Thomsen Morgane, Barrett Andrew C, Butler Paul, Negus S Stevens, Caine S Barak
Alcohol and Drug Abuse Research Center, McLean Hospital, Belmont, Massachusetts (M.T., A.C.B., S.B.C.); Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts (M.T., A.C.B., S.B.C.); Laboratory of Neuropsychiatry, Psychiatric Centre Copenhagen, University of Copenhagen, Copenhagen, Denmark (M.T.); Drug Safety Research and Development, Pfizer, San Diego, California (P.B.); and Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia (S.S.N.)
Alcohol and Drug Abuse Research Center, McLean Hospital, Belmont, Massachusetts (M.T., A.C.B., S.B.C.); Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts (M.T., A.C.B., S.B.C.); Laboratory of Neuropsychiatry, Psychiatric Centre Copenhagen, University of Copenhagen, Copenhagen, Denmark (M.T.); Drug Safety Research and Development, Pfizer, San Diego, California (P.B.); and Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia (S.S.N.).
J Pharmacol Exp Ther. 2017 Jul;362(1):161-176. doi: 10.1124/jpet.117.241141. Epub 2017 May 4.
Dopamine D receptor ligands are potential medications for psychostimulant addiction. Medication assessment may benefit from preclinical studies that evaluate chronic medication effects on choice between an abused drug and an alternative, nondrug reinforcer. This study compared acute and chronic effects of dopamine D- and D-preferring ligands on choice between intravenous cocaine and palatable food in rats. Under baseline conditions, cocaine maintained dose-dependent increases in cocaine choice and reciprocal decreases in food choice. Acutely, the D agonist -(-)-norpropylapomorphine (NPA) and antagonist L-741,626 [3-[[4-(4-chlorophenyl)-4-hydroxypiperidin-l-yl]methyl-1-indole] produced leftward and rightward shifts in cocaine dose-effect curves, respectively, whereas the partial agonist terguride had no effect. All three drugs dose-dependently decreased food-maintained responding. Chronically, the effects of -(-)-norpropylapomorphine and L-741,626 on cocaine self-administration showed marked tolerance, whereas suppression of food-reinforced behavior persisted. Acute effects of the D ligands were less systematic and most consistent with nonselective decreases in cocaine- and food-maintained responding. Chronically, the D agonist PF-592,379 [5-[(2,5)-5-methyl-4-propylmorpholin-2-yl]pyridin-2-amine] increased cocaine choice, whereas an intermediate dose of the D antagonist PG01037 [-[()-4-[4-(2,3-dichlorophenyl)piperazin-1-yl]but-2-enyl]-4-pyridin-2-ylbenzamide] produced a therapeutically desirable decrease in cocaine choice early in treatment; however, tolerance to this effect developed, and lower and higher doses were ineffective. D ligands failed to significantly modify total cocaine intake but caused persistent decreases in food intake. Thus, D-and D-preferring ligands showed distinct profiles, consistent with different pharmacological actions. In addition, these results highlight the role of acute versus chronic treatment as a determinant of test drug effects. With the possible exception of the D antagonist PG01037, no ligand was promising in terms of cocaine addiction treatment.
多巴胺D受体配体是治疗精神兴奋剂成瘾的潜在药物。药物评估可能受益于临床前研究,这些研究评估慢性药物对滥用药物和替代非药物强化物之间选择的影响。本研究比较了多巴胺D偏向性和D偏向性配体对大鼠静脉注射可卡因和美味食物选择的急性和慢性影响。在基线条件下,可卡因维持了可卡因选择的剂量依赖性增加和食物选择的相应减少。急性给药时,D激动剂-(-)-去甲丙基阿朴吗啡(NPA)和拮抗剂L-741,626 [3-[[4-(4-氯苯基)-4-羟基哌啶-1-基]甲基-1-吲哚]分别使可卡因剂量效应曲线向左和向右移动,而部分激动剂替咕立定没有作用。所有三种药物均剂量依赖性地减少了食物维持的反应。长期给药时,-(-)-去甲丙基阿朴吗啡和L-741,626对可卡因自我给药的影响表现出明显的耐受性,而对食物强化行为的抑制持续存在。D配体的急性作用不太系统,最一致的表现是可卡因和食物维持反应的非选择性降低。长期给药时,D激动剂PF-592,379 [5-[(2,5)-5-甲基-4-丙基吗啉-2-基]吡啶-2-胺]增加了可卡因选择,而中等剂量的D拮抗剂PG01037 [-[()-4-[4-(2,3-二氯苯基)哌嗪-1-基]丁-2-烯基]-4-吡啶-2-基苯甲酰胺]在治疗早期使可卡因选择产生了治疗上理想的降低;然而,对这种作用产生了耐受性,更低和更高的剂量均无效。D配体未能显著改变可卡因的总摄入量,但导致食物摄入量持续减少。因此,D偏向性和D偏向性配体表现出不同的特征,与不同的药理作用一致。此外,这些结果突出了急性与慢性治疗作为测试药物效应决定因素的作用。除了D拮抗剂PG01037可能例外,就可卡因成瘾治疗而言,没有一种配体是有前景的。