Elsevier

Neuropharmacology

Volume 60, Issues 7–8, June 2011, Pages 1209-1220
Neuropharmacology

Invited Review
Nicotine and endogenous opioids: Neurochemical and pharmacological evidence

https://doi.org/10.1016/j.neuropharm.2010.11.010Get rights and content

Abstract

Although the mesolimbic dopamine hypothesis is the most influential theory of nicotine reward and reinforcement, there has been a consensus that other neurotransmitter systems contribute to the addictive properties of nicotine as well. In this regard, the brain opioidergic system is of interest. Striatum is rich in opioid peptides and opioid receptors, and striatal opioidergic neurons are engaged in a bidirectional communication with midbrain dopaminergic neurons, closely regulating each other’s activity. Enkephalins and dynorphins exert opposing actions on dopaminergic neurons, increasing and decreasing dopamine release respectively, and are components of circuits promoting positive or negative motivational and affective states. Moreover, dopamine controls the synthesis of striatal enkephalins and dynorphins. Evidence suggests that opioidergic function is altered after nicotine and endogenous opioids are involved in nicotine’s behavioral effects. 1) The synthesis and release of β-endorphin, met-enkephalin and dynorphin in brain, especially nucleus accumbens (NAc), are altered after acute or chronic nicotine treatment and during nicotine withdrawal. 2) Although opioid receptor binding and mRNA do not appear to change in the striatum during nicotine withdrawal, the activity of κ-opioid (KOPr) and δ-opioid (DOPr) receptors is attenuated in NAc. 3) The nicotine withdrawal syndrome reminisces that of opiates, and naloxone precipitates some of its somatic, motivational, and affective signs. 4) Genetic and pharmacological studies indicate that μ-opioid (MOPr) receptors are mainly involved in nicotine reward, while DOPrs contribute to the emotional and KOPrs to the aversive responses of nicotine. 5) Finally, MOPrs and enkephalin, but not β-endorphin or dynorphin, are necessary for the physical manifestations of nicotine withdrawal.

This article is part of a Special Issue entitled ‘Trends in Neuropharmacology: In Memory of Erminio Costa’.

Highlights

► We reviewed evidence that opioids are involved in nicotine’s behavioral effects. ► Limbic β-endorphin, met-enkephalin and dynorphin are altered after nicotine. ► Opioid κ and δ, but not μ, receptors are desensitized during nicotine withdrawal. ► Naloxone precipitates some of somatic and affective signs of nicotine abstinence. ► μ Receptors contribute to reward, while δ and κ to affective responses of nicotine.

Introduction

In 1985, when the Laboratory of Preclinical Pharmacology (LPP), NIMH, closed at St. Elizabeths Hospital, Washington, DC, Erminio Costa (Mimo) summarized ten research advances that he felt had been achieved during the life of LPP (1968–1985). Among them two were related to the opioid peptides: 1) “First proposed that opioid peptides function as neuromodulators in structures that are not involved in pain threshold regulation, such as caudate nucleus, adrenal medulla and sympathetic ganglia” and 2) “Elucidated endogenous mechanisms operative in opiate tolerance” (Costa, 1985). Over the 17 year span of LPP’s existence more than 100 publications dealing with different aspects of opioids including location, metabolism, receptors and pharmacology originated from LPP (Costa, 1985). Since then, the endogenous opioid system has evolved as an important neurosubstrate for the addictive properties of drugs of abuse, including nicotine. This paper is a review of the existing literature on nicotine and endogenous opioids along with a presentation of our work that was motivated by our association with Mimo. A discussion of the role of dopamine in nicotine psychopharmacology and the interactions between dopamine and endogenous opioids has been included as background information. We write this review in tribute to Mimo for his visionary dedication to neuroscience research, and the tireless training he provided to hundreds of scientists from around the globe, including us.

Section snippets

Nicotine psychopharmacology and receptors

Tobacco smoking is the most prevalent drug addiction and a major cause of disability and premature death. Nicotine, the main psychoactive ingredient of tobacco, is responsible for the psychopharmacological actions of tobacco smoking and its addiction. People smoke to experience the psychoactive effects of nicotine, like mild euphoria, increased energy, heightened arousal, reduced stress and anxiety and improve cognitive function, such as concentration, reaction time and task performance (

Role of dopamine in nicotine addictive properties

Undoubtly the mesolimbic dopaminergic system is central to drug addiction. Current views hold that the rewarding or reinforcing effects of drugs of abuse depend on mesolimbic dopamine neuron activation, especially enhanced dopamine release in nucleus accumbens (NAc; ventral striatum) (Balfour, 2009). The NAc is composed of two anatomically discrete divisions, shell and core, that subserve distinct functions. The shell mediates the rewarding properties of drugs of abuse, including nicotine (

Role of endogenous opioids in nicotine addiction

Although the mesolimbic dopamine hypothesis is the most influential theory of nicotine reward or reinforcement, given that midbrain dopaminergic neurons make direct contacts with a number of limbic and non-limbic structures, which have been speculated as possible neuroanatomical substrates of various nicotine-associated behaviors, the question whether other neurotransmitter systems contribute to the addictive properties of nicotine is a valid one. From this point of view, the striatal

Concluding remarks

Although the rewarding and reinforcing properties of nicotine are a crucial factor for the acquisition and maintenance of the smoking habit, the aversive withdrawal syndrome, irritability, anxiety, frustration, anger, depression, and anhedonia, associated with smoking cessation becomes more critical as desire to avoid is thought as contributing to the compulsive use of nicotine. In this regard identifying the neurosubstrates of nicotine abstinence and delineating their regulation vis-à-vis the

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