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Cocaine addicts may have option to become vaccine junkies

01/07/2011

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Vaccine blocks cocaine high in mice

January 4, 2011
Researchers have produced a lasting anti-cocaine immunity in mice by giving them a safe vaccine that combines bits of the common cold virus with a particle that mimics cocaine.

 
In their study, published Jan. 4 in the online edition of Molecular Therapy and funded by the National Institute on Drug Abuse, the researchers say this novel strategy might be the first to offer cocaine addicts a fairly simple way to break and reverse their habit, and it might also be useful in treating other addictions, such as to nicotine, heroin and other opiates.

"Our very dramatic data shows that we can protect mice against the effects of cocaine, and we think this approach could be very promising in fighting addiction in humans," says the study's lead investigator, Dr. Ronald G. Crystal, chairman and professor of genetic medicine at Weill Cornell Medical College.

He says the antibody immune response produced in lab mice by the vaccine binds to, and sequesters, cocaine molecules before the drug reached the brains of these animals — and prevents any cocaine-related hyperactivity. The vaccine effect lasted for at least 13 weeks, the longest time point evaluated.

"While other attempts at producing immunity against cocaine have been tried, this is the first that will likely not require multiple, expensive infusions, and that can move quickly into human trials," Dr. Crystal says. "There is currently no FDA-approved vaccine for any drug addiction."

"An approach that works is desperately needed for cocaine addiction, which is an intransigent problem worldwide," he adds. "There are no therapies now."

The novelty of this possible treatment is that it hooks a chemical that is very similar in structure to cocaine, onto components of the adenovirus, a common cold virus. In this way, the human immune system is alerted to an infectious agent (the virus) but also learns to "see" the cocaine as an intruder as well, Dr. Crystal says. Once the structure of the new intruder is recognized, natural immunity builds to cocaine particles, so any time cocaine is snorted or used in any way, antibodies to the substance are quickly produced and the cocaine molecules are engulfed by the antibodies and prevented from reaching the brain.

"The human immune system doesn't naturally tag cocaine as something to be destroyed — just like all small-molecule drugs are not eliminated by antibodies," he says. "We have engineered this response so that it is against the cocaine mimic."

In this study, a team of researchers — scientists from Weill Cornell Medical College, Cornell University in Ithaca, and the Scripps Research Institute in La Jolla, Calif. — ripped apart an adenovirus, retrieving only the components that elicit an immune response and discarding those that produce sickness. They then hooked the cocaine analog on to these proteins to make the vaccine. "We used the cocaine analog because it is a little more stable than cocaine, and it also elicits better immunity," Dr. Crystal says.

The researchers then injected billions of these viral concoctions into "garden variety" laboratory mice (mice that are not genetically engineered). They found a strong immune response was generated against the vaccine, and that these antibodies, when put in test tubes, gobbled up cocaine.

They then tested the vaccine's effect on behavior, and found that mice that received the vaccine before cocaine were much less hyperactive while on the drug than mice that were not vaccinated. The effect was even seen in mice that received large, repetitive doses of cocaine. Proportionally, the cocaine doses reflected amounts that humans might use.

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Cocaine addicts to be given Ritalin

09/07/2010

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Anything but marijuana, otherwise it would lead to a short lived economic collapse, initiated by the death of prison privatization but only to be soon left in the dust of prosperity when the money starts to flow into progressive projects instead of the bank accounts of corporate conspirators.
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FROM PHYSORG: Ritalin improves brain function, task performance in cocaine abusers September 7, 2010
Methylphenidate normalizes functional magnetic resonance imaging cingulate responses and reduces impulsivity on a salient cognitive task in individuals with cocaine addiction. Above is an axial map that shows the caudal dorsal anterior cingulate (cdACC) and rostroventromedial anterior cingulate (extending to the medial orbitofrontal cortex, rvACC/mOFC) — cortical regions that showed enhanced responses to methylphenidate as compared to placebo in cocaine addicted individuals. These regions are crucial for the ability to regulate behavior, cognition and emotion.

(PhysOrg.com) -- Brain-scanning study shows Ritalin improves impaired brain function in people addicted to cocaine, implying it could play a role in facilitating recovery from addiction.

A brain-scanning study at the U.S. Department of Energy’s (DOE) Brookhaven National Laboratory, conducted with collaborators from Stony Brook University, reveals that an oral dose of methylphenidate, commonly known as Ritalin, improves impaired brain function and enhances cognitive performance in people who are addicted to cocaine. The study — to be published in the Proceedings of the National Academy of Sciences the week of TKTK, 2010 — suggests that methylphenidate, combined with cognitive interventions, may have a role in facilitating recovery from drug addiction.

“Previous studies have shown that methylphenidate does not decrease cocaine use or prevent relapse in addicted individuals, so it wouldn’t work to treat cocaine addiction directly, the way methadone works to treat heroin abuse,” said Rita Z. Goldstein, a psychologist who leads the neuropsychoimaging group at Brookhaven Lab. “But other studies show that methylphenidate does decrease behaviors such as risk taking and impulsivity and improves brain function and cognitive performance in a range of other conditions that also affect the brain’s prefrontal cortex, including attention deficit hyperactivity disorder (ADHD), some forms of dementia, and certain kinds of brain injury. If it also has these positive effects in cocaine-addicted individuals, then it could be a useful component of a treatment strategy that helps increase recovering addicts’ impulse control.”

To find out, Goldstein’s group performed functional magnetic resonance imaging (fMRI) on 13 cocaine users and 14 healthy control subjects who were asked to perform a cognitive task after being given either a low oral dose of methylphenidate (20 milligrams) or a placebo. The task involved pushing a button to correctly identify the color of a printed word; some words had to do with drug use, others were “neutral.” Subjects received monetary rewards for correct answers. 



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