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COCAINE (A) <2> Database EMBASE Accession Number 2006032261 Authors Sun W. Akins C.K. Mattingly A.E. Rebec G.V. Institution (Sun, Mattingly, Rebec) Program in Neural Science, Department of Psychology, Indiana University, Bloomington, IN, United States. (Akins) Department of Psychology, University of Kentucky, Lexington, KY, United States. (Rebec) Program in Neural Science, Department of Psychology, Indiana University, 1101 E 10th Street, Bloomington, IN 47405, United States. Country of Publication United Kingdom Title Ionotropic glutamate receptors in the ventral tegmental area regulate cocaine-seeking behavior in rats. Source Neuropsychopharmacology. 30(11)(pp 2073-2081), 2005. Date of Publication: Nov 2005. Abstract Drug addiction is characterized by compulsive drug-seeking and drug-taking behavior and by a high rate of relapse even after long periods of abstinence. Although the mesocorticolimbic dopamine (DA) pathway is thought to play a critical role in drug craving and relapse, recent evidence also implicates glutamate, an amino acid known to activate DA neurons in the ventral tegmental area (VTA) via ionotropic receptors. To assess whether increased glutamate transmission in the VTA is involved in cocaine-primed drug-seeking behavior, we tested rats in a between-session reinstatement model. They were trained to press a lever for cocaine infusions (0.25 mg/ infusion) accompanied by compound stimuli (light and tone) under a modified fixed-ratio 5 reinforcement schedule. Cocaine-primed reinstatement was conducted after lever pressing was extinguished in the absence of the conditioned stimuli. Blockade of ionotropic glutamate receptors in the VTA by local application of kynurenate (0.0, 1.0, 3.2, and 5.6 mug/side) dose-dependently decreased cocaine-primed reinstatement, whereas sucrose-primed reinstatement of sucrose-seeking behavior was unaffected. In addition, the minimum effective dose for decreasing cocaine-primed reinstatement was ineffective in the substantia nigra. Together, these data indicate that glutamatergic activation of the VTA is critical for cocaine-primed reinstatement. Because such activation can increase impulse flow in DA neurons and thus DA release in mesocorticolimbic targets, this glutamate-DA interaction in the VTA may underlie cocaine-primed relapse to cocaine-seeking behavior. copyright 2005 Nature Publishing Group. All rights reserved. ISSN 0893-133X Publication Type Journal: Article Journal Name Neuropsychopharmacology Volume 30 Issue Part 11 Page 2073-2081 Year of Publication 2005 Date of Publication Nov 2005 COCAINE (A) <3> Database EMBASE Accession Number 2006032260 Authors Slattery D.A. Markou A. Froestl W. Cryan J.F. Institution (Slattery, Froestl, Cryan) Psychiatry Program, Novartis Institutes for BioMedical Research, Novartis Pharma AG, Basel, Switzerland. (Markou) Department of Neuropharmacology, Scripps Research Institute, San Diego, CA, United States. (Cryan) Psychiatry Program, Novartis Institutes for BioMedical Research, Novartis Pharma AG, Basel CH-4002, Switzerland. Country of Publication United Kingdom Title The GABA<sub>B</sub> receptor-positive modulator GS39783 and the GABA <sub>B</sub> receptor agonist baclofen attenuate the reward-facilitating effects of cocaine: Intracranial self-stimulation studies in the rat. Source Neuropsychopharmacology. 30(11)(pp 2065-2072), 2005. Date of Publication: Nov 2005. Abstract There is an increasing interest in the development of nondopaminergic pharmacotherapies for cocaine abuse. Emerging preclinical and clinical data with the metabotropic GABA<sub>B</sub> receptor agonist baclofen support a role for the modulation of GABA<sub>B</sub> receptors in the treatment of drug addiction. Nevertheless, the muscle relaxant, hypothermic, and sedative properties of baclofen somewhat limit its widespread potential therapeutic utility. Recently, positive modulators of the GABA<sub>B</sub> receptor such as GS39783 (N,N'-dicyclopentyl-2-methylsulfanyl-5-nitro-pyrimidine-4,6-diamine) have been identified. These positive modulators enhance the effects of GABA (gammaaminobutyric acid) through actions at an allosteric site and are devoid of intrinsic agonistic efficacy. The aim of the present study was to assess the ability of the novel GABA<sub>B</sub>-positive modulator GS39873 or baclofen to modulate the behavioral effects of cocaine. Drugs of abuse such as cocaine lower brain reward thresholds obtained using intracranial self-stimulation (ICSS). We demonstrate here that GS39783 had no intrinsic effects on ICSS reward thresholds (10-100 mg/kg p.o.) in rats, whereas the full GABA<sub>B</sub> receptor agonist baclofen (2.5-5 mg/kg p.o.) dose dependently elevated thresholds. Moreover, both GS39783 and baclofen attenuated the threshold lowering effect of cocaine administration (10mg/kg intraperitoneally) in a dose-related manner. These data strongly suggest that activation of GABA <sub>B</sub> receptors attenuates the rewarding effects of acute cocaine. Therefore, GABA<sub>B</sub>-positive modulation may represent a novel therapeutic strategy for the treatment of cocaine dependence and possibly other drugs of abuse without the side effects of full GABA<sub>B</sub> receptor agonists. copyright 2005 Nature Publishing Group. All rights reserved. ISSN 0893-133X Publication Type Journal: Article Journal Name Neuropsychopharmacology Volume 30 Issue Part 11 Page 2065-2072 Year of Publication 2005 Date of Publication Nov 2005 COCAINE <6> Database EMBASE Accession Number 2006029819 Authors Soria G. Mendizabal V. Tourino C. Robledo P. Ledent C. Parmentier M. Maldonado R. Valverde O. Institution (Soria, Mendizabal, Tourino, Robledo, Maldonado, Valverde) Laboratori de Neurofarmacologia, Departament de Ciencies Experimentals I de la Salut, Universitat Pompeu Fabra, Barcelona, Spain. (Robledo) IMIM, Institut Municipal d'Investigadons Mediques, Barcelona, Spain. (Ledent, Parmentier) IRIBHM, Universite Libre de Bruxelles, Bruxelles, Belgium. (Valverde) Laboratori de Neurofarmacologia, Universitat Pompeu Fabra, Dr Aiguader 80, Barcelona 08003, Spain. Country of Publication United Kingdom Title Lack of CBI cannabinoid receptor impairs cocaine self-administration. Source Neuropsychopharmacology. 