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Vol. 295, Issue 1, 321-327, October 2000
Department of Pharmacology and Toxicology, Medical College of Virginia of Virginia Commonwealth University, Richmond, Virginia
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Abstract |
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Neuronal nicotinic receptors are ligand-gated ion channels of the
central and peripheral central nervous system that regulate synaptic
activity from both pre- and postsynaptic sites. The present study
establishes the acute interaction of bupropion, an antidepressant agent
that is also effective in nicotine dependence, with nicotine and
nicotinic receptors using different in vivo and in vitro tests. Bupropion was found to block nicotine's antinociception (in two tests), motor effects, hypothermia, and convulsive effects with different potencies in the present investigation, suggesting that bupropion possesses some selectivity for neuronal nicotinic receptors underlying these various nicotinic effects. In addition, bupropion blocks nicotine activation of
3
2,
4
2, and
7 neuronal
acetylcholine nicotinic receptors (nAChRs) with some degree of
selectivity. It was ~50 and 12 times more effective in blocking
3
2 and
4
2 than
7. This functional blockade was noncompetitive,
because it was insurmountable by increasing concentration of ACh in the nAChRs subtypes tested. Furthermore, bupropion at high concentration failed to displace brain [3H]nicotine binding sites, a
site largely composed of
4
2 subunit combination. Given the observation that bupropion inhibition of
3
2 and
4
2
receptors exhibits voltage-independence properties, bupropion may not
be acting as an open channel blocker. These effects may explain in part
bupropion's efficacy in nicotine dependence. Our present findings
suggest that functional blockade of neuronal nAChRs are useful in
nicotine dependence treatment.
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Introduction |
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Despite
heightened education and prevention strategies, cigarette smoking
remains a major health risk. Nicotine is believed to be the primary
reason that people consume tobacco products. Indeed, substantial
evidence now shows that nicotine is the addictive substance found in
tobacco. Neuronal acetylcholine nicotinic receptors (nAChRs) are likely
sites at which nicotine exerts its psychoactive and addictive effects.
Currently, the treatment of nicotine dependence consists of using
different forms of nicotine replacement therapy to assist in smoking
cessation. These methods gradually replace nicotine in an attempt to
reduce cravings and withdrawal in smokers. Additionally, bupropion
(Zyban), an atypical antidepressant, has been approved for smoking
cessation (Hurt et al., 1997
). It is interesting to note that bupropion
appears to work equally well in smokers with and without a past history
of depression (Hayford et al., 1999
), suggesting that bupropion's
efficacy is not due to its antidepressant effect. However, mechanisms
by which bupropion reduces nicotine intake are still unclear. The
current presumed mechanism of action of bupropion involves modulation
of dopaminergic and noradrenergic systems that have been implicated in
addiction (Ascher et al., 1995
). Indeed, bupropion is a relatively weak dopamine-reuptake inhibitor and inhibits the firing of locus coerulus noradrenergic neurons at high concentrations (Cooper et al., 1994
). In
addition, bupropion has been found to lack binding affinity for almost
all of the major classes of neuronal receptors, including serotonergic, dopaminergic,
-adrenergic,
1- and
2-adrenergic receptors, and muscarinic cholinergic receptors (Ascher et al., 1995
).
Recently, we have reported that bupropion blocked nicotine-induced antinociception in the tail-flick test after systemic administration (Damaj et al., 1999b
). Furthermore, bupropion has been found to be a
functional inhibitor of nAChRs in both the muscle and the ganglia
(Fryer and Lukas, 1999
). The functional blockade of bupropion was found
to be insurmountable by increasing agonist concentrations, suggesting
noncompetitive inhibition of nAChRs function. Further studies are
needed to examine roles that neuronal nAChRs may play as targets for
bupropion. Such studies may hold promise for treating affective
disorders and for understanding and treating addictive processes.
In the present study, we have examined the mechanisms of the
bupropion-nicotine interaction after acute administration using in
vitro and in vivo assays. For that, the potency of bupropion to block
various pharmacological effects of nicotine (antinociception, hypothermia, seizures, and motor impairment) in animals was examined. A
wide range of nicotinic effects is important to consider, because it is
believed that various nicotinic receptor subtypes mediate different
pharmacological effects of nicotine (Damaj et al., 1999a
). Using the
oocyte expression system, the effects of bupropion on the functional
activity of the neuronal nAChRs
4
2,
3
2, and
7 expressed receptors, were also studied.
