Promoting activity of (α4)3(β2)2 nicotinic cholinergic receptors reduces ethanol consumption

Neuropsychopharmacology. 2020 Jan;45(2):301-308. doi: 10.1038/s41386-019-0475-8. Epub 2019 Aug 8.

Abstract

There is increasing interest in developing drugs that act at α4β2 nicotinic acetylcholine receptors (nAChRs) to treat alcohol use disorder. The smoking cessation agent varenicline, a partial agonist of α4β2 nAChRs, reduces alcohol intake, but its use can be limited by side effects at high therapeutic doses. There are two stoichiometric forms of α4β2 nAChRs, (α4)3(β2)2 and (α4)2(β2)3. Here we investigated the hypothesis that NS9283, a positive allosteric modulator selective for the (α4)3(β2)2 form, reduces ethanol consumption. NS9283 increased the potency of varenicline to activate and desensitize (α4)3(β2)2 nAChRs in vitro without affecting other known targets of varenicline. In male and female C57BL/6J mice, NS9283 (10 mg/kg) reduced ethanol intake in a two-bottle choice, intermittent drinking procedure without affecting saccharin intake, ethanol-induced incoordination or ethanol-induced loss of the righting reflex. Subthreshold doses of NS9283 (2.5 mg/kg) plus varenicline (0.1 mg/kg) synergistically reduced ethanol intake in both sexes. Finally, despite having no aversive valence of its own, NS9283 enhanced ethanol-conditioned place aversion. We conclude that compounds targeting the (α4)3(β2)2 subtype of nAChRs can reduce alcohol consumption, and when administered in combination with varenicline, may allow use of lower varenicline doses to decrease varenicline side effects.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Alcohol Drinking / drug therapy*
  • Alcohol Drinking / metabolism*
  • Alcohol Drinking / psychology
  • Animals
  • Dose-Response Relationship, Drug
  • Drug Therapy, Combination
  • Ethanol / administration & dosage*
  • Female
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred DBA
  • Nicotinic Agonists / administration & dosage*
  • Oxadiazoles / administration & dosage
  • Pyridines / administration & dosage
  • Receptors, Nicotinic / metabolism*
  • Self Administration
  • Varenicline / administration & dosage

Substances

  • 3-(3-(pyridine-3-yl)-1,2,4-oxadiazol-5-yl)benzonitrile
  • Nicotinic Agonists
  • Oxadiazoles
  • Pyridines
  • Receptors, Nicotinic
  • nicotinic receptor alpha4beta2
  • Ethanol
  • Varenicline