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    Evidence for positive allosteric modulation of cognitive-enhancing effects of nicotine in healthy human subjects

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    Author
    Hahn, B.
    Shrieves, M.E.
    Olmstead, C.K.
    Yuille, M.B.
    Chiappelli, J.J.
    Pereira, E.F.R.
    Albuquerque, E.X.
    Fawcett, W.P.
    Date
    2019
    Journal
    Psychopharmacology
    Publisher
    Springer Verlag
    Type
    Article
    
    Metadata
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    See at
    https://doi.org/10.1007/s00213-019-05363-4
    Abstract
    Rationale: Cognitive benefits of nicotinic acetylcholine receptor (nAChR) agonists are well established but have generally been of small magnitude and uncertain clinical significance. A way of raising the effect size may be to facilitate agonist-induced responses by co-administering a nAChR positive allosteric modulator (PAM). Objective: The aim was to test whether galantamine, a PAM at several nAChR subtypes, can potentiate the cognitive-enhancing effects of nicotine. Methods: Twenty-six adult never-smokers were treated, in a double-blind counterbalanced sequence, with nicotine (7 mg/24 h, transdermally) and galantamine (4 mg, p.o.) combined, nicotine alone, galantamine alone, and double placebo. A low dose of galantamine was chosen to minimize acetylcholinesterase inhibition, which was verified in blood assays. In each condition, participants were tested with three cognitive tasks. Results: Nicotine significantly improved reaction time (RT) and signal detection in a visuospatial attention task and the Rapid Visual Information Processing Task. Galantamine did not modulate these effects. A trend toward RT reduction by galantamine correlated with acetylcholinesterase inhibition. In a change detection task, there were no effects of nicotine or galantamine alone on accuracy or RT. However, both drugs combined acted synergistically to reduce RT. This effect was not associated with acetylcholinesterase inhibition. Conclusions: A pattern consistent with allosteric potentiation of nicotine effects by galantamine was observed on one of six performance measures. This may reflect specific nAChR subtype involvement, or additional pharmacological actions of galantamine may have overshadowed similar interactions on other measures. The finding suggests that allosteric potentiation of nAChR agonist-induced cognitive benefits is possible in principle. Copyright 2019, The Author(s).
    Sponsors
    This work was funded by NIH grant R01DA035813 to B. Hahn.
    Keyword
    Attention
    CDT
    Cognition
    Galantamine
    Nicotine
    Non-smokers
    Positive allosteric modulator
    RVIP
    SARAT
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074785724&doi=10.1007%2fs00213-019-05363-4&partnerID=40&md5=818561834b93dd8d5a19260383005dbb; http://hdl.handle.net/10713/11425
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00213-019-05363-4
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