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Why Nicotine In Cigarettes May Relieve Anxiety In Smokers

Preclinical data suggests of a specific sub-class of nicotinic receptors may be an effective strategy to help smokers quit without feeling anxious, according to researchers.

These findings could one day point researchers to the development of novel therapies to help smokers quit without feeling anxious.

Smokers use cigarettes for many reasons, but many report that they smoke to relieve anxiety, despite the health danger of cigarette smoking. Researchers are now working to understand the underlying neurochemical pathways that support smoking behavior.

In a study, published online in PLoS ONE, researchers observed that low doses of nicotine and a nicotinic blocker had similar effects to reduce anxiety-like behavior in an animal model. They found that inactivation of beta2 subunit, a specific sub-class of nicotinic receptors that bind nicotine, appears to reduce anxiety. This is different from the mechanism that regulates nicotine reward and likely occurs in a separate brain area.

“This work is unique because it suggests that nicotine may be acting through inactivation, rather than activation, of the high affinity nicotinic receptors,” said Darlene Brunzell, Ph.D., assistant professor in the Department of Pharmacology and Toxicology in the .

“Nicotine acts like a key that unlocks nicotine receptors in the brain. Usually that key opens the receptor, but at other times nicotine is like a key that has gotten broken inside of the lock. Our findings suggest that low-dose nicotine may block a specific subtype of receptor from opening that is important for regulating anxiety behavior,” she said, adding that anxiety is a major reason why people relapse to smoking.

Brunzell and colleagues are conducting ongoing studies that they hope will help to identify which brain areas regulate the anxiolytic effects of nicotine. Using genetic strategies, they are attempting to determine the specific molecular make-up of the nicotinic receptors that regulate anxiety.

According to Brunzell, from a therapeutic perspective it will be important to discover if blocking beta2 subunit containing nicotinic receptors relieves anxiety in smokers.

“Understanding what other subunits combine with beta2 to form the critical receptors that regulate anxiety could lead to selective therapeutics with fewer side effects,” she said.

Source

Brunzell collaborated with , doctoral candidate in the VCU Department of Pharmacology and Toxicology and National Institutes of Health National Institute on Drug Abuse trainee.
This study was supported in part by the National Institutes of Health National Institute on Drug Abuse, R01 DA 031289, a National Institutes of Health training grant, T32DA007027, and the Thomas and Kate Miller Jeffress Memorial Trust, J-951.
PLoS ONE is an open-access peer-reviewed journal published by the Public Library of Science.
The paper can be found at: http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0048665
Virginia Commonwealth University