mediated DA Clearance More Effectively than AMPH—The clearance of locally applied DA, as measured with chronoamperometry in dSTR or NAc of urethane-anesthetized rats, is largely mediated by DAT (41, 42). Here we found that inhibition of in vivo DA clearance in NAc, as measured by increased DA clearance time (T₈₀), was similar following an intraperitoneal injection of 1 mg/kg AMPH or METH but was significantly greater following 5 mg/kg METH than AMPH (Fig. 5A). Three-way ANOVA revealed a significant main effect of drug (F(1, 144) = 40.6, p < 0.001) and dose (F (1, 144) = 81.5, p < 0.001) and a drug × dose interaction (F (11, 144) = 39.7, p < 0.001). Subsequent post hoc Tukey tests revealed a significant difference between METH and AMPH at 5 mg/kg (p < 0.001) but not at 1 mg/kg (p = 0.959). In contrast, the 1 mg/kg dose of AMPH or METH did not alter DA signal amplitude (A_max), and 5 mg/kg of either drug increased A_max to the same extent (Fig. 5B). Also, no significant differences in AMPH- versus METH-induced changes in DA clearance time (T₈₀) were observed in dSTR with either drug dose (supplemental Fig. 1). The lack of differences between AMPH and METH on DA clearance time (T₈₀) in dSTR is significant because systemic AMPH or METH releases DA in the nucleus accumbens and increases locomotor activity (10). In addition, elevated DA in the nucleus accumbens is essential to the development of drug addiction (43).

METH Stimulates a Greater Increase in [Ca²⁺]_i Levels than AMPH—Previously, we have shown that buffering [Ca²⁺]_i abolishes AMPH-stimulated DA efflux, suggesting that changes in [Ca²⁺]_i serve as an intracellular trigger for DAT-evoked DA efflux (26). Consequently, we evaluated the impact of METH versus AMPH on changes in [Ca²⁺]_i. The top panels in Fig. 6, A and B, are images of YFP-DAT-expressing cells at time 0 (t₀) and 4 s after METH or AMPH were added (t_4s) using a FITC HyQ filter cube. The two bottom panels in Fig. 6, A and B, are images of the same cells containing Fura-2, and they show [Ca²⁺]_i levels at time 0 (t₀) and 4 s after METH or AMPH were added (t_4s). As shown in Fig. 6, A–C, METH produced more than twice as great an increase in [Ca²⁺]_i compared with AMPH (p < 0.05, n = 97–151 measurements from 3 to 5 independent experiments for each treatment). Thus, at their most effective concentrations for DA release, METH elevated [Ca²⁺]_i substantially more than AMPH. In both cases, these changes were blocked by prior exposure to COC, indicating that the increases in [Ca²⁺]_i were dependent on METH and AMPH interactions with DAT (Fig. 6D) (n = 90 cells in three independent experiments).

AMPH- and METH-induced Elevation in [Ca²⁺]_i Are from Internal Stores—We next determined whether elevations in [Ca²⁺]_i were from intra- or extracellular stores. Ca²⁺ release from internal stores is eliminated by thapsigargin (44–46), whereas exposure to Cd²⁺ blocks Ca²⁺ channels at the plasma membrane (47, 48), eliminating Ca²⁺ contribution from the extracellular environment. As shown in Fig. 7A, pre-exposure of DAT-expressing cells to 2 μm thapsigargin abolished the ability of both METH and AMPH to increase [Ca²⁺]_i. The addition of 5 μm ionomycin, a Ca²⁺ ionophore, to the bath solution at the end of each experiment with thapsigargin produced a rapid increase in [Ca²⁺]_i (data not shown), indicating that elimination of the Ca²⁺ signal by thapsigargin was not because of perturbed fluorophore functioning or altered cell viability (see “Materials and Methods”), but indeed represented the role of thapsigargin-sensitive intracellular Ca²⁺ pools in the METH- and AMPH-elicited increase in intracellular Ca²⁺. In contrast to the effect of thapsigargin, pretreatment with 2 mm CdCl₂ did not block the 10 μm METH- (Fig. 7B) or AMPH-stimulated (Fig. 7C) Ca²⁺ responses.

In the experiments where the cells were treated with thapsigargin, basal intracellular Ca²⁺ was not affected (data not shown). However, 2 mm CdCl₂ introduced an upward drift in the absence of stimulants in both parental and DAT-expressing cells (data not shown). Therefore, in experiments where a CdCl₂ effect was assessed, the values obtained for CdCl₂-only treatments were subtracted from the stimulus-induced Ca²⁺ response.

These results are consistent with previous reports that at high concentrations of AMPH (e.g. 100 μm) the increase of [Ca²⁺]_i was independent of the presence of extracellular Ca²⁺ (26), and the results support the interpretation that, under the conditions tested, AMPH and METH-induced elevations of intracellular [Ca²⁺] were derived almost exclusively from internal stores.