30(9)(pp 1670-1680), 2005. Date of Publication: Sep 2005. Abstract Acute rewarding properties are essential for the establishment of cocaine addiction, and multiple neurochemical processes participate in this complex behavior. In the present study, we used the self-administration paradigm to evaluate the role of CB1 cannabinoid receptors in several aspects of cocaine reward, including acquisition, maintenance, and motivation to seek the drug. For this purpose, both CB1 receptor knockout mice and wild-type littermates were trained to intravenously self-administer cocaine under different schedules. Several cocaine training doses (0.32, 1, and 3.2 mg/kg/infusion) were used in the acquisition studies. Only 25% of CB1 knockout mice vs 75% of their wild-type littermates acquired a reliable operant responding to self-administer the most effective dose of cocaine (1 mg/kg/ infusion), and the number of sessions required to attain this behavior was increased in knockout mice. Animals reaching the acquisition criteria were evaluated for the motivational strength of cocaine as a reinforcer under a progressive ratio schedule. The maximal effort to obtain a cocaine infusion was significantly reduced after the genetic ablation of CB1 receptors. A similar result was obtained after the pharmacological blockade of CB1 receptors with SR141716A in wild-type mice. Moreover, the cocaine dose-response curve was flattened in the knockout group, suggesting that the differences observed between genotypes were related to changes in the reinforcing efficacy of the training dose of cocaine. Self-administration for water and food was not altered in CB1 knockout mice in any of the reinforcement schedules used, which emphasizes the selective impairment of drug reinforcement in these knockout mice. Finally, cocaine effects on mesolimbic dopaminergic transmission were evaluated by in vivo microdialysis in these mice. Acute cocaine administration induced a similar enhancement in the extracellular levels of dopamine in the nucleus accumbens of both CB1 knockout and wild-type mice. This work clearly demonstrates that CB1 receptors play an important role in the consolidation of cocaine reinforcement, although are not required for its acute effects on mesolimbic dopaminergic transmission. copyright 2005 Nature Publishing Group. All rights reserved. ISSN 0893-133X Publication Type Journal: Article Journal Name Neuropsychopharmacology Volume 30 Issue Part 9 Page 1670-1680 Year of Publication 2005 Date of Publication Sep 2005 COCAINE (A) <18> Database EMBASE Accession Number 2005575627 Authors Hemby S.E. Tang W. Muly E.C. Kuhar M.J. Howell L. Mash D.C. Institution (Hemby) Department of Physiology and Pharmacology, Wake Forest University School of Medicine, WinstonSalem, NC, United States. (Tang, Muly, Kuhar, Howell) Yerkes National Primate Research Center, Neuroscience Division, Atlanta, GA, United States. (Muly, Howell) Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Miami, FL, United States. (Kuhar) Department of Pharmacology, Emory University School of Medicine, Miami, FL, United States. (Mash) Department of Neurology, University of Miami School of Medicine, Miami, FL, United States. (Hemby) Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, United States. Country of Publication United Kingdom Title Cocaine-induced alterations in nucleus accumbens ionotropic glutamate receptor subunits in human and non-human primates. Source Journal of Neurochemistry. 95(6)(pp 1785-1793), 2005. Date of Publication: Dec 2005. Abstract Chronic cocaine and withdrawal induce significant alterations in nucleus accumbens (NAc) glutamatergic function in humans and rodent models of cocaine addiction. Dysregulation of glutamatergic function of the prefrontal cortical-NAc pathway has been proposed as a critical substrate for unmanageable drug seeking. Previously, we demonstrated significant upregulation of NMDA, (+/-)-alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) and kainate receptor subunit mRNAs and protein levels in the ventral tegmental area (VTA), but not the substantia nigra, of cocaine overdose victims (COD). The present study was undertaken to examine the extent of altered ionotropic glutamate receptor (iGluR) subunit expression in the NAc and the putamen in cocaine overdose victims. Results revealed statistically significant increases in the NAc, but not in the putamen, of NMDA receptor subunit (NR)1 and glutamate receptor subunit (GluR)2/3 wit trends in GluR1 and GluR5 in COD. These results extend our previous finding and indicate pathway-specific alterations in iGluRs in COD. In order to determine that changes were related to cocaine intake and not to other factors in the COD victims, we examined the effects of cocaine intravenous selfadministration in rhesus monkeys for 18 months (unit dose of 0.1 mg/kg/injection and daily drug intake of 0.5 mg/kg/session). Total drug intake for the group of four monkeys was 37.9 +/- 4.6 mg/kg. Statistically significant elevations were observed for NR1, GluR1, GluR2/3 and GluR5 (p < 0.05) and a trend towards increased NR1 phosphorylated at serine 896 (p = 0.07) in the NAc but not putamen of monkeys self-administering cocaine compared with controls. These results extend previous results by demonstrating an up-regulation of NR1, GluR2/3 and GluR5 in the NAc and suggest these alterations are pathway specific. Furthermore, these changes may mediate persistent drug intake and craving in the human cocaine abuser. copyright 2005 The Authors. Journal Compilation copyright 2005 International Society for Neurochemistry. ISSN 0022-3042 Publication Type Journal: Article Journal Name Journal of Neurochemistry Volume 95 Issue Part 6 Page 1785-1793 Year of Publication 2005 Date of Publication Dec 2005 COCAINE / PREGNANCY <68> Database EMBASE Accession Number 2005527462 Authors Singer L.T. Eisengart L.J. Minnes S. Noland J. Jey A. Lane C. Min M.O. Institution (Singer, Eisengart, Minnes, Jey, Lane, Min) Department of Pediatrics, Case Western Reserve University, The Triangle Bldg. 11400 Euclid Ave., Cleveland, OH 44106, United States. (Noland) Vanderbilt University, Nashville, TN, United States. Country of Publication United Kingdom Title Prenatal cocaine exposure and infant cognition. Source Infant Behavior and Development. 28(4)(pp 431-444), 2005. Date of Publication: Dec 2005. Abstract The present study examined the relationship of prenatal cocaine exposure to infant information processing in the first year of life. In a prospective, longitudinal study of 177 cocaine-exposed and 175 non-exposed infants, the Fagan Test of Infant Intelligence (FTII) was used to measure attention, visual recognition memory and information processing speed at 6.5 and 12 months of age. Groups were compared over time using mixed linear model analyses. Prenatal cocaine exposure predicted poorer visual recognition memory at 12 months, with exposed infants obtaining lower mean scores and a higher percentage of scores in the risk range. Across exposure groups, information processing speed increased with age, demonstrating a developmental effect. Tobacco and marijuana exposures were related to faster looking times, which did not relate to visual recognition memory. Cognitive deficits and attentional problems noted in prior studies of cocaine-exposed children at later ages may be detectable in infancy. copyright 2005 Elsevier Inc. All rights reserved. ISSN 0163-6383 Publication Type Journal: Article Journal Name Infant Behavior and Development Volume 28 Issue Part 4 Page 431-444 Year of Publication 2005 Date of Publication Dec 2005 COCAINE <75> Database EMBASE Accession Number 2005516823 Authors Hope V.D. Hickman M. Tilling K. Institution (Hope, Hickman) Centre for Research on Drugs and Health Behaviour, Imperial College London, London, United Kingdom. (Hope) Communicable Disease Surveillance Centre, Health Protection Agency Centre for Infections, Colindale, London, United Kingdom. (Tilling) Department of Social Medicine, University of Bristol, Bristol, United Kingdom. (Hope) Centre for Research on Drugs and Health Behaviour, Imperial College London, Charing Cross Campus, St. Dunstans Road, London W6 8RP, United Kingdom. Country of Publication United Kingdom Title Capturing crack cocaine use: Estimating the prevalence of crack cocaine use in London using capture-recapture with covariates. Source Addiction. 