Skip to main content
Log in

Examining the clinical efficacy of bupropion and nortriptyline as smoking cessation agents in a rodent model of nicotine withdrawal

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

At present, there is a lack of an established animal model to demonstrate the clinical efficacy of smoking cessation agents in the laboratory. The aim of this study was to compare the effects of the antidepressants bupropion and nortriptyline, clinically proven smoking cessation aids, within a rodent model of a nicotine withdrawal based on somatic measures.

Materials and methods

Male hooded Lister rats were chronically exposed to nicotine (3.16 mg kg1 day1) for 7 days via SC implanted ALZET osmotic minipumps. Animals were acutely pre-treated with bupropion (10, 30 or 60 mg/kg, IP) or nortriptyline (1.5, 4.7 and 15 mg/kg, IP), and nicotine withdrawal was precipitated by mecamylamine (1 mg/kg).

Results

Precipitation of nicotine withdrawal led to an increase in somatic signs including body shakes, chews, eye blinks, foot licks, head shakes and ptosis. Bupropion dose-dependently decreased the total abstinence scores and reduced the occurrence of some individual somatic signs. Pre-treatment with 60 mg/kg bupropion did not result in a significant increase in total abstinence scores or individual somatic signs scores after mecamylamine challenge, compared to the mecamylamine control group, suggesting nicotine withdrawal is fully attenuated at this dose. Similarly, the highest dose of nortriptyline reduced total abstinence scores and some individual somatic signs to the level of the mecamylamine control group. However, nortriptyline was only effective at alleviating somatic measures of withdrawal at doses which also suppressed locomotor activity.

Conclusion

In concurrence with clinical findings proposing alleviation of withdrawal states as a possible mechanism of bupropion and nortriptyline’s smoking cessation action, both drugs were found to ameliorate somatic signs of nicotine withdrawal in rodents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Aghajanian GK (1978) Tolerance of locus coeruleus neurones to morphine and suppression of withdrawal response by clonidine. Nature 276:186–188

    Article  PubMed  CAS  Google Scholar 

  • Ascher JA, Cole JO, Colin JN, Feighner JP, Ferris RM, Fibiger HC, Golden RN, Martin P, Potter WZ, Richelson E et al (1995) Bupropion: a review of its mechanism of antidepressant activity. J Clin Psychiatry 56:395–401

    PubMed  CAS  Google Scholar 

  • Beck CH (1995) Acute treatment with antidepressant drugs selectively increases the expression of c-fos in the rat brain. J Psychiatry Neurosci 20:25–32

    PubMed  CAS  Google Scholar 

  • Brody AL, Mandelkern MA, Lee G, Smith E, Sadeghi M, Saxena S, Jarvik ME, London ED (2004) Attenuation of cue-induced cigarette craving and anterior cingulate cortex activation in bupropion-treated smokers: a preliminary study. Psychiatry Research 130:269–281 (erratum appears in Psychiatry Res. 2004 Dec 15;132(2):183–4)

    Article  PubMed  Google Scholar 

  • Bruijnzeel AW, Markou A (2003) Characterization of the effects of bupropion on the reinforcing properties of nicotine and food in rats. Synapse 50:20–28

    Article  PubMed  CAS  Google Scholar 

  • Corrigall WA, Franklin KB, Coen KM, Clarke PB (1992) The mesolimbic dopaminergic system is implicated in the reinforcing effects of nicotine. Psychopharmacology 107:285–289

    Article  PubMed  CAS  Google Scholar 

  • Cryan JF, Bruijnzeel AW, Skjei KL, Markou A (2003) Bupropion enhances brain reward function and reverses the affective and somatic aspects of nicotine withdrawal in the rat. Psychopharmacology 168:347–358

    Article  PubMed  CAS  Google Scholar 

  • Dekeyne A, Gobert A, Auclair A, Girardon S, Millan MJ (2002) Differential modulation of efficiency in a food-rewarded “differential reinforcement of low-rate” 72-s schedule in rats by norepinephrine and serotonin reuptake inhibitors. Psychopharmacology 162:156–167