Membrane Depolarization Does Not Contribute to the AMPH- or METH-induced Rise in [Ca²⁺]_i—Because AMPH induces an appreciable Na⁺-dependent inward current that increases [Na⁺]_i and depolarizes cells through a DAT-dependent mechanism (25), it is possible that DAT-mediated depolarization may contribute to the elevation of [Ca²⁺]_i. To test this possibility directly, we generated a wide range of membrane potentials by varying levels of external KCl ([KCl]_ext), while controlling extracellular osmolarity. Thus, we examined depolarization-induced changes in [Ca²⁺]_i. As shown in Fig. 8B, the membrane potential of DAT-expressing cells varied smoothly as a function of [KCl]_ext (n = 3–5). Increasing [KCl]_ext from 2.4 mm (control) to 5, 10, 15, 20, and 30 mm depolarized the membrane by 2.46 ± 0.35 mV, 7.72 ± 1.46 mV, 9.55 ± 0.61 mV, 16.98 ± 2.42 mV, and 29.70 ± 1.41 mV, respectively. For comparison, the mean resting potential in the control condition (without altered KCl_ext) was -26.9 ± 4.2 mV. As shown in Fig. 8, A, C, and D, increasing [KCl]_ext and thus incrementally depolarizing DAT-expressing cells caused some transient and local changes in [Ca²⁺]_i, but these were small compared with the changes seen in response to AMPH or METH under control conditions (Fig. 8D). Relative to base line (before addition of the drug), the [Ca²⁺]_i levels after bath application of 5, 10, 20, and 30 mm KCl were 0.013 ± 0.0133, 0.18 ± 0.0808, 0.06 ± 0.0275, and 0.08 ± 0.029, respectively (Fig. 8, C and D). The small increase (0.18-fold above base line) in [Ca²⁺]_i after prolonged bath application of 10 mm KCl was likely because of voltage-activated Ca²⁺ channels. Therefore, although DAT-mediated DA efflux was voltage-dependent (25), depolarization did not elevate [Ca²⁺]_i to levels comparable with those induced by AMPH or METH (Fig. 8D).

An Intact N-terminal Domain of DAT Is Required for the AMPH- and METH-induced Increase in [Ca²⁺]_i and for the Enhanced Effects of METH on [Ca²⁺]_i—Cervinski et al. (49) have shown that the N-terminal serines on rat DAT are required for METH-induced DAT phosphorylation but not for METH-induced down-regulation of the transporter, and that removal of the first 22 residues of DAT containing the N-terminal serine cluster prevents PKC-induced DAT phosphorylation but not its down-regulation or endocytosis. We have shown that mutation of N-terminal serines (Ser-2, -4, -7, -12, and -13) to alanine in DAT (referred to as S/A-DAT) blunts AMPH-induced, DAT-mediated DA efflux, whereas mutation to aspartate (referred to as S/D-DAT) restored the AMPH-mediated efflux without an additional increase from basal (26). Nevertheless, both mutant structures are targeted properly to the plasma membrane, possess normal substrate uptake, cocaine binding, and transporter oligomerization (26, 50, 51).

Because our previous findings had demonstrated a decrease in basal and AMPH-evoked DA efflux in S/A-DAT, it was of interest to determine whether S/A-DAT affected METH- or AMPH-stimulated elevations in intracellular Ca²⁺. As shown in Fig. 9A, mutation of these five N-terminal serines to alanine decreased both AMPH- and METH-induced [Ca²⁺]_i elevations characteristic of the YFP-tagged wild type DAT-expressing cells. Of considerable interest is that in S/A-DAT cells, there was no significant difference between AMPH- and METH-meditated increase in [Ca²⁺]_i. Similar to our previous report that S/D-DAT-expressing cells only restored the AMPH-mediated DA efflux (26), the AMPH- and METH-mediated increase in [Ca²⁺]_i in S/D-DAT cells was similar to levels stimulated by AMPH in wild type DAT cells (Fig. 9A) (n = 60–147 cells in three independent experiments). Therefore, N-terminal phosphorylation likely regulates DAT-mediated [Ca²⁺]_i increases, consistent with other DAT functions (26, 49–51).

