ABSTRACT
Nicotine induces neurochemical and behavioral changes similar to those induced by the commonly abused drugs and the mesolimbic dopamine pathway, specifically originating from the Ventral Tegmental Area (VTA) and projecting to the Nucleus Accumbens may be an important component in the neural circuitry of reward. Various classes of amine carrier blockers have been studied for potential therapeutic application in drug addiction. One of these compounds, i.e. bupropion, has been shown to be effective for smoking cessation via its effect upon dopaminergic activities. Such effects are mediated via its metabolites and in particular (+)hydroxybupropion. In rat, bupropion has a different metabolism with no formation of (+)OH-bupropion metabolite making it a good species for comparing the effect of exogenous (+)OHbupropion versus exogenous bupropion itself. Therefore, we have examined the acute effect of these two compounds upon the DA system via concomitant Differential Pulse Voltammetric measurements of DA levels and electrophysiological recordings of the firing rates within the VTA.
Keywords: Bupropion; (+)Hydroxybupropion; Ventral Tegmental Area; Rat; In Vivo Electrochemistry
Introduction
The novel coronavirus SARS-COV-2 or COVID-19 was first found in Wuhan, China and is the cause of severe acute respiratory distress syndrome. Nicotine increases dopamine release in the principal terminal field of the mesolimbic system, the nucleus accumbens, and there is evidence that this mediates the “rewarding” properties of the drug which reinforce it self administration [1,2]. Many observations provide considerable support for the hypothesis that the mesolimbic dopamine pathway, specifically originating from the Ventral Tegmental Area (VTA) and projecting to the Nucleus Accumbens (NAc), may be an important component in the neural circuitry of reward [3,4]. The effects of systemic nicotine on DA overflow in the NAc have been shown to depend mainly upon stimulation of nicotinic receptors in the VTA [5,6]. These results imply that nicotine exerts its effects on DA overflow by influencing impulse flow from VTA to the accumbal terminal field [1,7]. It has been widely reported that nicotine induces neurochemical and behavioral changes similar to those induced by the commonly abused drugs [8-10] and that different classes of amine carrier blockers have been studied for potential therapeutic application in drug addiction [11-13]. One of these compounds i.e. bupropion, has been shown to be effective for smoking cessation, its primary action is via inhibition of dopamine reuptake into neuronal synaptic vesicles, shows a weak inhibition of noradrenaline reuptake while having no or little effect on the serotonin system [14,15].
This therefore suggests that the blockade of catecholamine carriers may be useful also for the nicotine dependence [16-20]. Moreover, four active bupropion’s metabolites have been identified in human and mouse plasma and some of them, in particular the (+)OH-bupropion, have been shown not only to have amine carrier blocker properties, but also to reach higher plasma concentrations compared to bupropion itself [21-23]. Indeed, bupropion undergoes metabolic transformation to this metabolite through hepatic cytochrome P450-2B6 (CYP2B6) [24]. In rat, bupropion has a different metabolism with no formation of (+)OH-bupropion metabolite [25-28] making it a good species for comparing the effect of exogenous (+)OHbupropion versus exogenous bupropion itself. Therefore, we have examined the acute effect of these two compounds upon the DA system via Differential Pulse Voltammetric (DPV) measurements of DA levels as well as electrophysiological recordings of the firing rates within the VTA.
Methods
Animals
Male adult rats (Wistars, 220–250 g) were supplied by Charles- River (Italy) and kept in temperature- and humidity controlled rooms (22○C, 50%). All animal procedures were carried out in accordance with the Italian law (Legislative Decree no. 116, 1992) which acknowledges the European Directive 86/609/ EEC. Furthermore, all efforts were made to minimize the number of animals and their suffering. Four different groups of rodents were employed and treated with : (+)OH-bupropion, bupropion or vehicle: saline (NaCl 0.9%), respectively.
