Swalve Natashia, Smethells John R, Zlebnik Natalie E, Carroll Marilyn E
Department of Psychiatry, University of Minnesota, Minneapolis, MN, 55455, USA.
Department of Psychiatry, University of Minnesota, Minneapolis, MN, 55455, USA.
Pharmacol Biochem Behav. 2016 Jun;145:17-23. doi: 10.1016/j.pbb.2016.03.008. Epub 2016 Mar 19.
Two repurposed medications have been proposed to treat cocaine abuse. Progesterone, a gonadal hormone, and atomoxetine, a medication commonly used to treat attention deficit/hyperactivity disorder, have both been separately shown to reduce cocaine self-administration and reinstatement (i.e., relapse). The goal of the present study was to examine sex differences in the individual effects of PRO and ATO as well as the combination PRO+ATO treatment on cocaine (COC), caffeine (CAF), and/or cue-primed reinstatement of cocaine-seeking. Adult male and female Wistar rats lever-pressed under a FR 1 schedule for cocaine infusions (0.4mg/kg/inf). After 14 sessions of stable responding in daily 2-h sessions, rats underwent a 21-day extinction period when no drug or drug-related stimuli were present. Rats were then separated into four groups that received PRO (0.5mg/kg) alone (PRO+SAL), ATO (1.5mg/kg) alone (VEH+ATO), control (VEH+SAL) or combination (PRO+ATO) treatments prior to the reinstatement condition. Reinstatement of cocaine-seeking to cues and/or drug injections of cocaine or caffeine was tested after extinction. During maintenance, females self-administered more cocaine than males, but no sex differences were seen during extinction. Females showed greater cocaine-seeking than males after a CAF priming injection. Individual treatment with ATO did not decrease reinstatement under any priming condition; however, the combination treatment decreased cocaine-seeking under the COC+CUES priming condition in males, and both PRO alone and the combination treatment decreased cocaine-seeking in the CAF+CUES condition in females. Overall, PRO alone was only effective in reducing reinstatement in females, while the combination treatment was consistently effective in reducing reinstatement in both sexes.
已有两种重新利用的药物被提议用于治疗可卡因滥用。孕酮,一种性腺激素,以及托莫西汀,一种常用于治疗注意力缺陷/多动障碍的药物,已分别被证明可减少可卡因的自我给药和复吸(即复发)。本研究的目的是考察孕酮(PRO)和托莫西汀(ATO)的个体效应以及联合用药PRO+ATO治疗对可卡因(COC)、咖啡因(CAF)和/或线索引发的可卡因觅求行为复吸的性别差异。成年雄性和雌性Wistar大鼠在固定比率1的程序下按压杠杆以获取可卡因输注(0.4mg/kg/次)。在每天2小时的实验中经过14次稳定反应后,大鼠进入为期21天的消退期,在此期间不存在任何药物或与药物相关的刺激。然后将大鼠分为四组,在复吸条件前分别接受单独的PRO(0.5mg/kg)(PRO+SAL)、单独的ATO(1.5mg/kg)(VEH+ATO)、对照(VEH+SAL)或联合(PRO+ATO)治疗。在消退后测试对线索和/或可卡因或咖啡因药物注射的可卡因觅求行为复吸情况。在维持阶段,雌性大鼠比雄性大鼠自我给药的可卡因更多,但在消退期未观察到性别差异。在咖啡因引发注射后,雌性大鼠比雄性大鼠表现出更强的可卡因觅求行为。单独使用ATO治疗在任何引发条件下均未减少复吸;然而,联合治疗在COC+CUES引发条件下减少了雄性大鼠的可卡因觅求行为,并且单独使用PRO以及联合治疗在CAF+CUES条件下均减少了雌性大鼠的可卡因觅求行为。总体而言,单独使用PRO仅在减少雌性大鼠的复吸方面有效,而联合治疗在减少两性的复吸方面均持续有效。