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Materials and Methods |
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Animals
Male ICR mice (20-25 g) obtained from Harlan Laboratories (Indianapolis, IN) were used throughout the study. They were housed in groups of six and had free access to food and water. Animals were housed in an Association for Assessment of Laboratory Animal Care approved facility, and the study was approved by the Institutional Animal Care and Use Committee of Virginia Commonwealth University.
Drugs
(
)-Nicotine was obtained from Aldrich Chemical Company, Inc.
(Milwaukee, WI) and converted to the ditartrate salt as described by
Aceto et al. (1979)
. (
)-Epibatidine (hemi-oxalate salt) was supplied
by Dr. S. Fletcher (Merck Sharp and Dohme, Essex, UK). Bupropion HCl
was purchased from Research Biochemicals International (Natick,
MA). Morphine was supplied by the National Institute on Drug Abuse
(Washington, DC). All drugs were dissolved in physiological saline
(0.9% sodium chloride) and given in a total volume of 1 ml/100 g of
body weight for s.c. injections. All doses are expressed as the free
base of the drug.
Intrathecal Injections
Intrathecal injections were performed free-hand between the L5
and L6 lumbar space in unanesthetized male mice according to the method
of Hylden and Wilcox (1980)
. The injection was performed using a
30-gauge needle attached to a glass microsyringe. The injection volume
in all cases was 5 µl. The accurate placement of the needle was
evidenced by a quick "flick" of the mouse's tail. In protocols
where two sequential injections were required in an animal, the
flicking motion of the tail could be elicited with the subsequent injection.
Antinociceptive Tests
Tail-Flick Test.
Antinociception was assessed by the
tail-flick method of D'Amour and Smith (1941)
as modified by Dewey et
al. (1970)
. A control response (2-4 s) was determined for each mouse
before treatment, and a test latency was determined after drug
administration. To minimize tissue damage, a maximum latency of 10 s was imposed. Antinociceptive response was calculated as percentage of
maximum possible effect (%MPE), where %MPE = [(test
control)/(10
control)] × 100. Groups of 8 to 12 animals were used for each dose and for each treatment. The mice were
tested 5 min after either s.c. or intrathecal (i.t.) injections of
nicotine. Antagonism studies were carried out by pretreating the mice
with either saline or bupropion at different times before nicotine. The
animals were tested 5 min after administration of nicotine.
Hot-Plate Test.
The method for this test is a modification
of that described by Eddy and Leimback (1953)
and Atwell and Jacobson
(1978)
. Mice were placed into a 10-cm-wide glass cylinder on a
hot-plate (Thermojust Apparatus) maintained at 55.0°C. Two control
latencies at least 10 min apart were determined for each mouse. The
normal latency (reaction time) was 6-10 s. Antinociceptive response
was calculated as %MPE, as above. The reaction time was scored
when the animal jumped or licked its paws. Eight mice per dose were
injected s.c. with nicotine and tested 5 min after injection.
Antagonism studies were carried out by pretreating the mice with either
saline or bupropion at different times before nicotine. The animals
were tested 5 min after administration of nicotine.
Behavioral Testing
Locomotor Activity. Mice were placed into individual Omnitech photocell activity cages (28 × 16.5 cm) 5 min after s.c. administration of either 0.9% saline or nicotine. Interruptions of the photocell beams (two banks of eight cells each) were then recorded for the next 10 min. Data were expressed as number of photocell interruptions.
Body Temperature. Rectal temperature was measured by a thermistor probe (inserted 24 mm) and digital thermometer (Yellow Springs Instrument Co., Yellow Springs, OH). Readings were taken just before and at 30 min after the s.c. injection of either saline or nicotine. The difference in rectal temperature before and after treatment was calculated for each mouse. The ambient temperature of the laboratory varied from 21-24°C from day to day.
Seizure Activity. Following a s.c. injection of nicotine at a dose of 9 mg/kg, each animal was placed into a 30- × 30-cm Plexiglas cage and observed for 5 min. Whether a clonic seizure occurred within a 5-min time period was noted for each animal after s.c. administration of different drugs. This amount of time was chosen because seizures occur very quickly after nicotine administration. Results are expressed as the percentage of animals that seized. Antagonism studies were carried out by pretreating the mice s.c. with either saline or bupropion 15 min before nicotine.
