Markou A, Koob G F
Department of Neuropharmacology, Scripps Research Institute, La Jolla, California 92037.
Neuropsychopharmacology. 1992 Nov;7(3):213-24.
Cocaine use frequently occurs in episodic prolonged binges. Following such a cocaine binge, the user suffers from severe depression mixed with irritability, anxiety, anergia and anhedonia. These symptoms constitute the cocaine withdrawal syndrome. Since cocaine's rewarding effects are mediated by enhanced dopaminergic neurotransmission in the mesocorticolimbic system, it is possible that a long-acting dopamine agonist might block the withdrawal effects associated with the termination of a prolonged bout of cocaine self-administration. An animal model of post-cocaine anhedonia was developed using the elevation in intracranial self-stimulation (ICSS) thresholds following the termination of prolonged periods of cocaine self-administration as a measure of an animal's "anhedonic" state. In the present study, an attempt was made to reverse the postcocaine elevation in ICSS thresholds with acute administration of a dopaminergic agonist, bromocriptine. Rats were allowed to self-administer cocaine for 24 hours continuously. Four hours after the termination of the self-administration session, animals were injected with either vehicle or bromocriptine (1, 2, or 4 mg/kg, IP). Two hours later (6 hours post cocaine), the animals' self-stimulation thresholds were assessed. Confirming previous work, treatment with the vehicle following a cocaine "binge" resulted in elevated ICSS thresholds compared to predrug baseline levels or to control rats' thresholds. Bromocriptine, at doses that had no effect on ICSS thresholds in control rats, reversed the postcocaine anhedonia in a dose-related manner. These results indicate that bromocriptine-like drugs (pharmacological agents that enhance dopaminergic neurotransmission) may be able to ameliorate some of the effects of cocaine withdrawal on mood and motivational state. In addition, the results of the present study indicate that the proposed animal model of cocaine withdrawal could be useful in the discovery and development of new pharmacotherapies for cocaine withdrawal.
可卡因的使用常常出现在间歇性的长时间狂欢式滥用中。在经历这样一次可卡因狂欢式滥用后,使用者会遭受严重的抑郁,并伴有易怒、焦虑、乏力和快感缺失。这些症状构成了可卡因戒断综合征。由于可卡因的奖赏效应是由中脑皮质边缘系统中多巴胺能神经传递的增强介导的,长效多巴胺激动剂有可能阻断与长时间可卡因自我给药终止相关的戒断效应。利用长时间可卡因自我给药终止后颅内自我刺激(ICSS)阈值的升高作为动物“快感缺失”状态的一种衡量指标,建立了可卡因后快感缺失的动物模型。在本研究中,尝试通过急性给予多巴胺能激动剂溴隐亭来逆转可卡因后ICSS阈值的升高。让大鼠连续24小时自我给药可卡因。在自我给药期结束4小时后,给动物注射溶剂或溴隐亭(1、2或4mg/kg,腹腔注射)。两小时后(可卡因给药后6小时),评估动物的自我刺激阈值。与之前的研究结果一致,在可卡因“狂欢”后给予溶剂治疗,与给药前基线水平或对照大鼠的阈值相比,导致ICSS阈值升高。溴隐亭在对对照大鼠的ICSS阈值无影响的剂量下,以剂量相关的方式逆转了可卡因后快感缺失。这些结果表明,类似溴隐亭的药物(增强多巴胺能神经传递的药理学试剂)可能能够改善可卡因戒断对情绪和动机状态的一些影响。此外,本研究结果表明,所提出的可卡因戒断动物模型可能有助于发现和开发用于可卡因戒断的新药物疗法。