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Trace amine-associated receptor 1: a promising target for the treatment of psychostimulant addiction

. Author manuscript; available in PMC: 2016 Aug 15.

Abuse of and addiction to psychostimulants remains a challenging clinical issue, yet no effective pharmacotherapy is available. Trace amine associated receptor 1 (TAAR 1) is increasingly recognized as a novel drug target that participates in the modulation of drug abuse. This review analyzed existing preclinical evidence from electrophysiological, biochemical to behavioral aspects regarding the functional interactions between TAAR 1 and dopaminergic system. TAAR 1 knockout mice demonstrate increased sensitivity to dopaminergic activation while TAAR 1 agonists reduce the neurochemical effects of cocaine and amphetamines, attenuate abuse- and addiction-related behavioral effects of cocaine and methamphetamine. It is concluded that TAAR 1 activation functionally modulate the dopaminergic activity and TAAR 1 agonists appear to be promising pharmacotherapies against psychostimulant addiction.

Keywords: TAAR 1, addiction, cocaine, methamphetamine, behavior

Psychostimulant addiction remains among the most devastating disease in which compulsive drug-seeking and drug taking behaviors persist despite serious negative consequences. Although great progress has been made in understanding the neurobiology, biochemistry, and behavioral pharmacology of psychostimulant abuse, to date effective medicine is still lacking. One of the major problems with psychostimulant addiction is high rates of relapse even after prolonged drug abstinence (Ghitza, 2015; Marlatt, 1990). It is thought that dopaminergic, serotonergic and glutamatergic systems play important roles in reward-motivated behavior (Goldstein et al., 2009; Haleem, 2013; Quintero, 2013). A large body of preclinical and clinical studies have focused on these systems in the development of potential medications to treat psychostimulant addiction, but there is no treatment that directly modulates these systems and have substantially helped curb relapse. Studying alternative targets that indirectly modulate the dopaminergic, serotonergic or glutamatergic systems may provide a novel strategy.

Trace amine associated-receptors (TAARs) were discovered in 2001 with TAAR 1 as the first cloned and characterized member (Borowsky et al., 2001; Bunzow et al., 2001). Although all other TAARs serve predominantly or exclusively as chemosensory receptors in the main olfactory system (Liberles and Buck, 2006), TAAR 1 has been demonstrated to be a novel modulator of dopaminergic, serotonergic and glutamatergic activity and is the most studied member of TAARs (Bradaia et al., 2009; Leo et al., 2014; Lindemann et al., 2008; Revel et al., 2011a). TAAR 1 is largely located in the intracellular compartments both in neurons (Miller, 2011), in glial cells (Cisneros and Ghorpade, 2014) and in peripheral tissues (Grandy, 2007), and is a stimulatory G protein-coupled receptor that responds to so-called trace amines. Activation of TAAR 1 results in intracellular cAMP signaling that contributes to protein kinase A and protein kinase C phosphorylation of downstream targets (Berry, 2007; Grandy, 2007; Xie and Miller, 2007). Trace amines, including p-tyramine, β-phenylethylamine, tryptamine, and octopamine, represent a group of endogenous amines structurally closely related to the classical neurotransmitters such as dopamine, serotonin, and noradrenaline (Burchett and Hicks, 2006). Although trace amines exist in the vertebrate central nervous system at concentrations approximately 1000 times lower than those of catecholamines (Berry, 2004; Philips et al., 1978), previously being denoted as “false transmitters”, abnormal levels of trace amines have been implicated in schizophrenia, anxiety, depression, Parkinson’s disease, attention deficit hyperactivity disorder, drug abuse and dependence (Berry, 2007; Boulton, 1980; Greenshaw, 1984; Lapin, 1993; Narang et al., 2011; Shannon and Thompson, 1984). Since TAAR 1 was first discovered to be potently activated by trace amines, this receptor has been increasingly recognized as a potential therapeutic target of psychiatric disorders.

