Department of Biomedical Sciences, Marquette University, Milwaukee, WI 53201, USA.
J Pharmacol Exp Ther. 2012 Aug;342(2):541-51. doi: 10.1124/jpet.112.193615. Epub 2012 May 16.
Stress can trigger the relapse of drug use in recovering cocaine addicts and reinstatement in rodent models through mechanisms that may involve norepinephrine release and β-adrenergic receptor activation. The present study examined the role of β-adrenergic receptor subtypes in the stressor-induced reinstatement of extinguished cocaine-induced (15 mg/kg i.p.) conditioned place preference in mice. Forced swim (6 min at 22°C) stress or activation of central noradrenergic neurotransmission by administration of the selective α(2) adrenergic receptor antagonist 2-[(4,5-dihydro-1H-imidazol-2-yl)methyl]-2,3-dihydro-1-methyl-1H-isoindole (BRL-44,408) (10 mg/kg i.p.) induced reinstatement in wild-type, but not β- adrenergic receptor-deficient Adrb1/Adrb2 double-knockout, mice. In contrast, cocaine administration (15 mg/kg i.p.) resulted in reinstatement in both wild-type and β-adrenergic receptor knockout mice. Stress-induced reinstatement probably involved β(2) adrenergic receptors. The β(2) adrenergic receptor antagonist -(isopropylamino)-1-[(7-methyl-4-indanyl)oxy]butan-2-ol (ICI-118,551) (1 or 2 mg/kg i.p.) blocked reinstatement by forced swim or BRL-44,408, whereas administration of the nonselective β-adrenergic receptor agonist isoproterenol (2 or 4 mg/kg i.p.) or the β(2) adrenergic receptor-selective agonist clenbuterol (2 or 4 mg/kg i.p.) induced reinstatement. Forced swim-induced, but not BRL-44,408-induced, reinstatement was also blocked by a high (20 mg/kg) but not low (10 mg/kg) dose of the β(1) adrenergic receptor antagonist betaxolol, and isoproterenol-induced reinstatement was blocked by pretreatment with either ICI-118,551 or betaxolol, suggesting a potential cooperative role for β(1) and β(2) adrenergic receptors in stress-induced reinstatement. Overall, these findings suggest that targeting β-adrenergic receptors may represent a promising pharmacotherapeutic strategy for preventing drug relapse, particularly in cocaine addicts whose drug use is stress related.
压力可以通过涉及去甲肾上腺素释放和β-肾上腺素能受体激活的机制,引发恢复期可卡因成瘾者的药物使用复发和啮齿动物模型中的复吸。本研究探讨了β-肾上腺素能受体亚型在应激诱导的已消除可卡因诱导的(15mg/kg 腹腔注射)条件性位置偏爱复吸中的作用在小鼠中。强迫游泳(22°C 下 6 分钟)应激或通过给予选择性α(2)肾上腺素能受体拮抗剂 2-[(4,5-二氢-1H-咪唑-2-基)甲基]-2,3-二氢-1-甲基-1H-异吲哚(BRL-44,408)(10mg/kg 腹腔注射)激活中枢去甲肾上腺素能神经传递,可诱导野生型,但不能诱导β-肾上腺素能受体缺陷 Adrb1/Adrb2 双敲除,小鼠复吸。相比之下,可卡因给药(15mg/kg 腹腔注射)导致野生型和β-肾上腺素能受体敲除小鼠均发生复吸。应激诱导的复吸可能涉及β(2)肾上腺素能受体。β(2)肾上腺素能受体拮抗剂-(异丙氨基)-1-[(7-甲基-4-茚基)氧基]丁-2-醇(ICI-118,551)(1 或 2mg/kg 腹腔注射)阻断强迫游泳或 BRL-44,408 引起的复吸,而给予非选择性β-肾上腺素能受体激动剂异丙肾上腺素(2 或 4mg/kg 腹腔注射)或β(2)肾上腺素能受体选择性激动剂克仑特罗(2 或 4mg/kg 腹腔注射)诱导复吸。强迫游泳诱导,但不是 BRL-44,408 诱导的复吸,也被高(20mg/kg)而非低(10mg/kg)剂量的β(1)肾上腺素能受体拮抗剂倍他洛尔阻断,异丙肾上腺素诱导的复吸被 ICI-118,551 或倍他洛尔预处理阻断,表明β(1)和β(2)肾上腺素能受体在应激诱导的复吸中可能具有潜在的协同作用。总体而言,这些发现表明,针对β-肾上腺素能受体可能代表一种有前途的药物治疗策略,可预防药物复发,特别是在与压力相关的可卡因成瘾者中。