Pomrenze Matthew B, Vaillancourt Sam, Salgado Juliana S, Raymond Kendall B, Llorach Pierre, Touponse Gavin C, Cardozo Pinto Daniel F, Rastegar Zahra, Casey Austen B, Eshel Neir, Malenka Robert C, Heifets Boris D
Nancy Pritzker Laboratory, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA 94305.
bioRxiv. 2024 Oct 22:2024.10.20.619256. doi: 10.1101/2024.10.20.619256.
MDMA is a promising adjunct to psychotherapy and has well-known abuse liability, although less than other amphetamine analogs. While the reinforcing dopamine (DA)-releasing properties of MDMA are on par with methamphetamine (METH), MDMA is a far more potent serotonin (5-HT) releaser, via the 5-HT transporter (SERT). MDMA-mediated 5-HT release in a major reward center, the nucleus accumbens (NAc), drives prosocial behaviors via 5-HTR activation. We hypothesized that this prosocial mechanism contributes to the reduced reinforcing properties of MDMA compared to METH and used a platform of assays to predict the balance of prosocial and abuse-linked effects of ()-MDMA, a novel entactogen in clinical development. NAc DA release, measured by GRAB-DA photometry , increased in proportion to MDMA (7.5 and 15 mg/kg, i.p.) and METH (2 mg/kg i.p.)-conditioned place preference (CPP). Using conditional knockouts (cKOs) for DAT and SERT, microdialysis, and photometry, we found that MDMA-released 5-HT limited MDMA-released DA through actions in the NAc, rather than at ventral tegmental area DAergic cell bodies. SERT cKO reduced the MDMA dose required for CPP three-fold. This enhanced MDMA-CPP and increased DA release were replicated by intra-NAc infusion of either a 5-HT reuptake inhibitor (escitalopram) to prevent MDMA interaction with SERT, or a 5-HTR antagonist (SB242084), but not by the 5-HTR antagonist NAS-181. These data support separate mechanisms for the low abuse potential versus prosocial effect of MDMA. Using this platform of assays, ()-MDMA is predicted to have prosocial effects and low abuse potential.
摇头丸是心理治疗中有前景的辅助药物,且具有众所周知的滥用可能性,尽管比其他苯丙胺类似物要低。虽然摇头丸增强多巴胺(DA)释放的特性与甲基苯丙胺(冰毒)相当,但摇头丸是一种更强效的血清素(5-HT)释放剂,通过5-HT转运体(SERT)起作用。摇头丸介导的5-HT在主要奖赏中枢伏隔核(NAc)中的释放,通过5-HTR激活来驱动亲社会行为。我们推测,这种亲社会机制导致摇头丸与冰毒相比强化特性降低,并使用了一系列检测平台来预测()-摇头丸(一种处于临床开发阶段的新型致幻剂)亲社会效应和与滥用相关效应的平衡。通过GRAB-DA光度法测量,NAc中DA的释放与摇头丸(7.5和15毫克/千克,腹腔注射)和冰毒(2毫克/千克,腹腔注射)诱导的条件性位置偏爱(CPP)成比例增加。使用DAT和SERT的条件性基因敲除(cKOs)、微透析和光度法,我们发现摇头丸释放的5-HT通过在NAc中的作用而非腹侧被盖区DA能细胞体来限制摇头丸释放的DA。SERT cKO使CPP所需的摇头丸剂量降低了三倍。通过向NAc内注射5-HT再摄取抑制剂(艾司西酞普兰)以阻止摇头丸与SERT相互作用,或注射5-HTR拮抗剂(SB242084),但不是5-HTR拮抗剂NAS-181,可重现这种增强的摇头丸-CPP和增加的DA释放。这些数据支持摇头丸低滥用潜力和亲社会效应的不同机制。使用这个检测平台,预计()-摇头丸具有亲社会效应和低滥用潜力。