    Article  PubMed  CAS  Google Scholar 

  • Engberg G, Hajos M (1994) Nicotine-induced activation of locus coeruleus neurons–an analysis of peripheral versus central induction. Naunyn-Schmiedebergs Arch Pharmacol 349:443–446

    PubMed  CAS  Google Scholar 

  • Epping-Jordan MP, Watkins SS, Koob GF, Markou A (1998) Dramatic decreases in brain reward function during nicotine withdrawal. Nature 393:76–79

    Article  PubMed  CAS  Google Scholar 

  • Ferris RM, Cooper BR, Maxwell RA (1983) Studies of bupropion’s mechanism of antidepressant activity. J Clin Psychiatry 44:74–78

    PubMed  CAS  Google Scholar 

  • Ferry LH (1999) Non-nicotine pharmacotherapy for smoking cessation. Prim Care 26:653–669

    PubMed  CAS  Google Scholar 

  • Glick SD, Maisonneuve IM, Kitchen BA (2002) Modulation of nicotine self-administration in rats by combination therapy with agents blocking alpha 3 beta 4 nicotinic receptors. Eur J Pharmacol 448:185–191

    Article  PubMed  CAS  Google Scholar 

  • Goldstein MG (1998) Bupropion sustained release and smoking cessation. J Clin Psychiatry 4:66–72

    Google Scholar 

  • Gonzales DH, Nides MA, Ferry LH, Kustra RP, Jamerson BD, Segall N, Herrero LA, Krishen A, Sweeney A, Buaron K, Metz A (2001) Bupropion SR as an aid to smoking cessation in smokers treated previously with bupropion: a randomized placebo-controlled study. Clin Pharmacol Ther 69:438–444

    Article  PubMed  CAS  Google Scholar 

  • Hall SM, Reus VI, Munoz RF, Sees KL, Humfleet G, Hartz DT, Frederick S, Triffleman E (1998) Nortriptyline and cognitive-behavioral therapy in the treatment of cigarette smoking [see comment]. Arch Gen Psychiatry 55:683–690

    Article  PubMed  CAS  Google Scholar 

  • Hall SM, Humfleet GL, Reus VI, Munoz RF, Cullen J (2004) Extended nortriptyline and psychological treatment for cigarette smoking. Am J Psychiatr 161:2100–2107

    Article  PubMed  Google Scholar 

  • Hayford KE, Patten CA, Rummans TA, Schroeder DR, Offord KP, Croghan IT, Glover ED, Sachs DP, Hurt RD (1999) Efficacy of bupropion for smoking cessation in smokers with a former history of major depression or alcoholism [see comment]. Br J Psychiatr 174:173–178

    Article  CAS  Google Scholar 

  • Hays JT, Hurt RD, Rigotti NA, Niaura R, Gonzales D, Durcan MJ, Sachs DP, Wolter TD, Buist AS, Johnston JA, White JD (2001) Sustained-release bupropion for pharmacologic relapse prevention after smoking cessation. A randomized, controlled trial. Ann Intern Med 135:423–433

    PubMed  CAS  Google Scholar 

  • Hildebrand BE, Nomikos GG, Bondjers C, Nisell M, Svensson TH (1997) Behavioral manifestations of the nicotine abstinence syndrome in the rat: peripheral versus central mechanisms. Psychopharmacology 129:348–356

    Article  PubMed  CAS  Google Scholar 

  • Hildebrand BE, Nomikos GG, Hertel P, Schilstrom B, Svensson TH (1998) Reduced dopamine output in the nucleus accumbens but not in the medial prefrontal cortex in rats displaying a mecamylamine-precipitated nicotine withdrawal syndrome. Brain Res 779:214–225

    Article  PubMed  CAS  Google Scholar 

  • Hildebrand BE, Panagis G, Svensson TH, Nomikos GG (1999) Behavioral and biochemical manifestations of mecamylamine-precipitated nicotine withdrawal in the rat: role of nicotinic receptors in the ventral tegmental area. Neuropsychopharmacology 21:560–574

