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在尼古丁自我给药的临床前模型中,对安非他酮或伐尼克兰的反应存在个体差异,这取决于个体对尼古丁的需求。

Individual differences in responding to bupropion or varenicline in a preclinical model of nicotine self-administration vary according to individual demand for nicotine.

机构信息

Department of Psychology, University of New Hampshire, USA.

Department of Psychology, University of New Hampshire, USA.

出版信息

Neuropharmacology. 2019 Apr;148:139-150. doi: 10.1016/j.neuropharm.2018.12.031. Epub 2019 Jan 3.

Abstract

Bupropion and varenicline are the top two smoking cessation interventions that are marginally successful in increasing abstinence rates when compared to placebo. Although smokers vary in their history and pattern of tobacco use, there is a significant gap in addressing this individual variability with individually targeted treatments. The present study takes the initial step towards a better understanding of individual differences in treatment outcomes by assessing the effect of bupropion or varenicline on nicotine self-administration in rats. Rats were first assessed for their individual economic demand for sucrose and then for self-administered nicotine (0.03 mg/kg/inf; 2 h sessions). We then examined the effect of bupropion (0, 10, 30, 60 mg/kg) or varenicline (0, 0.1, 1.0, 3.0 mg/kg) pretreatment on individual rates of nicotine self-administration using progressive ratio schedule of reinforcement. Thereafter, rats were subjected to four rounds of extinction and reinstatement tests. We found that individual demand for sucrose did not predict individual demand for nicotine. Acute pretreatments with bupropion or varenicline were most effective at decreasing nicotine self-administration in rats that had a higher demand for nicotine. Rats with higher demand for nicotine also showed higher magnitude of responding in extinction and during nicotine-triggered reinstatement tests. Although the acute treatment protocol employed in this study is an important initial step towards a better understanding of individual treatment effects, future research modeling chronic treatment approaches will be needed to further extend our findings.

摘要

安非他酮和伐尼克兰是两种最主要的戒烟干预措施,与安慰剂相比,它们在提高戒烟率方面仅略有成效。尽管吸烟者的吸烟史和吸烟模式各不相同,但在针对这种个体差异采用个体化靶向治疗方面,仍存在显著差距。本研究通过评估安非他酮或伐尼克兰对大鼠尼古丁自我给药的影响,迈出了更好地理解治疗效果个体差异的第一步。首先,评估大鼠对蔗糖的个体经济需求,然后评估其自我给予尼古丁(0.03mg/kg/inf;2h 疗程)的情况。接着,我们研究了安非他酮(0、10、30、60mg/kg)或伐尼克兰(0、0.1、1.0、3.0mg/kg)预处理对使用递增比例强化程序的个体尼古丁自我给药率的影响。此后,大鼠接受了四轮消退和复吸测试。结果发现,蔗糖的个体需求并不预测尼古丁的个体需求。在尼古丁需求较高的大鼠中,急性给予安非他酮或伐尼克兰预处理对降低尼古丁自我给药最有效。尼古丁需求较高的大鼠在消退和尼古丁引发的复吸测试中表现出更高的反应幅度。虽然本研究中采用的急性治疗方案是更好地理解个体治疗效果的重要初始步骤,但需要进一步扩展我们的发现,未来研究还需要模拟慢性治疗方法。

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Pharmacological interventions for smoking cessation: an overview and network meta-analysis.戒烟的药物干预:综述与网状Meta分析
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