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NEUROPHARMACOLOGY

SSR591813, a Novel Selective and Partial ₄₂ Nicotinic Receptor Agonist with Potential as an Aid to Smoking Cessation

Central Nervous System Research Department (C.C., O.E.B., F.G., A.W.L., S.J., B.B., J.L., P.A., A.C., A.O., O.C., C.V., A.G., G.P., P.G., P.S., B.S.), Sanofi-Synthelabo Research, Bagneux, France; and Molecular Biology (F.S., F.B., D.G.) and Pharmacology Department (D.C.), Sanofi-Synthelabo Research, Rueil-Malmaison, France

Received January 17, 2003; accepted April 4, 2003.

	Abstract

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(5aS,8S,10aR)-5a,6,9,10-Tetrahydro,7H,11H-8,10a-methanopyrido[2',3':5,6]pyrano[2,3-d]azepine (SSR591813) is a novel compound that binds with high affinity to the rat and human ₄₂ nicotinic acetylcholine receptor (nAChR) subtypes (K_i = 107 and 36 nM, respectively) and displays selectivity for the ₄₂ nAChR (K_i, human ₃₄ > 1000, ₃₂ = 116; ₁₁ > 6000 nM and rat ₇ > 6000 nM). Electrophysiological experiments indicate that SSR591813 is a partial agonist at the human ₄₂ nAChR subtype (EC₅₀ = 1.3 µM, IA =19% compared with the full agonist 1,1-dimethyl-4-phenyl-piperazinium). In vivo findings from microdialysis and drug discrimination studies confirm the partial intrinsic activity of SSR591813. The drug increases dopamine release in the nucleus accumbens shell (30 mg/kg i.p.) and generalizes to nicotine or amphetamine (10–20 mg/kg i.p.) in rats, with an efficacy approximately 2-fold lower than that of nicotine. Pretreatment with SSR591813 (10 mg/kg i.p.) reduces the dopamine-releasing and discriminative effects of nicotine. SSR591813 shows activity in animal models of nicotine dependence at doses devoid of unwanted side effects typically observed with nicotine (hypothermia and cardiovascular effects). The compound (10 mg/kg i.p.) also prevents withdrawal signs precipitated by mecamylamine in nicotine-dependent rats and partially blocks the discriminative cue of an acute precipitated withdrawal. SSR591813 (20 mg/kg i.p.) reduces i.v. nicotine self-administration and antagonizes nicotine-induced behavioral sensitization in rats. The present results confirm important role for ₄₂ nAChRs in mediating nicotine dependence and suggest that SSR591813, a partial agonist at this particular nAChR subtype, may have therapeutic potential in the clinical management of smoking cessation.

Although the molecular mechanisms that contribute to nicotine addiction are poorly understood, neuroadaptations both in the nicotinic cholinergic system and in other neurochemical systems have been found and may be critical for the understanding of nicotine dependence (Di Chiara, 2000; Dani and De Biasi, 2001). The nAChR is a ligand-gated ion channel composed of five subunits (Sargent, 2000). To date, molecular cloning techniques have identified 16 genes encoding nAChR subunits: ₁, ₁, , and ( in adult) subunits in skeletal muscle, and ₂ to ₁₀ and ₂ to ₄ subunits in brain, sensory systems, and autonomic ganglia. Most neuronal nAChRs are formed by a heteropentameric assembly of - and -subunits, with the functional properties depending on the subunit composition (Sargent, 2000; Sgard et al., 2002). The distribution of the various subunits in the rat brain has shown distinct expression patterns. The regional distribution of ₄ and ₂ subunits coincides with high-affinity binding sites for [³H]nicotine, as determined by in situ hybridization and immunoprecipitation (Sargent, 2000).

Several findings suggest that the ₄₂ nAChR subtype plays a major role in the reinforcing effects of nicotine. Studies performed using brain sections from humans and rodents have shown that chronic exposure to nicotine increases the density of nicotine binding, mainly to the ₄₂ nAChR type (Marks et al., 1992; Perry et al., 1999). Nicotine self-administration is reduced in rats pretreated with the selective ₄₂ nAChR antagonist DHE (Watkins et al., 1999) or in genetically modified mice with functional deletion of the ₂ subunit (Picciotto et al., 1998). The ₂ subunit is crucial in mediating the dopamine-releasing effects of nicotine as indicated by the absence of striatal dopamine release in ₂ subunit knockout mice treated with nicotine. This activity of nicotine on dopamine release, shared by other addictive drugs, is considered as central in the acquisition and maintenance of nicotine addiction (Corrigall and Coen, 1991; Di Chiara, 2000; Cohen et al., 2002).

The current most effective ways to stop smoking are those that involve the use of nicotine delivery systems and bupropion, or a combination of both. Bupropion is a dopamine and norepinephrine uptake inhibitor. As such, it increases the concentration of dopamine in the nucleus accumbens and may lead to the same positive effect observed with nicotine (Nomikos et al., 1992). Bupropion has also been reported to act as a noncompetitive antagonist at rat ₃₂, ₄₂, and ₇ nAChR subtypes and at human muscle-type and ganglionic AChRs (Fryer and Lukas, 1999; Slemmer et al., 2000). An alternative strategy for pharmacological intervention in nicotine dependence is the use of a drug with partial agonist properties at nicotinic receptors. Indeed, such a compound might prevent the occurrence of the withdrawal phase and dysregulation of reinforcement mechanisms that has been hypothesized to lead to compulsive drug taking (Cohen et al., 1999; Dani and De Biasi, 2001). The clinical use of nicotine as a therapeutic agent is severely limited by its cardiovascular and gastrointestinal side effects thought to involve the ₃₄ nAChRs (Sargent, 2000). A subtype-selective partial nAChR agonist interacting with the nAChR subtype responsible for the addictive effects of nicotine may be expected to have less abuse potential and less adverse side effects than nicotine and could therefore prove to be of useful therapeutic value in smoking cessation. Herein, we report on the pharmacological properties of the novel nAChR ligand SSR591813 (Fig. 1), which has been selected on the basis of its selective ₄₂ partial agonist activity. The focus is on its efficacy in animal models of nicotine addiction.

View larger version (9K): [in this window] [in a new window]   Fig. 1. Chemical structure of SSR591813.

	Materials and Methods

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Animals
Unless indicated otherwise, adult male Sprague-Dawley (microdialysis, self-administration, and behavioral sensitization tests) or Wistar (receptor binding, drug discrimination, and withdrawal signs) rats and OF1 mice (Iffa Credo, L'Arbresle and Charles River, Saint-Aubin-les-Elbeuf, France) were used. Housing was in individual cages (except for the behavioral sensitization tests, eight rats per cage; and rectal temperature measures, five mice per cage) under standard laboratory conditions with lights on between 7:00 AM and 7:00 PM Food and water were given ad libitum except in the drug discrimination and self-administration studies where animals were restricted to a daily ration of 15 to 20 g of standard laboratory food given at the end of each day.

Materials and Drugs
Human embryonic kidney 293 cells stably expressing the human ₄₂ nAchR subtype (h₄₂-HEK293) were generated by Sanofi-Synthélabo Recherche (Rueil-Malmaison, France). HEK293 cells stably expressing the human ₃₂ nAChR subtype (h₃₂-HEK293) were supplied by Dr. J. Lindstrom (University of Pennsylvania, Philadelphia, PA). SH-SY5Y and IMR-32 neuroblastoma cells, which have been shown to express spontaneously the human ₃₄ nAChR subtype (Wang et al., 1996; Nelson et al., 2001), and human medulloblastoma cells (TE671), which express spontaneously the human ₃₄ nAChR subtype (Schoepfer et al., 1988), were purchased from American Type Culture Collection (Biovalley, Marne La Vallée, France). Cell lines were maintained as described by suppliers with some modifications: culture medium for h₄₂-HEK293 was supplemented by geneticin (0.5 mg/ml), mecamylamine (20 µM), and methotrexate (100 nM), and 1 day before collection, cells were placed in mecamylamine-free medium culture; nicotine (100 µM) was added to the culture medium for h₃₂-HEK293 24 to 48 h before use to up-regulate ₃₂ nAChR expression (Wang et al., 1998); nicotine (1 mM) was added to the SH-SY5Y and TE671 culture medium 24 h before harvesting.