Accumulating evidence has suggested that TAAR 1 may play a key role in drug abuse and addiction. It has been hypothesized that TAAR 1 functions as a molecular “brake” to control the addiction-related effects of psychostimulants. However, many questions with regard to the underlying mechanisms remain unknown. In this review, we will primarily focus on the role of TAAR 1 in psychostimulant abuse and addiction. We will review results of studies using transgenic mice lacking Taar 1 (Taar 1−/− mice) or overexpressing Taar 1 (Taar 1 Tg mice), as well as TAAR 1 agonists and antagonists to elucidate the role of this target in psychostimulant abuse and addiction. We also briefly discussed future directions of this line of research.

In rodent and primate brain, there is an anatomical overlap between TAAR 1 expression and dopaminergic as well as serotonergic brain structures. Borowsky et al first detected a characteristic distribution of TAAR 1 mRNA in the mouse central nerves system using in situ hybridization histochemistry approach, with higher expression found in several monoaminergic cell groups such as the dorsal raphe, the locus coeruleus, and the ventral tegmental area (VTA) (Borowsky et al., 2001). Xie et al also reported a widespread distribution of TAAR 1 mRNA and protein in the rhesus monkey brain, including various regions throughout the monoaminergic systems (the dorsal and ventral caudate nucleus, putamen, substantia nigra, nucleus accumbens, VTA, locus coeruleus, amygdala, and raphe nucleus) (Xie et al., 2007). Similar observations were also made by Lindemann et al who analyzed the TAAR 1 expression in mice brain using LacZ signals. TAAR 1-positive cell bodies were detected in the VTA, the amygdala, the bed nucleus of the stria terminals, and the dorsal raphe nucleus (Lindemann et al., 2008). Because such brain regions as VTA, amygdala, nucleus accumbens and dorsal raphe nucleus are all critically involved in drug reinforcement and addiction, these anatomical observations are consistent with the notion that TAAR 1 might play a role in the control of addiction-related behavior.

The understanding of the physiological functions of TAAR 1 has been attempted through the generation of transgenic mice lacking TAAR 1. Taar 1−/− mice are generally healthy with no differences on the body weight, body temperature, locomotor activity, life span and other normal behaviors (e.g., nest-building behavior) as compared to wild type mice, although a deficit on prepulse inhibition was found in Taar 1−/− mice (Lindemann et al., 2008; Wolinsky et al., 2007). Moreover, Revel et al generated a transgenic mouse line overexpressing TAAR 1 in the brain (Taar 1 Tg mice) and they do not show overt behavioral abnormalities (Revel et al., 2012a). Thus, central TAAR 1 does not seem to be a vital system for the survival and general well-being of mice. However, more detailed studies revealed aberrant changes of the central nervous system, particular the mesolimbic system, as will be discussed below.

Electrophysiological recordings revealed burst firing frequency of dopaminergic neurons in the VTA (Lindemann et al., 2008; Revel et al., 2011a) and serotonergic neurons in the dorsal raphe nucleus (DRN) (Revel et al., 2011) and the firing frequency from Taar 1−/− mice was higher than wild type, suggesting that TAAR 1 tonically inhibits the firing frequency of dopaminergic or serotonergic neurons. Consistent with an increased firing rate of dopaminergic neuron observed in Taar 1−/− mice, recently developed selective TAAR 1 ligands (vide infra) also alter the firing rate of these neurons, with TAAR 1 agonists with higher efficacy reducing, while TAAR 1 agonists with lower efficacy and TAAR 1 antagonists enhancing the firing rate. For example, the selective TAAR 1 antagonist EPPTB increased the firing rate of dopaminergic neurons and prevented the p-tyramine-mediated inhibition of dopaminergic neuron firing (Bradaia et al., 2009). Besides, application of TAAR 1 partial agonist RO5203648 and RO5263397 also augmented the firing frequency of VTA dopaminergic and DRN serotonergic neurons in slices from wild type mice but not from Taar 1−/− mice (Bradaia et al., 2009; Revel et al., 2011; Revel et al., 2013). In contrast, both the endogenous agonist p-tyramine and the selective TAAR 1 agonist RO5166017 and RO5256390 inhibited the burst firing rate of VTA dopaminergic and DRN serotonergic neurons in wild-type but not in Taar 1−/− mice (Lindemann et al., 2008; Revel et al., 2011; Revel et al., 2013), which could be blocked by TAAR 1 antagonist EPPTB (Revel et al., 2011). Together, these findings mainly support the notion that TAAR 1 normally exerts an inhibitory tone on dopaminergic and serotonergic neurons. Unexpectedly, in mouse ectopically overexpressing TAAR 1 in the brain, elevated burst firing was observed in the VTA dopaminergic neurons and DRN serotonergic neurons (Revel et al., 2012a). It was found that ectopically expressing TAAR 1 in VTA GABA neurons functionally reduced the electrical activity of these neurons, which subsequently decreased the inhibitory inputs of GABA neurons to dopamine (DA) neurons (Revel et al., 2012a).