(
)-[3H]Nicotine Binding in Vitro
(
)-[3H]Nicotine binding assays
in rat brain were performed in vitro according to the method of Scimeca
and Martin (1988)
with minor modifications. Tissue homogenate was
prepared from whole rat brain (minus cerebellum) in 10 volumes of
ice-cold 0.05 M sodium-potassium phosphate buffer (pH 7.4) and
centrifuged (17,500g, 4°C) for 30 min. The pellet was then
resuspended in 20 volumes of ice-cold glass-distilled water and allowed
to remain on ice for 60 min before being centrifuged as before. The
resulting pellet was then resuspended to a final tissue concentration
of 10 mg/ml buffer. Membranes from whole brain (0.2 ml of final
suspension) were incubated at 4°C for 2 h with phosphate buffer
and [3H]nicotine at the indicated
concentrations in a total volume of 1 ml. Nonspecific binding was
determined in the presence of 100 µM unlabeled nicotine. The
incubation was terminated by rapid filtration through a Whatman GF/C
glass fiber filter (presoaked overnight in 0.1%
poly(L-lysine) to reduce radioligand binding to
the filters). Filters were washed twice with 3 ml of the buffer, and
radioactivity on the filters was measured using a liquid scintillation spectrometer. The Bmax and
KD values, obtained from Scatchard analysis, were determined via the KELL package of binding analysis programs for the Macintosh computer (Biosoft, Milltown, NJ). The ability of bupropion to displace 1.5 nM
[3H]nicotine binding was determined in the
presence of increasing concentrations of bupropion.
Oocyte Expression Studies
Oocyte Preparation.
Oocytes preparation was performed
according to the method of Mirshahi and Woodward (1995)
with minor
modifications. Briefly, oocytes were isolated from female adult
oocyte-positive Xenopus laevis frogs. Frogs were
anesthetized in a 0.2% 3-aminobenzoic acid ethyl ester solution (Sigma
Chemical Co., St. Louis, MO) for 30 min, and a fraction of the ovarian
lobes was removed. The eggs were rinsed in
Ca2+-free ND96 solution, treated with Collagenase
type IA (Sigma) for 1 h to remove the follicle layer, and then
rinsed again. Healthy stage V to VI oocytes were selected and
maintained for up to 14 days after surgery in 0.5× L-15 media.
mRNA Preparation and Microinjection.
4,
3,
7, and
2 rat subunits
cDNA contained within a pcDNAIneo vector were kindly supplied by Dr.
James Patrick (Baylor College of Medicine, Houston, TX). The template
was linearized downstream of the coding sequence, and mRNA was
synthesized using an in vitro transcription kit from Ambion (Austin,
TX). The quantity and quality of message were determined via optical
density (spectrophotometer Beckman Instruments Inc., Chaumburg, IL) and
denaturing formaldehyde gel analysis. Oocytes were injected with either
51 ng (41 nl) of
4 and
2 or
3 and
2 mRNA, each mixed in a 1:1 ratio using a variable microinjector (Nanoject; Drummond Scientific Co.,
Broomall, PA). Oocytes were incubated in 0.5× L-15 media IA (Sigma)
supplemented with penicillin, streptomycin, and gentamicin for 4 to 6 days at 19°C before recording.
Electrophysiological Recordings.
Oocytes were placed within
a Plexiglas chamber (total volume 0.2 ml) and continually perfused (10 ml/min) with buffer consisting of 115 mM NaCl, 1.8 mM
CaCl2, 2.5 mM KCl, 1.0 µM atropine and 10.0 mM
HEPES at pH 7.2. Oocytes were impaled with two microelectrodes containing 3 M KCl (0.3-3 M
) and voltage-clamped at
70 mV using a
Geneclamp amplifier (Axon Instruments Inc., Foster City, CA). Oocytes
were stimulated for 10 s with various concentrations of acetylcholine (ACh) and nicotine using a six-port injection valve. Except where noted, applications were separated by 5-min periods of
washout. Currents were filtered at 10 Hz and collected by a Macintosh
Centris 650 with a 16-bit analog-to-digital interface board, and data
were analyzed using Pulse Control voltage-clamp software running under
the Igor Pro graphic platform (Wavemetrics, Lake Oswego, OR). Bupropion
was applied at different concentrations, and concentration-response
curves were normalized to the current induced by 1 µM
(
4
2 receptors) or 10 µM (
3
2 receptors)
of ACh. The normalizing concentration of ACh was applied before and after drug application to each oocyte to check for desensitization. Data were rejected if responses to the normalizing dose fell below 75%
of the original response.