Radioligands were obtained from the following sources: [³H]cytisine (PerkinElmer Life Sciences, Paris, France); and [³H]-bungarotoxin and [³H]epibatidine (Amersham Biosciences Inc., Orsay, France).

SSR591813, ABT 594 hydrochloride, mecamylamine hydrochloride, amisulpride, and bupropion hydrochloride were synthesized by the Medical Chemistry Department of Sanofi-Synthelabo. d-Amphetamine sulfate was purchased from Laboratoire Boyer (Paris, France). (±)-Epibatidine dihydrochloride, R-(+)-SKF81297 hydrobromide, (–)-quinpirole hydrochloride, acetylcholine, DMPP, (–)-nicotine ditartrate, DHE hydrobromide, methyllycaconitine citrate, and R-(+)SCH23390 hydrochloride were obtained from Sigma/RBI (Saint Quentin Fallavier, France). All other compounds were obtained from Invitrogen (Cergy, France) and Sigma/RBI.

During in vivo experiments, drugs were prepared in physiological saline or distilled water containing Tween 80 (0.1%) except for nicotine in the drug discrimination and self-administration studies, which was administered as a solution (pH 7) in saline containing 0.05 N NaOH (10%). Drugs were administered i.p., p.o., or s.c. (1 or 5 ml/kg). All doses are expressed as the free bases.

Membrane Preparations
For [³H]cytisine binding, rats were killed by decapitation and whole brain except cerebellum was removed and placed on ice. Tissues were homogenized at 4°C in 15 volumes of Tris-HCl buffer (50 mM, pH 7.4) and centrifuged twice for 10 min at 4°C (40,000g). For [³H]-bungarotoxin binding, rat brains were homogenized at 4°C in 15 volumes of 0.32 M sucrose buffer and centrifuged for 10 min (1,000g). Supernatants were centrifuged for 20 min (20,000g). Pellets were subsequently homogenized in 15 volumes of double distilled cold water and centrifuged for 20 min (8,000g). Then, supernatant and buffy coat were centrifuged for 20 min (40,000g). Pellets were suspended once again in 15 volumes of double distilled cold water and washed twice by centrifugation at 40,000g for 20 min.

h₄₂-HEK293 cell pellets were homogenized in ice-cold Tris binding buffer (composition 50 mM Tris-HCl, 120 mM NaCl, 5 mM KCl, 2.5 mM CaCl₂, and 1 mM MgCl₂, pH 7.4 at 4°C) and centrifuged twice for 15 min (40,000g). h₃₂-HEK293 cells were homogenized in HEPES binding buffer (composition 140 mM NaCl, 1.5 mM KCl, 2 mM CaCl₂, 1 mM MgCl₂, 1 mM p-aminobenzamidine dihydrochloride, and 25 mM HEPES, pH 7.5) and washed twice by centrifugation (45,000g for 15 min). The membrane preparation was then incubated for 15 min at 25°C with fresh buffer and centrifuged (45,000g for 15 min). A protocol similar to that used for h₃₂-HEK293 cells was followed for SH-SY5Y cells. TE671 cell pellets were homogenized in HEPES binding buffer (composition 118 mM NaCl, 4.8 mM KCl, 2.5 mM CaCl₂, 1.2 mM MgCl₂, 1 mM p-aminobenzamidine dihydrochloride, and 20 mM HEPES, pH 7.4 at 4°C) and then centrifuged twice for 15 min at 4°C (40,000g). The pellet was suspended in p-aminobenzamidine-free HEPES buffer, incubated at room temperature for 15 min, and centrifuged once again for 15 min at 4°C (40,000g).

Receptor Binding
Rat and Human ₄₂ nAChRs. [³H]Cytisine binding was performed as described previously (Anderson and Arneric, 1994) with slight modifications. Samples containing either h₄₂-HEK293 cell membranes (40–60 µg of protein) or rat brain membranes (200–250 µg of protein), the test compound and 0.5 nM or 2.5 nM [³H]cytisine (32 Ci/mmol) for HEK293 cells and for rat brain, respectively, were incubated in a final volume of 200 µl of Tris-HCl buffer for2hat4°C. Nonspecific binding was determined in the presence of 10 µM nicotine.

Rat ₇ nAChRs. [³H]-Bungarotoxin binding was as described previously by Marks et al. (1992) and Dineley and Patrick (2000) with slight modifications. Samples containing rat brain membranes (300–350 µg of protein), the test compound and 1 nM [³H]-bungarotoxin (60 Ci/mmol) were incubated in a final volume of 250 µl for 1 h at 37°C. Nonspecific binding was determined in the presence of 1 µM -bungarotoxin.

Human ₃₂ nAChRs. [³H]Epibatidine binding was performed as described previously (Parker et al., 1998). Samples containing h₃₂-HEK293 cell membranes (30–40 µg of protein), 0.05 nM [³H]epibatidine (55 Ci/mmol) and the test compound were incubated in a final volume of 1000 µl for 2 h at 25°C. Nonspecific binding was determined in the presence of 100 µM nicotine.

Human ₃₄ nAChRs. [³H]Epibatidine binding on SH-SY5Y cell membranes was performed as described for ₃₂ nAChR binding except for the radioligand concentration: 0.3 nM [³H]epibatidine.

Human ₃₄ nAChRs. Samples containing TE671 cell membranes (100–150 µg of protein), 1 nM [³H]-bungarotoxin (60 Ci/mmol), and the test compound were incubated in a final volume of 250 µl for 2 h at 37°C. Nonspecific binding was determined in the presence of 1 µM -bungarotoxin.

Receptor Selectivity. Interaction of SSR591813 with more than 70 binding sites, including all major classes of neurotransmitter receptor, uptake systems, ion channels, and enzymes was examined. SSR591813 was first tested in all assays at 10 µM. In assays where it caused more than 50% inhibition at this concentration, it was further tested at 10 concentrations to obtain full inhibition curves. Each determination was made in duplicate.

Radioactivity was quantified using solid or liquid scintillation spectrometry. Competition binding data were analyzed using nonlinear regression methods. K_i values were derived from the measured IC₅₀ and K_D values for radioactive ligand using the Cheng-Prussoff equation: K_i = IC₅₀/[1 + (L/K_D)] where L is the concentration of radiolabeled ligand and K_D is the equilibrium dissociation constant, previously determined by saturation experiments.

Electrophysiological Studies
Human ₄₂ nAChRs Expressed in Oocytes. Under ice anesthesia, ovaries were taken from female Xenopus laevis (UPRES-A6026, Rennes, France) and the follicle cell layer was removed with collagenase under gentle mechanical agitation. Twenty-four hours later, oocytes at stage V/VI were isolated and their nuclei directly injected with 2 ng of cDNAs encoding for the human ₄ and ₂ subunits. Injected oocytes were then incubated at 18°C and used for voltage-clamp experiments after 48 h. Oocytes were voltage-clamped at –60 mV. The effects of SSR591813 and reference compounds were compared with those of 100 µM DMPP. The standard extracellular solution contained 82 mM NaCl, 2 mM KCl, 2 mM CaCl₂, 1 mM MgCl₂, and 10 mM HEPES. pH was set to 7.4 with 1 M Tris-OH. The pipette was filled with 3 M KCl. Drugs were diluted in purified water or dimethyl sulfoxide in concentrations that did not exceed 0.08% in the final solution.