A wealth of evidence suggests that TAAR 1 is an important modulator of monoamine neurotransmission (Bradaia et al., 2009; Lindemann et al., 2005; Revel et al., 2012a; Revel et al., 2011). In both wild-type and Taar 1−/− mice, amphetamine produced a robust increase in striatal release of DA, norepinephrine (NE), and serotonin (5-HT), but this effect was significantly greater in Taar 1−/− mice than in wild type mice (Lindemann et al., 2008; Wolinsky et al., 2007). These findings support the notion that TAAR 1 functionally operates as a negative modulator of monoaminergic neurotransmission. The basal DA and NE extracellular levels in the nucleus accumbens (NAc) and 5-HT in the medial prefrontal cortex were significantly higher in the Taar 1 Tg mice than in the wild-type mice, which may be due to the elevated burst firing activity in the monoaminergic nuclei (Revel et al., 2012a). However, amphetamine had no effect on the release of DA and NA in the NAc of Taar 1 Tg mice, which partially explains the finding that amphetamine-induced a weaker locomotor hyperactivity in Taar 1 Tg mice as compared to their wild type counterparts.

Psychostimulants like cocaine, amphetamine and methamphetamine interact with dopamine transporter (DAT) to induce an enhancement of extracellular DA level, which is one of the major mechanisms that contribute to psychostimulant abuse and addiction (Desai et al., 2005; Salahpour et al., 2008; Xie and Miller, 2009). Therefore the DAT has been considered a potential drug target for the treatment of psychostimulant addiction. Ex vivo studies have shown that TAAR 1 is co-expressed with DAT in a subset of DA neurons in both rhesus monkey and mouse substantia nigra (Xie et al., 2007). There are evidence that TAAR 1 can modulate DAT function in in vitro cell culture experiments. Xie et al reported that β-phenethylamine (β-PEA) inhibited uptake and induced efflux of monoamines in thalamic synaptosomes of rhesus monkeys and wild-type mice, but not in synaptosomes of Taar 1−/− mice. Furthermore, the effect of β-PEA on efflux was blocked by transporter inhibitors in either the transfected cells or wild-type mouse synaptosomes (Xie and Miller, 2008). They also found that methamphetamine inhibited DA uptake, enhanced dopamine efflux, and induced DAT internalization by acting as a TAAR 1 agonist (Xie and Miller, 2009). However, more recent studies show inconsistent results. Leo et al. found that the DA clearance was not changed in Taar 1−/− mice as compared to their wild type counterparts (Leo et al., 2014), suggesting that the DAT function remained intact. In addition, no significant changes of dopamine uptake were observed in slices from Taar 1−/− mice, suggesting that the effect of TAAR 1 activation on DA-related function is independent of DAT (Leo et al., 2014). These apparent discrepancies may be attributable to the assays and tissues used in the studies. Xie et al. used mouse and monkey cellular synaptosome preparations with tissues from putamen and thalamus (Xie and Miller, 2008) while Leo et al. used fast scan cyclic voltammetry to measure DA uptake in mouse striatal slices (Leo et al., 2014).