Combined In Vivo Electrophysiological and Voltammetric Analysis
Anaesthetised (urethane 1.5g/kg i.p.)) rodents have been prepared for combined in vivo electrophysiological and DPVoltammetric analysis as described earlier [29]. In particular a single micro-biosensor (carbon fibre micro-electrode: mCFE) has been used for both measurements [30]. The mCFE (30μm diam, 100μm length) was first electrically and chemically treated with Nafion in order to be selectively sensitive to nanomolar concentration of catecholamines [31]. Then it was inserted stereotaxically under light microscopy into the VTA following Paxinos atlas coordinates [32]. The data obtained from all the experiments were analysed with STATISTICA software version 6.0 using ANOVA to evaluate significant differences between mean values produced by drug treatments versus control (vehicle treatment). Statistical significance was set at a probability level of p < 0.05.
Results
Concomitant Voltammetry and Electrophysiology in Ventral Tegmental Area
(+)OH-Bupropion Treatment: Concomitant DPVoltammetric and electro-physiological measurements (Ephys) were performed in VTA of anaesthetised rats (n=4). After a control period (30min) (+)OH-bupropion was injected (4mg/Kg i.v.) and this increased the voltammetric levels of extracellular DA to approx. 170% of controls within 20min (Figure 1). This dose of (+)OH-bupropion has been selected as it is significantly active within the short term nicotine release test [33,34]. Concomitantly, Ephys firing increased to 150- 180% of control within 20-50min, respectively (Figure 2). This data is in accord with those obtained with similar doses of (+)OHbupropion as described in similar studies [35].
Bupropion Treatment: Experiments with bupropion 5mg/ kg i.v. (n=4) or 50mg/Kg i.v. (n=4) have been performed in anaesthetised rats prepared for voltametric measurements of DA for concomitant voltammetry– electrophysiology analysis in VTA as described earlier [29-31]. Bupropion 5mg/kg i.v. was unable to modify significantly cell firing and voltametric extracellular DA levels in VTA (data not shown). In contrast Bupropion 50mg/kg i.v. did increase firing in VTA (approximately up to 160% of control levels). Concomitant DPVoltammetric extracellular DA levels appeared to be increased up to approx. 150% of controls within 40- 50 min. (Figures 3 & 4).
Vehicle Treatment: In a control group (n=4) treatment with saline (NaCl 0.9%) was without significant effect upon DPV as well as cell firing levels in VTA (data not shown).
Discussion
Bupropion, the first non-nicotine based drug for smoking cessation exerts its effect primarily through the inhibition of dopamine reuptake into neuronal synaptic vesicles. It is also a weak noradrenalin reuptake inhibitor and has no or little effect on the serotonin system. It also attenuates the stimulant effects of nicotine on the nicotinic acetylecholine receptors [36]. The present data concerning bupropion influence upon DA activity within the VTA are in accord with previous reports showing that pre-treatment of brain slices with a clinically relevant concentration of bupropion [24] reduces GABAergic transmission to DA neurons. This results in reduction of tonic inhibition of these neurons with the consequent increase of DA neuron excitability [37]. These effects are mediated via its metabolites and in particular (+)hydroxybupropion [38]. Indeed, bupropion undergoes metabolic transformation to this metabolite through hepatic cytochrome P450-2B6 (CYP2B6) [24]. As already mentioned in the Introduction, in rat, bupropion has a different metabolism with no formation of (+)OH-bupropion metabolite [25-28] making it a good species for comparing the effect of exogenous (+)OH-bupropion versus exogenous bupropion itself. Therefore, we have examined the acute effect of these two compounds upon the DA system via Differential Pulse Voltammetric (DPV) measurements of DA levels as well as electrophysiological recordings of the firing rates within the VTA. The data gathered indicate similar efficacy of these two compounds upon the dopaminergic activities in VTA, however (+)OH-bupropion appeared to stimulate DA firing and release at the dosage of 5mg/ kg while this dosage was ineffective when using bupropion. Only when the dosage was increased to 50mg/kg the effect of this chemical was significant upon DA activities in VTA. These data confirm the reported difference in efficacy between Bupropion and its metabolite (+)OH-bupropion supporting the latter as best treatment in helping people quit tobacco smoking.
References
- DJ Balfour, AE Wright, ME Benwell, CE Birrell (2000) The putative role of extra-synaptic mesolimbic dopamine in the neurobiology of nicotine dependence. Behavioural Brain Research 113(1-2): 73-83.