Human ₃₂ and ₃₄ nAChRs Expressed in HEK293 and IMR-32 Cells, Respectively. Currents recordings were obtained by using the whole cell configuration of the patch-clamp technique at room temperature. Cells were held at a holding voltage of –60 mV and the effects of SSR591813 or of reference compounds were compared with 1 mM acetylcholine, a concentration that produced maximal response. The standard extracellular solution contained 147 mM NaCl, 5 mM KCl, 2 mM CaCl₂, 1 mM MgCl₂, and 10 mM HEPES. pH was set to 7.4 with 1 M Tris-OH. The pipette was filled with an intracellular pipette medium, containing 140 mM CsCl, 1 mM MgCl₂, 1 mM CaCl₂, 11 mM EGTA, 4 mM ATP, and 10 mM HEPES. pH was set to 7.2 with 1 M Tris-OH. Drugs were diluted in purified water or dimethyl sulfoxide in concentrations that did not exceed 0.08%.

Electrophysiological responses were quantified by calculating the mean current amplitudes induced by the drugs using ACCESS software (Microsoft, Redmond, WA). Concentration-dependence curve calculations used the least-square fitting routine of the Origin software (Origin LabCorp, Northampton, MA). These curves were fitted by using the single site equation: y = 100 · Cⁿ/(Cⁿ + EC₅₀ⁿ) for agonist effects and y = 100 – (Max · C/(C + IC₅₀)) for SSR591813 antagonist effects. C is the concentration of the tested compound, n the Hill coefficient, and Max the maximal inhibition. Parameters providing the best fit are given with a 95% confidence interval.

Brain Microdialysis
Rats were anesthetized with chloral hydrate (0.4 g/kg i.p.) and then mounted in a stereotaxic frame. The microdialysis probes through a guide cannula were implanted in the shell of nucleus accumbens (coordinates: AP, +1.6 mm; L, +0.8 mm versus bregma and 7.3 mm below the dural surface) according to the atlas of Paxinos and Watson (1986). Twenty-four hours later the microdialysis probes (CMA/11, length 2 mm and outer diameter 0.24 mm; Phymep, Châtillon, France) were perfused at a constant flow rate of 2 µl/min with cerebrospinal fluid containing 4 mM KCl, 147 mM NaCl, 1.2 mM CaCl₂, and 1.0 mM MgCl₂. A sampling time of 20 min was adopted and 40-µl samples were collected with 10 µl of 1 N HClO₄. The animals were left for at least 3 h to allow the system to equilibrate. Dopamine levels were assayed by high-pressure liquid chromatography with electrochemical detection as described previously (Curet et al., 1996). Briefly, the mobile phase, perfused at 0.8 ml/min, contained 0.1 M sodium dihydrogen phosphate, 1 mM EDTA, and 1.5 mM 1-octanesulfonic acid sodium salt in 8% acetonitrile, pH 3.5. Electrochemical detection was performed at a potential of 0.65 V with the current gain at 0.5 nA. Time-course effects of nicotine (s.c.) and SSR591813 (i.p.) were evaluated on dopamine levels in serial perfusates expressed as a percentage of the mean value of the 60-min baseline measurements before drug or vehicle administration. Data were analyzed by a two-way ANOVA with repeated measures on factor time, followed by Dunnett's test comparisons for each time. When combined with nicotine, SSR591813 was administered 1 h before nicotine. Antagonism of nicotine effects by SSR591813 was evaluated by comparing the area under the curve during the 200 min after the challenge injection of nicotine or vehicle. Statistical analysis was carried out by one-way ANOVA followed by Duncan's multiple range test.

Nicotine and d-Amphetamine Discriminations
Rats were trained to discriminate nicotine (0.4 mg/kg i.p.) or d-amphetamine (0.5 mg/kg i.p.) from saline using a standard, two-lever fixed ratio 10 (FR10), food-rewarded operant procedure. Thus, rats obtained a food pellet (45 mg, formula P; Noyes, Lancaster, NH) each time they pressed 10 times on the appropriate lever in the two-lever operant test chamber (MED Associates, Georgia, VT). Sessions started with the two levers expanded and the house light on. Responses on one lever were rewarded in sessions that followed drug injection, and responses on the other lever were rewarded during the session after saline injection (see Cohen et al., 1997 for further details on the procedure). Daily sessions lasted 15 min. The training procedure was continued until the following criterion was met for a period of 10 successive days: the total number of responses on both levers before the first reinforcement was less than 15. When animals had acquired the discrimination, substitution and antagonism tests were carried out. Rats chosen for the antagonism tests were those that selected the drug lever after nicotine administration. During these tests, the rat was placed in the test chamber at the appropriate time after injection and was reinforced after the first ratio of 10 responses had been completed on either lever. For the reminder of the session, responding on the lever on which the first 10 responses had occurred continued to be reinforced according to the FR10 schedule, responses on the other lever were not reinforced. Switching the lever did not reset FR requirements. All injections were given i.p. 30 min before the start of the sessions except for nicotine and cocaine (i.p., 15 min), amisulpride (i.p., 60 min), epibatidine (s.c., 10 min), DHE (s.c., 15 min), and mecamylamine and SCH23390 (s.c., 30 min). Drug doses were administered in a mixed order, with at least two training sessions between doses. Results are expressed as the percentage of rats choosing the drug-associated lever and the rate of responding expressed as a percentage of the rate on the preceding saline sessions. SSR591813 effects on rates of lever pressing were analyzed statistically using Friedman analyses of variance followed by Wilcoxon matched pairs, signed ranks tests. The ED₅₀ discrimination is the dose at which 50% of the rats responded on the drug-associated lever.

NicotineMecamylamine Discrimination
Drug discrimination has been used to study drug dependence. For example, an opioid antagonist has been established as a discriminative stimulus in rats treated 4 h before with a single dose of an opioid agonist (Easterling and Holtzman, 1999). In this paradigm, rats do not discriminate the mixture but only opioid withdrawal precipitated by the antagonist. Such acute agonist-induced sensitization to effect of an antagonist has been viewed as evidence of a state of acute dependence. This methodology, validated for opioid and benzodiazepine dependence (Easterling and Holtzman, 1999; McMahon and France, 2003), was applied to nicotine dependence. Thus, rats were trained to discriminate mecamylamine (3 mg/kg s.c., 15 min before testing) after a single administration of nicotine (1 mg/kg s.c., 120 min before testing) further referred as nicotinemecamylamine, from two injections of saline (salinesaline). Training and testing procedures were identical to those used for nicotine and d-amphetamine discriminations. After training, several doses of mecamylamine (s.c., 15 min before testing) or SSR591813 (i.p., 15 min before testing) were administered in saline- and nicotine-treated rats (1 mg/kg s.c., 120 min before testing). SSR591813 (i.p.) was also injected 30 min before mecamylamine in nicotine-treated rats. Results are expressed as the percentage of rats choosing the nicotinemecamylamine-associated lever and the rate of responding expressed as a percentage of the rate on the preceding saline sessions. Drug effects on rates of lever pressing were analyzed statistically using Friedman analyses of variance followed by Wilcoxon matched pairs, signed-ranks tests.