100(11)(pp 1701-1708), 2005. Date of Publication: Nov 2005. Abstract Aim: To estimate the prevalence of crack cocaine use in 12 London Boroughs (and London as a whole). Setting: Twelve London Boroughs, 2000-01. Methods: (1) Covariate capturerecapture techniques applied to three data sources of subjects reporting crack cocaine use: specialist drug treatment (2905), arrest referral (1188) and accident and emergency and community survey (531); and (2) ratio-estimation multiplier, using an estimate of number of injecting drug users and proportion that use crack cocaine. Findings: After matching, 4117 individuals aged 15-44 were identified. The best-fitting model estimated 16 855 unobserved crack cocaine users, giving an overall estimate of approximately 21000 [95% confidence interval (CI) 13 000-43 000] and a prevalence of 1.5% (95% CI 1.0-3.2%). Prevalence of crack cocaine use was 2.4% (95% CI 1.5-5.0%) among men and 0.7% (95% CI 0.5-1.0%) among women, and similar by age groups 15-29 and 30-44 years. Overall, approximately 11 900 (57%) of the estimated number of crack cocaine users were also opiate users. In London as a whole there may be 46 000 (1.3%) crack cocaine users aged 15-44 years, with 28 000 (1.9%) in inner London-four times higher than estimates from population surveys. Some corroboration was provided by the ratio-estimation method, which estimated 23 000 users in the 12 Boroughs. Conclusions: Capture-recapture can be applied to crack cocaine and obtain better estimates than population surveys. The size of the crack cocaine-using population in London is large, although currently the majority are also opiate users. Given that half of current users are under 30 the problems associated with crack cocaine use are likely to increase in the future. copyright 2005 Society for the Study of Addiction. ISSN 0965-2140 Publication Type Journal: Article Journal Name Addiction Volume 100 Issue Part 11 Page 1701-1708 Year of Publication 2005 Date of Publication Nov 2005 COCAINE <111> Database EMBASE Accession Number 2005462402 Authors Przegalinski E. Filip M. Frankowska M. Zaniewska M. Papla I. Institution (Przegalinski, Filip, Frankowska, Zaniewska, Papla) Department of Pharmacology, Institute of Pharmacology, Polish Academy of Sciences, Smetna 12, 31-343 Krakow, Poland. Country of Publication United Kingdom Title Effects of CP 154,526, a CRF<sub>1</sub> receptor antagonist, on behavioral responses to cocaine in rats. Source Neuropeptides. 39(5)(pp 525-533), 2005. Date of Publication: Oct 2005. Abstract We examined the influence of CP 154,526, a selective antagonist of corticotropin-releasing factor (CRF)<sub>1</sub> receptors, in the locomotor, sensitizing, discriminative stimulus and rewarding effects of cocaine, as well as on the cocaine-induced reinstatement of cocaineseeking behavior in male Wistar rats. CP 154,526 in doses of 5, 10 and 20 mg/kg, which did not affect basal locomotor activity, dose-dependently reduced the hyperactivation evoked by cocaine. To assess the effects of CP 154,526 on the expression of cocaine sensitization, the rats were injected with either saline or cocaine (10 mg/kg) for 5 days, and were then challenged with cocaine (10 mg/kg) after pretreatment with saline or CP 154,526 on day 5 of withdrawal. The cocaine-induced hyperactivity in sensitized rats was reduced by CP 154,526 (10 and 20 mg/kg). In rats trained to discriminate cocaine (10 mg/kg) from saline, pretreatment with CP 154,526 (5-20 mg/kg) did not affect the cocaine (1.25-10 mg/kg)induced discriminative stimulus effects. In a self-administration model, the rats were trained to self-administer cocaine (0.5 mg/kg/infusion) in the FR 5 schedule of reinforcement. Administration of CP 154,526 (10-20 mg/kg) did not alter the rewarding effects of cocaine, assessed as the number of active-lever presses and infusions; however, following a 10-day extinction phase, CP 154,526 (5-20 mg/kg) significantly decreased in a dose-dependent manner the cocaine (10 mg/kg) priming-induced reinstatement of cocaine-seeking behavior. The present study implies that CRF<sub>1</sub> receptors control the expression of cocaine hyperactivation and sensitization as well as the cocaine-induced relapse behavior, but do not play any role in cocaine discrimination and self-administration. These findings may suggest that CRF<sub>1</sub> receptor antagonists should be considered as possible medications in the treatment of cocaine addiction. copyright 2005 Elsevier Ltd. All rights reserved. ISSN 0143-4179 Publication Type Journal: Article Journal Name Neuropeptides Volume 39 Issue Part 5 Page 525-533 Year of Publication 2005 Date of Publication Oct 2005 COCAINE <145> Database EMBASE Accession Number 2005447109 Authors Meier B.R. Lundy A. Patkar A.A. Weinstein S. Institution (Meier, Lundy, Patkar, Weinstein) Thomas Jefferson University, Department of Psychiatry and Human Behavior, Division of Substance Abuse Programs, 833 Chestnut Street, Philadelphia, PA 19107, United States. Country of Publication United Kingdom Title The relationship between nicotine dependence and addiction severity amongst cocaine abusers. Source Journal of Substance Use. 10(5)(pp 303-314), 2005. Date of Publication: Oct 2005. Abstract The Addiction Severity Index (ASI) and the Fagerstrom Test of Nicotine Dependence (FTND) are two widely used instruments in their respective domains, but have rarely been used simultaneously with a substance abuse population. It is argued that the complex link between nicotine and substance dependence continues not to be well understood, partially because the measures of smoking in published research with addiction treatment populations have not been standardized. We studied ASI and FTND responses of 102 crack-cocaine patients in order to examine the potential utility of using both instruments to enhance our understanding of these addictions and their relationship to each other. Total FTND scores were significantly related to ASI drug severity, psychiatric severity and psychiatric composite scores. Controlling for gender variance yielded similar results. We conclude that using the FTND does prove to be more sensitive than a less objective measure of smoking, but the ASI and FTND appear to be psychometrically distinct, making conjoint use for research limited with some clinical applicability. copyright 2005 Taylor & Francis. ISSN 1465-9891 Publication Type Journal: Article Journal Name Journal of Substance Use Volume 10 Issue Part 5 Page 303-314 Year of Publication 2005 Date of Publication Oct 2005 COCAINE (A) <150> Database EMBASE Accession Number 2005443909 Authors Lynch W.J. Taylor J.R. Institution (Lynch, Taylor) Department of Psychiatry, Yale University School of Medicine, CMHC, 34 Park Street, New Haven, CT 06508, United States. (Lynch) Department of Psychiatric Medicine, University of Virginia Health Sciences, P.O. Box 800623, Charlottesville, VA 22908, United States. Country of Publication United Kingdom Title Persistent changes in motivation to self-administer cocaine following modulation of cyclic AMP-dependent protein kinase A (PKA) activity in the nucleus accumbens. Source European Journal of Neuroscience. 