Banks Matthew L, Bauer Clayton T, Blough Bruce E, Rothman Richard B, Partilla John S, Baumann Michael H, Negus S Stevens
Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, VA USA.
Institute for Drug and Alcohol Studies, Virginia Commonwealth University.
Exp Clin Psychopharmacol. 2014 Jun;22(3):274-284. doi: 10.1037/a0036595. Epub 2014 May 5.
d-Amphetamine selectively promotes release of both dopamine (DA) and norepinephrine (NE) versus serotonin (5HT), and chronic d-amphetamine treatment decreases cocaine-taking behavior in rats, nonhuman primates, and humans. However, abuse liability limits the clinical utility of amphetamine maintenance for treating cocaine abuse. One strategy to improve safety and efficacy of monoamine releasers as candidate anticocaine medications has been to develop dual DA/5HT releasers like 1-napthyl-2-aminopropane (PAL-287), but the pharmacology of this class of compounds has not been extensively examined. In particular, PAL-287 has similar potencies to release DA, 5HT, and NE, and the role of manipulating NE release potency on abuse-related or anticocaine effects of dual DA/5HT releasers is not known. To address this issue, the present study compared effects of four novel DA/5HT releasers that varied >800-fold in their selectivities to release DA/5HT versus NE: [1-(5-chloro-1H-indol-3-yl)propan-2-amine (PAL-542), 1-(5-fluoro-1H-indol-3-yl)propan-2-amine (PAL-544), 1-(1H-indol-5-yl)propan-2-amine (PAL-571), and (R)-1-(1H-indol-1-yl)propain-2-amine (PAL-569). Abuse-related effects of all four compounds were evaluated in assays of intracranial self-stimulation (ICSS) in rats and cocaine discrimination in rats and monkeys, and none of the compounds reliably facilitated ICSS or substituted for cocaine. Anticocaine effects of the compound with highest selectivity to release DA/5HT versus NE (PAL-542) were tested in an assay of cocaine versus food choice in rhesus monkeys, and PAL-542 failed to reduce cocaine choice. These results suggests that potency to release NE has minimal influence on abuse liability of dual DA/5HT releasers, and reducing relative potency to release NE versus DA/5HT does not improve anticocaine efficacy.
右旋苯丙胺相较于血清素(5-羟色胺,5HT),能选择性地促进多巴胺(DA)和去甲肾上腺素(NE)的释放,并且长期给予右旋苯丙胺能减少大鼠、非人灵长类动物及人类的可卡因摄取行为。然而,药物滥用倾向限制了苯丙胺维持疗法在治疗可卡因滥用方面的临床应用。作为一种提高单胺释放剂作为候选抗可卡因药物的安全性和有效性的策略,人们已研发出如1-萘基-2-氨基丙烷(PAL-287)这类多巴胺/5-羟色胺双重释放剂,但这类化合物的药理学特性尚未得到广泛研究。具体而言,PAL-287在释放多巴胺、5-羟色胺和去甲肾上腺素方面具有相似的效力,而改变去甲肾上腺素释放效力对双重多巴胺/5-羟色胺释放剂的滥用相关效应或抗可卡因效应的作用尚不清楚。为解决这一问题,本研究比较了四种新型多巴胺/5-羟色胺释放剂的效应,它们在释放多巴胺/5-羟色胺与去甲肾上腺素的选择性上相差超过800倍:[1-(5-氯-1H-吲哚-3-基)丙-2-胺(PAL-542)、1-(5-氟-1H-吲哚-3-基)丙-2-胺(PAL-544)、1-(1H-吲哚-5-基)丙-2-胺(PAL-571)和(R)-1-(1H-吲哚-1-基)丙烷-2-胺(PAL-569)。在大鼠的颅内自我刺激(ICSS)试验以及大鼠和猴子的可卡因辨别试验中评估了这四种化合物的滥用相关效应,结果发现没有一种化合物能可靠地促进ICSS或替代可卡因。在恒河猴的可卡因与食物选择试验中测试了对释放多巴胺/5-羟色胺与去甲肾上腺素具有最高选择性的化合物(PAL-542)的抗可卡因效应,结果发现PAL-542未能减少对可卡因的选择。这些结果表明,去甲肾上腺素的释放效力对双重多巴胺/5-羟色胺释放剂的滥用倾向影响极小,并且降低去甲肾上腺素相对于多巴胺/5-羟色胺的释放效力并不能提高抗可卡因疗效。