Barbosa-Mendez Sasana, Salazar-Juárez Alberto
Laboratorio de Neurofarmacología Conductual, Microcirugía y Terapéutica Experimental, Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría, Ciudad de México, Mexico.
Front Psychiatry. 2025 Jun 3;16:1548585. doi: 10.3389/fpsyt.2025.1548585. eCollection 2025.
INTRODUCTION: Active vaccination is an effective therapeutic strategy, capable of decreasing the reinforcing and psychomotor effects of cocaine. Clinical studies have shown that cocaine vaccines show an irregular generation of antibody titers, which are rapidly reduced in the absence of reimmunization. The COC-TT vaccine has demonstrated, in rodents, the production of high levels of anti-cocaine antibodies, capable of reducing the cocaine-reinforcing effects, but the adequate dose to obtain the highest antibody titers has not yet been determined, as well as the kinetics of the decay of titers and the capacity to decrease the locomotor activity induced by different doses of cocaine during the phase of decay of titers, induction and expression of locomotor sensitization. The objective of this study was to determine the optimal dose of the COC-TT vaccine, the decay kinetics of anti-cocaine titers, and the efficacy of the antibodies to decrease the locomotor activity induced by different doses of cocaine. METHODS: Male Wistar rats were immunized with the COC-TT. A solid-phase antibody-capture ELISA was used to monitor antibody titer responses after each booster dose in vaccinated animals. The study used cocaine-induced locomotor activity testing to evaluate the cocaine-psychomotor effects. RESULTS: The COC-TT vaccine could generate high levels of anti-cocaine antibodies. These showed a gradual, dose-dependent decay kinetics of the COC-TT vaccine and a rapid recovery in antibody levels after re-immunization. Furthermore, the antibodies attenuated cocaine-induced locomotor activity during the induction and expression of locomotor sensitization. DISCUSSION: These findings suggest that the COC-TT vaccine generates a robust immunogenic response capable of reducing the reinforcing effects of cocaine, which supports its possible future use in clinical trials in patients with CUD.
引言:主动免疫接种是一种有效的治疗策略,能够降低可卡因的强化作用和精神运动效应。临床研究表明,可卡因疫苗产生的抗体滴度不稳定,在不再次免疫的情况下会迅速下降。COC-TT疫苗在啮齿动物中已证明能产生高水平的抗可卡因抗体,可降低可卡因的强化作用,但尚未确定获得最高抗体滴度的合适剂量,以及抗体滴度衰减的动力学,和在抗体滴度衰减阶段、运动敏化诱导和表达过程中降低不同剂量可卡因诱导的运动活性的能力。本研究的目的是确定COC-TT疫苗的最佳剂量、抗可卡因滴度的衰减动力学,以及抗体降低不同剂量可卡因诱导的运动活性的效果。 方法:用COC-TT对雄性Wistar大鼠进行免疫接种。采用固相抗体捕获ELISA监测接种动物每次加强免疫后的抗体滴度反应。该研究使用可卡因诱导的运动活性测试来评估可卡因的精神运动效应。 结果:COC-TT疫苗可产生高水平的抗可卡因抗体。这些抗体显示出COC-TT疫苗逐渐的、剂量依赖性的衰减动力学,以及再次免疫后抗体水平的快速恢复。此外,在运动敏化的诱导和表达过程中,这些抗体减弱了可卡因诱导的运动活性。 讨论:这些发现表明,COC-TT疫苗能产生强大的免疫原性反应,能够降低可卡因的强化作用,这支持了其未来可能用于可卡因使用障碍患者的临床试验。
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