Besides the inconsistent findings regarding TAAR 1-DAT interactions, recent reports suggest the existence of robust reciprocal interactions between TAAR 1 and D₂R (Bradaia et al., 2009; Espinoza et al., 2011; Ledonne et al., 2010; Leo et al., 2014; Wolinsky et al., 2007). Firstly, TAAR 1 inactivation was found to enhance D₂R activity. Using genetic approach, Wolinsky et al found that Taar 1−/− mice exhibited an increase in the high-affinity states of striatal D₂R, which is indicative of DA supersensitivity and likely contributes to their enhanced response to amphetamine (Wolinsky et al., 2007). Similar results were observed using a pharmacological antagonist of TAAR 1, EPPTB (Bradaia et al., 2009). EPPTB increased the potency of the D₂R agonist quinpirole and increased the affinity of DA at D₂R (Bradaia et al., 2009). Secondly, D₂R inactivation increased TAAR 1 activity. Espinoza et al found that D₂R antagonists haloperidol, raclopride, and amisulpride all enhanced β-PEA/TAAR 1-mediated production of cAMP in a G protein-dependent and D₂R-selective manner (Espinoza et al., 2011). These reciprocal interactions between TAAR 1 and D₂R could be explained by the fact that both receptors can form functional heterodimers in human embryonic kidney 293 cells which can be disrupted by the D₂R antagonist haloperidol. In support of this notion, haloperidol-induced catalepsy and striatal c-Fos expression are reduced in Taar 1−/− mice (Espinoza et al., 2011). Together, these data suggest a reciprocal inhibitory interaction between TAAR 1 and D₂R which maintains the homeostasis of the dopaminergic system.

Interestingly, Revel et al observed an interaction between TAAR 1 and 5-HT_1A autoreceptors (Leo et al., 2014). The 5-HT_1A receptor is a subtype of 5-HT receptor that binds the endogenous neurotransmitter serotonin and mediates inhibitory neurotransmission. Activation of 5-HT_1A could decrease impulsivity (Winstanley et al., 2005) and inhibit drug-seeking behavior (Carey et al., 2005; Muller et al., 2007). Activation of TAAR 1 with a TAAR 1 agonist, RO5166017, increased the potency of the 5-HT_1A partial agonist ipsapirone, whereas blocking TAAR 1 by the TAAR 1 antagonist, EPPTB, resulted in a decrease in ipsapirone potency (Revel et al., 2011). These results suggest that TAAR 1 and 5-HT_1A receptors are functionally coupled. Interestingly, this functional interaction is opposite to that with D₂ receptors, and this differential modulation of TAAR 1 on D₂ and 5-HT_1A receptors could have important functional implications and offer new therapeutic possibilities.

Dopamine plays an important role in the initiation, maintenance and relapse/reinstatement of drug addiction (Shaham, Shalev et al. 2003). The evidence discussed above has shown that TAAR 1 plays a homoeostatic regulatory role in the dopaminergic system that prevents the excessive activity of DA neuron, presumably via the modulation of the burst firing of dopaminergic neurons and DAT or interaction with the D₂ DA receptors. It is reasonable to hypothesize that TAAR 1 may be closely involved in the modulation of behavioral effects of drugs of abuse such as psychostimulants. Recently, Pei et al used fast cycling voltammetry to examine the effect of the TAAR 1 agonist, RO5203648, on cocaine-induced DA outflow from the rat nucleus accumbens slices (Pei et al., 2014). Cocaine elicited an enhancement in evoked DA outflow and RO5203648 significantly inhibited cocaine-induced DA efflux. This is consistent with the hypothesis and could explain the observations that TAAR 1 activation reduced various addiction-related behavioral effects of cocaine and methamphetamine (vide infra).

