Löf Elin, Chau Pei Pei, Stomberg Rosita, Söderpalm Bo
Institute of Neuroscience and Physiology, Section of Pharmacology, Sahlgrenska Academy, Göteborg University and Beroendekliniken, Sahlgrenska University Hospital, Gothenburg, Sweden.
Eur J Pharmacol. 2007 Jan 26;555(2-3):139-47. doi: 10.1016/j.ejphar.2006.10.056. Epub 2006 Oct 28.
Chronic nicotine administration is associated with increased ethanol consumption in laboratory animals and in humans. Some smokers report less sedation during acute ethanol intoxication after nicotine administration and the sedative effects from ethanol are mediated by inhibitory GABA(A)-receptors. In a series of in vivo microdialysis experiments we investigated whether subchronic pre-treatment with nicotinic drugs known to enhance ethanol consumption in the rat (nicotine or the peripheral nicotinic antagonist hexamethonium) could modulate the alterations in extracellular dopamine observed in response to administration of ethanol or the sedative GABA(A)-agonist diazepam. In the nucleus accumbens and the dorsal striatum, systemic and/or local ethanol administration resulted in transient increases in extracellular dopamine levels that returned to baseline before the local levels of ethanol started to decline. In hexamethonium pre-treated rats, however, the nucleus accumbens dopamine levels were time-locked to the ethanol levels in the same area after systemic or local ethanol administration. Perfusion of diazepam into the nucleus accumbens produced a significant reduction in nucleus accumbens dopamine in controls. Prior subchronic treatment with nicotine or hexamethonium abolished this effect. The present results suggest that subchronic treatment with the nicotinic acetylcholine receptor antagonist hexamethonium reduces a GABA(A)-R mediated counteraction of the nucleus accumbens dopamine response to ethanol. Additionally, we demonstrate that modulation of nicotinic receptors may reduce the sensitivity of GABA(A) receptors to benzodiazepines. These phenomena may offer a novel explanation to why nicotine and alcohol are often co-abused.
在实验动物和人类中,长期给予尼古丁与乙醇摄入量增加有关。一些吸烟者报告称,在给予尼古丁后急性乙醇中毒期间镇静作用减轻,且乙醇的镇静作用由抑制性GABA(A)受体介导。在一系列体内微透析实验中,我们研究了用已知可增加大鼠乙醇摄入量的烟碱类药物(尼古丁或外周烟碱拮抗剂六甲铵)进行亚慢性预处理是否能调节在给予乙醇或镇静性GABA(A)激动剂地西泮后观察到的细胞外多巴胺变化。在伏隔核和背侧纹状体中,全身和/或局部给予乙醇导致细胞外多巴胺水平短暂升高,在局部乙醇水平开始下降之前恢复到基线。然而,在六甲铵预处理的大鼠中,全身或局部给予乙醇后,伏隔核多巴胺水平与同一区域的乙醇水平呈时间锁定关系。向伏隔核灌注地西泮可使对照组伏隔核多巴胺显著降低。预先用尼古丁或六甲铵进行亚慢性治疗可消除这种作用。目前的结果表明,用烟碱乙酰胆碱受体拮抗剂六甲铵进行亚慢性治疗可减少GABA(A)受体介导的对伏隔核多巴胺对乙醇反应的对抗作用。此外,我们证明烟碱受体的调节可能会降低GABA(A)受体对苯二氮䓬类药物的敏感性。这些现象可能为尼古丁和酒精经常被共同滥用提供一种新的解释。