Czoty Paul W
Department of Physiology and Pharmacology, Wake Forest School of Medicine, Winston-Salem, NC 27157-1083, United States.
Drug Alcohol Depend. 2015 Aug 1;153:278-85. doi: 10.1016/j.drugalcdep.2015.05.016. Epub 2015 May 21.
Most cocaine abusers also abuse alcohol, but little is known about interactions that promote co-abuse. These experiments in rhesus monkeys determined the effects of >8 weeks of ethanol (EtOH) consumption on cocaine self-administration (n=6), effects of dopamine (DA) receptor antagonists on cocaine reinforcement (n=3-4 per drug) and the ability of the D2-like DA receptor agonist quinpirole to elicit yawning (n=3).
Monkeys self-administered cocaine (0.0-1.0mg/kg/injection, i.v.) under a 300-s fixed-interval schedule and the above-listed variables were measured before EtOH exposure. Next, monkeys consumed a sweetened, 4% EtOH solution in the home cage under binge-like conditions: 1h, 5 days/week with daily intake equaling 2.0g/kg EtOH. After approximately 8 weeks, measures were re-determined, then EtOH drinking was discontinued. Finally, acute effects of EtOH on cocaine self-administration were determined by infusing EtOH (0.0-1.0g/kg. i.v.) prior to cocaine self-administration sessions (n=4).
In five of six monkeys, EtOH drinking increased self-administration of low cocaine doses but did not alter reinforcing effects of higher doses. Self-administration returned to baseline after EtOH access was terminated (n=3). Effects of DA receptor antagonists on cocaine self-administration were not consistently altered after EtOH consumption, but the ability of quinpirole to induce yawning was enhanced in two of three monkeys. Acute EtOH infusions only decreased self-administration of lower cocaine doses.
Taken together, the data suggest that long-term EtOH exposure can increase sensitivity to cocaine, possibly by increasing D3 receptor sensitivity. Data do not support a role for acute pharmacological interactions in promoting cocaine/EtOH co-abuse.
大多数可卡因滥用者也会酗酒,但对于促使二者共同滥用的相互作用却知之甚少。这些针对恒河猴的实验确定了超过8周的乙醇(EtOH)摄入对可卡因自我给药的影响(n = 6)、多巴胺(DA)受体拮抗剂对可卡因强化作用的影响(每种药物n = 3 - 4)以及D2类DA受体激动剂喹吡罗引发打哈欠的能力(n = 3)。
猴子在300秒固定间隔时间表下自我给药可卡因(0.0 - 1.0毫克/千克/注射,静脉注射),并在接触EtOH之前测量上述变量。接下来,猴子在类似暴饮暴食的条件下,于饲养笼中饮用加甜的4% EtOH溶液:每周5天,每天1小时,每日摄入量等于2.0克/千克EtOH。大约8周后,重新测定各项指标,然后停止EtOH饮用。最后,通过在可卡因自我给药前静脉注射EtOH(0.0 - 1.0克/千克)来确定EtOH对可卡因自我给药的急性影响(n = 4)。
在六只猴子中的五只中,饮用EtOH增加了低剂量可卡因的自我给药,但未改变高剂量可卡因的强化作用。在终止EtOH摄入后,自我给药恢复到基线水平(n = 3)。饮用EtOH后,DA受体拮抗剂对可卡因自我给药的影响并未持续改变,但在三只猴子中的两只中,喹吡罗引发打哈欠的能力增强。急性静脉注射EtOH仅减少了低剂量可卡因的自我给药。
综合来看,数据表明长期接触EtOH可能通过增加D3受体敏感性来提高对可卡因的敏感性。数据不支持急性药理相互作用在促进可卡因/乙醇共同滥用中起作用。