Taar 1−/− mice displayed a behavioral phenotype of supersensitivity to amphetamine and cocaine, as evidenced by drug-induced increases in both locomotor activity and rearing as compared with wild-type littermates (Lindemann et al., 2008; Wolinsky et al., 2007). In contrast, Taar Tg mice responded to amphetamine in an opposite manner and showed a reduced and delayed response to amphetamine as compared with wild-type mice, indicating that Taar Tg mice are hyposensitive to amphetamine (Revel et al., 2012a). Methamphetamine also produced similar behavioral outcome in Taar 1−/− mice (Achat-Mendes et al., 2012). In addition, behavioral sensitization induced by repeated amphetamine or methamphetamine exposure was more robust in Taar 1−/− mice than in wild-type mice (Achat-Mendes et al., 2012). In studies measuring the rewarding effects of drugs using a conditioned place preference (CPP) paradigm, Taar 1−/− mice acquired methamphetamine-induced CPP earlier than wild-type mice and exhibited higher CPP score during extinction training sessions, which suggests that the conditioned rewarding effect of methamphetamine is greater in Taar 1−/− mice (Achat-Mendes et al., 2012). In Taar 1−/− mice, animals drank more methamphetamine and exhibited insensitivity to the aversive property of methamphetamine as compared to the wild-type mice (Harkness et al., 2015), suggesting that TAAR 1 function modulates methamphetamine consumption. Interestingly, there was no difference between those two genotypes of mice in morphine CPP (Achat-Mendes et al., 2012), suggesting an interesting differentiation between morphine and psychostimulants. Opioid addiction and stimulant addiction are behaviorally and neurobiological distinct (Badiani et al., 2011), and future studies should disentangle this difference. For example, because pharmacological activation of TAAR 1 with agonists attenuates addiction-related behavioral effects of psychostimulants (vide infra), it would be important to see whether similar manipulations also attenuate addiction-related effects of morphine. All the data from Taar 1−/− mice and Taar Tg mice strongly suggest that TAAR 1 may play a critical role in the abuse-related behavioral effects of psychostimulants and that TAAR 1 may represent a novel target for the pharmacological intervention of psychostimulant addiction.

Recently, Sukhanov et al compared the behavioral effects of the nonselective dopamine receptor agonist apomorphine in wild-type and Taar 1−/− mice. Unlike cocaine or amphetamine, no behavioral supersensitivity to apomorphine was observed in Taar 1−/− mice. In contrast, it was found that apomorphine-induced stereotypies and climbing behaviors were lower in Taar 1−/− mice (Sukhanov et al., 2014). Furthermore, activation of TAAR 1 by RO5166017 increased climbing induced by co-activation of D₁ and D₂ dopamine receptor (Sukhanov et al., 2014), which lends further evidence to the functional interaction between TAAR 1 and dopamine receptors.

Recently, a number of pharmacologically highly selective TAAR 1 agonists were developed and their pharmacological effects on addiction-related behaviors have been reported, supporting the therapeutic potential of TAAR 1 (Table 1). All the TAAR 1 agonists are highly selective on TAAR 1 against a panel of more than 100 other receptors, enzymes, ion channels and binding sites. Readers interested in the detailed receptor binding and selectivity data of these ligands are referred to the cited references.

Modulation of TAAR 1 on behavioral effects of psychostimulants.

In rodents, administration of psychostimulants such as cocaine and methamphetamine leads to hyperactivity (distance traveled and rearing) and stereotypic behavior as a result of enhanced dopaminergic activity. Treatment with various selective TAAR 1 agonists (RO5166017, RO5203648, RO5256390, RO5073012 and RO5263397) dose-dependently inhibited cocaine- or NMDA antagonists L-687,414- or phencyclidine-induced hyperlocomotion in wild-type mice but not in Taar 1−/− mice (Galley et al., 2012; Revel et al., 2011; Revel et al., 2012b; Revel et al., 2013). Besides, RO5166017 and RO5203648 also attenuated hyperlocomotion in DAT^−/− mice. These data support the notion that activation of TAAR 1 inhibits psychostimulant-induced hyperlocomotion, and DAT is not involved in the effect of TAAR 1 on DA-related behavioral function (Revel et al., 2011; Revel et al., 2012b).

