A wide range of mental illnesses show high rates of addiction comorbidities regardless of their genetic, neurodevelopmental, and/or adverse-environmental etiologies. Understanding how the spectrum of mental illnesses produce addiction vulnerability will be key to discovering more effective preventions and integrated treatments for adults with addiction and dual diagnosis comorbidities. A population of 131 rats containing a spectrum of etiological mental illness models and degrees of severity was experimentally generated by crossing neonatal ventral hippocampal lesions (NVHL; n = 68) or controls (SHAM-operated; n = 63) with adolescent rearing in environmentally/socially enriched (ENR; n = 66) or impoverished (IMP; n = 65) conditions. This population was divided into 2 experiments: first, examining NVHL and IMP effects on novelty and mild stress-induced locomotion across 3 adolescent ages; second, looking at initial cocaine reactivity and long-term cocaine behavioral sensitization in adulthood. NVHL and IMP-environmental conditions independently produced remarkably similar and robustly significant abnormalities of hyperreactivity to novelty, mild stress, and long-term cocaine sensitization. The combined NVHL-IMP groups showed the most severe phenotypes across the board, so that the mental illness and addiction vulnerability phenotypes increased together in severity in a consistent stepwise progression from the healthiest rats to those with the greatest loading of etiological models. These findings add weight to our understanding of mental illness and addiction vulnerability as brain disorders that are biologically and developmentally unified in ways that transcend etiological causes, and yet co-intensify with increased loading of etiological conditions. Combining neurodevelopmental and adverse-environmental models of mental illness may provide an approach to identifying and therapeutically targeting cortical-striatal-limbic network mechanisms that generate addiction and dual diagnosis diseases.

1.
Regier
DA
,
Farmer
ME
,
Rae
DS
,
Locke
BZ
,
Keith
SJ
,
Judd
LL
, et al.
Comorbidity of mental disorders with alcohol and other drugs of abuse
.
JAMA
.
1990
;
264
(
19
):
2511
8
.
[PubMed]
0098-7484
2.
RachBeisel
J
,
Scott
J
,
Dixon
L
.
Co-occurring severe mental illness and substance use disorders: a review of recent research
.
Psychiatr Serv
.
1999
Nov
;
50
(
11
):
1427
34
.
[PubMed]
1075-2730
3.
Chambers
RA
,
Krystal
JH
,
Self
DW
.
A neurobiological basis for substance abuse comorbidity in schizophrenia
.
Biol Psychiatry
.
2001
Jul
;
50
(
2
):
71
83
.
[PubMed]
0006-3223
4.
Chambers
RA
,
Bickel
WK
,
Potenza
MN
.
A scale-free systems theory of motivation and addiction
.
Neurosci Biobehav Rev
.
2007
;
31
(
7
):
1017
45
.
[PubMed]
0149-7634
5.
Carey
CE
,
Agrawal
A
,
Bucholz
KK
,
Hartz
SM
,
Lynskey
MT
,
Nelson
EC
, et al.
Associations between Polygenic Risk for Psychiatric Disorders and Substance Involvement
.
Front Genet
.
2016
Aug
;
7
:
149
.
[PubMed]
1664-8021
6.
Gandal
MJ
,
Haney
JR
,
Parikshak
NN
,
Leppa
V
,
Ramaswami
G
,
Hartl
C
, et al.
Shared molecular neuropathology across major psychiatric disorders parallels polygenic overlap.
Science.
2018
02 09;359(6376):693-97.
7.
Zarse
E
,
Neff
M
,
Yoder
R
,
Hulvershorn
L
,
Chambers
J
,
Chambers
R
.
The adverse childhood experiences scale: two decades of research on childhood trauma as a primary cause of adult mental illness, addiction and medical diseases
.
Cogent Med
.
2019
Feb
;
6
(
1581447
).2331-205X
8.
Chambers
RA
.
The 2 x 4 model : a neuroscience-based blueprint for the modern integrated addiction and mental health treatment system.
First edition. ed. New York, NY: Routledge;
2018
.
9.
Chambers
RA
,
Self
DW
.
Motivational responses to natural and drug rewards in rats with neonatal ventral hippocampal lesions: an animal model of dual diagnosis schizophrenia
.
Neuropsychopharmacology
.
2002
Dec
;
27
(
6
):
889
905
.
