Abstract
Rationale
Nicotine has analgesic actions in experimental animals and humans. Moreover, the analgesic properties of nicotine in experimental animals are increased by intake of sweet-tasting nutritive fluids. It is important to determine if the effects of diet on nicotine-induced analgesia are limited to experimental animals, or if these effects can be translated from the laboratory to clinical research situations.
Objective
This study investigated whether intake of a sweet-tasting sucrose solution would enhance the pain relieving actions of nicotine, administered in the form of cigarette smoking, in male and female college-aged students. The effects of smoking and sucrose intake on mood were also examined.
Method
Using the cold pressor test, pain thresholds and pain tolerance were determined in 24 male and 25 female smokers. Each participant was tested 4 times. On 2 of the test days, participants drank a sucrose-containing beverage, and on 2 of the days, drank water. Twenty-five minutes later, participants either smoked a cigarette or did not smoke. Participants were tested 5 min later for their responses on the cold pressor test. To determine if mood was altered by smoking or sucrose intake, the Profile of Mood Scale was administered immediately preceding and following experimental manipulations.
Results
Cold threshold and cold tolerance were greater when participants were allowed to smoke than when they were not allowed to smoke. While men and women responded in a similar manner to the experimental manipulations, men displayed significantly greater cold threshold and cold tolerance than women. Sucrose consumption augmented the effects of smoking on cold threshold, but not on cold tolerance. Men reported feeling significantly more vigorous and less angry, and women reported feeling significantly less tense after they had smoked than when they had not smoked. Sucrose consumption did not alter self-reports of mood in either men or women.
Conclusion
These findings suggest that sucrose augments the analgesic properties of nicotine in humans, as well as in experimental animals, and suggest that diet could serve as an adjunct in the control of pain.
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References
al’Absi M, Amunrad T, Wittmers LE (2002) Psychophysiological effects of nicotine abstinence and behavioral challenges in habitual smokers. Pharmacol Biochem Behav 72:707–716
Bergman F, Lieblich I, Cohen E, Ganchrow JR (1985) Influence of intake of sweet solutions on the analgesic effect of a low dose of morphine in randomly bred rats. Behav Neural Biol 44:347–353
Berkley JK (1997) Sex differences in pain. Behav Brain Sci 20:371–380
Blass EM, Hoffneyer LB (1991) Sucrose as an analgesic for newborn infants. Pediatrics 87:215–218
Blass EM, Shide DJ (1994) Some comparisons among the calming and pain-relieving effects of sucrose, glucose, fructose and lactose in infant rats. Chem Senses 19:239–249
Blass EM, Watt LB (1999) Suckling- and sucrose-induced analgesia in human newborns. Pain 83:611–623
Bruehl S, Chung OY, Ward P, Johnson B, McCubbin JA (2002) The relationship between resting blood pressure and acute pain sensitivity in healthy normotensives and chronic back pain sufferers: the effects of opioid blockade. Pain 100:191–201
Bunnelle WH, Decker MW (2003) Neuronal nicotinic acetylcholine receptor ligands as potential analgesics. Exp Opin Ther Pat 13:1003–1021
Caggiula AR, Epstein LH, Perkins KA, Saylor S (1995) Different methods of assessing nicotine-induced antinociception may engage different neural mechanisms. Psychopharmacology 122:301–306
Carstens E, Anderson KA, Simons CT, Carstens MI, Jinks SL (2001) Analgesia induced by chronic nicotine infusion in rats—differences by sex and pain test. Psychopharmacology 157:40–45
Cinciripini PM, Benedict CE, van Vunakis H, Mace R, Lapitsky L, Kitchens K, Nezami E, Gjika HB (1989) The effects of smoking on the mood, cardiovascular and adrenergic reactivity of heavy and light smokers in a non-stressful environment. Biol Psychol 29:273–289
Costa LG, Murphy SD (1983) [3H] Nicotine binding in rat brain: alteration after chronic acetylcholinesterase inhibition. J Pharmacol Exp Ther 226:392–397