22(5)(pp 1214-1220), 2005. Date of Publication: Sep 2005. Abstract Drug-induced neuroadaptations within the nucleus accumbens, including activation of cAMP-dependent protein kinase A (PKA), may contribute to the synaptic plasticity and behavioural changes that underlie drug addiction. As a direct test of this hypothesis, we examined the effects in rats of PKA activation (Sp-cAMPS infusions of 10 and 20 nmol/side) and inhibition (Rp-cAMPS infusions of 10 and 20 nmol/side) in the nucleus accumbens on motivation to obtain cocaine as measured by responding under the progressive-ratio schedule. Bilateral infusions of Sp-cAMPS (20 nmol/side) resulted in an increase in progressive-ratio responding for cocaine and this effect persisted for several days. In contrast, Rp-cAMPS (20 nmol/side) produced persistent decreases in progressive-ratio responding for cocaine beginning on the day of administration and lasting for several days. These data suggest that alternations in PKA activity within the nucleus accumbens as a consequence of repeated cocaine exposure may contribute to addiction by producing persistent increases in motivation to obtain cocaine. copyright Federation of European Neuroscience Societies. ISSN 0953-816X Publication Type Journal: Article Journal Name European Journal of Neuroscience Volume 22 Issue Part 5 Page 1214-1220 Year of Publication 2005 Date of Publication Sep 2005 COCAINE (A) <164> Database EMBASE Accession Number 2005416973 Authors Lepsch L.B. Gonzalo L.A. Magro F.J.B. Delucia R. Scavone C. Planeta C.S. Institution (Lepsch, Gonzalo, Magro, Planeta) Laboratory of Neuropsychopharmacology, School of Pharmaceutical Sciences, UNESP- Sao Paulo State University, Sao Paulo, Brazil. (Delucia, Scavone) Department of Pharmacology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, SP, Brazil. (Planeta) Laboratory of Neuropsychopharmacology, School of Pharmaceutical Sciences, UNESP-Sao Paulo State University, Rod. Araraquara-Jau Km 1, 14801-902, Araraquara, SP, Brazil. Country of Publication United Kingdom Title Exposure to chronic stress increases the locomotor response to cocaine and the basal levels of corticosterone in adolescent rats. Source Addiction Biology. 10(3)(pp 251-256), 2005. Date of Publication: Sep 2005. Abstract Repeated exposure to stress results in augmentation in the locomotor response to psychostimulant drugs. We investigated the locomotor response to a novel environment or cocaine [10 mg/kg, intraperitoneally (i.p.)] and basal corticosterone levels in male adolescent rats exposed to chronic restraint or variable stress. Animals in the chronic restraint group were restrained for I hour daily. The chronic variable stress protocol consisted of exposure to different stressors twice a day in random order. Chronic restraint and variable stress regimens began simultaneously on postnatal day (P) 25 and were applied for 10 days. During this period the control group was left undisturbed except for cleaning the cages. Three days after the last exposure to stress, cocaine- and novelty-induced locomotion were recorded in an activity cage. Plasma corticosterone levels were determined in a subset of stress and control animals. Exposure to both chronic restraint and variable stress increased cocaine-induced locomotion and basal corticosterone plasma levels, while no change was observed in the response to a novel environment. Moreover, rats exposed to variable stress displayed the greatest locomotor response following a challenge dose with cocaine when compared to control and chronic restraint stress groups. This observation indicates that the stress regimen is relevant to the degree of stress-induced sensitization to cocaine. copyright Society for the Study of Addiction to Alcohol and Other Drugs. ISSN 1355-6215 Publication Type Journal: Article Journal Name Addiction Biology Volume 10 Issue Part 3 Page 251-256 Year of Publication 2005 Date of Publication Sep 2005 COCAINE (A) <192> Database EMBASE Accession Number 2005399987 Authors Radwanska K. Caboche J. Kaczmarek L. Institution (Radwanska, Kaczmarek) Laboratory of Molecular Neurobiology, Nencki Insitute, Pasteura 3, 02 093 Warsaw, Poland. (Caboche) Laboratory of Neuronal Signaling and Gene Regulation, Universite Pierre et Marie Curie, Paris, France. Country of Publication United Kingdom Title Extracellular signal-regulated kinases (ERKs) modulate cocaine-induced gene expression in the mouse amygdala. Source European Journal of Neuroscience. 22(4)(pp 939-948), 2005. Date of Publication: Aug 2005. Abstract It is known that acute cocaine administration activates the extracellular signal-regulated kinase (ERK) pathway in the striatum, and results in transcription and translation of immediate early genes (IEGs). In the present study we investigated a possible involvement of ERK in the regulation of IEG expression in the amygdala, another brain structure known to be related to an addicted state. The patterns of cocaine-induced c-Fos, JunB and Zif268 protein expression were investigated, using an immunohistochemical approach, within distinct nuclei of the amygdala, either in the presence or absence of a selective inhibitor of the ERK pathway, SL327. Although these IEGs were similarly activated in the various nuclei of the amygdala after acute administration of cocaine, they showed different patterns after chronic injections. They also showed selective sensitivities to ERK inhibition. In particular, whereas c-Fos and JunB expressions were augmented following chronic cocaine treatment, as compared with acute treatment, Zif268 expression was decreased by this chronic treatment. Additionally, chronic blocking of ERK activation affected cocaine-induced c-Fos and JunB but not Zif268 expression. Thus, the differential involvement of ERK in chronic vs. acute regulation of IEGs may account for its specific role in addiction-related behavioral alterations, such as sensitization and tolerance. copyright Federation of European Neuroscience Societies. ISSN 0953-816X Publication Type Journal: Article Journal Name European Journal of Neuroscience Volume 22 Issue Part 4 Page 939-948 Year of Publication 2005 Date of Publication Aug 2005 COCAINE / CANNABIS <201> Database EMBASE Accession Number 2005383259 Authors Grant J.D. Scherrer J.F. Lyons M.J. Tsuang M. True W.R. Bucholz K.K. Institution (Grant, Scherrer, Bucholz) Department of Psychiatry, Midwest Alcoholism Research Center, Washington University School of Medicine, 40 N. Kingshighway, St. Louis, MO 63108, United States. (Scherrer, True) Research Service, St. Louis VAMC, St. Louis, MO, United States. (Lyons) Department of Psychology, Boston University, Boston, MA, United States. (Tsuang) Institute of Behavioral Genomics, Department of Psychiatry, U of California San Diego, San Diego, CA, United States. (Tsuang) Harvard Institute of Psychiatric Epidemiology and Genetics, Harvard Departments of Epidemiology and Psychiatry, Boston, MA, United States. (True) School of Public Health, Saint Louis University, St. Louis, MO, United States. Country of Publication United Kingdom Title Subjective reactions to cocaine and marijuana are associated with abuse and dependence. Source Addictive Behaviors. 