- Balfour DJ (2009) The Neuronal Pathways Mediating the Behavioral and Addictive Properties of Nicotine. In: Henningfield JE, London ED, Pogun S (Eds.)., Nicotine Psychopharmacology. Handbook of Experimental Pharmacology, Springer, Berlin, Heidelberg 192.
- EJ Nestler, WA Carlezon (2006) The Mesolimbic Dopamine Reward Circuit in Depression. Biological Psychiatry 59(12): 1151-1159.
- Settell ML, Testini P, Cho S, Lee JH, Blaha CD, et al. (2017) Functional Circuitry Effect of Ventral Tegmental Area Deep Brain Stimulation: Imaging and Neurochemical Evidence of Mesocortical and Mesolimbic Pathway Modulation. Front Neurosci 11: 104.
- Nisell M, Nomikos GG, Svensson TH (1994) Infusion of Nicotine in the Ventral Tegmental Area or the Nucleus Accumbens of the Rat Differentially Affects Accumbal Dopamine Release. Pharmacology & Toxicology 75(6): 348-352.
- D Sulzer, SJ Cragg, ME Rice (2016) Striatal dopamine neurotransmission: Regulation of release and uptake. Basal Ganglia 6(3): 123-148.
- Balfour DJK (2015) The Role of Mesoaccumbens Dopamine in Nicotine Dependence. In: Balfour D, Munafò M (Eds.)., The Neuropharmacology of Nicotine Dependence. Current Topics in Behavioral Neurosciences, Springer, Cham 24.
- Altman J, Everitt BJ, Robbins TW, S Glautier, A Markou, et al. (1996) The biological, social and clinical bases of drug addiction: Commentary and debate. Psychopharmacology 125(4): 285-345.
- Picciotto MR (1998) Common aspects of the action of nicotine and other drugs of abuse. Drug and Alcohol Dependence 51(1-2): 165-172.
- Le Foll B, Goldberg SR (2006) Nicotine as a typical drug of abuse in experimental animals and humans. Psychopharmacology 184: 367-381.
- Amara SG, Sonders MS (1998) Neurotransmitter transporters as molecular targets for addictive drugs. Drug Alcohol Depend 51(1-2): 87-96.
- RB Rothman, MH Baumann (2003) Monoamine transporters and psychostimulant drugs. European Journal of Pharmacology 479(1-3): 23-40.
- Han DD, Gu HH (2006) Comparison of the monoamine transporters from human and mouse in their sensitivities to psychostimulant drugs. BMC Pharmacol 6: 6.
- Wilkes S (2008) The use of bupropion SR in cigarette smoking cessation. International journal of chronic obstructive pulmonary disease 3(1): 45-53.
- Aubin HJ, Luquiens A, Berlin I (2014) Pharmacotherapy for smoking cessation. Br J Clin Pharmacol 77: 324-336.
- Ascher JA, Cole JO, Colin JN, Feighner JP, Ferris RM, et al. (1995) Bupropion: A review of its mechanism of antidepressant activity. The Journal of Clinical Psychiatry 56(9): 395-401.
- Goldstein MG (1998) Bupropion Sustained Release and Smoking Cessation. J Clin Psychiatry 59(4): 66-72.
- Malin DH, Lake JR, Smith TD, Habil N Khambati, Rhonda L Meyers-Paal, et al. (2006) Bupropion attenuates nicotine abstinence syndrome in the rat. Psychopharmacology 184(3-4): 494-503.
- Clayton AH, Gillespie EH (2009) Bupropion. In: AF Schatzberg, CB Nemeroff (Eds.)., The American Psychiatric Publishing textbook of psychopharmacology. American Psychiatric Publishing, Inc, USA, pp. 415-427.
- Haustein KO, Groneberg D (2010) Pharmacotherapy of Nicotine Dependence. In: Tobacco or Health? Springer, Berlin, Heidelberg.
- Hsyu PH, Singh A, Giargiari TD, Dunn JA, Ascher JA, et al. (1997) Pharmacokinetics of Bupropion and its Metabolites in Cigarette Smokers versus Nonsmokers. The Journal of Clinical Pharmacology 37: 737-743.
