Department of Psychiatry, University of Florida, Gainesville, FL, USA.
J Psychopharmacol. 2024 Mar;38(3):280-296. doi: 10.1177/02698811241230255. Epub 2024 Feb 8.
Addiction to tobacco and nicotine products has adverse health effects and afflicts more than a billion people worldwide. Therefore, there is an urgent need for new treatments to reduce tobacco and nicotine use. Glucocorticoid receptor blockade shows promise as a novel treatment for drug abuse and stress-related disorders.
These studies aim to investigate whether glucocorticoid receptor blockade with mifepristone diminishes the reinforcing properties of nicotine in rats with intermittent or daily long access to nicotine.
The rats self-administered 0.06 mg/kg/inf of nicotine for 6 h per day, with either intermittent or daily access for 4 weeks before treatment with mifepristone. Daily nicotine self-administration models regular smoking, while intermittent nicotine self-administration models occasional smoking. To determine whether the rats were dependent, they were treated with the nicotinic acetylcholine receptor antagonist mecamylamine, and somatic signs were recorded.
The rats with intermittent access to nicotine had a higher level of nicotine intake per session than those with daily access but only the rats with daily access to nicotine showed signs of physical dependence. Furthermore, mecamylamine increased nicotine intake during the first hour of access in rats with daily access but not in those with intermittent access. Mifepristone decreased total nicotine intake in rats with intermittent and daily access to nicotine. Moreover, mifepristone decreased the distance traveled and rearing in the open field test and operant responding for food pellets.
These findings indicate that mifepristone decreases nicotine intake but this effect may be partially attributed to the sedative effects of mifepristone.
烟草和尼古丁产品成瘾对健康有不良影响,影响着全球超过 10 亿人。因此,迫切需要新的治疗方法来减少烟草和尼古丁的使用。糖皮质激素受体阻断剂显示出作为一种治疗药物滥用和与应激相关障碍的新方法的潜力。
这些研究旨在探讨米非司酮阻断糖皮质激素受体是否会减少间歇或每日长时间接触尼古丁的大鼠对尼古丁的强化作用。
大鼠每天自我注射 0.06mg/kg/inf 的尼古丁,连续 4 周后用米非司酮治疗,采用间歇或每日接触方式。每日尼古丁自我给药模型模拟规律吸烟,而间歇尼古丁自我给药模型模拟偶尔吸烟。为了确定大鼠是否依赖,用烟碱型乙酰胆碱受体拮抗剂美加仑胺治疗,并记录躯体症状。
间歇接触尼古丁的大鼠每 session 的尼古丁摄入量高于每日接触的大鼠,但只有每日接触尼古丁的大鼠表现出身体依赖的迹象。此外,美加仑胺增加了每日接触尼古丁的大鼠在接触的第一小时内的尼古丁摄入量,但对间歇接触尼古丁的大鼠没有影响。米非司酮减少了间歇和每日接触尼古丁的大鼠的总尼古丁摄入量。此外,米非司酮减少了旷场试验中的行走距离和站立次数,以及食物丸的操作反应。
这些发现表明,米非司酮减少了尼古丁的摄入,但这种效果可能部分归因于米非司酮的镇静作用。