Planeta CS, Lepsch LB, Alves R, Scavone C. Influence of the dopaminergic system, CREB, and transcription factor-κB on cocaine neurotoxicity.
Braz J Med Biol Res 2013;
46:909-915. [PMID:
24141554 PMCID:
PMC3854330 DOI:
10.1590/1414-431x20133379]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2013] [Accepted: 08/19/2013] [Indexed: 01/04/2023] Open
Abstract
Cocaine is a widely used drug and its abuse is associated with physical, psychiatric
and social problems. Abnormalities in newborns have been demonstrated to be due to
the toxic effects of cocaine during fetal development. The mechanism by which cocaine
causes neurological damage is complex and involves interactions of the drug with
several neurotransmitter systems, such as the increase of extracellular levels of
dopamine and free radicals, and modulation of transcription factors. The aim of this
review was to evaluate the importance of the dopaminergic system and the
participation of inflammatory signaling in cocaine neurotoxicity. Our study showed
that cocaine activates the transcription factors NF-κB and CREB, which regulate genes
involved in cellular death. GBR 12909 (an inhibitor of dopamine reuptake), lidocaine
(a local anesthetic), and dopamine did not activate NF-κB in the same way as cocaine.
However, the attenuation of NF-κB activity after the pretreatment of the cells with
SCH 23390, a D1 receptor antagonist, suggests that the activation of NF-κB by cocaine
is, at least partially, due to activation of D1 receptors. NF-κB seems to have a
protective role in these cells because its inhibition increased cellular death caused
by cocaine. The increase in BDNF (brain-derived neurotrophic factor) mRNA can also be
related to the protective role of both CREB and NF-κB transcription factors. An
understanding of the mechanisms by which cocaine induces cell death in the brain will
contribute to the development of new therapies for drug abusers, which can help to
slow down the progress of degenerative processes.
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