Nicotine Withdrawal Signs
The procedure was based on that described previously (Malin, 2001). Rats were anesthetized with a mixture of diazepam (3.3 mg/kg ip) and ketamine (70 mg/kg ip) and implanted with Alzet osmotic minipumps (model 2001, 7 day; Alza, Palo Alto, CA) placed subcutaneously on the back of the animal parallel to the spine. Pumps were filled with either saline or nicotine in saline resulting in a daily dose of 3 mg/kg. Behavioral observations were performed on day 7 of chronic infusion. The experimenter was unaware of drug treatment. All rats received three injections: SSR591813 (10 mg/kg i.p.) or saline (i.p.), and 30 min later, SSR591813 (10 mg/kg i.p.) or saline (i.p.), immediately followed by mecamylamine (1 mg/kg s.c.) or saline (s.c.). Thus, there were five treatment groups (n = 8): 1) saline-infused rats challenged with saline; 2) nicotine-infused rats challenged with saline; 3) and 4) nicotine-infused rats challenged with either mecamylamine (group 3) or SSR591813 (group 4) immediately before observation; and 5) nicotine-infused rats pretreated with SSR591813 30 min before a mecamylamine challenge. Each rat was placed in a plastic cylindrical container (30 cm in diameter x 30 cm in height) for a 30-min period of observation. The occurrence of the following withdrawal signs was recorded: chews/teeth chatter/yawns, shakes/tremors, abdominal writhes/gasps, ptosis, and genital licks. Ptosis was scored from 0.25 (a quarter-closed eye) to 1 (a closed eye) and was counted once per minute. Data were analyzed statistically by the Kruskal-Wallis test.

Nicotine Self-Administration
Acquisition of self-administration was performed as described previously (Cohen et al., 2002). Rats were selected on their locomotor response to a stimulant dose of nicotine (0.6 mg/kg s.c.; see the "Behavioral Sensitization" for details). Our criterion (150 photocell interruptions during the exploration period and an increase of at least 80 photocell interruptions after nicotine administration) permits a selection of about 50% of the animals. They were trained to press the left lever in standard two-lever operant test chambers on a FR5 schedule of food reinforcement, in 30-min sessions. After acquiring the operant behavior, animals were anesthetized with a mixture of diazepam (3.3 mg/kg i.p.) and ketamine (70 mg/kg i.p.) and implanted with a chronic silastic catheter in the right jugular vein. Catheter patency was maintained by flushing with heparinized saline (30 U/ml) and streptokinase (1000 U/ml) before and after each self-administration session. Five days after surgery, rats were trained in 1-h self-administration sessions. As soon as the rat was put in the experimental cage, the session started and the fan turned on automatically. During sessions, there was no light in the experimental boxes except for a red house light. Responding on the left lever (active lever) was reinforced with nicotine (0.03 mg/kg/infusion) delivered in a volume of 0.018 ml in 1 s (MED Associates pump, model PHM100), whereas responding on the right lever had no consequence. Each infusion was followed by a 19-s time-out period during which responding was counted but not reinforced. No stimuli were associated with infusions and time-out periods were not signaled. Over a period of 2 weeks, the response requirement was progressively increased to a FR5. However, because the FR4 schedule elicited the best discrimination between active and inactive levers, it was chosen for drug testing. Rats were thus retrained on a FR4 schedule. When rats had acquired nicotine self-administration, according to a standard criterion of a minimum of 20 active lever responses, for the majority of days on a FR4, drug testing was started. SSR591813 at doses of 10 mg/kg and 20 mg/kg (n = 15) was injected i.p. 15 min before the session. Doses of SSR591813 were administered in a mixed order. Each dose was administered on three consecutive days with 1 week between the two doses. Data were analyzed statistically by ANOVA for repeated measures for the dose factor and the day factor. Because they did not have a normal distribution, data were transformed using square root transformation. Dunnett's test was used as a post hoc test. Control values were taken from the session preceding each period treatment.

Behavioral Sensitization
Locomotor activity was assessed in individual photocell activity cages (39 x 39 x 16.5 cm high). Rats were placed in the activity cages for a habituation period of 60 min before drug administration. This procedure reduced basal level of activity to make the test more suitable to demonstrate nicotinic agonist-induced hyperactivity. Doses and time periods in activity cages were chosen on the basis of preliminary experiments that have indicated that nicotine (0.8 mg/kg s.c.) produced a stimulant effect immediately after administration (between 0 and 20 min), whereas SSR591813 (30 mg/kg s.c. and p.o.) slightly increased locomotor activity from 20 to 60 min after injection, in rats habituated to the test apparatus. In the first two experiments, we were interested by the acute effects of SSR591813, a 60-min period was thus used. In the third experiment, the acute effects of nicotine were evaluated, a 20-min period was therefore chosen. SSR591813 was administered p.o. for repeated treatment and s.c. for acute treatment.

Experiment 1. Effect of a Repeated Treatment with SSR591813 on the Locomotor Response to the Drug. Rats were treated with saline or SSR591813 (30 mg/kg p.o., twice a day) for 4 days. Twenty-four hours later, rats were challenged with either saline or SSR591813 (30 mg/kg p.o.), and locomotor activity was measured during 60 min after drug injection.

Experiment 2. Effect of a Repeated Treatment with Nicotine on the Locomotor Response to SSR591813. Rats were treated with saline or nicotine (0.6 mg/kg s.c., once a day) for 4 days. Twenty-four hours later, rats were challenged with either saline or SSR591813 (3, 10, 30 mg/kg s.c.) or nicotine (0.8 mg/kg s.c.), and locomotor activity was measured during 60 min after drug injection.

Experiment 3. Effect of a Repeated Treatment with SSR591813 Alone and in Combination with Nicotine on the Locomotor Response to Nicotine. Rats were treated with saline or SSR591813 (30 mg/kg p.o.) or nicotine (0.6 mg/kg s.c.) or a combination of nicotine and SSR591813 (10–30 mg/kg p.o.) for 4 days, once a day. Twenty-four hours later, rats were challenged with either saline or nicotine (0.8 mg/kg s.c.), and locomotor activity was measured during 20 min after drug injection. Data were analyzed using one-way or two-way ANOVAs followed by Dunnett's or Newman-Keuls test.

General Pharmacology
Body Temperature. Potential effects of SSR591813 (3, 10, 30, 100 mg/kg p.o.) on body temperature were studied in mice (n = 8/group). Rectal temperature was determined with a thermistor rectal probe and a digital thermometer Thermalert TH-5 Sensortek (Phymep) just before and 30, 60, 90 and 120 min after drug administration.

Arterial Blood Pressure and Heart Rate in Awake Normotensive Rats. Rats were anesthetized using ketamine (116 mg/kg i.p.). A catheter filled with anticoagulant (povidone) solution was inserted into the femoral artery, passed under the skin, and exteriorized between the scapula. The day after the implantation, the catheter was connected to a blood pressure transducer (Statham P23XL model; PTC Electronics, Wyckoff, NJ). After a stable baseline was obtained, the effect of SSR591813 (10, 30, 100 mg/kg p.o.) on arterial blood pressure and heart rate was monitored continuously for 4 h. Hemodynamic parameters (systolic and diastolic arterial blood pressure and heart rate) were recorded every 15 min during the first 2 h, and then every 30 min.

	Results

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Radioligand Binding Studies
SSR591813 displaced specific [³H]cytisine binding to rat brain ₄₂ nicotinic receptors with a K_i value of 107 ± 26 nM (n = 3). In contrast, SSR591813 was devoid of affinity for the rat ₇ nAChR subtype labeled with [³H]-bungarotoxin (K_i > 6000 nM; n = 2).

