Improved effect of the combination naltrexone/D-penicillamine in the prevention of alcohol relapse-like drinking in rats


Por: Orrico, A, Marti-Prats, L, Cano-Cebrian, M, Granero, L, Polache, A and Zornoza, T

Publicada: 1 ene 2014
Resumen:
Opioid antagonists are licensed drugs for treating alcohol use disorders; nonetheless, clinical studies have evidenced their limited effectiveness. Preclinical findings indicate that opioid receptor (OR) antagonists, such as naltrexone (NTX), reduce the alcohol deprivation effect (ADE). However, a detailed analysis of published data shows the existence of a delayed increase in ethanol consumption after continuous OR blockade, a phenomenon originally called as 'delayed ADE'. We have recently reported that D-penicillamine (DP) is able to prevent ADE through a mechanism dependent on the inactivation of acetaldehyde, the main metabolite of ethanol. Hypothetically, OR activation would be triggered by acetaldehyde after ethanol consumption. Hence, we conjecture that the combination of NTX and DP, due to their distinct but complementary mechanisms to impede OR activation, may be more efficacious in the prevention of the ADE and, specifically, the 'delayed ADE'. Herein, we compare the effects of the combination NTX/DP (NTX: 2x5 mg/kg SC injection daily/DP: SC infusion (0.25 mg/h)) versus NTX on the ADE in long-term ethanol-experienced rats. As expected, NTX-treated animals displayed a delayed ADE. However, NTX/DP treatment prevented this delayed effect. Our present data indicate that this combination therapy shows an adequate anti-relapse preclinical efficacy being able to overcome the preclinical limitations of NTX alone.

Filiaciones:
:
 Univ Valencia, Dept Farm & Tecnol Farmaceut, E-46100 Burjassot, Spain

Marti-Prats, L:
 Univ Valencia, Dept Farm & Tecnol Farmaceut, E-46100 Burjassot, Spain

Cano-Cebrian, M:
 Univ Valencia, Dept Farm & Tecnol Farmaceut, E-46100 Burjassot, Spain

Granero, L:
 Univ Valencia, Dept Farm & Tecnol Farmaceut, E-46100 Burjassot, Spain

Polache, A:
 Univ Valencia, Dept Farm & Tecnol Farmaceut, E-46100 Burjassot, Spain

Zornoza, T:
 Univ Valencia, Dept Farm & Tecnol Farmaceut, E-46100 Burjassot, Spain
ISSN: 02698811





JOURNAL OF PSYCHOPHARMACOLOGY
Editorial
SAGE Publications, 1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 28 Número: 1
Páginas: 76-81
WOS Id: 000337974400010
ID de PubMed: 24306132

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