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Rimonabant-induced Delta9-tetrahydrocannabinol withdrawal in rhesus monkeys: discriminative stimulus effects and other withdrawal signs.

Jennifer L. Stewart, Lance R Mcmahon

Journal of Pharmacology and Experimental Therapeutics July 2010 DOI: 10.1124/jpet.110.168435 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical drug discrimination and observational study in nonhuman primates Peer reviewed
Population Rhesus monkeys receiving chronic Delta(9)-THC or nondependent monkeys
Interventions Rimonabant Delta(9)-tetrahydrocannabinol (Delta(9)-THC) CP 55940 WIN 55212-2 clonidine diazepam cocaine
Dose Delta(9)-THC 1 mg/kg/12 h s.c.; rimonabant 1 mg/kg i.v. (discrimination) and 3.2 mg/kg in nondependent monkeys
Topics Cannabis
Key findings Rimonabant produced dose-dependent discriminative stimulus effects (ED50 = 0.25 mg/kg) in Delta(9)-THC-treated monkeys, and these effects were fully blocked by Delta(9)-THC and CP 55940, partially by WIN 55212-2 and clonidine, and not by diazepam or cocaine. The authors argue this discriminative stimulus is a more pharmacologically selective measure of cannabinoid withdrawal than head shaking and suggest cannabinoid and alpha(2)-adrenergic agonists may be useful therapeutics for marijuana dependence.

Abstract

Marijuana-dependent individuals report using marijuana to alleviate withdrawal, suggesting that pharmacotherapy of marijuana withdrawal could promote abstinence. To identify potential pharmacotherapies for marijuana withdrawal, this study first characterized rimonabant-induced Delta(9)-tetrahydrocannabinol (Delta(9)-THC) withdrawal in rhesus monkeys by using drug discrimination and directly observable signs. Second, drugs were examined for their capacity to modify cannabinoid withdrawal. Monkeys receiving chronic Delta(9)-THC (1 mg/kg/12 h s.c.) discriminated the cannabinoid antagonist rimonabant (1 mg/kg i.v.) under a fixed ratio schedule of stimulus-shock termination. The discriminative stimulus effects of rimonabant were dose-dependent (ED(50) = 0.25 mg/kg) and accompanied by head shaking. In the absence of chronic Delta(9)-THC treatment (i.e., in nondependent monkeys), a larger dose (3.2 mg/kg) of rimonabant produced head shaking and tachycardia. Temporary discontinuation of Delta(9)-THC treatment resulted in increased responding on the rimonabant lever, head shaking, and activity during the dark cycle. The rimonabant discriminative stimulus was attenuated fully by Delta(9)-THC (at doses larger than mg/kg/12 h) and the cannabinoid agonist CP 55940 [5-(1,1-dimethylheptyl)-2-[5-hydroxy-2-(3-hydroxypropyl)cyclohexyl]phenol], and partially by the cannabinoid agonist WIN 55212-2 [(R)-(+)-[2, 3-dihydro-5-methyl-3-(4-morpholinylmethyl)pyrrolo[1,2,3-de]-1,4-benzoxazin-6-yl]-1-naphthalenylmethanone mesylate] and the alpha(2)-adrenergic agonist clonidine. In contrast, a benzodiazepine (diazepam) and monoamine agonist (cocaine) did not attenuate the rimonabant discriminative stimulus. Head shaking was attenuated by all test compounds. These results show that the discriminative stimulus effects of rimonabant in Delta(9)-THC-treated monkeys are a more pharmacologically selective measure of cannabinoid withdrawal than rimonabant-induced head shaking. These results suggest that cannabinoid and noncannabinoid (alpha(2)-adrenergic) agonists are potentially useful therapeutics for marijuana dependence inasmuch as they attenuate the subjective experience of Delta(9)-THC withdrawal.

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