PKC and CaMKII Are Required for AMPH- and METH-mediated Increase in [Ca²⁺]_i—A large body of literature supports regulatory roles for protein kinases and suggests that DAT phosphorylation affects its function (52–60). Specifically, Cervinski et al. (49) reported that METH (at the same dose used in this study, 10 μm) and AMPH (2 μm), as well as protein kinase C activation, stimulate rat DAT phosphorylation and decrease basal [³H]DA uptake. Therefore, we asked whether activation of CaMKII and/or PKC was necessary for the Ca²⁺ responses stimulated by AMPH and METH. Incubation of FURA-2-loaded cells with 10 μm 2-[N-(2-hydroxyethyl)]-N-(4-methoxybenzenesulfonyl)]amino-N-(4-chlorocinnamyl)-N-methylbenzylamine (KN93), a CaMKII inhibitor, or 10 μm bisindolylmaleimide I (BIM), a PKC inhibitor, for 10 min partially attenuated the AMPH- and METH-mediated increase in intracellular [Ca²⁺]_i. Moreover, the METH- or AMPH-mediated increase in intracellular [Ca²⁺]_i was blocked altogether when the cells were incubated with both inhibitors (Fig. 9B) (n = 93–127 cells in two to three independent experiments) (p < 0.05). This is consistent with previous findings that AMPH-induced DA efflux was decreased by a CaMKII inhibitor, and METH-stimulated DAT phosphorylation was decreased by BIM (49, 52, 55, 56, 61–63) at the same dose (49) used in our study. The inactive analog of KN93, 2-[N-(4-methoxybenzenesulfonyl)]amino-N-(4-chlorocinnamyl)-N-methylbenzylamine (KN92) had no effect on basal intracellular Ca²⁺ levels, or the AMPH- and METH-stimulated changes in intracellular Ca²⁺ (data not shown).

Differences in METH- and AMPH-evoked [Ca²⁺]_i Are Not Modulated by [DA]_i—It is possible that intracellular DA changes DAT activity independent of N-terminal phosphorylation, thus altering AMPH- and METH-stimulated Ca²⁺ responses. Therefore, we measured Ca²⁺ responses in YFP-DAT cells when DA was present intracellularly. As shown in Fig. 9A, intracellular DA (2 mm) did not restore the METH-induced Ca²⁺ response to that of wild type DAT-expressing cells, nor did it alter the properties of AMPH-stimulated Ca²⁺ response of the S/A-DAT-expressing cells (n = 49–56 cells in three independent experiments for each group, p > 0.05).

Proposed Mechanism of the Differential Effects of AMPH and METH on DAT—Our data support a model that METH interacts with DAT to promote a significant increase in the amount of DA efflux and Ca²⁺ release compared with the widely studied psychostimulant AMPH. Indeed, our present and past work show that N-terminal phosphorylation is important for DA efflux (26) and is needed for METH to elicit a greater release of Ca²⁺ from internal stores than AMPH. Recently, Foster et al. (64) have shown that distinct subpopulations of DAT exist. Importantly, these DAT populations exhibited different basal phosphorylation levels, and phorbol 12-myristate 13-acetate differentially stimulated phosphorylation of these DAT subpopulations. Consistent with these findings, we have found that unlike AMPH, METH-occupied DAT has a slower diffusion rate and lower mobile fraction.⁴ Our data show that the removal of N-terminal phosphorylation sites (S/A-YFP-DAT) restored the diffusion rate of METH-occupied transporter to levels similar to control and AMPH-occupied levels, recapitulating the results obtained from calcium experiments reported here. These data taken together support a model that, via a phosphorylation-dependent process, METH and AMPH could target distinct subpopulations of DAT to stimulate a DAT-mediated increase in intracellular Ca²⁺ and DA efflux (Fig. 10).

DISCUSSION

This study provides a number of novel insights regarding the differential impact of METH versus AMPH on DAT functions, all of which could be molecular contributors to the addictive potential of METH compared with AMPH. First, METH evoked a greater efflux of DA via DAT than AMPH, and at a lower membrane potential (Figs. 3 and 4). This greater effect of METH on DAT function was paralleled in vivo, as revealed by chronomicroamperometry in the nucleus accumbens (Fig. 5). We have shown previously that DA efflux through DAT requires an increase in Ca²⁺ (26). Interestingly, in this study we found that METH evokes a greater increase in [Ca²⁺]_i than AMPH (Fig. 6), although both agents elevated [Ca²⁺]_i via release of Ca²⁺ from intracellular stores (Fig. 7) in a manner that was independent of changes in membrane potential (Fig. 8). The markedly greater increase in [Ca²⁺]_i evoked by METH was entirely eliminated by mutation of the N terminus of DAT to eliminate phosphorylation of the transporter at the N-terminal region. The additive effects of PKC and of CaMKII inhibitors to suppress METH and AMPH-evoked [Ca²⁺]_i suggest that both catalysts were involved in substrate-activated [Ca²⁺]_i elevations, but that sites in the N terminus of DAT must be uniquely involved in the effects of METH and AMPH on this system. These findings suggest that the N-terminal domain of DAT contributes to the unique regulation of DAT and its functions by these two agents.

