Department of Psychiatry, School of Medicine, University of California San Diego, La Jolla, CA 92093-0603, USA.
Eur J Pharmacol. 2011 Mar 25;655(1-3):52-8. doi: 10.1016/j.ejphar.2011.01.009. Epub 2011 Jan 22.
Nicotine dependence is maintained by the aversive, depression-like effects of nicotine withdrawal and the rewarding effects of acute nicotine. GABA(B) receptor antagonists exhibit antidepressant-like effects in rodents, whereas GABA(B) receptor agonists attenuate the rewarding effects of nicotine. Recent studies with GABA(B) receptor positive modulators showed that these compounds represent potentially improved medications for the treatment of nicotine dependence because of fewer side-effects than GABA(B) receptor agonists. Thus, GABA(B) receptor agonists and antagonists, and GABA(B) receptor positive modulators may have efficacy as smoking cessation aids by targeting different aspects of nicotine dependence and withdrawal. The present study assessed the effects of the GABA(B) receptor agonist CGP44532, the GABA(B) receptor antagonist CGP56433A, and the GABA(B) receptor positive modulator BHF177 on the anhedonic aspects of nicotine withdrawal. Rats were prepared with stimulating electrodes in the posterior lateral hypothalamus. After establishing stable intracranial self-stimulation (ICSS) thresholds, rats were prepared with subcutaneous osmotic minipumps delivering either nicotine or saline for 7 or 14days. ICSS thresholds were assessed 6h post-pump removal. Thirty hours after pump removal, CGP44532, CGP56433A, and BHF177 were administered 30min prior to ICSS testing. Both GABA(B) receptor activation (CGP44532 and BHF177) and blockade (CGP56433A) elevated ICSS thresholds in all groups, resulting in exacerbated effects of nicotine withdrawal in the nicotine-treated groups. These similar effects of GABA(B) receptor activation and blockade on the anhedonic depression-like aspects of nicotine withdrawal were surprising and perhaps reflect differential efficacy of these compounds at presynaptic hetero- and autoreceptors, as well as postsynaptic, GABA(B) receptors.
尼古丁依赖是由尼古丁戒断的厌恶、类似抑郁的效应和急性尼古丁的奖赏效应维持的。GABA(B) 受体拮抗剂在啮齿动物中表现出抗抑郁样作用,而 GABA(B) 受体激动剂则减弱尼古丁的奖赏效应。最近使用 GABA(B) 受体正向变构调节剂的研究表明,这些化合物代表了治疗尼古丁依赖的潜在改进药物,因为它们比 GABA(B) 受体激动剂的副作用更少。因此,GABA(B) 受体激动剂和拮抗剂以及 GABA(B) 受体正向变构调节剂可能通过针对尼古丁依赖和戒断的不同方面具有作为戒烟辅助剂的功效。本研究评估了 GABA(B) 受体激动剂 CGP44532、GABA(B) 受体拮抗剂 CGP56433A 和 GABA(B) 受体正向变构调节剂 BHF177 对尼古丁戒断的快感缺失方面的影响。大鼠在后外侧下丘脑内置入刺激电极。在建立稳定的颅内自我刺激 (ICSS) 阈值后,大鼠接受皮下渗透微型泵输送尼古丁或生理盐水 7 或 14 天。泵取出后 6 小时评估 ICSS 阈值。泵取出 30 小时后,在 ICSS 测试前 30 分钟给予 CGP44532、CGP56433A 和 BHF177。GABA(B) 受体的激活(CGP44532 和 BHF177)和阻断(CGP56433A)均使所有组的 ICSS 阈值升高,导致尼古丁处理组的尼古丁戒断效应加剧。GABA(B) 受体的激活和阻断对尼古丁戒断的快感缺失样抑郁方面的类似影响令人惊讶,这可能反映了这些化合物在突触前异源和自受体以及突触后 GABA(B) 受体上的不同疗效。