Synergism Between a Serotonin 5-HT2AReceptor (5-HT2AR) Antagonist and 5-HT2CR Agonist Suggests New Pharmacotherapeutics for Cocaine Addiction
Synergism Between a Serotonin 5-HT2AReceptor (5-HT2AR) Antagonist and 5-HT2CR Agonist Suggests New Pharmacotherapeutics for Cocaine Addiction
Relapse to cocaine dependence, even after extended abstinence, involves a number of liability factors including impulsivity (predisposition toward rapid, unplanned reactions to stimuli without regard to negative consequences) and cue reactivity (sensitivity to cues associated with cocaine-taking which can promote cocaine-seeking). These factors have been mechanistically linked to serotonin (5-hydroxytryptamine, 5-HT) signaling through the 5-HT(2A) receptor (5-HT(2A)R) and 5-HT(2C)R; either a selective 5-HT(2A)R antagonist or a 5-HT(2C)R agonist suppresses impulsivity and cocaine-seeking in preclinical models. We conducted proof-of-concept analyses to evaluate whether a combination of 5-HT(2A)R antagonist plus 5-HT(2C)R agonist would have synergistic effects over these liability factors for relapse as measured in a 1-choice serial reaction time task and cocaine self-administration/reinstatement assay. Combined administration of a dose of the selective 5-HT(2A)R antagonist M100907 plus the 5-HT(2C)R agonist WAY163909, each ineffective alone, synergistically suppressed cocaine-induced hyperactivity, inherent and cocaine-evoked impulsive action, as well as cue- and cocaine-primed reinstatement of cocaine-seeking behavior. The identification of synergism between a 5-HT(2A)R antagonist plus a 5-HT(2C)R agonist to attenuate these factors important in relapse indicates the promise of a bifunctional ligand as an anti-addiction pharmacotherapeutic, setting the stage to develop new ligands with improved efficacy, potency, selectivity, and in vivo profiles over the individual molecules.
- National Institute of Health Pakistan
- Texas Health and Science University United States
- National Institutes of Health United States
- National Institute On Alcohol Abuse and Alcoholism United States
- The University of Texas Medical Branch at Galveston United States
Male, Indoles, Reinforcement Schedule, Dose-Response Relationship, Drug, Drug Synergism, Azepines, Hyperkinesis, Motor Activity, Rats, Fluorobenzenes, Rats, Sprague-Dawley, Cocaine-Related Disorders, Drug Combinations, Piperidines, Impulsive Behavior, Reaction Time, Serotonin 5-HT2 Receptor Antagonists, Animals, Humans, Cues
Male, Indoles, Reinforcement Schedule, Dose-Response Relationship, Drug, Drug Synergism, Azepines, Hyperkinesis, Motor Activity, Rats, Fluorobenzenes, Rats, Sprague-Dawley, Cocaine-Related Disorders, Drug Combinations, Piperidines, Impulsive Behavior, Reaction Time, Serotonin 5-HT2 Receptor Antagonists, Animals, Humans, Cues
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