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Smoking-induced change in intrasynaptic dopamine concentration: effect of treatment for Tobacco Dependence.

Abstract
The aim of this study was to determine whether standard treatments for Tobacco Dependence affect smoking-induced changes in intrasynaptic dopamine (DA) concentration. Forty-three otherwise healthy adult cigarette smokers (10 to 40 cigarettes per day) were treated with either practical group counseling (PGC) psychotherapy (n=14), bupropion HCl (n=14), or matching pill placebo (n=15) (random assignment) for 8 weeks. Before and after treatment, each subject underwent a bolus-plus-continuous-infusion (11)C-raclopride positron emission tomography (PET) scanning session, during which he or she smoked a regular cigarette. The PET scanning outcome measure of interest was percent change in smoking-induced (11)C-raclopride binding potential (BP(ND)) in the ventral caudate/nucleus accumbens (VCD/NAc), as an indirect measure of DA release. Although the entire study sample had a smaller mean smoking-induced reduction in VCD/NAc BP(ND) after treatment (compared to before treatment), this change was highly correlated with smaller total cigarette puff volumes (and not other treatment variables). These data indicate that smoking-induced DA release is dose-dependent, and is not significantly affected by reductions in daily smoking levels or treatment type.
AuthorsArthur L Brody, Edythe D London, Richard E Olmstead, Zoe Allen-Martinez, Stephanie Shulenberger, Matthew R Costello, Anna L Abrams, David Scheibal, Judah Farahi, Steven Shoptaw, Mark A Mandelkern
JournalPsychiatry research (Psychiatry Res) Vol. 183 Issue 3 Pg. 218-24 (Sep 30 2010) ISSN: 0165-1781 [Print] Ireland
PMID20682457 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
CopyrightPublished by Elsevier Ireland Ltd.
Chemical References
  • Dopamine Antagonists
  • Dopamine Uptake Inhibitors
  • Bupropion
  • Raclopride
  • Dopamine
Topics
  • Adult
  • Aged
  • Analysis of Variance
  • Bupropion (therapeutic use)
  • Dopamine (metabolism)
  • Dopamine Antagonists (pharmacokinetics)
  • Dopamine Uptake Inhibitors (therapeutic use)
  • Double-Blind Method
  • Female
  • Humans
  • Magnetic Resonance Imaging (methods)
  • Male
  • Middle Aged
  • Positron-Emission Tomography (methods)
  • Raclopride (pharmacokinetics)
  • Smoking (metabolism, psychology)
  • Statistics as Topic
  • Synapses (diagnostic imaging, metabolism)
  • Tobacco Use Disorder (diagnostic imaging, drug therapy)
  • Young Adult

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