The affinity of SSR591813 for the human ₄₂ nAChR stably expressed in HEK293 cell line is comparable with that found in rat brain with a K_i value of 36 ± 5 nM (n = 3; Table 1). SSR591813 showed higher affinity for human ₄₂ nAChRs than for other human nAChRs: ₃₂ (K_i = 116 ± 13 nM; n = 3; 3-fold), ₃₄ (K_i = 1791 ± 115 nM; n = 4; 50-fold), and ₃₄ (K_i > 6000 NM; more than 167-fold).

SSR591813 was devoid of activity (inhibition lower than 50%) at 10 µM in 73 receptor, enzyme, and uptake binding assays (data not shown). Comparatively weak affinities were detected at the muscarinic M₁,M₂,M₃,M₄,M₅, and serotonin 5HT3 subtypes and these were reexamined to derive K_i values (> 1000 nM).

Functional Characterization
Human ₄₂ nAChRs Expressed in Oocytes. In this preparation, SSR591813 behaved as a partial agonist with an intrinsic activity (IA) of 19 ± 3% versus DMPP (100 µM), and an EC₅₀ value of 1.3 ± 0.6 µM (Fig. 2A; Table 2). Data for DMPP were EC₅₀ = 2.4 ± 0.2 µM and IA = 100%; and for epibatidine were EC₅₀ = 0.019 ± 0.0006 µM and IA = 100%. The current induced by 10 µM SSR591813 was fully antagonized by 3 µM DHE (Fig. 2B). As expected for a compound with high affinity and low efficacy for ₄₂ nAChRs, SSR591813 displayed clear antagonistic effects when applied concomitantly with DMPP, with a maximal inhibitory effect of 53 ± 2% and an IC₅₀ value of 0.52 ± 0.08 µM (Fig. 2C).

View larger version (16K): [in this window] [in a new window]   Fig. 2. Effects of SSR591813 at human 42 nAChRs expressed in Xenopus oocytes. A, concentration-response curves for epibatidine, DMPP, and SSR591813. For each agonist, data points indicate the mean ± S.E.M. of currents amplitudes (n = 2–6 oocytes), normalized to 100 µM DMPP. B, typical recording showing the currents time courses evoked by the application of 100 µM DMPP (hatched column) and 10 µM SSR591813 (solid column) and the inhibition of SSR591813 response by 3 µM DHE (open column). C, concentration-dependent inhibition by SSR591813 of the current induced by 100 µM DMPP. Each symbol represents the mean ± S.E.M. of the responses observed in six to seven oocytes.

Human ₃₂ nAChRs Expressed in HEK293 Cell Line. SSR591813 at 100 µM (n = 6) only evoked small inward currents, achieving 7 ± 2% of acetylcholine effects (1 mM). DMPP and nicotine were full agonists, and epibatidine behaved as a partial agonist (Fig. 3A; Table 2).

View larger version (13K): [in this window] [in a new window]   Fig. 3. Lack of agonist effect of SSR591813 at 32 and 34 nAChRs expressed in different cell lines. A, voltage-clamp recording of an HEK293 cell, stably expressing human 32 nAchRs, showing the fast activating current evoked by the application of 1 mM acetylcholine and the weak agonist effect of SSR591813 applied at 100 µM. B, voltage-clamp recording of an IMR-32 cell, spontaneously expressing 34 nAChRs, showing the fast inward current evoked by 1 mM acetylcholine and the lack of effect of SSR591813 applied at 100 µM. In these experiments, cells were held at a holding voltage of –60 mV.

Human ₃₄ nAChRs Expressed in IMR-32 Cell Line. In comparison with 1 mM acetylcholine, SSR591813 was ineffective up to the highest concentration tested (100 µM; n = 3), epibatidine was a potent but partial agonist, and nicotine and DMPP behaved as full agonists (Fig. 3B; Table 2).

Brain Microdialysis
Increases in extracellular dopamine levels in the shell of the nucleus accumbens induced by SSR591813 and nicotine are shown in Fig. 4A (basal levels in picograms per 40 µl: 2.98 ± 0.14 for vehicle, 3.20 ± 0.10 for nicotine 0.2 mg/kg, 3.71 ± 0.23 and 2.23 ± 0.14 for SSR591813 10 and 30 mg/kg, respectively). ANOVA indicates a significant drug treatment effect [F(3,160) = 8.04, p < 0.01)]. A low dose of nicotine (0.2 mg/kg s.c.) increased dopamine levels from 20 to 200 min after administration, with a maximal effect between 40 and 100 min (95%). SSR591813 (10 and 30 mg/kg i.p.) also produced an increase in dopamine levels (40% and 59% at 20 min, respectively). This effect was significant at 20 and 40 min after administration of the highest dose. The magnitude of the SSR591813 effect was approximately 2-fold less than that of nicotine. Pretreatment with SSR591813 (10 mg/kg i.p.) 1 h before nicotine (0.2 mg/kg s.c.) almost completely blocked the effect of nicotine [F(3,16) = 12.13, p < 0.01] (Fig. 4B). The effect of the combination was not different from that of SSR591813 alone.

View larger version (25K): [in this window] [in a new window]   Fig. 4. A, effects of SSR591813 (i.p.) and nicotine (s.c.) on extracellular levels of dopamine in the shell of the nucleus accumbens of freely moving rats. The changes in dopamine levels are expressed as a percentage of the mean value ± S.E.M of the three basal samples before treatment (n = 5). *, p < 0.05; **, p < 0.01 compared with basal value. B, antagonism of nicotine-induced dopamine release by SSR591813 injected 1 h before nicotine. Data are mean area under the curve ± S.E.M of five animals for the 200-min period after the challenge injection of nicotine or vehicle. *, p < 0.05 compared with nicotine group.

Nicotine Discrimination
In rats trained to discriminate nicotine from saline (Fig. 5A), SSR591813 at 10 mg/kg produced 43% substitution for nicotine. After administration of a higher dose of SSR591813 (20 mg/kg), four of eight rats did not emit enough presses to select a lever. Friedman analysis of variance showed a significant SSR591813 effect on response rate (Fr = 11.1; p < 0.05). However, further analyses indicated that none of the doses tested significantly decreased rates of lever pressing compared with control values (% control value ± S.E.M.: 109 ± 11, 108 ± 11, 84 ± 15, 20 ± 13 at 1, 3, 10, and 20 mg/kg, respectively). The nAChR agonists nicotine epibatidine, and ABT 594, produced more than 80% responding on the nicotine-associated lever. Pretreatment with SSR591813 partially antagonized the discriminative effects of the training dose of nicotine (43% inhibition at 10 mg/kg) (Fig. 5B). The effects of SSR591813 at a dose of 20 mg/kg in combination with nicotine could not be evaluated because rats did not emit enough presses (% control value ± S.E.M.: 113 ± 11 after nicotine alone; 117 ± 12, 65 ± 15, and 5 ± 5 after nicotine plus SSR591813 at 3, 10, and 20 mg/kg, respectively). Friedman analysis of variance showed a significant drug effect on response rate (Fr = 15.6; p < 0.01). SSR591813 at 20 mg/kg decreased rates of lever pressing compared with nicotine values (p < 0.05) but not saline values. Pretreatment with mecamylamine or the selective ₄₂ nAChR antagonist DHE completely antagonized the nicotine cue, whereas the ₇ nAChR antagonist methyllycaconitine produced less than 20% inhibition.

