Mifepristone decreases nicotine intake in dependent and non-dependent adult rats

J Psychopharmacol. 2024 Mar;38(3):280-296. doi: 10.1177/02698811241230255. Epub 2024 Feb 8.

Abstract

Background: Addiction to tobacco and nicotine products has adverse health effects and afflicts more than a billion people worldwide. Therefore, there is an urgent need for new treatments to reduce tobacco and nicotine use. Glucocorticoid receptor blockade shows promise as a novel treatment for drug abuse and stress-related disorders.

Aim: These studies aim to investigate whether glucocorticoid receptor blockade with mifepristone diminishes the reinforcing properties of nicotine in rats with intermittent or daily long access to nicotine.

Methods: The rats self-administered 0.06 mg/kg/inf of nicotine for 6 h per day, with either intermittent or daily access for 4 weeks before treatment with mifepristone. Daily nicotine self-administration models regular smoking, while intermittent nicotine self-administration models occasional smoking. To determine whether the rats were dependent, they were treated with the nicotinic acetylcholine receptor antagonist mecamylamine, and somatic signs were recorded.

Results: The rats with intermittent access to nicotine had a higher level of nicotine intake per session than those with daily access but only the rats with daily access to nicotine showed signs of physical dependence. Furthermore, mecamylamine increased nicotine intake during the first hour of access in rats with daily access but not in those with intermittent access. Mifepristone decreased total nicotine intake in rats with intermittent and daily access to nicotine. Moreover, mifepristone decreased the distance traveled and rearing in the open field test and operant responding for food pellets.

Conclusion: These findings indicate that mifepristone decreases nicotine intake but this effect may be partially attributed to the sedative effects of mifepristone.

Keywords: Smoking; glucocorticoid receptors; mecamylamine; mifepristone; nicotine; rats.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Dose-Response Relationship, Drug
  • Humans
  • Mecamylamine / pharmacology
  • Mifepristone / pharmacology
  • Mifepristone / therapeutic use
  • Nicotine
  • Rats
  • Rats, Wistar
  • Receptors, Glucocorticoid
  • Self Administration
  • Smoking
  • Substance Withdrawal Syndrome* / drug therapy
  • Tobacco Use Disorder* / drug therapy

Substances

  • Nicotine
  • Mecamylamine
  • Mifepristone
  • Receptors, Glucocorticoid