07:46pm Wednesday 23 August 2017

One step closer to a new drug for alcohol dependence

“The results of our studies are promising, but there is still a long way to go before we have a marketable drug,” says Pia Steensland, docent at the Department of Clinical Neuroscience and co-author of both studies. “The socioeconomic costs of alcohol are huge, not to mention the human suffering. It is inspiring to continue working.”

300,000 have an addiction

Roughly a million Swedes over 15 years of age drink so much alcohol that they risk damaging their health, and it is estimated that some 300,000 of these people are dependent. Despite the pressing need, there are only a few approved drugs for the treatment of alcohol dependence, but their effects vary from person to person and the prescriptions rates are low.

Consequently the hunt for new, more efficacious drugs for alcohol dependence continues.

Reduce the craving

In the clinical study, which is published in the scientific journal European Neuropsychopharmacology, the scientists examined for the first time if OSU6162 can reduce the craving for alcohol in people with alcohol dependence. Half the participants were treated with OSU6162 and half with placebo for a fortnight, after which both groups were exposed to different situations that could be assumed to elicit a craving for alcohol.

First zip less enjoying

The results show that the experimental group experienced less of a craving for alcohol after drinking one glass of an alcoholic beverage.

“At the same time, the OSU6162 group reported not enjoying the first zip of alcohol as much as the placebo group,” says Dr Steensland. “One interesting secondary finding was that those with the poorest impulse control, that is those thought to be most at risk of relapse after a period of abstinence, were those who responded best to the OSU6162 treatment.”

Study on rats adds to the understanding

A study of rats published at the same time in the scientific journal Addiction Biology adds to the understanding of how OSU6162 works, as it shows that rats that voluntarily consumed alcohol for almost a year had lower levels of dopamine in their brain reward system than rats that had never drunk alcohol. However, when the “alcohol rats” were treated with OSU6162 it was found that the substance counteracted the low concentrations of dopamine in the brain reward system.

“We therefore think that OSU6162 can reduce the alcohol craving in dependent people by returning the downregulated levels of dopamine in their brain reward system to normal,” says Dr Steensland.

Nobel Laureate Arvid Carlsson

The rights to OSU6162 are owned by Nobel Laureate Arvid Carlsson, professor emeritus at the Sahlgrenska Academy whose team also invented the substance. Emeritus Professor Carlsson is also one of the co-authors of the clinical study.

The research was financed with grants from several bodies, including the Swedish Brain Foundation, the Swedish Research Council, the Torsten Söderberg Foundation, Systembolaget’s alcohol research council and the Swedish Research Council for Health, Working Life and Welfare (FORTE).

The article “The Effects of the Monoamine Stabilizer (-)-OSU6162 on Craving in Alcohol Dependent Individuals: A Human Laboratory Study” was published online in European Neuropsychopharmacology on 13 October.

Link to abstract

The article “The Monoamine Stabilizer (-)-OSU6162 Counteracts Down-Regulated Dopamine Output in the Nucleus Accumbens of Long-Term Drinking Wistar Rats” was published online in Addiction Biology on 14 October.

Link to article

Learn more about Arvid Carlsson´s research: http://sahlgrenska.gu.se/forskning/arvid_carlsson

FACTS ON ADDICTION AND THE REWARDING SYSTEM
The studies of OSU6162 are based on the knowledge of how the brain reward system stimulates us to act in the interests of our own survival. Since dopamine creates a feeling of wellbeing, such as when we exercise or eat good food, the memory associates the two so that we will repeat the behaviour. Alcohol makes the brain reward system release more dopamine than normal, creating a pleasant euphoric sensation.

However, the more alcohol drunk, the more the reward system is desensitised and the less dopamine is released. With time, greater volumes of alcohol are needed to cause intoxication and eventually to attain a state of physical and emotional normality – addiction has set in.

 

For further information, please contact:
Pia Steensland, PhD, Associate Professor
Centre for Psychiatry Research
Department of Clinical Neuroscience, Karolinska Institutet
Tel: +46 (0)73-9061633
Email: pia.steensland@ki.se


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