Statistical Analysis
Data were analyzed statistically by an ANOVA followed by the
Fisher least significant difference multiple comparison test. The null hypothesis was rejected at the 0.05 level.
IC50 (antagonist concentration 50%) and
AD50 (antagonist dose 50%) values with 95%
confidence limits were calculated by unweighted least-squares linear
regression as described by Tallarida and Murray (1987)
.
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Results |
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Binding Experiments
The Scatchard analysis of [3H]nicotine binding provided a KD of 1.3 ± 0.15 nM and a Bmax of 245 ± 46 fmol/mg of protein. Nicotine inhibited binding of [3H]nicotine to rat brain membranes with a Ki value of 1.4 ± 0.20 nM. Bupropion at 1 and 10 µM concentrations did not displace [3H]nicotine binding.
Antinociception Studies
Antagonism of Nicotine's Effects.
Bupropion was evaluated for
its ability to antagonize a 2.5 mg/kg dose of nicotine in the
tail-flick procedure. As shown in Fig.
1A, bupropion dose dependently blocked
nicotine-induced antinociception with an AD50 of
2.4 mg/kg when given s.c. 10 min before nicotine.
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Effects of Bupropion on Other Antinociceptive Agents.
The
effects of bupropion on the antinociceptive effects of morphine and
epibatidine, a very potent nicotinic agonist, were investigated after
s.c. administration in the tail-flick test. As shown in Table
3, bupropion at a dose five times higher
than its AD50 for nicotine blockade failed to
significantly block the effect of an active dose of morphine in the
tail-flick test. However, bupropion completely blocked the effect of an
active dose of (
)-epibatidine. Thus, the effect of bupropion appears
not to be generalized to non-nicotinic analgesic substances, because it
did not block the effects of morphine administration.
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Behavioral Interaction of Nicotine and Bupropion
To further characterize bupropion/nicotine interactions, additional experiments were conducted to determine whether bupropion would attenuate other nicotine effects in a dose-responsive manner. Pretreatment with bupropion blocked the effect of a s.c. dose of 1 mg/kg nicotine on body temperature. Indeed, bupropion significantly blocked nicotine's hypothermic effects with an AD50 of 8.5 mg/kg (Fig. 3A). In addition, bupropion blocked nicotine-induced hypomotility with an AD50 of 4 mg/kg (Fig. 3C). Bupropion was also effective in antagonizing nicotine-induced seizures in mice with an AD50 of 4.5 mg/kg (Fig. 3D). Furthermore, by itself, bupropion did not significantly induce seizure behavior nor alter mice locomotor activity and body temperature at the indicated doses and times (Table 1).
Interaction of Bupropion with Expressed Neuronal Nicotinic Receptors
Acute Effect of Bupropion on nAChRs Function.
Because
bupropion blocked nicotine's behavioral effects, its potency as a
blocker at various neuronal nicotinic receptors was investigated.
Bupropion at 50 µM elicited little current when applied for 10 s
to oocytes expressing the
4
2,
7, or
3
2 subunit combinations (data not shown). Although it did not activate these expressed receptors, bupropion antagonized the effects of ACh in a
concentration-related manner. Although relatively weak when co-applied
with 1 µM ACh (IC50 = 55 µM) at the
4
2 receptor subtype (Fig. 4A), the potency of bupropion was
increased about 7-fold by pre-exposure (20 s) to the receptor before
addition of the agonist (Fig. 4B). Similar results were observed with
3
2 receptors (data
not shown). In addition, bupropion displayed differential potency in
blocking the various nicotinic receptors with the
3
2 receptor being the
most sensitive. Indeed, the concentration of bupropion that blocked
50% of the nicotinic current was determined to be 1.3 (0.7-2.2) and 8 (5.2-11.7) µM for
3
2 and
4
2 receptors, respectively (Fig. 5A).
7 receptors were the least sensitive to
bupropion blockade with an estimated IC50 of 60 µM (Figs. 5B and 6).
