Cocaethylene: A Unique Cocaine Metabolite Displays High Affinity for the Dopamine Transporter

: Concurrent cocaine and alcohol use is common practice in the general population, as indicated by recent prevalence studies. In the presence of ethyl alcohol, cocaine is metabolized to its ethyl homolog, cocaethylene. The transesterification of cocaine and ethanol to cocaethylene takes place in the...

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Veröffentlicht in:Journal of neurochemistry 1991-02, Vol.56 (2), p.698-701
Hauptverfasser: Hearn, W. Lee, Flynn, Donna D., Hime, George W., Rose, Stefan, Cofino, Julio C., Mantero‐Atienza, Emilio, Wetli, Charles V., Mash, Deborah C.
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container_end_page 701
container_issue 2
container_start_page 698
container_title Journal of neurochemistry
container_volume 56
creator Hearn, W. Lee
Flynn, Donna D.
Hime, George W.
Rose, Stefan
Cofino, Julio C.
Mantero‐Atienza, Emilio
Wetli, Charles V.
Mash, Deborah C.
description : Concurrent cocaine and alcohol use is common practice in the general population, as indicated by recent prevalence studies. In the presence of ethyl alcohol, cocaine is metabolized to its ethyl homolog, cocaethylene. The transesterification of cocaine and ethanol to cocaethylene takes place in the liver and represents a novel metabolic reaction. Cocaethylene was detected in postmortem blood, liver, and neurological tissues in concentrations equal to and sometimes exceeding those of cocaine. In vitro binding studies demonstrate that cocaethylene has a pharmacological profile similar but not identical to that of cocaine at monoamine transport sites assayed in the human brain. Cocaethylene was equipotent to cocaine at inhibiting [3H]mazindol binding to the dopamine transporter. The blockade of dopamine reuptake in the synaptic cleft by cocaethylene may account for the enhanced euphoria associated with combined alcohol and cocaine abuse.
doi_str_mv 10.1111/j.1471-4159.1991.tb08205.x
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Lee ; Flynn, Donna D. ; Hime, George W. ; Rose, Stefan ; Cofino, Julio C. ; Mantero‐Atienza, Emilio ; Wetli, Charles V. ; Mash, Deborah C.</creator><creatorcontrib>Hearn, W. Lee ; Flynn, Donna D. ; Hime, George W. ; Rose, Stefan ; Cofino, Julio C. ; Mantero‐Atienza, Emilio ; Wetli, Charles V. ; Mash, Deborah C.</creatorcontrib><description>: Concurrent cocaine and alcohol use is common practice in the general population, as indicated by recent prevalence studies. In the presence of ethyl alcohol, cocaine is metabolized to its ethyl homolog, cocaethylene. The transesterification of cocaine and ethanol to cocaethylene takes place in the liver and represents a novel metabolic reaction. Cocaethylene was detected in postmortem blood, liver, and neurological tissues in concentrations equal to and sometimes exceeding those of cocaine. In vitro binding studies demonstrate that cocaethylene has a pharmacological profile similar but not identical to that of cocaine at monoamine transport sites assayed in the human brain. Cocaethylene was equipotent to cocaine at inhibiting [3H]mazindol binding to the dopamine transporter. 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ispartof Journal of neurochemistry, 1991-02, Vol.56 (2), p.698-701
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source MEDLINE; Access via Wiley Online Library
subjects Adult
Biological and medical sciences
Brain - metabolism
Carrier Proteins - metabolism
CNS
Cocaine
Cocaine - analogs & derivatives
Cocaine - blood
Cocaine - metabolism
Dopamine Plasma Membrane Transport Proteins
Drug addictions
Esterification
Ethanol
Ethanol - blood
Ethanol - metabolism
Female
Humans
Liver - metabolism
Male
Mazindol - metabolism
Medical sciences
Membrane Glycoproteins
Membrane Transport Proteins
Monoamine uptake sites
Nerve Tissue Proteins
Toxicology
title Cocaethylene: A Unique Cocaine Metabolite Displays High Affinity for the Dopamine Transporter
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