30(8)(pp 1574-1586), 2005. Date of Publication: Sep 2005. Abstract Subjective effects of marijuana and cocaine use are associated with amount of drug use and potentially with risk of abuse and dependence. We used Latent Class Analyses (LCA) to examine subjective responses to two categories of drugs and link these to abuse and dependence. In 1992, subjective responses were queried of 2506 marijuana and 661 cocaine lifetime users who were members of the Vietnam Era Twin Registry. LCA was used to identify classes of subjective effects. Multinomial logistic regression models were computed to test for an association between classes and marijuana and cocaine abuse or dependence. The best LCA solution for marijuana identified 6 distinct classes characterized as positive, relaxed, reactive, adverse, low and very reactive. The best LCA solution for cocaine identified 5 distinct classes characterized as positive, alert, adverse, low and very reactive. Marijuana abuse and dependence were significantly associated with each latent class. Cocaine abuse was associated with the reactive class (OR = 3.9; 95% CI: 1.6-9.5). Cocaine dependence was associated with reactive (OR = 15.3; 95% CI: 7.1-32.6), adverse (OR = 9.7; 95% CI: 4.5-21.0) and very reactive (OR = 18.7; 95% CI: 5.6-62.6) classes. We found evidence for both qualitative and quantitative subjective effect profiles. Subjective effects, both positive and adverse are associated with lifetime risk for marijuana and cocaine dependence. copyright 2005 Elsevier Ltd. All rights reserved. ISSN 0306-4603 Publication Type Journal: Article Journal Name Addictive Behaviors Volume 30 Issue Part 8 Page 1574-1586 Year of Publication 2005 Date of Publication Sep 2005 COCAINE (A) <208> Database EMBASE Accession Number 2005373097 Authors Hollander J.A. Carelli R.M. Institution (Hollander, Carelli) Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. (Carelli) Department of Psychology, University of North Carolina at Chapel Hill, Davie Hall, Chapel Hill, NC 275993270, United States. Country of Publication United Kingdom Title Abstinence from cocaine self-administration heightens neural encoding of goaldirected behaviors in the accumbens. Source Neuropsychopharmacology. 30(8)(pp 1464-1474), 2005. Date of Publication: Aug 2005. Abstract Cocaine addiction in humans is characterized by cycles of abstinence from drug-taking and relapse. Here, electrophysiological recording procedures were used to determine whether nucleus accumbens (Acb) neuronal firing properties are altered following interruption and resumption of cocaine self-administration. Rats (n = 12) were trained to self-administer cocaine (2 h daily sessions) then divided into two groups. Acb activity was recorded for Group 1 (controls) during two additional self-administration sessions completed over the next 2 days (test sessions 1 and 2). Acb activity was recorded for Group 2 (1-month) during one selfadministration session completed the next day (test 1), and during a second selfadministration session 1 month later (test 2). As in prior reports, a subset of Acb neurons exhibited patterned discharges (short duration and/or long-term cyclic alterations, termed 'phasically active') relative to cocaine-reinforced responding during test session 1. Remarkably, the percentage of phasically active cells dramatically increased (nearly two-fold) following 1-month abstinence, in the core but not the shell of the Acb. Likewise, the strength of the neural correlates (determined via signal-to-baseline ratios) also increased as a function of abstinence. Extinction experiments in another set of rats (n = 12) revealed an increased motivational state for the drug following abstinence. The results show that abstinence from cocaine self-administration causes a dramatic increase in the number and strength of Acb neurons that encode cocaine-related information, thus representing the first neurophysiological correlate of heightened activation of the 'brain reward system' following abstinence and resumption (relapse) of cocaine consumption. copyright 2005 Nature Publishing Group. All rights reserved. ISSN 0893-133X Publication Type Journal: Article Journal Name Neuropsychopharmacology Volume 30 Issue Part 8 Page 1464-1474 Year of Publication 2005 Date of Publication Aug 2005 COCAINE (A) <209> Database EMBASE Accession Number 2005373095 Authors Zhang D. Zhang L. Tang Y. Zhang Q. Lou D. Sharp F.R. Zhang J. Xu M. Institution (Zhang, Zhang, Zhang, Lou, Zhang, Xu) Department of Cell Biology, Neurobiology and Anatomy, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0521, United States. (Tang, Sharp) Department of Neurology, University of Cincinnati College of Medicine, Cincinnati, OH, United States. Country of Publication United Kingdom Title Repeated cocaine administration induces gene expression changes through the dopamine D1 receptors. Source Neuropsychopharmacology. 30(8)(pp 1443-1454), 2005. Date of Publication: Aug 2005. Abstract Drug addiction involves compulsive drug-seeking and drug-taking despite known adverse consequences. The enduring nature of drug addiction suggests that repeated exposure to abused drugs leads to stable alterations that likely involve changes in gene expression in the brain. The dopamine D1 receptor has been shown to mediate the long-term behavioral effects of cocaine. To examine how the persistent behavioral effects of cocaine correlate with underlying changes in gene expression, we have used D1 receptor mutant and wild-type mice to identify chronic cocaine-induced gene expression changes mediated via the D1 receptors. We focused on the caudoputamen and nucleus accumbens, two key brain regions that mediate the long-term effects of cocaine. Our analyses demonstrate that repeated cocaine administration induces changes in the expression of 109 genes, including those encoding the stromal cell-derived factor 1, insulin-like growth factor binding protein 6, sigma 1 receptor, regulators of G-protein signaling protein 4, Wnt1 responsive Cdc42 homolog, Ca<sup>2+</sup>/calmodulin- dependent protein kinase II alpha subunit, and