    Article  PubMed  CAS  Google Scholar 

  • Horst WD, Preskorn SH (1998) Mechanisms of action and clinical characteristics of three atypical antidepressants: venlafaxine, nefazodone, bupropion. J Affect Disord 51:237–254

    Article  PubMed  CAS  Google Scholar 

  • Hughes JR, Hatsukami D (1986) Signs and symptoms of tobacco withdrawal. Arch Gen Psychiatry 43:289–294

    PubMed  CAS  Google Scholar 

  • Hughes JR, Gust SW, Skoog K, Keenan RM, Fenwick JW (1991) Symptoms of tobacco withdrawal. A replication and extension. Arch Gen Psychiatry 48:52–59

    PubMed  CAS  Google Scholar 

  • Hughes JR, Gulliver SB, Fenwick JW, Valliere WA, Cruser K, Pepper S, Shea P, Solomon LJ, Flynn BS (1992) Smoking cessation among self-quitters. Health Psychol 11:331–334

    Article  PubMed  CAS  Google Scholar 

  • Hughes JR, Stead LF, Lancaster T (2007) Antidepressants for smoking cessation. [update in Cochrane Database of Syst Rev. 2007; (1): CD000031; PMID:14651858]. Cochrane Database of Systematic Reviews

  • Hurt RD, Sachs DP, Glover ED, Offord KP, Johnston JA, Dale LC, Khayrallah MA, Schroeder DR, Glover PN, Sullivan CR, Croghan IT, Sullivan PM (1997) A comparison of sustained-release bupropion and placebo for smoking cessation [see comment]. N Engl J Med 337:1195–1202

    Article  PubMed  CAS  Google Scholar 

  • Jamerson BD, Nides M, Jorenby DE, Donahue R, Garrett P, Johnston JA, Fiore MC, Rennard SI, Leischow SJ (2001) Late-term smoking cessation despite initial failure: an evaluation of bupropion sustained release, nicotine patch, combination therapy, and placebo. Clin Ther 23:744–752

    Article  PubMed  CAS  Google Scholar 

  • Jorenby DE, Leischow SJ, Nides MA, Rennard SI, Johnston JA, Hughes AR, Smith SS, Muramoto ML, Daughton DM, Doan K, Fiore MC, Baker TB (1999) A controlled trial of sustained-release bupropion, a nicotine patch, or both for smoking cessation.[see comment]. N Engl J Med 340:685–691

    Article  PubMed  CAS  Google Scholar 

  • Kleven MS, Koek W (1998) Discriminative stimulus properties of cocaine: enhancement by monoamine reuptake blockers. J Pharmacol Exp Ther 284:1015–1025

    PubMed  CAS  Google Scholar 

  • Kleven MS, Kamenka JM, Vignon J, Koek W (1999) Pharmacological characterization of the discriminative stimulus properties of the phencyclidine analog, N-[1-(2-benzo(b)thiophenyl)-cyclohexyl]piperidine. Psychopharmacology 145:370–377

    Article  PubMed  CAS  Google Scholar 

  • Kripke C (2005) Antidepressants and smoking cessation. American Family Physician 71:67–68

    PubMed  Google Scholar 

  • Leshner AI (1996) Understanding drug addiction: implications for treatment [see comment]. Hosp Pract 31:47–54

    CAS  Google Scholar 

  • Malin DH (2001) Nicotine dependence: studies with a laboratory model. Pharmacol Biochem Behav 70:551–559

    Article  PubMed  CAS  Google Scholar 

  • Malin DH, Lake JR, Newlin-Maultsby P, Roberts LK, Lanier JG, Carter VA, Cunningham JS, Wilson OB (1992) Rodent model of nicotine abstinence syndrome. Pharmacol Biochem Behav 43:779–784