Craft RM, Milholland RB (1998) Sex differences in cocaine- and nicotine-induced antinociception in the rat. Brain Res 809:137–140
Damaj MI, Fei-Yin M, Dukat M, Glassco W, Glennon RA, Martin BR (1998) Antinociceptive responses to nicotinic acetylcholine receptor ligands after systemic and intrathecal administration in mice. J Pharmacol Exp Ther 284:1058–1065
Domino EF, Kadoya C, Matsuoka S, Ni L, Fedewa KS (2003) Comparative American and Japanese tobacco smoke uptake parameters after overnight tobacco deprivation. Prog Neuropsychopharmacol Biol Psychiatry (in press)
Fagerstrom KO, Schneider NG (1989) Measuring nicotine dependence: a review of the Fagerstrom Tolerance Questionnaire. J Behav Med 12:159–181
Fertig JB, Pomerleau OF, Sanders B (1986) Nicotine-produced antinociception in minimally deprived smokers and ex-smokers. Addict Behav 11:239–248
Fillingim RB, Ness TJ (2000) Sex-related hormonal influences on pain and analgesic responses. Neurosci Biobehav Rev 24:485–501
Foulds J, Stapleton JA, Bell N, Swettenham J, Jarvis MJ, Russell MAH (1997) Mood and physiological effects of subcutaneous nicotine in smokers and never smokers. Drug Alcohol Depend 44:105–115
Glantz SA, Balbach ED (2000) Tobacco war New York. The Regents of the University of California
Harris G, Rollman GB (1983) The validity of experimental pain. Pain 17:369–376
Heatherington TF, Kozlowski LT, Frecker RC, Fagerstrom KO (1991) The Fagerstrom test for nicotine dependence—a revision of the Fagerstrom tolerance questionnaire. Br J Addict 86:1119–1127
Herschel M, Khoshnood B, Ellman C, Maydew N, Mittendorf R (1998) Neonatal circumcision: randomized trial of a sucrose pacifier for pain control. Arch Pediatr Adolesc Med 152:279–284
Hines EA Jr, Brown GE (1933) A standard test for measure the variability of blood pressure: its significance as an index of the pre-hypertensive state. Ann Int Med 7:209–217
Holt SHA, Delargy HJ, Lawton CL, Blundell JE (1999) The effects of high-carbohydrate versus high-fat breakfasts on feelings of fullness and alertness, and subsequent food intake. Int J Food Sci Nutr 50:13–28
Jamner LD, Girdler SS, Shapiro D, Jarvik ME (1998) Pain inhibition, nicotine and gender. Exp Clin Psychopharmacol 6:96–106
Jarvik ME, Madsen DC, Olmstead RE, Iwamoto-Schaap PN, Elins JL, Benowitz NL (2000) Nicotine blood levels and subjective craving for cigarettes. Pharmacol Biochem Behav 66:553–558
Kanarek RB, Przypek JM, D’Anci KE, Marks-Kaufman R (1997) Dietary modulation of mu and kappa opioid receptor mediated analgesia. Pharmacol Biochem Behav 58:43–49
Keogh E. Herdenfeldt M (2002) Gender, coping and the perception of pain. Pain 97:195–202
Knott VJ (1990) Effects of cigarette smoking on subjective and brain evoked responses to electrical stimulation. Pharmacol Biochem Behav 35:341–346
Korol DL, Gold PE (1998) Glucose, memory, and aging. Am J Clin Nutr 67:764S–771S
Krebs SJ, Petros TV, Beckwith BE (1994) Effects of smoking on memory for prose passages. Physiol Behav 56:723–727
Lane JD, Lefebvre JC, Rose JE, Keefe FJ (1995) Effects of cigarette smoking on perception of thermal pain. Exp Clin Psychopharmacol 3:140–147
Lewkowski MD, Ditto B, Roussos M, Young SN (2003) Sweet taste and blood pressure-related analgesia. Pain (in press)
Lieblich I, Cohen E, Ganchrow JR, Blass EM, Bergmann F (1983) Morphine tolerance in genetically selected rats induced by chronically elevated saccharine intake. Science 221:871–872
Lloyd HM, Green MW, Rogers PJ (1993) Mood and cognitive performance effects of isocaloric lunches differing in fat and carbohydrate content. Physiol Behav 56:51–57
Mandillo S, Kanarek RB (2000) Chronic sucrose intake enhances nicotine-induced antinociception in female but not male Long-Evans rats. Pharmacol Biochem Behav 68:211–219
McCallum SE, Caggiula AR, Epstein LH, Saylor S, Ploskina T, Sved A (1999) Mecamylamine blocks the development of tolerance to nicotine in rats: implications for mechanisms of tolerance. Psychopharmacology 141:332–338
Mercer ME, Holder MD (1997) Antinociceptive effects of palatable sweet ingesta on human responsivity to pressure pain. Physiol Behav 61:311–318
Miller A, Barr RG, Young S N (1994) The cold pressor test in children: methodological aspects and the analgesic effect of intraoral sucrose. Pain 56:175–183