cyclin D2, via the D1 receptors. Moreover, the seven genes contain AP-1 binding sites in their promoter regions. These results suggest that genes encoding certain extracellular factors, membrane receptors and modulators, and intracellular signaling molecules, among others, are regulated by cocaine via the D1 receptor, and these AP-1 transcription complex-regulated genes might contribute to persistent cocaine-induced behavioral changes. copyright 2005 Nature Publishing Group. All rights reserved. ISSN 0893-133X Publication Type Journal: Article Journal Name Neuropsychopharmacology Volume 30 Issue Part 8 Page 1443-1454 Year of Publication 2005 Date of Publication Aug 2005 COCAINE (A) <226> Database EMBASE Accession Number 2005340669 Authors Liu Y. Roberts D.C.S. Morgan D. Institution (Liu, Roberts, Morgan) Neuroscience Program, Wake Forest University School of Medicine, Winston-Salem, NC 27157, United States. (Roberts, Morgan) Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, United States. (Morgan) Division of Addiction Medicine, Department of Psychiatry, University of Florida College of Medicine, PO Box 100183, Gainesville, FL 32610, United States. Country of Publication United Kingdom Title Sensitization of the reinforcing effects of self-administered cocaine in rats: Effects of dose and intravenous injection speed. Source European Journal of Neuroscience. 22(1)(pp 195-200), 2005. Date of Publication: Jul 2005. Abstract Speed of drug onset is assumed to be an important determinant of the abuse liability of a drug. Studies in human and non-human primates suggest that the subjective and reinforcing effects of cocaine can be influenced by route of administration and/or speed of intravenous injection. Sensitization to the reinforcing effects of cocaine was studied in rats and the effects of various injection durations (i.e. speed of injection) on the development of sensitization was examined using a progressive ratio schedule. In addition, the effects of cocaine dose on sensitization and the effects of injection duration on the acute reinforcing effects of cocaine were examined. The initial study demonstrated that the development of sensitization (i.e. progressive increases in breakpoints) was dose-dependent. A robust sensitization of the reinforcing effects of cocaine was replicated in animals receiving cocaine at the highest rate (i.e. shortest duration; 5 s), but not in animals receiving the same dose over 25 or 50 s. Subsequent testing revealed that injection duration did not have profound effects on the acute reinforcing effects of cocaine (assessed by breakpoints or rate of responding on a fixed ratio schedule). These findings are similar to recent studies demonstrating that the development of sensitization, but not the acute responsivity, to cocaine's locomotor-activating effects are influenced by rate of intravenous injection. Taking these findings together, we hypothesize that the process of drug addiction involves both the acute reinforcing effects and the development of sensitization. copyright 2005 Federation of European Neuroscience Societies. ISSN 0953-816X Publication Type Journal: Article Journal Name European Journal of Neuroscience Volume 22 Issue Part 1 Page 195-200 Year of Publication 2005 Date of Publication Jul 2005 COCAINE / VIROLOGY <248> Database EMBASE Accession Number 2005316203 Authors Leukefeld C.G. Pechansky F. Martin S.S. Surratt H.L. Inciardi J.A. Kessler F.H.P. Orsi M.M. Von Diemen L. Meyer Da Silva E. Institution (Leukefeld, Meyer Da Silva) University of Kentucky, Lexington, KY, United States. (Pechansky, Kessler, Orsi, Von Diemen) Federal University of Rio Grande do Sul, Porto Alegre, Brazil. (Martin, Surratt, Inciardi) University of Delaware, Coral Gables, FL, United States. (Leukefeld) University of Kentucky, Center on Drug and Alcohol Research, 643 Maxwelton Court, Lexington, KY 40506, United States. Country of Publication United Kingdom Title Tailoring an HIV-prevention intervention for cocaine injectors and crack users in Porto Alegre, Brazil. Source AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 17(SUPPL. 1)(pp S77S87), 2005. Date of Publication: 2005. Abstract Brazil has the second largest number of reported AIDS cases in the world. Porto Alegre, like most other large urban centres in Brazil, has been greatly impacted by an AIDS epidemic driven by high rates of drug use and risky sexual behaviours. While epidemiologic surveillance of HIV/AIDS and treatment initiatives for HIV-infected individuals are well developed in Brazil, comparatively little attention has focused on developing interventions directed toward high-risk populations. Intervention programmes, particularly those tailored for chronic drug users, are lacking. This pilot project successfully adapted and tailored a cognitive behavioural HIV intervention developed in the US to the cultural setting in Porto Alegre. The project established feasibility and acceptability of the approach for targeting risky drug and sexual behaviours among a group of male Brazilian drug users. A sample of 120 male cocaine users was recruited from a public health clinic serving the target population in the city of Porto Alegre. The average age of the participants was 29; they averaged less than 8 years of formal education; and less than half (41%) were married. Lifetime self-reported drug use was high with 93% reporting cocaine use, 87% reporting crack use, and 100% reporting marijuana use. 43% of the sample reported ever injecting drugs. Reports of risky sexual behaviours were similarly elevated. Almost half (45%) tested positive for HIV. Preliminary evidence suggests that intervention acceptability was high among participants. Given the reported high risk sexual and drug use behaviours among these men, HIV interventions must be evaluated and expanded to include this population as well as their sexual partners. copyright 2005 Taylor & Francis Group Ltd. ISSN 0954-0121 Publication Type Journal: Article Journal Name AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV Volume 17 Issue Part SUPPL. 1 Page S77-S87 Year of Publication 2005 Date of Publication 2005 COCAINE <270> Database EMBASE Accession Number 2005309515 Authors Xi Z.-X. Gilbert J.G. Pak A.C. Ashby Jr. C.R. Heidbreder C.A. Gardner E.L. Institution (Xi, Gilbert, Pak, Gardner) Neuropsychopharmacology Section, National Institute on Drug Abuse, National Institutes of Health, 5500 Nathan Shock Drive, Baltimore, MD 21224, United States. (Ashby Jr.) Department of Pharmaceutical Sciences, College of Pharmacy and Allied Health Professions, Saint John's University, Jamaica, NY 11439, United States. (Heidbreder) Department of Neuropsychopharmacology, Centre of Excellence for Drug Discovery in Psychiatry, GlaxoSmithKline Pharmaceuticals, 37135 Verona, Italy. Country of Publication United Kingdom Title Selective dopamine D<sub>3</sub> receptor antagonism by SB-277011A attenuates cocaine reinforcement as assessed by progressive-ratio and variable-cost-variablepayoff fixed-ratio cocaine self-administration in rats. Source European Journal of Neuroscience. 