- Stewart JJ, Berkel HJ, Parish RC, Simar MR, Syed A, et al. (2001) Single-Dose Pharmacokinetics of Bupropion in Adolescents: Effects of Smoking Status and Gender. The Journal of Clinical Pharmacology 41: 770-778.
- Andy ZX Zhu, Qian Zhou, Lisa Sanderson Cox, Jasjit S Ahluwalia, Neal L Benowitz, et al. (2014) Gene Variants in CYP2C19 Alter Bupropion Pharmacokinetics. Drug Metabolism and Disposition 42(11): 1971-1977.
- Suckow RF, Smith TM, Perumal AS, Cooper TB (1986) Pharmacokinetics of bupropion and metabolites in plasma and brain of rats, mice, and guinea pigs. Drug Metabolism and Disposition 14(6): 692-697.
- Welch RM, Lai AA, Schroeder DH (1987) Pharmacological significance of the species differences in bupropion metabolism. Xenobiotica 17(3): 287-298.
- Damaj MI, Grabus, SD Navarro, HA Vann, RE Warner, et al. (2010) Effects of hydroxy metabolites of bupropion on nicotine dependence behavior in mice. Journal of Pharmacology and Experimental Therapeutics 334(3): 1087-1095.
- Costa R, Oliveira NG, Dinis-Oliveira RJ (2019) Pharmacokinetic and pharmacodynamic of bupropion: Integrative overview of relevant clinical and forensic aspects. Drug metabolism reviews 51(3): 293-313.
- Crespi F (2002) In vivo voltammetry and concomitant electrophysiologyat a single micro-biosensor to analyse ischaemia, depression and drug dependence. J Neurosci Methods 119: 173-184.
- Crespi F (2013) Invasive or Non-Invasive Techniques and Sensors for Real Time In Vivo Sensing in the Brain. In: Kin Fong Lei, Microelectrodes: Techniques, Structures for Biosensing and Potential Applications. Laboratory and Clinical Research, Nova Science Publishers, pp. 233-254.
- Crespi F, Martin K, Marsden CA (1988) Measurement of extracellular basal levels of serotonin in vivo using nafion-coated carbon fibre electrodes combined with differential pulse voltammetry. Neuroscience 27(3): 885-896.
- Paxinos G, Watson C, Calabrese E, Badea A, Johnson GA (2015) MRI/DTI atlas of the rat Brain. Academic Press.
- Ciobica A, Padurariu M, Hritcu L (2012) The effects of short-term nicotine administration on behavioral and oxidative stress deficiencies induced in a rat model of Parkinson’s disease. Psychiatria Danubina 24(2): 194-205.
- Garcia KL, Coen K, Miksys S, Lê AD, Tyndale RF (2015) Effect of brain CYP2B inhibition on brain nicotine levels and nicotine self-administration. Neuropsychopharmacology 40(8): 1910-1918.
- BR Cooper, CM Wang, RF Cox, R Norton, V Shea, et al. (1994) Evidence that the Acute Behavioral and Electrophysiological Effects of Bupropion (Wellbutrin®) Are Mediated by a Noradrenergic Mechanism. Neuropsychopharmacology 11(2): 133-141.
- Clayton AH, Gillespie EH (2009) Bupropion. In: AF Schatzberg, CB Nemeroff (Eds.)., The American Psychiatric Publishing textbook of psychopharmacology. American Psychiatric Publishing, Inc, USA, pp. 415-427.
- Mansvelder HD, Fagen ZM, Chang B, Mitchum R, McGehee DS (2007) Bupropion inhibits the cellular effects of nicotine in the ventral tegmental area. Biochemical pharmacology 74(8): 1283-1291.
- (2005) ([NICE] National Institute for Health and Clinical Excellence. 2007. Varenicline for smoking cessation. 123. NICE.DTB 2000; Warner C, Shoaib M How does bupropion work as a smoking cessation aid? Addict Biol 10(3): 219-231.
- Scott Wilkes (2008) The use of bupropion SR in cigarette smoking cessation. Int J Chron Obstruct Pulmon Dis 3(1): 45-53.