Abstract:Rationale
Cocaine addiction is a chronic psychiatric disorder characterized by pathological motivation to obtain cocaine and behavioral and neurochemical hypersensitivity to cocaine-associated cues. These features of cocaine addiction are thought to be driven by aberrant phasic dopamine signaling. We previously demonstrated that blockade of the hypocretin receptor 1 (HCRTr1) attenuates cocaine self-administration and reduces cocaine-induced enhancement of dopamine signaling. Despite this evidence, the effects … Show more
“…Thus, based on SB studies alone, it is difficult to completely rule out the potential contribution of OxR2 (or 5HT receptors) in results obtained. Several compounds with greater selectivity for OxR1 have been developed, and a small number of studies indicate that these compounds recapitulate the effects of SB on drug‐seeking behavior (Lopez et al ., ; Levy et al ., ). Dual‐orexin receptor antagonists have also been reported to have anti‐drug‐seeking properties (Srinivasan et al ., ; Steiner et al ., ; Anderson et al ., ), including suvorexant, a compound that has the major advantage of being FDA‐approved for the treatment of insomnia (Gentile et al ., ,b; Simmons et al ., ).…”
Section: Discussionmentioning
confidence: 97%
“…**P < 0.01. ***P < 0.001. on drug-seeking behavior (Lopez et al, 2016;Levy et al, 2017). Dual-orexin receptor antagonists have also been reported to have antidrug-seeking properties (Srinivasan et al, 2012;Steiner et al, 2013;Anderson et al, 2014), including suvorexant, a compound that has the major advantage of being FDA-approved for the treatment of insomnia (Gentile et al, 2017a,b;Simmons et al, 2017).…”
Section: Demand Elasticity As a Predictor Of Sb Efficacymentioning
Behavioral economics is a powerful, translational approach for measuring drug demand in both humans and animals. Here, we asked if demand for cocaine in rats with limited drug experience could be used to identify individuals most at risk of expressing an addiction phenotype following either long‐ or intermittent access self‐administration schedules, both of which model the transition to uncontrolled drug‐seeking. Because the orexin‐1 receptor antagonist SB‐334867 (SB) is particularly effective at reducing drug‐seeking in highly motivated individuals, we also asked whether demand measured after prolonged drug experience could predict SB efficacy. Demand elasticity (α) measured immediately following acquisition of cocaine self‐administration (‘baseline α’) was positively correlated with α assessed after 2w of long‐ or intermittent access. Baseline α also predicted the magnitude of compulsive responding for cocaine, drug‐seeking in initial abstinence and cued reinstatement following long‐, intermittent‐ or standard short access. When demand was measured after these differential access conditions, α predicted the same addiction endophenotypes predicted by baseline α, as well as primed reinstatement and the emergence of negative emotional mood behavior following abstinence. α also predicted the efficacy of SB, such that high demand rats showed greater reductions in motivation for cocaine following SB compared to low demand rats. Together, these findings indicate that α might serve as a behavioral biomarker to predict individuals most likely to progress from controlled to uncontrolled drug use, and to identify individuals most likely to benefit from orexin‐based therapies for the treatment of addiction.