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Mechanisms of nAChRs Functional Blockade.
The effect of
bupropion on
3
2 and
4
2 receptors was
reversible after 5-min washout period (Figs. 4 and 5). Similar results were also obtained with
7 receptors (Fig. 5).
ACh dose-response profiles were obtained either alone or in the
presence of bupropion at concentrations near its
IC84 values for
3
2 and
4
2 receptor subtypes
to explore mechanisms of inhibition. Bupropion functional blockade was
insurmountable by increasing concentration of ACh in both receptor
subtypes (Fig. 7, A and B), suggesting
that bupropion acts noncompetitively to inhibit the function of nAChR.
Furthermore, as shown in Fig. 8,
bupropion functional blockade was voltage-independent in both
3
2 and
4
2 receptor subtypes.
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Discussion |
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The primary findings of this study are that bupropion is a blocker of nicotinic behavioral effects and a potent inhibitor of neuronal nAChRs subtypes. This functional blockade is noncompetitive, but the precise mechanism at the nAChRs subtypes studied is still not clear and needs further electrophysiological study.
Here we present the conclusion, supported by our recent report
(Damaj et al., 1999b
), that bupropion inhibits nicotine's effects after systemic and central administration. Indeed, bupropion was found
to block nicotine's antinociception (in two tests), motor effects,
hypothermia, and convulsive effects with different potencies in the
present investigation. The fact that bupropion was most potent in
blocking nicotine-induced antinociception in the tail-flick test,
followed by the hot-plate and the hypothermic effects, and was least
potent in blocking the motor and convulsive effects suggest that
bupropion possesses some selectivity for neuronal nicotinic receptors
underlying these various nicotinic effects. The time course of nicotine
blockade by bupropion correlates well with plasma profile and half-life
values of bupropion in the mouse. The effect of bupropion dissipates
after 30 to 60 min and >240 min after the doses of 5 and 25 mg/kg,
respectively. This time course is consistent with the ~20-min
half-life of bupropion after i.v. injection of 10 mg/kg (Butz et al.,
1982
) and the ~70-min half-life after an i.p. dose of 40 mg/kg
(Suckow et al., 1986
) in mice. Our data obtained after spinal injection
in the tail-flick and inhibition studies in expressed nAChRs suggest
that unchanged bupropion is involved in the blockade of functional
blockade of nicotine and its receptors. The metabolism of bupropion
after spinal injection (5 min after injection) and oocytes application (10 s application time) is probably very minimal and slow in these conditions. However, the participation of bupropion metabolites in its
antagonistic effects cannot be excluded, because bupropion major
metabolites were active in behavioral tests (Martin et al., 1990
).
Bupropion blocks nicotine activation of
3
2,
4
2, and
7 neuronal nAChRs with some degree of
selectivity. It was ~50 and 12 times more effective in blocking
3
2 and
4
2 than
7.
This functional blockade is noncompetitive, because it was
insurmountable by increasing concentration of ACh in the nAChRs subtypes tested. In addition, bupropion at high concentration failed to
displace brain [3H]nicotine binding sites, a
site largely composed of
4
2 subunit combination. Given the observation that bupropion inhibition of
3
2 and
4
2 receptors exhibits
voltage-independent properties, bupropion may not be acting as an open
channel blocker.
The pronounced effects that bupropion has on nAChRs in vitro is most
likely related to nicotine's effects in vivo. We can notice some
relationship between bupropion's blockade
4
2 receptors and
nicotine's effects in the analgesic tests. Indeed, the antinociceptive response of nicotine in these tests was reported to involve the
4
2 nicotinic receptor
subtype (Damaj et al., 1998
; Marubio et al., 1999
). However, the
correlation between the in vivo antagonistic effects of bupropion and
its functional blockade at different neuronal nAChRs is difficult to
assess from our results.