View larger version (16K): [in this window] [in a new window]   Fig. 5. A, discriminative stimulus properties of SSR591813 and nicotinic agonists in rats trained to discriminate nicotine (0.4 mg/kg i.p.) from saline. B, antagonism of the nicotine cue by SSR591813 and nicotinic antagonists. The results are shown as the percentage of animals responding on the nicotine-associated lever (n = 6–8). Drugs were injected i.p. 30 min (nicotine, i.p. 15 min) before testing.

d-Amphetamine Discrimination
In rats trained to discriminate between d-amphetamine and saline (Fig. 6A), SSR591813 (20 mg/kg) produced 57% substitution for d-amphetamine, whereas nicotine, epibatidine, and ABT 594 produced more than 80% substitution. Friedman analysis of variance showed a significant SSR591813 effect on response rate (Fr = 14.8; p < 0.01). Further analyses indicated that the dose of 20 mg/kg significantly decreased rates of lever pressing compared with control values (% control value ± S.E.M.: 107 ± 11 and 45 ± 13 at 10 and 20 mg/kg, respectively). Pretreatment with SSR591813 partially antagonized the substitution of nicotine for d-amphetamine (50% inhibition at 10 mg/kg) (Fig. 6B). Friedman analysis of variance showed a significant drug effect on response rate (Fr = 10.6; p < 0.05). However, further analyses indicated that none of SSR591813 doses tested significantly decreased rates of lever pressing compared with control values or nicotine values. Pretreatment with mecamylamine or DHE fully antagonized the substitution of nicotine for amphetamine, whereas pretreatment with methyllycaconitine produced 60% inhibition.

View larger version (18K): [in this window] [in a new window]   Fig. 6. A, discriminative stimulus properties of SSR591813 and nicotinic agonists in rats trained to discriminate d-amphetamine (0.5 mg/kg i.p.) from saline. B, antagonism of the nicotine substitution by SSR591813 and nicotinic antagonists. The results are shown as the percentage of animals responding on the d-amphetamine-associated lever (n = 5–11). Drugs were injected i.p. 30 min (nicotine, i.p. 15 min) before testing.

The role of dopaminergic transmission was investigated in nicotine and d-amphetamine discriminations (Table 3). d-Amphetamine and bupropion fully substituted for d-amphetamine, whereas they partially substituted for nicotine. Quinpirole and SKF81297 fully substituted for d-amphetamine but did not produce more than 45% substitution for nicotine. SCH23390 and amisulpride blocked more potently the stimulus cue in the d-amphetamine discrimination than in the nicotine discrimination.

NicotineMecamylamine Discrimination
Rats successfully learned to discriminate mecamylamine (3 mg/kg s.c. 15 min before testing) after administration of nicotine (1 mg/kg s.c. 120 min before testing) from saline. They reached the discrimination testing criterion in an average of 63 ± 6 training sessions. Administered alone, mecamylamine (1–6 mg/kg s.c. 15 min before testing) substituted for the nicotinemecamylamine cue at 6 mg/kg, and pretreatment with nicotine (1 mg/kg s.c. 120 min before testing) shifted the dose-response curve to the left (Fig. 7A). Statistical analysis of rates of responding indicated that mecamylamine up to the dose of 3 mg/kg did not significantly decreased rates of lever pressing compared with control values in rats pretreated with saline or with nicotine. The dose of 6 mg/kg significantly decreased response rates in saline pretreated rats (Fr = 11.5; p < 0.05). This dose was not tested in nicotine pretreated rats. Administered alone, SSR591813 (3–20 mg/kg i.p. 15 min before testing) produced 43% substitution at 20 mg/kg, and pretreatment with nicotine did not shift the dose-response curve (Fig. 7B). Statistical analysis of rates of responding indicated that SSR591813 up to the dose of 20 mg/kg did not significantly decreased rates of lever pressing compared with control values in rats pretreated with saline or with nicotine (Fr = 16.8; N.S.). Moreover, SSR591813 (3–20 mg/kg i.p. 30 min before mecamylamine in nicotine-treated rats) decreased the nicotinemecamylamine discriminative stimulus effects (Fig. 7C). Statistical analysis of rates of responding indicated a significant effect of drug treatment (Fr = 28.6; p < 0.01). The injection of nicotine followed by mecamylamine nonsignificantly decreased rates of lever pressing compared with control values; SSR591813 at 6, 10, and 20 mg/kg further reduced rates of responding (p < 0.05).

View larger version (20K): [in this window] [in a new window]   Fig. 7. Rats were trained to discriminate the effects of mecamylamine (3 mg/kg s.c., 15 min before testing) after a single dose of nicotine (1 mg/kg s.c., 120 min) from saline (s.c., 120 and 15 min). Discriminative stimulus effects of mecamylamine (s.c., 15 min) (A) and SSR591813 (i.p., 15 min) (B) in rats pretreated with saline (s.c., 120 min) or nicotine (1 mg/kg s.c., 120 min). C, antagonism of the nicotinemecamylamine cue by SSR591813. Rats were treated with nicotine (1 mg/kg s.c., 120 min) plus mecamylamine (3 mg/kg s.c., 15 min) and SSR591813 (i.p.) was administered 30 min before mecamylamine. The results are shown as the percentage of animals responding on the nicotinemecamylamine-associated lever (n = 8–10).

Nicotine Withdrawal Signs
Overall, withdrawal signs in saline and nicotine infused rats after administration of mecamylamine (1 mg/kg), SSR591813 (10 mg/kg), or a combination of both drugs as shown in Fig. 8. Kruskal-Wallis test indicated a significant group effect (T = 9.91; p < 0.05). Nicotine-infused rats challenged with mecamylamine, but not with SSR591813, displayed more withdrawal signs than nicotine-infused rats challenged with saline (p < 0.05). Ptosis, chews, and gasps/writhes were the withdrawal signs the most frequently observed. Acute pretreatment with SSR591813 prevented the occurrence of withdrawal signs precipitated by mecamylamine.

View larger version (26K): [in this window] [in a new window]   Fig. 8. Overall withdrawal signs (mean ± S.E.M.) during a 30-min observation. Five groups of eight rats each are represented. Open column (SAL SAL), saline-infused/saline-injected rats. Gray column (NICO SAL), nicotine-infused/saline-injected rats. Black column (NICO MECA), nicotine-infused/mecamylamine-injected rats, mecamylamine (1 mg/kg s.c.) was injected immediately before observation. Hatched column (NICO SSR), nicotine-infused/SSR591813-injected rats, SSR591813 (10 mg/kg i.p.) was injected immediately before observation. Cross-hatched column (NICO SSR + MECA), nicotine-infused/SSR591813- and mecamylamine-injected rats, SSR591813 (10 mg/kg i.p.) was injected 30 min and mecamylamine (1 mg/kg s.c.) immediately before observation. *, p < 0.05 versus saline-treated rats; +, p < 0.05 versus nicotine-infused/saline-injected rats.

Nicotine Self-Administration
The effects of SSR591813 on nicotine self-administration on a FR4 schedule of reinforcement are shown in Fig. 9. During control 1-h sessions, rats obtained about seven nicotine injections; the number of lever presses on the active lever was more than 4-fold higher than the number of nicotine injections, indicating that rats emitted responses during time-out periods. SSR591813 at a dose of 20 mg/kg i.p. markedly decreased the number of nicotine infusions [F(3,42) = 3.49; p < 0.05], the number of presses on the active lever [F(3,42) = 3.09; p < 0.05], and the number of presses on the inactive lever [F(3,42) = 5.35; p < 0.01]. Differences from baseline were statistically significant on the 2nd and 3rd days of administration for the number of nicotine infusions and the number of presses on the active lever (p < 0.05), and on the 2nd day for the number of presses on the inactive lever (p < 0.01).

View larger version (24K): [in this window] [in a new window]   Fig. 9. Effects of SSR591813 (10–20 mg/kg) administered i.p. on three consecutive days on nicotine self-administration. A, number of presses on the active lever. B, number of presses on the inactive lever. C, number of nicotine infusions. Columns represent means ± S.E.M. of data obtained on 15 rats. Session duration is 1 h. *, p < 0.05; **, p < 0.01 compared with control session.