[PubMed]
0893-133X
10.
Brady
AM
,
McCallum
SE
,
Glick
SD
,
O’Donnell
P
.
Enhanced methamphetamine self-administration in a neurodevelopmental rat model of schizophrenia
.
Psychopharmacology (Berl)
.
2008
Oct
;
200
(
2
):
205
15
.
[PubMed]
0033-3158
11.
Karlsson
RM
,
Kircher
DM
,
Shaham
Y
,
O’Donnell
P
.
Exaggerated cue-induced reinstatement of cocaine seeking but not incubation of cocaine craving in a developmental rat model of schizophrenia
.
Psychopharmacology (Berl)
.
2013
Mar
;
226
(
1
):
45
51
.
[PubMed]
0033-3158
12.
Jeanblanc
J
,
Balguerie
K
,
Coune
F
,
Legastelois
R
,
Jeanblanc
V
,
Naassila
M
.
Light alcohol intake during adolescence induces alcohol addiction in a neurodevelopmental model of schizophrenia
.
Addict Biol
.
2014
Apr
.
[PubMed]
1355-6215
13.
Chambers
RA
,
Sentir
AM
,
Conroy
SK
,
Truitt
WA
,
Shekhar
A
.
Cortical-striatal integration of cocaine history and prefrontal dysfunction in animal modeling of dual diagnosis
.
Biol Psychiatry
.
2010
Apr
;
67
(
8
):
788
92
.
[PubMed]
0006-3223
14.
Rao
KN
,
Sentir
AM
,
Engleman
EA
,
Bell
RL
,
Hulvershorn
LA
,
Breier
A
, et al.
Toward early estimation and treatment of addiction vulnerability: radial arm maze and N-acetyl cysteine before cocaine sensitization or nicotine self-administration in neonatal ventral hippocampal lesion rats
.
Psychopharmacology (Berl)
.
2016
Dec
;
233
(
23-24
):
3933
45
.
[PubMed]
0033-3158
15.
Khokhar
JY
,
Todd
TP
.
Behavioral predictors of alcohol drinking in a neurodevelopmental rat model of schizophrenia and co-occurring alcohol use disorder
.
Schizophr Res
.
2018
Apr
;
194
:
91
7
.
[PubMed]
0920-9964
16.
Lipska
BK
,
Jaskiw
GE
,
Weinberger
DR
.
Postpubertal emergence of hyperresponsiveness to stress and to amphetamine after neonatal excitotoxic hippocampal damage: a potential animal model of schizophrenia
.
Neuropsychopharmacology
.
1993
Aug
;
9
(
1
):
67
75
.
[PubMed]
0893-133X
17.
Tseng
KY
,
Chambers
RA
,
Lipska
BK
.
The neonatal ventral hippocampal lesion as a heuristic neurodevelopmental model of schizophrenia
.
Behav Brain Res
.
2009
Dec
;
204
(
2
):
295
305
.
[PubMed]
0166-4328
18.
Chambers
RA
,
Taylor
JR
.
Animal modeling dual diagnosis schizophrenia: sensitization to cocaine in rats with neonatal ventral hippocampal lesions
.
Biol Psychiatry
.
2004
Sep
;
56
(
5
):
308
16
.
[PubMed]
0006-3223
19.
Conroy
SK
,
Rodd
Z
,
Chambers
RA
.
Ethanol sensitization in a neurodevelopmental lesion model of schizophrenia in rats
.
Pharmacol Biochem Behav
.
2007
Feb
;
86
(
2
):
386
94
.
[PubMed]
0091-3057
20.
Berg
SA
,
Chambers
RA
.
Accentuated behavioral sensitization to nicotine in the neonatal ventral hippocampal lesion model of schizophrenia
.
Neuropharmacology
.
2008
Jun
;
54
(
8
):
1201
7
.
[PubMed]
0028-3908
21.
Robinson
TE
,
Berridge
KC
.
The neural basis of drug craving: an incentive-sensitization theory of addiction
.
Brain Res Brain Res Rev
.
1993
Sep-Dec
;
18
(
3
):
247
91
.
[PubMed]
0165-0173
22.
Berg
SA
,
Sentir
AM
,
Cooley
BS
,
Engleman
EA
,
Chambers
RA
.
