Alter David, Beverley Joel A, Patel Ronak, Bolaños-Guzmán Carlos A, Steiner Heinz
1 Department of Cellular and Molecular Pharmacology, The Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, USA.
2 Department of Psychology, Texas A&M University, College Station, USA.
J Psychopharmacol. 2017 Aug;31(8):1078-1087. doi: 10.1177/0269881117715598. Epub 2017 Jul 18.
Drug combinations that include a psychostimulant such as methylphenidate (Ritalin) and a selective serotonin reuptake inhibitor such as fluoxetine are indicated in several medical conditions. Co-exposure to these drugs also occurs with "cognitive enhancer" use by individuals treated with selective serotonin reuptake inhibitors. Methylphenidate, a dopamine reuptake inhibitor, by itself produces some addiction-related gene regulation in the striatum. We have demonstrated that co-administration of selective serotonin reuptake inhibitors potentiates these methylphenidate-induced molecular effects, thus producing a more "cocaine-like" profile. There is evidence that the 5-HT1B serotonin receptor subtype mediates some of the cocaine-induced gene regulation. We thus investigated whether the 5-HT1B receptor also modifies methylphenidate-induced gene regulation, by assessing effects of a selective 5-HT1B receptor agonist (CP94253) on immediate-early gene markers ( Zif268, c- Fos, Homer1a) in adolescent male rats. Gene expression was measured by in situ hybridization histochemistry. Our results show that CP94253 (3, 10 mg/kg) produced a dose-dependent potentiation of methylphenidate (5 mg/kg)-induced expression of Zif268 and c- Fos. This potentiation was widespread in the striatum and was maximal in lateral (sensorimotor) sectors, thus mimicking the effects seen after cocaine alone, or co-administration of fluoxetine. However, in contrast to fluoxetine, this 5-HT1B agonist did not influence methylphenidate-induced expression of Homer1a. CP94253 also potentiated methylphenidate-induced locomotor activity. These findings indicate that stimulation of the 5-HT1B receptor can enhance methylphenidate (dopamine)-induced gene regulation. This receptor may thus participate in the potentiation induced by fluoxetine (serotonin) and may serve as a pharmacological target to attenuate methylphenidate + selective serotonin reuptake inhibitor-induced "cocaine-like" effects.
包含精神振奋药如哌甲酯(利他林)和选择性5-羟色胺再摄取抑制剂如氟西汀的药物组合适用于多种医疗状况。使用选择性5-羟色胺再摄取抑制剂治疗的个体在使用“认知增强剂”时也会同时接触这些药物。哌甲酯是一种多巴胺再摄取抑制剂,其本身会在纹状体中产生一些与成瘾相关的基因调控。我们已经证明,同时给予选择性5-羟色胺再摄取抑制剂会增强这些哌甲酯诱导的分子效应,从而产生更“类似可卡因”的特征。有证据表明,5-HT1B 5-羟色胺受体亚型介导了一些可卡因诱导的基因调控。因此,我们通过评估选择性5-HT1B受体激动剂(CP94253)对青春期雄性大鼠即刻早期基因标志物(Zif268、c-Fos、Homer1a)的影响,研究5-HT1B受体是否也会改变哌甲酯诱导的基因调控。通过原位杂交组织化学法测量基因表达。我们的结果表明,CP94253(3、10毫克/千克)对哌甲酯(5毫克/千克)诱导的Zif268和c-Fos表达产生剂量依赖性增强作用。这种增强作用在纹状体中广泛存在,在外侧(感觉运动)区域最为明显,从而模拟了单独使用可卡因或同时给予氟西汀后观察到的效应。然而,与氟西汀不同的是,这种5-HT1B激动剂不会影响哌甲酯诱导的Homer1a表达。CP94253也增强了哌甲酯诱导的运动活性。这些发现表明,刺激5-HT1B受体可以增强哌甲酯(多巴胺)诱导的基因调控。因此,该受体可能参与了氟西汀(5-羟色胺)诱导的增强作用,并可能作为一个药理学靶点来减弱哌甲酯+选择性5-羟色胺再摄取抑制剂诱导的“类似可卡因”效应。