“…Thus, based on SB studies alone, it is difficult to completely rule out the potential contribution of OxR2 (or 5HT receptors) in results obtained. Several compounds with greater selectivity for OxR1 have been developed, and a small number of studies indicate that these compounds recapitulate the effects of SB on drug‐seeking behavior (Lopez et al ., ; Levy et al ., ). Dual‐orexin receptor antagonists have also been reported to have anti‐drug‐seeking properties (Srinivasan et al ., ; Steiner et al ., ; Anderson et al ., ), including suvorexant, a compound that has the major advantage of being FDA‐approved for the treatment of insomnia (Gentile et al ., ,b; Simmons et al ., ).…”
Section: Discussionmentioning
confidence: 97%
“…**P < 0.01. ***P < 0.001. on drug-seeking behavior (Lopez et al, 2016;Levy et al, 2017). Dual-orexin receptor antagonists have also been reported to have antidrug-seeking properties (Srinivasan et al, 2012;Steiner et al, 2013;Anderson et al, 2014), including suvorexant, a compound that has the major advantage of being FDA-approved for the treatment of insomnia (Gentile et al, 2017a,b;Simmons et al, 2017).…”
Section: Demand Elasticity As a Predictor Of Sb Efficacymentioning
Behavioral economics is a powerful, translational approach for measuring drug demand in both humans and animals. Here, we asked if demand for cocaine in rats with limited drug experience could be used to identify individuals most at risk of expressing an addiction phenotype following either long‐ or intermittent access self‐administration schedules, both of which model the transition to uncontrolled drug‐seeking. Because the orexin‐1 receptor antagonist SB‐334867 (SB) is particularly effective at reducing drug‐seeking in highly motivated individuals, we also asked whether demand measured after prolonged drug experience could predict SB efficacy. Demand elasticity (α) measured immediately following acquisition of cocaine self‐administration (‘baseline α’) was positively correlated with α assessed after 2w of long‐ or intermittent access. Baseline α also predicted the magnitude of compulsive responding for cocaine, drug‐seeking in initial abstinence and cued reinstatement following long‐, intermittent‐ or standard short access. When demand was measured after these differential access conditions, α predicted the same addiction endophenotypes predicted by baseline α, as well as primed reinstatement and the emergence of negative emotional mood behavior following abstinence. α also predicted the efficacy of SB, such that high demand rats showed greater reductions in motivation for cocaine following SB compared to low demand rats. Together, these findings indicate that α might serve as a behavioral biomarker to predict individuals most likely to progress from controlled to uncontrolled drug use, and to identify individuals most likely to benefit from orexin‐based therapies for the treatment of addiction.
“…Self-administration surgeries were performed as previously described (Brodnik et al, 2015; Levy et al, 2017). Rats were anesthetized using ketamine (100 mg/kg) and xylazine (10 mg/kg), and were implanted with an intravenous silastic catheter placed into the right jugular vein.…”
Patients with post-traumatic stress disorder have a heightened vulnerability to developing substance use disorders; however, the biological underpinnings of this vulnerability remain unresolved. We used the predator odor stress model of post-traumatic stress disorder with segregation of subjects as susceptible or resilient based on elevated plus maze behavior and context avoidance. We then determined behavioral and neurochemical differences across susceptible, resilient, and control populations using a panel of behavioral and neurochemical assays. Susceptible subjects showed a significant increase in the motoric and dopaminergic effects of cocaine, and this corresponded with heightened motivation to self-administer cocaine. Resilient subjects did not show differences in the motoric effects of cocaine, in dopamine signaling vivo, or in any measure of cocaine self-administration. Nonetheless, we found that these animals displayed elevations in both the dopamine release-promoting effects of cocaine and dopamine autoreceptor sensitivity ex vivo. Our results suggest that the experience of traumatic stress may produce alterations in dopamine systems that drive elevations in cocaine self-administration behavior in susceptible subjects, but may also produce both active and passive forms of resilience that function to prevent gross changes in cocaine’s reinforcing efficacy in resilient subjects.
“…34 In addition, at doses that attenuated the motivation for cocaine, 5 reduced spontaneous dopamine transient amplitude and cue-evoked dopamine release, and also attenuated cocaine-induced dopamine uptake inhibition at the level of dopamine terminals, confirming its in vivo efficacy. 36 …”
Orexins are hypothalamic neuropeptides playing important roles in many functions including the motivation of addictive behaviors. Blockade of the orexin-1 receptor has been suggested as a potential strategy for the treatment of drug addiction. We have previously reported OX1 receptor antagonists based on the tetrahydroisoquinoline scaffold with excellent OX1 potency and selectivity; however, these compounds had high lipophilicity (clogP > 5) and low to moderate solubility. In an effort to improve their properties, we have designed and synthesized a series of analogs where the 7-position substituents known to favor OX1 potency and selectivity were retained, and groups of different nature were introduced at the 1-position where substitution was generally tolerated as demonstrated in previous studies. Compound 44 with lower lipophilicity (clogP = 3.07) displayed excellent OX1 potency (Ke = 5.7 nM) and selectivity (> 1,760-fold over OX2) in calcium mobilization assays. In preliminary ADME studies, 44 showed excellent kinetic solubility (> 200 μM), good CNS permeability (Papp = 14.7 × 10−6 cm/sec in MDCK assay), and low drug efflux (efflux ratio = 3.3).
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