Hutsell Blake A, Negus S Stevens, Banks Matthew L
Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, VA, USA.
Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, VA, USA.
Drug Alcohol Depend. 2016 Nov 1;168:36-44. doi: 10.1016/j.drugalcdep.2016.08.637. Epub 2016 Sep 5.
Clinical trial data suggest amphetamine treatment is most efficacious in moderate to high frequency cocaine users. However, preclinical studies have examined amphetamine treatment effects under relatively limited cocaine access conditions with low to moderate cocaine intakes. This study determined d-amphetamine treatment effects on cocaine self-administration in rhesus monkeys under cocaine access conditions allowing for high daily cocaine intake. For comparison and as a negative control, treatment effects with the antipsychotic risperidone were also examined.
Continuous 21-day treatments with ramping doses of d-amphetamine (days 1-7: 0.032mg/kg/h; days 8-21: 0.1mg/kg/h, i.v.) or risperidone (days 1-7: 0.001mg/kg/h; days 8-14: 0.0032mg/kg/h; days 15-21: 0.0056mg/kg/h, i.v.) were administered to rhesus monkeys (n=4) with daily access to two types of cocaine self-administration sessions: (1) a 2-h 'choice' session with concurrent availability of 1-g food pellets and intravenous cocaine injections (0-0.1mg/kg per injection) and (2) a 20-h 'extended-access' session with 0.1mg/kg per injection cocaine availability.
Total daily cocaine intake increased >6-fold during extended cocaine access. d-Amphetamine significantly decreased total cocaine intake, but not cocaine vs food choice. In contrast, risperidone did not significantly alter either total cocaine intake or cocaine vs. food choice.
These results confirm and extend previous results supporting treatment effectiveness for monoamine releasers, but not dopamine antagonists, to reduce cocaine self-administration. Moreover, these results suggest amphetamine treatment efficacy to decrease preclinical cocaine vs. food choice may depend upon cocaine access conditions.
临床试验数据表明,苯丙胺治疗对中高频可卡因使用者最为有效。然而,临床前研究是在相对有限的可卡因获取条件下,即低至中等可卡因摄入量的情况下,考察苯丙胺的治疗效果。本研究确定了在允许每日高剂量可卡因摄入的获取条件下,右旋苯丙胺对恒河猴可卡因自我给药的治疗效果。为作比较并作为阴性对照,还考察了抗精神病药物利培酮的治疗效果。
对4只恒河猴连续进行21天递增剂量的右旋苯丙胺(第1 - 7天:0.032mg/kg/小时;第8 - 21天:0.1mg/kg/小时,静脉注射)或利培酮(第1 - 7天:0.001mg/kg/小时;第8 - 14天:0.0032mg/kg/小时;第15 - 21天:0.0056mg/kg/小时,静脉注射)治疗,每日让其进行两种类型的可卡因自我给药实验:(1)一个2小时的“选择”实验,同时提供1克食物颗粒和静脉注射可卡因(每次注射0 - 0.1mg/kg);(2)一个20小时的“延长获取”实验,每次注射可卡因剂量为0.1mg/kg。
在延长可卡因获取期间,每日可卡因总摄入量增加了6倍以上。右旋苯丙胺显著降低了可卡因总摄入量,但未改变可卡因与食物的选择。相比之下,利培酮既未显著改变可卡因总摄入量,也未改变可卡因与食物的选择。
这些结果证实并扩展了先前支持单胺释放剂而非多巴胺拮抗剂治疗可卡因自我给药有效性的结果。此外,这些结果表明,苯丙胺降低临床前可卡因与食物选择的治疗效果可能取决于可卡因获取条件。