Addictive and nonaddictive smoking as related to responsivity to neurotransmitter systems

Behav Pharmacol. 2002 Sep;13(5-6):441-9. doi: 10.1097/00008877-200209000-00017.

Abstract

In a double-blind crossover design on 36 male smokers, differences in hormone responses to a serotonergic (citalopram) and dopaminergic (bromocriptine) challenge were tested, to compare transmitter responsivities in addicted and pleasure-motivated smokers with respective controls. A general score of smoking addiction, according to DSM IV criteria, was associated with a blunted prolactin decrease to bromocriptine, indicating a possible nicotine-induced desensitization of DA receptors. The single questionnaire-based symptom of tolerance was associated with a blunted cortisol response to citalopram, indicating a particular desensitization of serotonin receptors. Nontolerant but addicted subjects exhibited increased serotonergic responsivity, interpreted as resulting from low serotonin levels associated with lack of impulse control. The questionnaire-based score of pleasure-motivated (='indulgent') smoking was associated with high dopaminergic activity (pronounced prolactin responses), confirming findings obtained in subjects exhibiting reward-related personality factors.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Behavior, Addictive / psychology*
  • Bromocriptine / pharmacology
  • Circadian Rhythm
  • Citalopram / pharmacology
  • Cross-Over Studies
  • Dopamine / physiology
  • Dopamine Agonists / pharmacology
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Humans
  • Hydrocortisone / blood
  • Male
  • Motivation
  • Neurotransmitter Agents / physiology*
  • Prolactin / blood
  • Psychiatric Status Rating Scales
  • Selective Serotonin Reuptake Inhibitors / pharmacology
  • Serotonin / physiology
  • Smoking / psychology*
  • Surveys and Questionnaires

Substances

  • Dopamine Agonists
  • Neurotransmitter Agents
  • Serotonin Uptake Inhibitors
  • Citalopram
  • Serotonin
  • Bromocriptine
  • Prolactin
  • Dopamine
  • Hydrocortisone