Mogil JS, Chesler EJ, Wilson SG, Juraska JM, Sternberg WF (2000) Sex differences in thermal nociception and morphine antinociception in rodents depend on genotype. Neurosci Biobehav Rev 24:375–389
Molinero MT, Del Rio J (1987) Substance P, nicotinic acetylcholine receptors and antinociception in the rat. Neuropsychopharmacology 26:1715–1720
Mousa SA, Aloyo VJ, Van Loon GR (1988) Tolerance to tobacco smoke- and nicotine-induced analgesia in rats. Pharmacol Biochem Behav 31:265–268
Nesbitt PD (1973) Smoking, physiological arousal, and emotional response. J Person Soc Psychol 25:137–144
Overgaard C, Knudsen A (1999) Pain-relieving effect of sucrose in newborns during heel prick. Biol Neonate 75:279–284
Payne TJ, Smith PO, McCracken LM, McSherry WC, Antony MM (1994) Assessing nicotine dependence: a comparison of the Fagerstrom Tolerance questionnaire (FTQ) with the Fagerstrom Test for Nicotine Dependence (FTND) in a clinical sample. Addict Behav 19:302–317
Perkins KA, Grobe JE, Stiller RL, Scierka A., Goettler J, Reynolds W, Jennings JR (1994) Effects of nicotine on thermal pain detection in humans. Exp Clin Psychopharmacol 2:95–106
Pomerleau OF (1986) Nicotine as a psychoactive drug—anxiety and pain reduction. Psychopharmacol Bull 22:865–868
Pomerleau OF, Turk DC, Fertig JB (1984) The effects of cigarette smoking on pain and anxiety. Addict Behav 9:265–271
Ragozzino ME, Gold PE (1991) Glucose effects on mecamylamine-induced memory deficits and decreases in locomotor activity in rats. Behav Neural Biol 56:271–282
Ragozzino ME, Arankowsky Sandoval G, Gold PE (1994) Glucose attenuates the effect of combined muscarinic-nicotinic receptor blockers on spontaneous alteration. Eur J Pharmacol 256:31–36
Reid M, Hammersley R (1995) Effects of carbohydrate intake on subsequent food intake and mood state. Physiol Behav 58:421–427
Rose JE, Behm FM, Westman EC (2001) Acute effects of nicotine and mecamylamine on tobacco withdrawal symptoms, cigarette reward and ad lib smoking. Pharmacol Biochem Behav 68:187–197
Sahley TL, Berntson GG (1979) Antinociceptive effects of central and systemic administrations of nicotine in the rat. Psychopharmacology 65:279–283
Schachter S (1978) Pharmacological and psychological determinants of smoking. Ann Int Med 88:104–114
Shiffman S, Jarvik ME (1984) Cigarette smoking, physiological arousal and emotional response: Nesbitt’s paradox re-examined. Addict Behav 9:95–98
Silverstein B (1982) Cigarette smoking, nicotine addiction, and relaxation. J Person Soc Psychol 42:946–950
Smith BA, Fillion TJ, Blass EM (1990) Orally-mediated sources of calming in one to three day old human infants. Dev Psychol 26:731–737
Steward KM, France CR (1996) Resting systolic blood pressure, parental history of hypertension, and sensitivity to noxious stimuli. Pain 68:369–374
Sult SC, Moss RA (1986) The effects of cigarette smoking on the perception of electrical stimulation and cold pressor pain. Addict Behav 11:447–451
Tripathi HL, Martin BR, Aceto MD (1982) Nicotine-induced antinociception in rats and mice: correlation with nicotine brain levels. J Pharmacol Exp Ther 221:91–96
US Department of Health and Human Services (1988) The health consequences of smoking: nicotine addiction. A report of the surgeon general. (DHHS Pub. No. CDC88-8406). Office on Smoking and Health, Rockville, Md.
Waller D, Schalling D, Levander S, Edman G (1983) Smoking, pain tolerance, and physiological activation. Psychopharmacology 79:193–198
Watkins SS, Koob GF, Markou A (2000) Neural mechanisms underlying nicotine addiction: acute positive reinforcement and withdrawal. Nicotine Tobacco Res 2:19–37
Acknowledgements
This study was supported by grant RO1 DA04132 from the National Institutes of Health and a grant provided by Tufts University to R.B.K.
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Kanarek, R.B., Carrington, C. Sucrose consumption enhances the analgesic effects of cigarette smoking in male and female smokers. Psychopharmacology 173, 57–63 (2004). https://doi.org/10.1007/s00213-003-1699-0
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DOI: https://doi.org/10.1007/s00213-003-1699-0