Nicotine is more addictive, not more cognitively therapeutic in a neurodevelopmental model of schizophrenia produced by neonatal ventral hippocampal lesions
.
Addict Biol
.
2014
Nov
;
19
(
6
):
1020
31
.
[PubMed]
1355-6215
23.
Sentir
AM
,
Bell
RL
,
Engleman
EA
,
Chambers
RA
.
Polysubstance addiction vulnerability in mental illness: concurrent alcohol and nicotine self-administration in the neurodevelopmental hippocampal lesion rat model of schizophrenia
.
Addict Biol
.
2018
Dec
.
[PubMed]
1355-6215
24.
Harlow
HF
.
Total Social Isolation: Effects on Macaque Monkey Behavior
.
Science
.
1965
Apr
;
148
(
3670
):
666
.
[PubMed]
0036-8075
25.
Ridley
RM
.
The psychology of perserverative and stereotyped behaviour
.
Prog Neurobiol
.
1994
Oct
;
44
(
2
):
221
31
.
[PubMed]
0301-0082
26.
Silva-Gómez
AB
,
Rojas
D
,
Juárez
I
,
Flores
G
.
Decreased dendritic spine density on prefrontal cortical and hippocampal pyramidal neurons in postweaning social isolation rats
.
Brain Res
.
2003
Sep
;
983
(
1-2
):
128
36
.
[PubMed]
0006-8993
27.
Alquicer
G
,
Morales-Medina
JC
,
Quirion
R
,
Flores
G
.
Postweaning social isolation enhances morphological changes in the neonatal ventral hippocampal lesion rat model of psychosis
.
J Chem Neuroanat
.
2008
Mar
;
35
(
2
):
179
87
.
[PubMed]
0891-0618
28.
Fabricius
K
,
Helboe
L
,
Fink-Jensen
A
,
Wörtwein
G
,
Steiniger-Brach
B
.
Pharmacological characterization of social isolation-induced hyperactivity
.
Psychopharmacology (Berl)
.
2011
May
;
215
(
2
):
257
66
.
[PubMed]
0033-3158
29.
Garcia
EJ
,
Haddon
TN
,
Saucier
DA
,
Cain
ME
.
Differential housing and novelty response: protection and risk from locomotor sensitization
.
Pharmacol Biochem Behav
.
2017
Mar
;
154
(
154
):
20
30
.
[PubMed]
0091-3057
30.
Zhang
XQ
,
Yu
ZP
,
Ling
Y
,
Zhao
QQ
,
Zhang
ZY
,
Wang
ZC
, et al.
Enduring effects of juvenile social isolation on physiological properties of medium spiny neurons in nucleus accumbens.
Psychopharmacology (Berl).
2019
Jun 13.
31.
Schenk
S
,
Lacelle
G
,
Gorman
K
,
Amit
Z
.
Cocaine self-administration in rats influenced by environmental conditions: implications for the etiology of drug abuse
.
Neurosci Lett
.
1987
Oct
;
81
(
1-2
):
227
31
.
[PubMed]
0304-3940
32.
Howes
SR
,
Dalley
JW
,
Morrison
CH
,
Robbins
TW
,
Everitt
BJ
.
Leftward shift in the acquisition of cocaine self-administration in isolation-reared rats: relationship to extracellular levels of dopamine, serotonin and glutamate in the nucleus accumbens and amygdala-striatal FOS expression
.
Psychopharmacology (Berl)
.
2000
Jul
;
151
(
1
):
55
63
.
[PubMed]
0033-3158
33.
Chambers
RA
,
Lipska
BK
. A Method to the Madness: Producing the neonatal ventral hippocampal lesion rat model of schizophrenia. In:
O’Donnell
P
, editor
.
Animal Models of Schizophrenia and Related Disorders
.
Totowa (N.J.)
:
Humana Press
;
2011
.
34.
Berg
SA
,
Sentir
AM
,
Bell
RL
,
Engleman
EA
,
Chambers
RA
.
Nicotine effects in adolescence and adulthood on cognition and α₄β₂-nicotinic receptors in the neonatal ventral hippocampal lesion rat model of schizophrenia
.
Psychopharmacology (Berl)
.
2015
May
;
232
(
10
):
1681
92
.
[PubMed]
0033-3158
35.
Kessler
RC
.
The epidemiology of dual diagnosis
.