Repeated exposure to drugs of abuse enhances the behavioral response to these drugs, a phenomenon termed behavioral sensitization (Vezina, 2007). Behavioral sensitization is a long-lasting form of drug-associated neuroplasticity, which is implicated in certain aspects of drug addiction, including compulsive drug-seeking and -taking behaviors (De Vries et al., 1998; Robinson and Berridge, 2001). Thorn et al firstly reported the modulatory effect of a TAAR 1 agonist on repeated cocaine treatment-induced behavioral sensitization (Thorn et al., 2014b). Acute treatment with RO5263397 (3.2 and 10 mg/kg) had no effect on locomotor activity and did not significantly affect cocaine-induced hyperactivity. Daily co-administration of RO5263397 and cocaine for 7 days significantly blocked the induction of locomotor sensitization (Thorn et al., 2014b). Furthermore, RO5263397 attenuated the expression of locomotor sensitization elicited by a challenge dose of cocaine after 7 days of drug-free period. The attenuation was also demonstrated by the downward shift of the cocaine dose-effect curve by daily RO5263397 treatment (Thorn et al., 2014a). Recently, we also observed that RO5263397 dose-dependently attenuated the expression of behavioral sensitization to methamphetamine (Jing et al., 2014). These findings suggest that activation of TAAR 1 could modulate cocaine- and methamphetamine-induced behavioral plasticity, which may be indicative of the potential role of TAAR 1 agonists for altering psychostimulant-induced long-lasting behavioral maladaptation.

CPP is a Pavlovian conditioning behavioral model that is widely used to study the rewarding effects of drugs (Tzschentke, 2007). The development and expression of CPP involve different neural mechanisms, and particularly the expression is thought to be related to context-induced relapse (Napier et al., 2013). We provided the first evidence for a critical role of TAAR 1 in mediating cocaine CPP (Thorn et al., 2014a). Administration of a TAAR 1 agonist RO5263397 significantly attenuated the expression, but not the development, of cocaine CPP, suggesting that TAAR 1 agonists can reduce cocaine reward and may be potentially useful against cocaine abuse (Thorn et al., 2014a).

Self-administration paradigm is considered the “gold standard” for the assessment of the reinforcing effects of a drug, in which an animal can obtain a drug injection by emitting an operant response (e.g., lever press or nose poke). This paradigm is widely used to evaluate potential medications for reducing drug intake. Revel et al was the first to report that RO5203648, a TAAR 1 partial agonist, dose-dependently reduced cocaine self-administration using a simple fixed ratio (FR) 1 schedule of reinforcement, but did not reduce sucrose intake, revealing a behaviorally specific suppression of cocaine intake (Revel et al., 2012b). In a more exhaustive study, Thorn et al applied behavioral economic analysis to evaluate the elasticity of cocaine demand curve. In contrast to FR 1 schedule, demand curve analysis involves systematically changing the FR up to a high FR that the subject fails to earn one reinforcer, thus it can measure how hard the subject is willing to work for one injection of cocaine (reinforcing effectiveness). In behavioral economic analysis, a more elastic demand curve indicates that the commodity (e.g., an injection of cocaine) is less essential such that the consumption decreases more quickly when the price (FR) increases (Hursh et al., 2005; Thorn et al., 2014a). We found that the TAAR 1 partial agonist, RO5263397, increased the elasticity of cocaine demand curve indicating that RO5263397 may be effective in attenuating the reinforcing effectiveness of cocaine. In a separate study, we also observed that RO5263397 significantly reduced methamphetamine self-administration (Jing et al., 2014). In a progressive ratio (PR) schedule of reinforcement, Pei et al reported that the TAAR 1 partial agonist, RO5203648, decreased cocaine-maintained responding in a dose- and time-dependent manner, and delayed the time to reach breakpoint for cocaine self-administration (Pei et al., 2014). In addition, RO5203648 was found to attenuate methamphetamine self-administration under a FR 1 schedule and did not maintain self-administration behavior in rats with a history of methamphetamine self-administration (Cotter et al., 2015). It is interesting to note that both TAAR 1 partial agonists studied thus far, RO5263397 and RO5203648, increased the dopamine firing rate in ex vivo brain slide recordings (Revel et al., 2012b; 2013), yet they consistently attenuated psychostimulant self-administration (Thorn et al., 2014a; Jing et al., 2014; Cotter et al., 2015). The causes of these discordant results are unclear, but it should not be a surprise to see this difference because the control of drug taking behavior requires the integration of the “reward circuitry” which includes many different mesolimbic brain regions. More work is needed to fully understand this discrepancy. Together, the above findings indicate that TAAR 1 plays an important role in mediating the rewarding and reinforcing properties of cocaine and methamphetamine and that pharmacological activation of TAAR 1 may reduce drug intake, an important therapeutic goal to control drug consumption.