Behavioral Sensitization
Effect of a repeated treatment with SSR591813 on the locomotor response to the drug (Fig. 10A). SSR591813 (30 mg/kg p.o.) increased locomotor activity in saline- and in SSR591813-treated (30 mg/kg p.o. twice daily for 4 days) rats. Repeated administration of SSR591813 did not produce sensitization to the hyperlocomotor activity of the drug.

View larger version (22K): [in this window] [in a new window]   Fig. 10. A, locomotor responses to SSR591813 (SSR, 30 mg/kg p.o.) in rats treated twice a day for 4 days with saline (SAL) or SSR591813 (SSR, 30 mg/kg p.o.). Bars are mean activity counts ± S.E.M. for 60 min after drug administration based on 18 rats. **, p < 0.01 compared with saline response in saline-treated rats. B, locomotor responses to SSR591813 (SSR; 3, 10, 30 mg/kg s.c.) and nicotine (NIC; 0.8 mg/kg s.c.) in rats treated once a day for 4 days with saline (SAL) or NIC (0.6 mg/kg s.c.). Columns are mean activity counts ± S.E.M. for 60 min after drug administration based on seven rats. **, p < 0.01 compared with saline response in saline-treated rats.

Effect of a Repeated Treatment with Nicotine on the Locomotor Response to SSR591813 (Fig. 10B)
Repeated administration of nicotine (0.6 mg/kg s.c., once a day for 4 days) did not change locomotor activity response to SSR591813 (3, 10, and 30 mg/kg s.c.), whereas it produced sensitization to the hyperlocomotor activity of nicotine (0.8 mg/kg s.c.).

Effect of a Repeated Treatment with SSR591813 Alone and in Combination with Nicotine on the Locomotor Response to Nicotine (Fig. 11)
Repeated administration of nicotine (0.6 mg/kg s.c. once a day for 4 days) produced sensitization to the hyperlocomotor activity of nicotine (0.8 mg/kg s.c.). In contrast, repeated administration of SSR591813 (30 mg/kg p.o. once a day for 4 days) did not produce sensitization to the nicotine response. Moreover, SSR591813 (10–30 mg/kg p.o.) coadministered with nicotine (0.6 mg/kg s.c., once a day for 4 days) blocked the development of behavioral sensitization to the hyperlocomotor activity of nicotine [F(7,76) = 15.20; p < 0.01].

View larger version (21K): [in this window] [in a new window]   Fig. 11. Locomotor responses to nicotine (NICO; 0.8 mg/kg s.c.) in rats treated once a day for 4 days with saline (SAL) or NICO (0.6 mg/kg s.c.) or SSR591813 (SSR; 30 mg/kg p.o.) or a combination of NICO (0.6 mg/kg s.c.) and SSR (10–30 mg/kg p.o.). Columns are mean activity counts ± S.E.M. for 20 min after drug administration based on eight rats. **, p < 0.01 compared with nicotine response in saline-treated rats; ++, p < 0.01 compared with nicotine response in nicotine-treated rats.

General Pharmacology
Body Temperature. SSR591813 up to 100 mg/kg p.o. did not induce hypothermia in mice.

Cardiovascular Effects in Awake Normotensive Rats. Neither heart rate nor blood pressure was modified by SSR591813 at any of the doses tested (10–100 mg/kg p.o.) compared with rats receiving vehicle.

	Discussion

Top Abstract Materials and Methods Results Discussion References

 
The present study investigated the pharmacological properties of the novel selective and partial ₄₂ nAChR agonist SSR591813. The drug displays high affinity for the neuronal rat and human ₄₂ nAChR subtype (K_i = 107 and 36 nM, respectively), whereas it has weaker affinity for other nAChR subtypes (selectivity ratio 3–160-fold). In addition, SSR591813 has negligible affinity for more than 70 neurotransmitter receptors, enzymes, and transmitter uptake sites.

Electrophysiological experiments at human ₄₂ nAChRs expressed in Xenopus oocytes show that SSR591813 is a partial agonist (E_max = 19%) with an EC₅₀ value of 1.3 µM. Given the affinity measured in binding experiments (36 nM), one would have expected a lower EC₅₀ value. It is, however, a common observation that the oocyte expression system is at least 1 order of magnitude less sensitive than recombinant mammalian systems. In addition, functional experiments always show a shift in EC₅₀ versus K_i values, probably because of the desensitization state of the channels in binding experiments (Weber et al., 1975). The partial agonist profile of SSR591813 is further demonstrated by its partial (53%) inhibition of the DMPP response. The absence of functional effects at the other nAChR subtypes tested confirms the selectivity of SSR591813 for the ₄₂ nAChR.

NAChRs have a modulatory role on several neurotransmitter systems. An increase in mesolimbic dopaminergic transmission has been implicated in the mechanisms of nicotine addiction (Di Chiara, 2000). SSR591813 increased extracellular dopamine levels in the shell of the nucleus accumbens, but its efficacy was notably lower than that of nicotine. In addition, it reduced nicotine-induced dopamine release in this brain region. These in vivo results support the partial agonist profile of SSR591813 demonstrated in in vitro experiments. Several studies have implicated the _{3, 4}, ₆, ₇, and ₂ subunits in the nAChR-mediated control of the release of dopamine (Wonnacott et al., 1990). However, the ₂ subunit seems to play a key role as indicated by the failure of nicotine to elicit dopamine release in ₂ knockout mice (Picciotto et al., 1998). Both the selective ₄₂ antagonist DHE and the ₇ antagonist methyllycaconitine block nicotine-induced dopamine release (Sacaan et al., 1995; Fu et al., 2000). The effects of SSR591813 on dopamine function could be mediated by ₄₂ nAChRs located on dopamine-containing neurons of the ventral tegmental area and on terminal fields of those neurons in the nucleus accumbens (Wonnacott et al., 1990; Fu et al., 2000).

As described previously, nicotine produced discriminative stimulus effects and some cross-generalization with d-amphetamine (Brioni et al., 1997; Stolerman et al., 1997; Cohen et al., 2002). In contrast to the full agonists epibatidine and ABT 594, SSR591813 displayed a partial agonist profile in the nicotine and d-amphetamine discriminations, because it partially substituted for both drugs and partially antagonized the nicotine discriminative effects. The finding that the selective ₄₂ antagonist DHE blocked the effects of nicotine in both discriminations suggests that the ₄₂ nAChR subtype mediates the discriminative stimulus effects of nicotine. In contrast, methyllycaconitine reduced the nicotine cue in the d-amphetamine discrimination only. Results with drugs affecting dopaminegic transmission indicate that nicotine substitution for d-amphetamine is linked to elevated dopaminergic transmission, whereas dopaminergic transmission plays a minor role in the nicotine discrimination (for further discussion, see Gasior et al., 1999; Young and Glennon, 2002). These findings are consistent with previous observations that the dopamine-releasing and -reinforcing effects of nicotine are correlated with its discriminative properties in the d-amphetamine but not in the nicotine discrimination (Cohen et al., 2002). The finding that SSR591813 displays partial agonist activity in both discriminations, and particularly in the d-amphetamine discrimination, is consistent with its in vitro profile and its in vivo activity on dopamine release.