21(12)(pp 3427-3438), 2005. Date of Publication: Jun 2005. Abstract In rats, acute administration of SB-277011 A, a highly selective dopamine (DA) D<sub>3</sub> receptor antagonist, blocks cocaine-enhanced brain stimulation reward, cocaine-seeking behaviour and reinstatement of cocaine-seeking behaviour. Here, we investigated whether SB-277011A attenuates cocaine reinforcement as assessed by cocaine self-administration under variable-cost-variable-payoff fixed-ratio (FR) and progressive-ratio (PR) reinforcement schedules. Acute i.p. administration of SB-277011 A (3-24 mg/kg) did not significantly alter cocaine (0.75 mg/kg/infusion) self-administration reinforced under FR1 (one lever press for one cocaine infusion) conditions. However, acute administration of SB-277011 A (24 mg/kg, i.p.) progressively attenuated cocaine self-administration when: (a) the unit dose of self-administered cocaine was lowered from 0.75 to 0.125-0.5 mg/kg, and (b) the work demand for cocaine reinforcement was increased from FR1 to FR10. Under PR (increasing number of lever presses for each successive cocaine infusion) cocaine reinforcement, acute administration of SB-277011A (6-24 mg/kg i.p.) lowered the PR break point for cocaine selfadministration in a dose-dependent manner. The reduction in the cocaine (0.25-1.0 mg/kg) dose-response break-point curve produced by 24 mg/kg SB-277011 A is consistent with a reduction in cocaine's reinforcing efficacy. When substituted for cocaine, SB-277011A alone did not sustain self-administration behaviour. In contrast with the mixed DA D<sub>2</sub>/D<sub>3</sub> receptor antagonist haloperidol (1 mg/kg), SB-277011A (3, 12 or 24 mg/kg) failed to impede locomotor activity, failed to impair rearing behaviour, failed to produce catalepsy and failed to impair rotarod performance. These results show that SB277011A significantly inhibits acute cocaine-induced reinforcement except at high cocaine doses and low work requirement for cocaine. If these results extrapolate to humans, SB277011A or similar selective DA D<sub>3</sub> receptor antagonists may be useful in the treatment of cocaine addiction. copyright 2005 Federation of European Neuroscience Societies. ISSN 0953-816X Publication Type Journal: Article Journal Name European Journal of Neuroscience Volume 21 Issue Part 12 Page 3427-3438 Year of Publication 2005 Date of Publication Jun 2005 COCAINE <274> Database EMBASE Accession Number 2005300067 Authors Herman B.H. Elkashef A. Vocci F. Institution (Herman, Elkashef) Clinical Medical Branch, PMC, NIDA, Bethesda, MD 20892-9551, United States. (Herman, Elkashef, Vocci) Division of Pharmacotherapies and Medical Consequence of Drug Abuse, National Institute on Drug Abuse, National Institute of Health, Bethesda, MD 20892-9551, United States. Country of Publication United Kingdom Title Medications for the treatment of cocaine addiction: Emerging candidates. Source Drug Discovery Today: Therapeutic Strategies. 2(1)(pp 87-92), 2005. Date of Publication: 2005. Abstract Today, there are promising candidates for the treatment of cocaine addition in humans. Based upon clinical research, at least three different neurotransmitter systems appear to be involved in cocaine addition: gamma-aminobutyric acid (GABA), glutamate and dopamine (DA). Medications that have shown efficacy in placebo-controlled double-blind randomized controlled trials include: baclofen, topiramate, modafinil, and disulfiram (Phase IIa, singlesite). These medications effect the neurotransmitter brain systems detailed above. Phase IIb trials are in progress. copyright 2005 Elsevier Ltd. All rights reserved. ISSN 1740-6773 Publication Type Journal: Article Journal Name Drug Discovery Today: Therapeutic Strategies Volume 2 Issue Part 1 Page 87-92 Year of Publication 2005 Date of Publication 2005 COCAINE <275> Database EMBASE Accession Number 2005300066 Authors Dackis C.A. Institution (Dackis) University of Pennsylvania, Treatment Research Center, 3900 Chestnut Street, Philadelphia, PA 19104, United States. Country of Publication United Kingdom Title New treatments for cocaine abuse. Source Drug Discovery Today: Therapeutic Strategies. 2(1)(pp 79-86), 2005. Date of Publication: 2005. Abstract Effective pharmacotherapies for cocaine dependence have eluded researchers for decades, despite intensive investigation, but controlled studies have recently identified several promising candidates that might finally impact the prognosis of this treatment refractory disorder. Cocaine acutely activates natural reward pathways that become progressively dysregulated over the course of addiction, leading to abnormal hedonic function and craving, especially in response to conditioned environmental cues. The acute and chronic effects of cocaine on reward-related substrates produce distinct clinical phenomena that might respond to different medications. Pharmacological strategies to block cocaine euphoria, reverse clinically significant neuroadaptations, improve prefrontal cortical function and dampen cue- induced craving are reviewed in the context of known neuronal mechanisms and recent clinical trials. copyright 2005 Elsevier Ltd. All rights reserved. ISSN 1740-6773 Publication Type Journal: Article Journal Name Drug Discovery Today: Therapeutic Strategies Volume 2 Issue Part 1 Page 79-86 Year of Publication 2005 Date of Publication 2005 COCAINE (A) <296> Database EMBASE Accession Number 2005283694 Authors Dickerson T.J. Kaufmann G.F. Janda K.D. Institution (Janda) Scripps Research Institute, Department of Chemistry, Skaggs Institute for Chemical Biology, 10550 North Torrey Pines Road, San Diego, CA 92037, United States. Country of Publication United Kingdom Title Bacteriophage-mediated protein delivery into the central nervous system and its application in immunopharmacotherapy. Source Expert Opinion on Biological Therapy. 5(6)(pp 773-781), 2005. Date of Publication: Jun 2005. Abstract Cocaine addiction continues to be a major health and social problem in spite of governmental efforts devoted towards educating the public in the dangers of illicit drug use. A variety of pharmacotherapies and psychosocial programmes have been proposed in an effort to provide a method for allevi-ating the physical and psychological symptoms of cocaine abuse. Unfortunately, these methods have been met with limited success, illustrating a critical need for new effective approaches for the treatment of cocaine addiction. The authors have recently disclosed an alternative cocaine abuse treatment strategy using intranasal administration of an engineered filamentous bacteriophage displaying cocaine-sequestering antibodies on its surface. These phage particles are an effective vector for central nervous system penetration and are capable of binding cocaine, thereby blocking its behavioural effects in a rodent model. copyright 2005 Ashley Publications Ltd. ISSN 1471-2598 Publication Type Journal: Review Journal Name Expert Opinion on Biological Therapy Volume 5 Issue Part 6 Page 773-781 Year of Publication 2005 Date of Publication Jun 2005 COCAINE <350> Database EMBASE Accession Number 2005226463 Authors Hsu R. Taylor J.R. Newton S.S. Alvaro J.D. Haile C. Han G. Hruby V.J. Nestler E.J. Duman R.S. Institution (Hsu, Taylor, Newton, Alvaro, Haile, Duman) Center for Genes and Behaviour, Departments of Psychiatry and Pharmacology, Yale University School of Medicine, New Haven, CT, United States. (Han, Hruby) University of Arizona, Tucson, AZ, United States. (Nestler) University of Texas South-western Medical Center, Dallas, TX, United States. (Duman) 34 Park St, New Haven, CT 06508, United States. Country of Publication United Kingdom Title Blockade of melanocortin transmission inhibits cocaine reward. Source European Journal of Neuroscience. 