Is the 3,4-methylendioxypyrovalerone/mephedrone combination responsible for enhanced stimulant effects? A rat study with investigation of the effect/concentration relationships
作者:Nadia Benturquia、Lucie Chevillard、Christophe Poiré、Olivier Roussel、Camille Cohier、Xavier Declèves、Jean-Louis Laplanche、Mélanie Etheve-Quelquejeu、Huixiong Chen、Bruno Mégarbane
DOI:10.1007/s00213-018-4962-0
日期:2019.3
RationaleThe use of synthetic cathinones as recreational drugs frequently sold in combination has been increasing exponentially. However, the consequences of combining cathinones on the resulting stimulant effects and the pharmacokinetics have been poorly investigated.Objective and methodsTo study 3,4-methylenedioxypyrovalerone (MDPV; 3mg/kg) and mephedrone (4-MMC; 30mg/kg)-induced effects on rat locomotor activity and pharmacokinetics, administered alone or in combination by the intragastric route. The pharmacokinetic parameters were determined using non-compartmental analysis and the relationships between the locomotor activity and drug concentrations using sigmoidal E-max modeling.ResultsLocomotor activity significantly increased during the first hour post-administration with the MDPV/4-MMC combination in comparison to MDPV (p<0.001) and 4-MMC (p<0.01) alone. The pharmacokinetic profile of MDPV, but not 4-MMC, was significantly modified with the combination resulting in decreases in C-max (16.45.5 versus 62.2 +/- 14.2g/L, p<0.05) and AUC(0) (708 +/- 91 versus 3316 +/- 682g/L/min, p<0.01) and increases in V/F (582.6 +/- 136.8 versus 115.9 +/- 42.7L/kg, p<0.05) and Cl/F (4.6 +/- 0.7 versus 1.2 +/- 0.4L/kg/min, p<0.01) in comparison to MDPV alone. The sigmoidal E-max model fitted the observed data well; MDPV being markedly more potent than 4-MMC (EC50, 0.043 versus 0.7mol/L). The enhancing factor representing the MDPV contribution to the alteration in the relationships between locomotor activity and 4-MMC concentrations was 0.3.Conclusion An MDPV/4-MMC combination results in enhanced stimulant effects in the rat, despite significant reduction in MDPV bioavailability. Enhanced effects could be explained by increased MDPV distribution and/or possible complementation at the brain dopaminergic targets. However, the exact consequences of the MDPV/4-MMC combination in humans remain to be clarified.