The self-administration paradigm has been used as a model to predict the therapeutic efficacy of compounds in the treatment of drug addiction and particularly, to assess effects on craving and reinforcing properties. Like other drugs of abuse, nicotine has been shown to sustain i.v. self-administration in animals (Corrigall and Coen, 1989). In the present study, SSR591813 reduced the number of responses on the active lever and the number of nicotine infusions on the 2nd and 3rd days of treatment. It is unlikely that these effects can be attributed to motor impairment induced by SSR591813. The drug inconsistently reduced responses on the inactive lever and, at active doses, SSR591813 did not produce any significant stimulant or depressant behavioral effects that may have interfered with the task. Because SSR591813 inconsistently reduced rates of responding for food in the drug discrimination tests, the specificity of its effect on nicotine self-administration needs to be assessed further. Investigation of SSR591813 effect on a nicotine dose-response curve would also provide valuable information regarding whether SSR591813 substituted for or antagonized the rewarding effects of nicotine. The present results suggesting that the ₄₂ subunit mediates the reinforcing and motivational effects of nicotine are consonant with previous studies showing that nicotine self-administration is not longer seen in mice lacking the ₂ subunit (Picciotto et al., 1998) and is reduced by a pretreatment with DHE (Watkins et al., 1999).

As described previously (Malin, 2001), mecamylamine administered to rats chronically exposed to nicotine precipitates the somatic nicotine withdrawal syndrome. SSR591813 did not precipitate withdrawal signs in nicotine-exposed rats but prevented the occurrence of withdrawal signs precipitated by mecamylamine. These results suggest that ₄₂ nAChRs play a major role in the nicotine withdrawal syndrome. This is partly confirmed by the findings that DHE, but not methyllycaconitine, precipitates withdrawal (Malin, 2001).

To investigate the affective aspects of nicotine withdrawal, we used a model based on reports of acute dependence in humans (Bickel et al., 1988) and validated in rodents for opioid and benzodiazepine withdrawal (McMahon and France, 2003; Easterling and Holtzman, 1999). In humans, administration of naloxone several hours after an acute injection of morphine produces an opiate withdrawal syndrome and in rats, it produces an aversive state that can serve as a discriminative stimulus ("withdrawal" stimulus). In the present study, rats were trained to discriminate the interoceptive stimulus produced by administration of mecamylamine after an acute injection of nicotine. Increased sensitivity to mecamylamine occurred after administration of nicotine, whereas this was not the case for SSR591813. Moreover, SSR591813 partially blocked the nicotinemecamylamine cue. One mechanism that has been proposed to account for the effects of an antagonist after acute or prolonged treatment with an agonist is a conversion of receptors to a constitutive active state. In such a system, an antagonist might act as an inverse agonist (for discussion, see Easterling and Holtzman, 1999). The present experiments showing that SSR591813 can prevent the occurrence of a somatic and affective nicotine withdrawal syndrome suggest that its intrinsic activity at ₄₂ nAChRs is sufficient to restore normal cholinergic functioning.

Repeated exposure of rats to addictive drugs is well known to cause a long-lasting increase in their psychomotor and motivational effects. This process of behavioral and neurochemical sensitizations has been suggested to play a role in the acquisition and maintenance of addiction (Di Chiara, 2000). In contrast to nicotine, SSR591813 did not produce a behavioral sensitization, there was no cross-sensitization between nicotine and SSR591813, and SSR591813 prevented the development of nicotine sensitization. Dani and De Biasi (2001) have hypothesized that nicotine sensitization is due to an excess excitability of the nicotinic cholinergic systems that develops with chronic nicotine exposure. This does not seem to apply to SSR591813, possibly because of its low intrinsic activity.

The present results indicate that SSR591813 displays partial ₄₂ agonist activity in in vitro and in vivo assays. It binds to ₄₂ nAChRs yet has submaximal capacity to activate these nAChRs. As a result, SSR591813 exhibits either agonist-like or antagonist-like properties. SSR591813 behaves as an agonist with lower efficacy than nicotine as for its capacity to release dopamine and to substitute for nicotine and for d-amphetamine. SSR591813 behaves as an antagonist in the presence of nicotine; it reduces the dopamine-releasing and discriminative stimulus effects of nicotine, as well as the development of sensitization to nicotine.

How relevant is this partial intrinsic activity to SSR591813's potential therapeutic effects? It has been hypothesized that smoking behavior is maintained by the positive reinforcing effects of nicotine as well as the avoidance of the withdrawal phase characterized by somatic and affective (craving) symptoms (Malin, 2001). Here, we suggest that SSR591813 could be administered during smoking and tobacco abstinence periods to reduce nicotine intake and to prevent the occurrence of withdrawal signs. Moreover, SSR591813 may prevent dysregulation of reinforcement mechanisms by its interaction with mesolimbic dopaminergic neurotransmission. The lack of behavioral sensitization after repeated administration of SSR591813 and its low efficacy to stimulate dopamine release and to substitute for d-amphetamine, compared with nicotine, suggest that this compound should not display dependence and abuse potential. These aspects need to be further assessed. The lack of affinity of SSR591813 for nAChRs found in the peripheral nervous system, in particular the ganglionic ₃₄ nAChR subtype, and its lack of unwanted effects in rodents (particularly cardiovascular) generally associated with full nicotinic receptor agonists suggest that SSR591813 will have a low propensity to induce such side effects in humans.

In conclusion, the present study shows that SSR591813 is a functionally selective partial agonist at the ₄₂ nAChR subtype. SSR591813 displays antiaddictive-like activity in animal models in the absence of motor effects. SSR591813 represents a promising alternative to agents currently used for the management of nicotine dependence.

	Acknowledgements

 
The expert technical assistance of Christine Chantelauze, Thibaud De Gallier, Danielle Gaudeau, Danielle Godet, Stéphanie Hamon, Claudine Léonardon, and Monique Vasseur is greatly appreciated. We thank Nadine Normand and Dr. Philippe Ochsenbein for the determination of the chemical structure of SSR591813 and Drs, David Sanger and Guy Griebel for critically reading the manuscript.

	Footnotes

 
This work was financially supported by the European Community Project (QLK6-CT-2000-00318). Accounts of these findings have been presented at the Society For Neuroscience: Biton B, Bergis OE, Moser PC, Galli F, Lochead AW, Jegham S, Cohen C, Perrault G, Avenet P, Claustre Y, Coste A, Caille D, George P, Soubrié P, Scatton B. SSR591813, a novel and selective partial nicotinic (₄₂) receptor agonist for smoking cessation: pharmacological profile. Program no. 811.6. 2002 Abstract viewer/Itinerary Planner. Washington, DC: Society for Neuroscience, 2002. Cohen C, Perrault G, Curet O, Bergis OE, Voltz C. Soubrie P, Scatton B. The selective ₄₂ nicotinic receptor partial agonist, SSR591813, reduces nicotine dependance in rats. Program no. 811.5. 2002 Abstract viewer/Itinerary Planner. Washington, DC: Society for Neuroscience, 2002.

DOI: 10.1124/jpet.103.049262.

ABBREVIATIONS. nAChR, nicotinic acetylcholine receptor; DHE, dihydro--erythroidine; HEK, human embryonic kidney; DMPP, 1,1-dimethyl-4-phenyl-piperazinium; ANOVA, analysis of variance; FR, fixed ration; IA, intrinsic activity; SSR591813, (5aS,8S,10aR)-5a,6,9,10-tetrahydro,7H,11H-8,10a-methanopyrido[2',3':5,6]pyrano[2,3-d]azepine; AHBT 94, (R)-5-(2-azetidinylmethoxy)-2-chloropyridine.

¹ C.C. and O.E.B. contributed equally to this work

Address correspondence to: Dr. C. Cohen, Central Nervous System Research Department, Sanofi-Synthelabo Research, 31 avenue Paul Vaillant-Couturier, 92220 Bagneux, France. E-mail: caroline.cohen{at}sanofi-synthelabo.com

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