Vaccination against nicotine during continued nicotine administration in rats: immunogenicity of the vaccine and effects on nicotine distribution to brain

Y Hieda , D.E Keyler , S Ennifar , A Fattom , P.R Pentel
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引用次数: 101

Abstract

Vaccination against nicotine has been proposed as a potential treatment for nicotine dependence. Because vaccination may take months to elicit satisfactory antibody levels, the clinical usefulness of this approach will be enhanced if vaccination can be accomplished during continued nicotine intake (e.g., before a smoker quits). The current study examined the immunogenicity of a nicotine conjugate vaccine during continued nicotine dosing in rats, and its effects on nicotine distribution to brain. In the first experiment, nicotine was administered over 11 weeks as 20 intra venous (i.v.) bolus injections per day during the rat’s active cycle to simulate the usual pattern of nicotine intake from cigarette smoking. In the second experiment, rats received a continuous s.c. infusion of nicotine by osmotic pump for 11 weeks to provide serum nicotine concentrations equivalent to those of a heavy smoker and 24 h/day nicotine exposure. Nicotine-specific antibody titers after the third booster dose were not compromised by either regimen of concurrent nicotine administration compared to those of rats receiving saline. A single additional i.v. nicotine dose was administered at the end of each experiment. The distribution of this single nicotine dose to brain was reduced by 40–60% in vaccinated rats compared to controls. Vaccine efficacy in reducing nicotine distribution to brain was not compromised by concurrent nicotine administration. These data suggest that vaccination during concurrent nicotine administration is feasible, and that the ability of vaccination to reduce nicotine distribution to brain is preserved even after months of nicotine dosing at rates approximating cigarette smoking.

大鼠持续给药期间的尼古丁免疫接种:疫苗的免疫原性和对尼古丁在脑内分布的影响
抗尼古丁疫苗被认为是治疗尼古丁依赖的一种潜在方法。由于疫苗接种可能需要几个月的时间才能达到满意的抗体水平,如果疫苗接种能够在尼古丁持续摄入期间完成(例如,在吸烟者戒烟之前),这种方法的临床实用性将得到加强。目前的研究检测了尼古丁结合疫苗在大鼠持续尼古丁剂量期间的免疫原性,以及它对尼古丁在大脑中的分布的影响。在第一个实验中,在11周的时间里,在大鼠的活动周期内,每天静脉注射20次尼古丁,以模拟从吸烟中摄入尼古丁的通常模式。在第二个实验中,大鼠通过渗透泵连续s.c.输注尼古丁11周,使其血清尼古丁浓度相当于重度吸烟者24小时/天的尼古丁暴露水平。与接受生理盐水的大鼠相比,第三次加强剂量后的尼古丁特异性抗体滴度没有被同时给予尼古丁的任何一种方案所损害。在每次实验结束时再静脉注射一次尼古丁剂量。与对照组相比,接种疫苗的大鼠大脑中单一尼古丁剂量的分布减少了40-60%。疫苗减少尼古丁向大脑分布的功效不受同时给药尼古丁的影响。这些数据表明,在同时给药尼古丁期间接种疫苗是可行的,并且疫苗接种减少尼古丁向大脑分布的能力即使在几个月后以接近吸烟的速度给药尼古丁后仍然保持不变。
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