A major obstacle in the treatment of drug addiction is the high relapse rate even after prolonged abstinence and recurrent cycles of abuse. This relapse to compulsive drug use can be triggered by various events, including re-exposure to drugs, or re-exposure to the stimuli previously associated with drug-taking or stress(Shaham et al., 2003). Pei et al applied a context-induced relapse model to examine the effect of TAAR 1 agonists on relapse to cocaine-seeking behavior (Pei et al., 2014). Two TAAR 1 agonists, RO5203648 and RO5256390, both dose-dependently suppressed cocaine-seeking after a 2-week period of forced abstinence from chronic cocaine self-administration. Similar results were also found in an extinction-reinstatement model with RO5203648. In our study, we found that the TAAR 1 agonist, RO5263397, attenuated both drug-associated cue- and cocaine prime-induced reinstatement of cocaine-seeking behavior (Thorn et al., 2014a) (Fig. 1). Importantly, a similar inhibitory effect of RO5263397 was found on the reinstatement of methamphetamine in which the administration of RO5263397 prevented both cue- and a priming injection of methamphetamine-induced reinstatement of methamphetamine-seeking behavior without altering cue-induced reinstatement of sucrose-seeking behavior (Jing et al., 2014) (Fig. 1). These data provide strong evidence that TAAR 1 agonists may be effective to prevent drug relapse, an exciting possibility in the clinical management of psychostimulant addiction.

Effects of the TAAR 1 agonist RO5263397 on cue-induced reinstatement behavior in rats self-administering cocaine (left), methamphetamine (middle) or sucrose (right). * P < 0.05, ** P < 0.01, *** P < 0.001 as compared to vehicle-pretreated group. Data redrawn from Thorn et al. (2014) and Jing et al., (2015).