Biol Psychiatry
.
2004
Nov
;
56
(
10
):
730
7
.
[PubMed]
0006-3223
36.
Cicchetti
D
,
Rogosch
FA
.
Equifinality and multifinality in developmental psychopathology. Development and Psychopathology
.
Fal
.
1996
;
8
(
4
):
597
600
.
37.
Teicher
MH
,
Samson
JA
,
Anderson
CM
,
Ohashi
K
.
The effects of childhood maltreatment on brain structure, function and connectivity
.
Nat Rev Neurosci
.
2016
Sep
;
17
(
10
):
652
66
.
[PubMed]
1471-003X
38.
Teicher
MH
,
Samson
JA
.
Childhood maltreatment and psychopathology: A case for ecophenotypic variants as clinically and neurobiologically distinct subtypes
.
Am J Psychiatry
.
2013
Oct
;
170
(
10
):
1114
33
.
[PubMed]
0002-953X
39.
Meyer-Lindenberg
A
,
Tost
H
.
Neural mechanisms of social risk for psychiatric disorders
.
Nat Neurosci
.
2012
Apr
;
15
(
5
):
663
8
.
[PubMed]
1097-6256
40.
Flores
G
,
Alquicer
G
,
Silva-Gómez
AB
,
Zaldivar
G
,
Stewart
J
,
Quirion
R
, et al.
Alterations in dendritic morphology of prefrontal cortical and nucleus accumbens neurons in post-pubertal rats after neonatal excitotoxic lesions of the ventral hippocampus
.
Neuroscience
.
2005
;
133
(
2
):
463
70
.
[PubMed]
0306-4522
41.
Chambers
RA
,
Sentir
AM
,
Engleman
EA
.
Ventral and dorsal striatal dopamine efflux and behavior in rats with simple vs. co-morbid histories of cocaine sensitization and neonatal ventral hippocampal lesions
.
Psychopharmacology (Berl)
.
2010
Sep
;
212
(
1
):
73
83
.
[PubMed]
0033-3158
42.
Chambers
RA
,
McClintick
JN
,
Sentir
AM
,
Berg
SA
,
Runyan
M
,
Choi
KH
, et al.
Cortical-striatal gene expression in neonatal hippocampal lesion (NVHL)-amplified cocaine sensitization
.
Genes Brain Behav
.
2013
Jul
;
12
(
5
):
564
75
.
[PubMed]
1601-1848
43.
Tseng
KY
,
Lewis
BL
,
Lipska
BK
,
O’Donnell
P
.
Post-pubertal disruption of medial prefrontal cortical dopamine-glutamate interactions in a developmental animal model of schizophrenia
.
Biol Psychiatry
.
2007
Oct
;
62
(
7
):
730
8
.
[PubMed]
0006-3223
44.
Chambers
RA
.
Impulsivity, dual diagnosis, and the structure of motivated behavior in addiction
.
Behav Brain Sci
.
2008
;
31
(
4
):
443
4
. 0140-525X
45.
Chambers
RA
.
Adult hippocampal neurogenesis in the pathogenesis of addiction and dual diagnosis disorders
.
Drug Alcohol Depend
.
2013
Jun
;
130
(
1-3
):
1
12
.
[PubMed]
0376-8716
46.
Hair
NL
,
Hanson
JL
,
Wolfe
BL
,
Pollak
SD
.
Association of Child Poverty, Brain Development, and Academic Achievement
.
JAMA Pediatr
.
2015
Sep
;
169
(
9
):
822
9
.
[PubMed]
2168-6203
47.
Grecco
GG
,
Andrew Chambers
R
.
The Penrose Effect and its acceleration by the war on drugs: a crisis of untranslated neuroscience and untreated addiction and mental illness
.
Transl Psychiatry
.
2019
Nov
;
9
(
1
):
320
.
[PubMed]
2158-3188
48.
Chambers
RA
,
Wallingford
SC
.
On Mourning and Recovery: Integrating Stages of Grief and Change Toward a Neuroscience-Based Model of Attachment Adaptation in Addiction Treatment
.
Psychodyn Psychiatry
.
2017
;
45
(
4
):
451
73
.
[PubMed]
2162-2590
49.
Swanson LW. Brain Maps: Structure of the Rat Bain. 3rd ed. New York: Elsevier; 2004.
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