    Article  PubMed  CAS  Google Scholar 

  • Malin DH, Lake JR, Carter VA, Cunningham JS, Hebert KM, Conrad DL, Wilson OB (1994) The nicotinic antagonist mecamylamine precipitates nicotine abstinence syndrome in the rat. Psychopharmacology 115:180–184

    Article  PubMed  CAS  Google Scholar 

  • Malin DH, Lake JR, Smith TD, Khambati HN, Meyers-Paal RL, Montellano AL, Jennings RE, Erwin DS, Presley SE, Perales BA (2006) Bupropion attenuates nicotine abstinence syndrome in the rat. Psychopharmacology 184:494–503

    Article  PubMed  CAS  Google Scholar 

  • Mitchell SN (1993) Role of the locus coeruleus in the noradrenergic response to a systemic administration of nicotine. Neuropharmacology 32:937–949

    Article  PubMed  CAS  Google Scholar 

  • Nestler EJ, McMahon A, Sabban EL, Tallman JF, Duman RS (1990) Chronic antidepressant administration decreases the expression of tyrosine hydroxylase in the rat locus coeruleus. Proc Natl Acad Sci U S A 87:7522–7526

    Article  PubMed  CAS  Google Scholar 

  • Prochazka AV, Weaver MJ, Keller RT, Fryer GE, Licari PA, Lofaso D (1998) A randomized trial of nortriptyline for smoking cessation [see comment]. Arch Intern Med 158:2035–2039

    Article  PubMed  CAS  Google Scholar 

  • Rauhut AS, Neugebauer N, Dwoskin LP, Bardo MT (2003) Effect of bupropion on nicotine self-administration in rats. Psychopharmacology 169:1–9

    Article  PubMed  CAS  Google Scholar 

  • Sanchez C, Hyttel J (1999) Comparison of the effects of antidepressants and their metabolites on reuptake of biogenic amines and on receptor binding. Cell Mol Neurobiol 19:467–489

    Article  PubMed  CAS  Google Scholar 

  • Shiffman SM, Jarvik ME (1976) Smoking withdrawal symptoms in two weeks of abstinence. Psychopharmacology 50:35–39

    Article  PubMed  CAS  Google Scholar 

  • Shiffman S, Johnston JA, Khayrallah M, Elash CA, Gwaltney CJ, Paty JA, Gnys M, Evoniuk G, DeVeaugh-Geiss J (2000) The effect of bupropion on nicotine craving and withdrawal. Psychopharmacology 148:33–40

    Article  PubMed  CAS  Google Scholar 

  • Shoaib M, Sidhpura N, Shafait S (2003) Investigating the actions of bupropion on dependence-related effects of nicotine in rats. Psychopharmacology 165:405–412

    PubMed  CAS  Google Scholar 

  • Slemmer JE, Martin BR, Damaj MI (2000) Bupropion is a nicotinic antagonist. J Pharmacol Exp Ther 295:321–327

    PubMed  CAS  Google Scholar 

  • Telner JI, Singhal RL (1981) Effects of nortriptyline treatment on learned helplessness in the rat. Pharmacol Biochem Behav 14:823–826

    Article  PubMed  CAS  Google Scholar 

  • Warner C, Shoaib M (2005) How does bupropion work as a smoking cessation aid. Addict Biol 10:219–231

    Article  PubMed  CAS  Google Scholar 

  • Watkins SS, Stinus L, Koob GF, Markou A (2000) Reward and somatic changes during precipitated nicotine withdrawal in rats: centrally and peripherally mediated effects. J Pharmacol Exp Ther 292:1053–1064

    PubMed  CAS  Google Scholar 

Download references

Acknowledgement

We thank the University of Newcastle for supporting this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Shoaib.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wing, V.C., Shoaib, M. Examining the clinical efficacy of bupropion and nortriptyline as smoking cessation agents in a rodent model of nicotine withdrawal. Psychopharmacology 195, 303–313 (2007). https://doi.org/10.1007/s00213-007-0902-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-007-0902-0

Keywords

Navigation