Campbell U C, Lac S T, Carroll M E
Department of Psychiatry, University of Minnesota Medical School, Minneapolis 55455-0392, USA.
Psychopharmacology (Berl). 1999 Apr;143(2):209-14. doi: 10.1007/s002130050937.
Recent studies suggest that the GABA(B) receptor agonist, baclofen, may be a useful pharmacotherapy for cocaine abuse.
To investigate further the effects of baclofen on maintenance and reinstatement of cocaine-reinforced behavior in rats.
Two groups of rats were trained to self-administer IV cocaine (0.2 or 0.4 mg/kg per infusion) during daily 7-h sessions under a fixed-ratio 1 schedule. Rats were pretreated with baclofen (1.25, 2.5 or 5 mg/kg IP) or saline before the session for 5 consecutive days. An additional group of rats was trained to self-administer IV cocaine (0.4 mg/kg per infusion) during the first 2 h of daily 7-h sessions. Cocaine was replaced by saline for the remaining 5 h of the session. Once behavior had stabilized over the 7-h period, priming injections of saline (IV), cocaine (3.2 mg/kg IV) or baclofen (1.25 or 2.5 mg/kg IP) were administered prior to hour 4. Injections of baclofen (1.25 or 2.5 mg/kg IP) or saline were also given before priming injections of cocaine.
Pretreatment with the two higher doses of baclofen (2.5 and 5 mg/kg) decreased the number of cocaine infusions in both maintenance groups (0.2 and 0.4 mg/kg) over the 5-day treatment period. Baclofen had a greater suppressant effect on responding maintained by the lower dose of cocaine. Priming injections of baclofen (1.25 and 2.5 mg/kg) or saline did not reinstate responding. However, these same doses of baclofen dose-dependently reduced the reinstatement of responding produced by priming injections of cocaine.
近期研究表明,γ-氨基丁酸B(GABA(B))受体激动剂巴氯芬可能是一种治疗可卡因成瘾的有效药物疗法。
进一步研究巴氯芬对大鼠可卡因强化行为维持和复吸的影响。
两组大鼠在每天7小时的实验时段内,按照固定比例1的程序训练静脉注射可卡因(每次注射0.2或0.4毫克/千克)。大鼠在实验时段前连续5天腹腔注射巴氯芬(1.25、2.5或5毫克/千克)或生理盐水进行预处理。另一组大鼠在每天7小时实验时段的前2小时训练静脉注射可卡因(每次注射0.4毫克/千克),实验时段剩余5小时用生理盐水替代可卡因。一旦行为在7小时内稳定下来,在第4小时前静脉注射生理盐水、可卡因(3.2毫克/千克)或腹腔注射巴氯芬(1.25或2.5毫克/千克)进行激发注射。在可卡因激发注射前也腹腔注射巴氯芬(1.25或2.5毫克/千克)或生理盐水。
在5天的治疗期内,两种较高剂量(2.5和5毫克/千克)的巴氯芬预处理降低了两个维持组(0.2和0.4毫克/千克)的可卡因注射次数。巴氯芬对低剂量可卡因维持的反应具有更大的抑制作用。巴氯芬(1.25和2.5毫克/千克)或生理盐水的激发注射并未恢复反应。然而,相同剂量的巴氯芬剂量依赖性地减少了可卡因激发注射所产生的反应复吸。
1)巴氯芬对可卡因自我给药维持的抑制作用程度取决于维持剂量;2)巴氯芬可能有助于预防可卡因寻求行为的复吸;3)与维持相比,反应复吸对巴氯芬的抑制作用更敏感。