1. Nicotinic acetylcholine receptor availability in cigarette smokers: effect of heavy caffeine or marijuana use
- Author
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Brody, Arthur L, Hubert, Robert, Mamoun, Michael S, Enoki, Ryutaro, Garcia, Lizette Y, Abraham, Paul, Young, Paulina, and Mandelkern, Mark A
- Subjects
Biological Psychology ,Psychology ,Substance Misuse ,Prevention ,Tobacco Smoke and Health ,Drug Abuse (NIDA only) ,Clinical Research ,Tobacco ,Neurosciences ,Good Health and Well Being ,Adult ,Brain ,Brain Stem ,Caffeine ,Case-Control Studies ,Coffee ,Humans ,Male ,Marijuana Use ,Middle Aged ,Positron-Emission Tomography ,Prefrontal Cortex ,Receptors ,Nicotinic ,Smokers ,Smoking ,Thalamus ,Tobacco Smoking ,Positron emission tomography ,Tobacco dependence ,Nicotinic acetylcholine receptors ,Marijuana ,Cannabis ,Brain imaging ,Neuroimaging ,Human ,Cigarette smoking ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry ,Biological psychology - Abstract
RationaleUpregulation of α4β2* nicotinic acetylcholine receptors (nAChRs) is one of the most well-established effects of chronic cigarette smoking on the brain. Prior research by our group gave a preliminary indication that cigarette smokers with concomitant use of caffeine or marijuana have altered nAChR availability.ObjectiveWe sought to determine if smokers with heavy caffeine or marijuana use have different levels of α4β2* nAChRs than smokers without these drug usages.MethodsOne hundred and one positron emission tomography (PET) scans, using the radiotracer 2-FA (a ligand for β2*-containing nAChRs), were obtained from four groups of males: non-smokers without heavy caffeine or marijuana use, smokers without heavy caffeine or marijuana use, smokers with heavy caffeine use (mean four coffee cups per day), and smokers with heavy marijuana use (mean 22 days of use per month). Total distribution volume (Vt/fp) was determined for the brainstem, prefrontal cortex, and thalamus, as a measure of nAChR availability.ResultsA significant between-group effect was found, resulting from the heavy caffeine and marijuana groups having the highest Vt/fp values (especially for the brainstem and prefrontal cortex), followed by smokers without such use, followed by non-smokers. Direct between-group comparisons revealed significant differences for Vt/fp values between the smoker groups with and without heavy caffeine or marijuana use.ConclusionsSmokers with heavy caffeine or marijuana use have higher α4β2* nAChR availability than smokers without these drug usages. These findings are likely due to increased nicotine exposure but could also be due to an interaction on a cellular/molecular level.
- Published
- 2016