Department of Pharmacology, The University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900, USA.
Psychopharmacology (Berl). 2013 Jul;228(2):321-33. doi: 10.1007/s00213-013-3037-5. Epub 2013 Mar 14.
Receptor mechanisms underlying the behavioral effects of clinically used nicotinic acetylcholine receptor agonists have not been fully established.
Drug discrimination was used to compare receptor mechanisms underlying the effects of smoking cessation aids.
Separate groups of male C57BL/6J mice discriminated 0.56, 1, or 1.78 mg/kg of nicotine base. Nicotine, varenicline, and cytisine were administered alone, in combination with each other, and in combination with mecamylamine and dihydro-β-erythroidine (DHβE). Midazolam and morphine were tested to examine sensitivity to non-nicotinics.
The ED50 value of nicotine to produce discriminative stimulus effects systematically increased as training dose increased. Varenicline and cytisine did not fully substitute for nicotine and, as compared with nicotine, their ED50 values varied less systematically as a function of nicotine training dose. Morphine did not substitute for nicotine, whereas midazolam substituted for the low and not the higher training doses of nicotine. As training dose increased, the dose of mecamylamine needed to produce a significant rightward shift in the nicotine dose-effect function also increased. DHβE antagonized nicotine in animals discriminating the smallest dose of nicotine. Varenicline did not antagonize the effects of nicotine, whereas cytisine produced a modest though significant antagonism of nicotine.
These results suggest that differences in pharmacologic mechanism between nicotine, varenicline, and cytisine include not only differences in efficacy at a common subtype of nicotinic acetylcholine receptor, but also differential affinity and/or efficacy at multiple receptor subtypes.
尚未完全确定临床使用的烟碱型乙酰胆碱受体激动剂的行为效应的受体机制。
药物辨别用于比较戒烟辅助药物的作用的受体机制。
将单独使用尼古丁、伐伦克林和烟碱,并将它们与美加仑宁和二氢-β-育亨宾联合使用,分别对几组雄性 C57BL/6J 小鼠进行 0.56、1 或 1.78mg/kg 的烟碱碱基辨别。测试咪达唑仑和吗啡,以检查对非烟碱类药物的敏感性。
产生辨别刺激效应的尼古丁 ED50 值随训练剂量的增加而系统增加。伐伦克林和烟碱不能完全替代尼古丁,与尼古丁相比,它们的 ED50 值作为尼古丁训练剂量的函数变化不那么系统。吗啡不能替代尼古丁,而咪达唑仑替代低而非高训练剂量的尼古丁。随着训练剂量的增加,产生尼古丁剂量效应函数显著右移所需的美加仑宁剂量也增加。DHβE 拮抗在辨别最小剂量尼古丁的动物中的尼古丁。伐伦克林不拮抗尼古丁的作用,而烟碱则对尼古丁产生适度但显著的拮抗作用。
这些结果表明,尼古丁、伐伦克林和烟碱之间的药理机制差异不仅包括在共同的烟碱型乙酰胆碱受体亚型上的效力差异,还包括在多种受体亚型上的差异亲和力和/或效力。