Background: A physiological alteration associated with schizophrenic and ma
nic psychoses is diminished inhibition of the electrophysiological response
to repeated auditory stimuli. This deficit also occurs in cocaine addicts.
Studies in animals show that such inhibition is decreased by noradrenergic
receptor stimulation and that the inhibition is enhanced by nicotinic chol
inergic receptor stimulation.
Methods: C3H mice were treated for 7 days with cocaine. They were then prep
ared for electrophysiological recording. After the effects of cocaine treat
ment were observed, they were treated with nicotine agonists.
Results: Chronic cocaine administration markedly diminished inhibition of t
he hippocampal-evoked response to repeated auditory stimuli. The loss of in
hibition was reversed by acute treatment with either nicotine or the select
ive alpha 7 nicotinic agonist 3-(2,4)-dimethoxybenzylidine anabaseine (DMXB
; GTS21). The effects of nicotine showed tachyphylaxis, whereas those of DM
XB did not.
Conclusions: This reversal of cocaine's effect by nicotinic agonists is con
sistent with previous pharmacological studies of the inhibition of auditory
response. Additionally, the ability of nicotinic agonists to reverse a phy
siological defect associated with psychosis may have therapeutic implicatio
ns for the neuropsychiatric sequelae of cocaine addiction in humans. Biol P
sychiatry 1999;46: 1443-1450 (C) 1999 Society of Biological Psychiatry.