Our data provide quantification of the currents generated by forward (uptake) and reverse (efflux) translocation of DA through DAT, and are based on our ability to measure DA-induced currents under voltage clamp concurrently, as reported previously for Xenopus oocytes (24). The properties of DA-induced currents through DAT were dependent on whether DA was inside or outside of the cell (Fig. 2). In agreement with previous findings, outward movements of DA along with co-transported ions generated currents, which increased at depolarizing potentials (33). However, when DA was outside the cells, inward currents increased at hyperpolarizing potentials, an indication of DA uptake. Thus, the biophysical properties of DAT, including the direction of DA translocation (Fig. 2), were regulated by membrane potential, which may account for some of the published differences in the relative effects of METH versus AMPH on this process, because membrane potential was not always uniformly controlled in previous studies (5, 10, 14, 20–23).

Two independent states of DAT activity are likely involved in DAT-mediated DA efflux as follows: a slow process and a rapid (millisecond) burst of DA efflux through a channel-like mode of DAT. Caenorhabditis elegans DA neurons (65, 66) and mouse midbrain DA neurons (33) are consistent with an authentic channel mode of DAT under physiological conditions. We propose that METH might enhance the frequency of channel-like activity in DAT, promoting higher levels of DAT-associated currents (whole-cell and oxidative) detectable at more negative membrane potentials (Fig. 4, A and B, left panels). The different signaling pathways elicited by METH and AMPH must underlie the change in reversal potential seen in Fig. 4. However, the exact differences between the conductance pathways caused by these compounds are unknown at this time and are presently under investigation.

The resolution of our detection system is an improvement compared with previous studies, because it limits, although it cannot completely eliminate, the simultaneous effect of DA uptake, which diminishes our reported net DA efflux. An underestimation of the total METH- and AMPH-mediated DA efflux via the transporter occurs because some of the released DA is lost to the bulk solution, even in our time-resolved microamperometry measurements.

Elevated DA in the nucleus accumbens is essential to the development of drug addiction (43), and our in vitro studies paralleled an in vivo measurement of DAT function in this region of the brain. Our observation that systemic administration of 5 mg/kg METH resulted in a greater impact on DA clearance than AMPH in the nucleus accumbens of rats (Fig. 5A) provides additional evidence for differences between these two psychostimulants. Interestingly, we did not see these differences in DAT clearance in the dorsal striatum. We may learn in future studies that the interacting partners of DAT- or METH-induced regulation of the N-terminal domain of DAT differ in the nucleus accumbens and in the dorsal striatum, leading to the profoundly greater effects of METH in one region versus another. It is noteworthy that our in vivo voltammetry findings are contradictory with a recent report by John and Jones (21), who found a greater inhibition of DA uptake by AMPH than METH. However, the experimental procedures used in the two studies differ markedly. Perhaps most significantly, prior to measuring clearance, we locally applied DA into target regions of intact rat brain, whereas John and Jones (21) used 100-Hz electrical stimulation to induce endogenous DA release from mouse striatal slices. This study and the study by John et al. (21) advance our understanding of psychostimulant regulation of DAT. A recent report indicates that drugs with efflux-promoting properties like METH and AMPH are more effective at increasing extracellular DA levels than drugs such as cocaine, which merely block the transporter (67).

We previously reported a requirement for [Ca²⁺]_i for substrate-induced DA efflux (26). Elevation in [Ca²⁺]_i activates a variety of intracellular kinases that can lead to DAT phosphorylation (57, 60, 68). We found that either a CaMKII inhibitor (KN93) or a PKC inhibitor (BIM) attenuated AMPH- and METH-mediated [Ca²⁺]_i elevation, and that both inhibitors were required to maximally inhibit substrate-induced increases in [Ca²⁺]_i. These results are consistent with previous findings that AMPH-induced DA efflux was decreased by a CaMKII inhibitor (53), and METH-stimulated DAT phosphorylation was decreased by a PKC inhibitor (49, 63). We extend those studies by demonstrating that both kinases may be required to optimally evoke elevations in [Ca²⁺]_i by DAT. The greater increase in [Ca²⁺]_i by METH, and its reliance on the N terminus of DAT, suggests that METH may enhance DAT-mediated DA efflux by differentially altering the interaction between the DAT N-terminal domain and its interacting proteins (69). It is possible that via a phosphorylation-dependent process, METH and AMPH may target distinct subpopulations of the transporter, differentially affecting DAT electrical activity, DA efflux, and/or [Ca²⁺]_i elevations (Fig. 10).

In summary, our studies have revealed mechanistic differences between METH- and AMPH-mediated changes in DAT activity, DAT-mediated cellular responses, and DA clearance in the nucleus accumbens. These differences may contribute to the addictive properties of methamphetamine in particular, and also provide insight for novel therapeutic approaches to treat DAT-related drug addiction.