But how relevant is this functional blockade observed in vivo and in
vitro to bupropion's therapeutic effects? The range of bupropion doses
used in blocking the different behavioral effects of nicotine is
similar to that of its activity in the different antidepressant
behavioral tests (Martin et al., 1990
). In addition, bupropion potency
as a nicotinic antagonist is lower than its in vivo potency in blocking
striatal dopamine uptake in mice (Stathis et al., 1995
). Serum
concentrations of bupropion in humans can rise to a peak near 0.5 to 1 µM after oral administration compound (Findlay et al., 1981
; Hysu et
al., 1997
). Our data indicate that bupropion inhibits particular nAChRs
subtypes within this concentration range, suggesting the possibility of
neuronal nAChRs mediating bupropion's effects. In addition, other
studies have found that plasma levels of its major metabolite,
hydroxybupropion, reach 10 to 100 times the concentration of the parent
compound (Findlay et al., 1981
; Welch et al., 1987
; Hysu et al., 1997
).
Given the extensive metabolism of bupropion in humans and the apparent
clinical activity of hydroxybupropion (Martin et al., 1990
) as well as its long half-life, we can hypothesize that inhibition of certain nAChR
subtypes is involved, in part, in the antidepressant effects of
bupropion. It will be important, however, to test the effects of
different bupropion metabolites on neuronal nAChRs. Moreover, bupropion's therapeutic use in nicotine dependence may also relate to
its activity as an antagonist at nAChRs. Indeed, mecamylamine, a
classical nicotinic antagonist, is effective as a smoking cessation aid
when used in combination with a nicotine patch (Rose et al., 1994
). The
relatively high sensitivity of bupropion on
3
2 subtype is very
important, because
3 subunits are located in
catecholamine-rich brain regions implicated in pleasure and reward
(Lukas, 1998
). Hence, these effects may explain, in part, bupropion's
efficacy in nicotine dependence. Our findings along with those of Fryer and Lukas (1999)
, suggest that functional blockade of neuronal nAChRs
is useful in nicotine dependence treatment. However, the involvement of
dopamine and norepinephrine systems in bupropion's therapeutic effects
cannot be excluded.
In conclusion, bupropion does block peripheral and central effects of nicotine, apparently through functional inhibition of neuronal nAChRs. These findings contribute to our search for receptors involved in drug dependence and in the discovery of new pharmacological agents for depression and nicotine dependence.
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Acknowledgments |
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We greatly appreciate the technical assistance of Dr. Tie Han and Gray Patrick.
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Footnotes |
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Accepted for publication June 26, 2000.
Received for publication March 20, 2000.
1 This work was supported by National Institute on Drug Abuse Grant DA-05274.
Send reprint requests to: Dr. M. Imad Damaj, Department of Pharmacology and Toxicology, Medical College of Virginia, Virginia Commonwealth University, Box 980613, Richmond, VA 23298-0613. E-mail: mdamaj{at}hsc.vcu.edu
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Abbreviations |
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nAChR, acetylcholine nicotinic receptor; ACh, acetylcholine; %MPE, maximum possible effect; i.t., intrathecal; AD50, antagonist dose 50%.
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C. Cohen, O. E. Bergis, F. Galli, A. W. Lochead, S. Jegham, B. Biton, J. Leonardon, P. Avenet, F. Sgard, F. Besnard, et al. SSR591813, a Novel Selective and Partial {alpha}4{beta}2 Nicotinic Receptor Agonist with Potential as an Aid to Smoking Cessation J. Pharmacol. Exp. Ther., July 1, 2003; 306(1): 407 - 420. [Abstract] [Full Text] [PDF] |
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A. S. Rauhut, S. N. Mullins, L. P. Dwoskin, and M. T. Bardo Reboxetine: Attenuation of Intravenous Nicotine Self-Administration in Rats J. Pharmacol. Exp. Ther., November 1, 2002; 303(2): 664 - 672. [Abstract] [Full Text] [PDF] |
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D. K. Miller, S. P. Sumithran, and L. P. Dwoskin Bupropion Inhibits Nicotine-Evoked [3H]Overflow from Rat Striatal Slices Preloaded with [3H]Dopamine and from Rat Hippocampal Slices Preloaded with [3H]Norepinephrine J. Pharmacol. Exp. Ther., September 1, 2002; 302(3): 1113 - 1122. [Abstract] [Full Text] [PDF] |
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D. K. Miller, E. H. F. Wong, M. D. Chesnut, and L. P. Dwoskin Reboxetine: Functional Inhibition of Monoamine Transporters and Nicotinic Acetylcholine Receptors J. Pharmacol. Exp. Ther., August 1, 2002; 302(2): 687 - 695. [Abstract] [Full Text] [PDF] |
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