21(8)(pp 2233-2242), 2005. Date of Publication: Apr 2005. Abstract Melanocortins and the melanocortin-4 receptor (MC4-R) are enriched in the nucleus accumbens, a brain region that has been implicated in the rewarding action of cocaine and other drugs of abuse. In the present study we use a number of rat behavioral models to show that infusion of a melanocortin peptide antagonist into the nucleus accumbens blocks the reinforcing, incentive motivational, and locomotor sensitizing effects of cocaine. We also show that locomotor responses to repeated cocaine exposure are completely blocked in MC4-R null mutant mice and reduced in Agouti mice that overexpress an endogenous inhibitor of melanocortins in the brain. The results also demonstrate that cocaine administration increases the expression of MC4-R in the nucleus accumbens and striatum, and that MC4-R is co-localized with prodynorphin in medium spiny neurons in the nucleus accumbens. Together, these findings indicate that the behavioral actions of cocaine are dependent on activation of MC4-R, and suggest that upregulation of this receptor by drug exposure may contribute to sensitization of these behavioral responses. Modulation of cocaine reward is a novel action of the melanocortin-MC4-R system and could be targeted for the development of new medications for cocaine addiction. copyright Federation of European Neuroscience Societies. ISSN 0953-816X Publication Type Journal: Article Journal Name European Journal of Neuroscience Volume 21 Issue Part 8 Page 2233-2242 Year of Publication 2005 Date of Publication Apr 2005 COCAINE <361> Database EMBASE Accession Number 2005222174 Authors Kubler A. Murphy K. Garavan H. Institution (Kubler, Murphy, Garavan) Department of Psychology, Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland. (Kubler) Institute of Medical Psychology and Behavioural Neurobiology, University of Tubingen, Tubingen, Germany. (Garavan) Department of Psychiatry and Behavioural Medicine, Medical College of Wisconsin, Milwaukee, WI, United States. Country of Publication United Kingdom Title Cocaine dependence and attention switching within and between verbal and visuospatial working memory. Source European Journal of Neuroscience. 21(7)(pp 1984-1992), 2005. Date of Publication: Apr 2005. Abstract Many studies have shown the negative effects of cocaine on neuropsychological and cognitive performance in drug-dependent individuals, but little is known about the underlying neuroanatomy of these dysfunctions. The present study addressed attention switching between items held in working memory (WM) with a task in which subjects were required to store and update two items held in verbal or visuospatial WM. Attention-switching frequency varied between trials, thereby allowing us to isolate the switching component of task performance. Behavioural data revealed that cocaine addicts performed worse than healthy controls in all tasks. On the visuospatial task addicts performed at chance levels revealing particular impairment in visuospatial WM. On the verbal task, in which controls and users could be matched for performance, we identified attenuated responses in prefrontal and cingulate cortices and in striatal regions, while other areas such as dorsolateral prefrontal cortex did not differ between healthy controls and users. The results reveal that addiction may be accompanied by specific rather than ubiquitous hypoactivation in prefrontal and subcortical areas and suggest a compromised ability in users to control their attention to their thoughts as might be particularly relevant when required to switch away from drug-related thoughts, and thus the dysfunction in attention switching may contribute to the maintenance of addiction. copyright 2005 Federation of European Neuroscience Societies. ISSN 0953-816X Publication Type Journal: Article Journal Name European Journal of Neuroscience Volume 21 Issue Part 7 Page 1984-1992 Year of Publication 2005 Date of Publication Apr 2005 COCAINE <383> Database EMBASE Accession Number 2005194825 Authors Vocci F.J. Elkashef A. Institution (Vocci, Elkashef) National Institute on Drug Abuse, National Institutes of Health, Dept. of Health and Human Services, Bethesda, MD, United States. (Vocci) Div. Pharmacother./Med. C. D. A., National Institute on Drug Abuse, MSC 9551, 6001 Executive Boulevard, Bethesda, MD 20892-9551, United States. Country of Publication United Kingdom Title Pharmacotherapy and other treatments for cocaine abuse and dependence. Source Current Opinion in Psychiatry. 18(3)(pp 265-270), 2005. Date of Publication: May 2005. Abstract Purpose of review: This review examines progress being made in the treatment of cocaine abuse and dependence, with a particular focus on pharmacotherapies. Medications with apparently very different mechanisms of action have been reported to reduce cocaine use in controlled clinical trials in outpatient settings. This review will summarize the latest findings in this area. Recent findings: Of all the medications tested to date, disulfiram has demonstrated the most consistent effect to reduce cocaine use. Several medications have been reported to reduce cocaine use in double-blind, placebo-controlled clinical trials, namely baclofen, modafinil, tiagabine, and topiramate. All pharmacotherapy trials in cocaine-dependent patients include a behavioral therapy that is common to all participants. Consequently, these pharmacotherapy trials can be considered to evaluate whether the medication is adding to the effect of the behavioral therapy. Summary: Confirmatory clinical studies are necessary to replicate the initial efficacy findings for baclofen, modafinil, tiagabine, and topiramate. More research is needed in both cocaine and cocaine-alcohol dependent populations. Once confirmatory studies have been carried out, testing of rational medication combinations with different behavioral therapies is an obvious next step to increase the ability to manage cocaine dependence. copyright 2005 Lippincott Williams & Wilkins. ISSN 0951-7367 Publication Type Journal: Review Journal Name Current Opinion in Psychiatry Volume 18 Issue Part 3 Page 265-270 Year of Publication 2005 Date of Publication May 2005