Although accumulating evidence suggests the promising effects of TAAR 1 agonists against various abuse- and addiction-related behavioral effects of cocaine and methamphetamine, more work is needed to rule out potentially important adverse effects of TAAR 1 activation. One important comparison is to examine whether TAAR 1 agonists also impact behavioral effects maintained by natural rewards (e.g., food and water) at doses that suppress drug-induced behaviors. This comparison can provide confidence that the effects on drug-induced behaviors are specific. Pei et al applied food self-administration procedure to investigate the effects of the TAAR 1 agonist, RO5203648, on responding for the natural reward (chocolate-flavored pellets) (Pei et al., 2014). Rats were re-trained to lever press for chocolate-flavored pellets after a cocaine self-administration history. RO5203648, at a dose that effectively inhibited relapse of cocaine-seeking behavior, did not affect food-maintained responding, suggesting the behavioral specificity under this condition (Pei et al., 2014). Revel et al reported that RO5203648 did not reduce sucrose intake but instead enhanced the reinforcing effects of sucrose (Revel et al., 2012i). Using a PR schedule of food reinforcement, it was found that RO5203648 significantly increased the total food earned, and dose-dependently enhanced the breakpoint (Pei et al., 2014), suggesting that although TAAR 1 agonists can reduce the reinforcing effects of drugs such as cocaine, they may enhance the reinforcing effects of natural rewards such as palatable food. Although the increase of the reinforcing value of palatable food (i.e., concern of overeating) might be considered undesirable in the general population, psychostimulants have well known appetite suppressant property and heavy psychostimulant users are often associated with malnutrition and weight loss (Glasner-Edwards et al., 2011; Hawks et al., 1969). Thus, this effect might be desirable in psychostimulant users. Importantly, RO5263397 has been shown to prevent olanzapine-induced body weight gain in rats (Revel, et al., 2013), suggesting that it does not seem to be a major concern. Recently, we employed extinction-reinstatement procedure to examine the effect of RO5263397 on cue-induced reinstatement of sucrose (chocolate-flavored sucrose pellets)-seeking behavior. At doses that effectively suppressed reinstatement of cocaine- and methamphetamine-seeking behavior, RO5263397 did not alter cue-induced reinstatement of sucrose seeking behavior (Jing et al., 2014). The differential modulation of the reinforcing effects of drugs is in agreement with the fact that both types of reinforcers have different neurobiological substrates and further suggests that TAAR 1 agonists do not generally suppress the motivational status but rather only specifically modulate drug-related motivational effects.

Learning and memory and drug addiction are modulated by the same neurotropic factors, share certain intracellular signaling cascades, and are associated with similar adaptations in neuronal morphology (Nestler, 2002). Revel et al assessed the effect of RO5256390 and RO5203648 on cognitive performance in monkeys using the object retrieval paradigm and in rats using an attentional set-shifting paradigm, two paradigms often used to assess the cognitive function. Both TAAR 1 agonists significantly enhanced the performance in these tasks (Revel et al., 2012b; Revel et al., 2013). Importantly, pharmacological MRI results in rats showed that TAAR 1 agonists enhanced brain activity in critical brain regions known to be involved in cognition such as prefrontal and temporal cortex, consistent with the behavioral data, and further suggest that TAAR 1 activation may be able to improve cognitive function. In light of the fact that drug addiction is closely related to aberrant learning and memory (Torregrossa et al., 2011), these findings suggest that activation of TAAR 1 can influence neuronal plasticity underlying drug-related aberrant learning and memory processes, thereby contributing to the attenuation of drug relapse.

Taken together, the data reviewed here strongly support that TAAR 1 is implicated in the functional regulation of monoaminergic systems, especially dopaminergic system, and that TAAR 1 serves as a homeostatic “brake” system that is involved in the modulation of dopaminergic activity. Existing data provided robust preclinical evidence supporting the development of TAAR 1 agonists as potential treatment for psychostimulant abuse and addiction. In fact, selected TAAR 1 agonist is currently under phase II clinical trial for the treatment of schizophrenia (personal communications with Marius Hoener, Hoffmann-La Roche). If succeeded, the compound could potentially be quickly tested in patients suffering from psychostimulant addiction. TAAR 1 is discretely expressed in key brain regions involved in drug addiction, yet it is unknown of the neurocircuitry and the molecular mechanisms underlying the effects of TAAR 1 agonists against psychostimulant addiction. Future studies should begin to disentangle these critical neural mechanisms to provide further mechanistic support of developing TAAR 1 agonists as novel pharmacotherapies for drug addiction. Given that TAAR 1 is primarily located in the intracellular compartments and existing TAAR 1 agonists are proposed to get access to the receptors by translocation to the cell interior (Miller, 2011), future drug design and development efforts may need to take strategies of drug delivery into consideration (Rajendran et al., 2010).

This work was supported by the National Institute on Drug Abuse of the National Institutes of Health (Awards no. R01DA034806 and R21DA032837).

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