Lobeline inhibits binding of [
3H]dihydrotetrabenazine (a VMAT-2 antagonist) to the VMAT-2 with relatively high affinity (900 nM)[
2], and also causes release of [
3H]dopamine from rat striatal slices [
2,
3]. Our results demonstrate that lobeline induces some release of [
3H]dopamine from mammalian cells expressing the DAT and VMAT-2. These results are corroborated by the observation that lobeline induces much greater [
3H]dopamine release than the DAT antagonists nomifensine and RTI-55 (). The effect of nomifensine or RTI-55 was likely due to inhibition of reuptake and not drug-induced release. That lobeline induced [
3H]dopamine release beyond the release caused by these DAT antagonists suggests that this effect is not due solely to inhibition of reuptake. The releasing effect may be due to an interaction with the DAT, VMAT-2, or both proteins. Previous work found that pretreatment of DAT and VMAT-2 expressing cells with dihydrotetrabenazine blocks the dopamine-releasing effects of lobeline [
13]. Furthermore, the [
3H]dopamine release profile of lobeline, which has a much greater maximal effect than RTI-55 or nomifensine, mirrored that of the VMAT-2 inhibitor reserpine and elicited the same maximal amount of [
3H]dopamine release. The finding that reserpine alone caused release of [
3H]dopamine was somewhat surprising considering that others have found VMAT2 inhibitors had no effect on dopamine efflux [
15]. In contrast, Chantry et al. (1982) found that reserpine treatment alone was capable of releasing catecholamines from the adrenal medulla [
16]. Although in some ways, the effects of lobeline mirror those of amphetamine and methamphetamine (interacting with the DAT and VMAT-2 and increasing cytosolic and extracellular levels of dopamine), lobeline is not a DAT substrate like amphetamine or methamphetamine. Our findings suggest that the dopamine-releasing effects of lobeline are mediated primarily by its interaction with the VMAT-2.
Although lobeline and reserpine each increase the release of [
3H]dopamine, they have different effects when administered prior to methamphetamine. Pretreatment with lobeline decreased methamphetamine-induced [
3H]dopamine release, while pretreatment with reserpine increased methamphetamine-induced [
3H]dopamine release. Lobeline also binds to the DAT (unlike reserpine), but with a lower affinity (29 µM)[
11]. At low concentrations, lobeline may act through a mechanism similar to reserpine (co-administration of low concentrations of lobeline with methamphetamine slightly, but significantly increased [
3H]dopamine release ()). However, this small increase in released [
3H]dopamine may not be physiologically meaningful, as previous studies found that similarly low concentrations of lobeline actually inhibit amphetamine-induced dopamine efflux from rat striatal slices [
17]. At higher concentrations, lobeline may block [
3H]dopamine efflux through the DAT. Although the relatively high concentrations of lobeline required to achieve this effect may argue against its therapeutic use, results from
in vivo experiments suggest that the concentration of lobeline required to decrease methamphetamine self-administration may be in the low micromolar range [
7]. Another possibility is that lobeline blocks the interaction of methamphetamine with the VMAT-2 to decrease release of [
3H]dopamine. This latter possibility is unlikely, however, as pretreatment with reserpine enhanced methamphetamine-induced release of [
3H]dopamine, and pretreatment with dihydrotetrabenazine led to a similar increase in methamphetamine-induced [
3H]dopamine release [
13]. Thus, lobeline is unique in that it inhibits methamphetamine-induced [
3H]dopamine release, and also increases non-stimulated release of [
3H]dopamine. The latter mechanism involves its interaction with the VMAT-2, while the former effect is not a result of lobeline’s interaction with the VMAT-2, but perhaps is also due to interaction with the DAT. The low level of lobeline-induced [
3H]dopamine release may be sufficient to reduce methamphetamine craving. A similar mechanism is hypothesized to play a role in the effects of drugs like buproprion that are under consideration as anti-cocaine and anti-methamphetamine treatment medications [
18]. The [
3H]dopamine release caused by lobeline alone, contrasted with lobeline’s ability to inhibit methamphetamine-induced [
3H]dopamine release () suggests that lobeline’s actions are a combination of indirect releasing and blockade mechanisms. This pharmacological profile makes lobeline a potential and unique treatment for methamphetamine abuse.