Tilley Michael R, Gu Howard H
Department of Pharmacology, Ohio State University, Columbus, Ohio 43210, USA.
J Pharmacol Exp Ther. 2008 Nov;327(2):554-60. doi: 10.1124/jpet.108.141713. Epub 2008 Aug 12.
Methylphenidate (Ritalin) is one of the most commonly abused prescription drugs. It is a psychostimulant that inhibits the dopamine and norepinephrine transporters with high affinity. In mice, methylphenidate stimulates locomotor activity, is self-administered, and produces conditioned place preference, typical properties of an addictive drug. We have generated a knockin mouse line bearing a mutant dopamine transporter that is approximately 80-fold less sensitive to cocaine inhibition than wild type. It is interesting to note that this mutant is also almost 50-fold less sensitive to methylphenidate inhibition, suggesting similarities in the binding site for cocaine and methylphenidate. Because methylphenidate is not effective at inhibiting the mutant dopamine transporter, we hypothesized that it would not stimulate locomotor activity or produce reward in the knockin mice. In these knockin mice, doses up to 40 mg/kg methylphenidate either inhibit or fail to stimulate locomotor activity and do not produce conditioned place preference. Doses up to 40 mg/kg methylphenidate also fail to produce stereotypy in the knockin mice. Nisoxetine and desipramine, selective norepinephrine transporter inhibitors, also reduce locomotor activity in wild-type and knockin mice. These results indicate that enhanced dopaminergic neurotransmission is required for methylphenidate's stimulating and rewarding effects. In addition, we observed that drugs enhancing noradrenergic neurotransmission inhibit locomotor activity in mice, which is consistent with the notion that methylphenidate's ability to inhibit the norepinephrine transporter may contribute to its efficacy in treating attention deficit hyperactivity disorder.
哌醋甲酯(利他林)是最常被滥用的处方药之一。它是一种精神兴奋剂,能以高亲和力抑制多巴胺和去甲肾上腺素转运体。在小鼠中,哌醋甲酯能刺激运动活动、可自我给药,并产生条件性位置偏爱,这些都是成瘾性药物的典型特性。我们构建了一种敲入小鼠品系,其携带的突变型多巴胺转运体对可卡因抑制的敏感性比野生型低约80倍。有趣的是,该突变体对哌醋甲酯抑制的敏感性也几乎低50倍,这表明可卡因和哌醋甲酯的结合位点存在相似性。由于哌醋甲酯对突变型多巴胺转运体无抑制作用,我们推测它不会刺激敲入小鼠的运动活动或产生奖赏效应。在这些敲入小鼠中,高达40mg/kg的哌醋甲酯剂量要么抑制运动活动,要么无法刺激运动活动,且不会产生条件性位置偏爱。高达40mg/kg的哌醋甲酯剂量在敲入小鼠中也不会产生刻板行为。选择性去甲肾上腺素转运体抑制剂尼索西汀和地昔帕明也会降低野生型和敲入小鼠的运动活动。这些结果表明,增强的多巴胺能神经传递是哌醋甲酯产生刺激和奖赏效应所必需的。此外,我们观察到增强去甲肾上腺素能神经传递的药物会抑制小鼠的运动活动,这与哌醋甲酯抑制去甲肾上腺素转运体的能力可能有助于其治疗注意力缺陷多动障碍的疗效这一观点一致。