Abstract
A novel approach for the treatment of substance use disorders (SUDs) is the use of biologics. Biologics include immunotherapies, such as vaccines or antibodies, as well as enzymes. These are usually large and complex molecules that do not cross the blood-brain barrier and do not have effects in the central nervous system (CNS). Biologics are investigated for the treatment of SUDs because they prevent the access of the drug of abuse to the brain and, thus, prevent their effect of brain reward systems. It is expected that over a period of treatment with biologics, they will help to produce an extinction of the brain mechanisms of drug dependence. SUDs are complex medical conditions that require multiple therapeutic approaches and the treatment with biologics may offer a new way to treat these disorders without directly affecting the brain. The purpose of this chapter is to provide a general overview of the current status of research with vaccines, antibodies, and enzymes for the treatment of SUDs.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Anton B, Leff P (2006) A novel bivalent morphine/heroin vaccine that prevents relapse to heroin addiction in rodents. Vaccine 24:3232–3240
Anton B, Salazar A, Flores A, Matus M, Marin R, Hernandez JA et al (2009) Vaccines against morphine/heroin and its use as effective medication for preventing relapse to opiate addictive behaviors. Hum Vaccine 5:214–229
Bonese KF, Wainer BH, Fitch FW, Rothberg RM, Schuster CR (1974) Changes in heroin self-administration by a rhesus monkey after morphine immunisation. Nature 252:708–710
Brimijoin S, Gao Y, Anker JJ, Gliddon LA, LaFleur D, Shah R et al (2008) A cocaine hydrolase engineered from human butyrylcholinesterase selectively blocks cocaine toxicity and reinstatement of drug seeking in rats. Neuropsychopharmacology 33:2715–2725
Carroll FI, Abraham P, Gong PK, Pidaparthi RR, Blough BE, Che Y et al (2009) The synthesis of haptens and their use for the development of monoclonal antibodies for treating methamphetamine abuse. J Med Chem 52:7301–7309
Carroll ME, Gao Y, Brimijoin S, Anker JJ (2011) Effects of cocaine hydrolase on cocaine self-administration under a PR schedule and during extended access (escalation) in rats. Psychopharmacology (Berl) 213:817–829
Celtic Pharma (2012a) Study of TA-NIC to assess the efficacy and safety of the vaccine as an aid to smoking cessation. http://clinicaltrials.gov/ct2/show/NCT00633321
Celtic Pharma (2012b) TA-NIC nicotine dependence. http://www.celticpharma.com/theportfolio/ta-nic.html
Collins GT1, Brim RL, Noon KR, Narasimhan D, Lukacs NW, Sunahara RK, Woods JH, Ko MC (2012) Repeated administration of a mutant cocaine esterase: effects on plasma cocaine levels, cocaine-induced cardiovascular activity, and immune responses in rhesus monkeys. J Pharmacol Exp Ther 342(1):205–213
Cytos Biotechnology (2012a) New clinical study started with the nicotine vaccine NIC002. http://www.cytos.com/userfiles/file/Cytos_Press_E_101105.pdf
Cytos Biotechnology (2012b) NIC002 (formerly CYT002-NicQb): a novel vaccine for nicotine addiction. http://www.cytos.com/doc/NIC002_Nicaddiction_Facts_August07.pdf
de Villiers SH, Lindblom N, Kalayanov G, Gordon S, Malmerfelt A, Johansson AM et al (2002) Active immunization against nicotine suppresses nicotine-induced dopamine release in the rat nucleus accumbens shell. Respiration 69:247–253
de Villiers SH, Lindblom N, Kalayanov G, Gordon S, Baraznenok I, Malmerfelt A et al (2010) Nicotine hapten structure, antibody selectivity and effect relationships: results from a nicotine vaccine screening procedure. Vaccine 28:2161–2168
Duryee MJ, Bevins RA, Reichel CM, Murray JE, Dong Y, Thiele GM et al (2009) Immune responses to methamphetamine by active immunization with peptide-based, molecular adjuvant-containing vaccines. Vaccine 27:2981–2988
Fox BS, Kantak KM, Edwards MA, Black KM, Bollinger BK, Botka AJ et al (1996) Efficacy of a therapeutic cocaine vaccine in rodent models. Nat Med 2:1129–1132
Gao Y, Orson FM, Kinsey B, Kosten T, Brimijoin S (2010) The concept of pharmacologic cocaine interception as a treatment for drug abuse. Chem Biol Interact 187:421–424
Gentry WB, Ruedi-Bettschen D, Owens SM (2009) Development of active and passive human vaccines to treat methamphetamine addiction. Hum Vaccine 5:206–213
Gentry WB, Ruedi-Bettschen D, Owens SM (2010) Anti-(+)-methamphetamine monoclonal antibody antagonists designed to prevent the progression of human diseases of addiction. Clin Pharmacol Ther 88:390–393
Godin CS, Shemesh-Davish L, Sklair-Tavron L, Rosenstock M (2012) TV-1380 (Albumin-Fused Mutated Bche) attenuates the cardiovascular and respiratory effects induced by cocaine in cynomolgus monkeys. http://www.avanzalaboratories.com/abstract/Teva%20Poster%20SOT%202010.pdf
Gorelick DA (2012) Pharmacokinetic strategies for treatment of drug overdose and addiction. Futur Med Chem 4:227–243
Gu F, Langer R, Farokhzad OC (2009) Formulation/preparation of functionalized nanoparticles for in vivo targeted drug delivery. Methods Mol Biol 544:589–598
Hatsukami DK, Jorenby DE, Gonzales D, Rigotti NA, Glover ED, Oncken CA et al (2011) Immunogenicity and smoking-cessation outcomes for a novel nicotine immunotherapeutic. Clin Pharmacol Ther 89:392–399
Hicks MJ, De BP, Rosenberg JB, Davidson JT, Moreno AY, Janda KD et al (2011) Cocaine analog coupled to disrupted adenovirus: a vaccine strategy to evoke high-titer immunity against addictive drugs. Mol Ther 19:612–619
Kantak KM (2003) Anti-cocaine vaccines: antibody protection against relapse. Expert Opin Pharmacother 4:213–218
Kinsey BM, Jackson DC, Orson FM (2009) Anti-drug vaccines to treat substance abuse. Immunol Cell Biol 87:309–314
Kinsey BM, Kosten TR, Orson FM (2010) Anti-cocaine vaccine development. Expert Rev Vaccines 9:1109–1114
Kosten TR, Rosen M, Bond J, Settles M, Roberts JS, Shields J et al (2002) Human therapeutic cocaine vaccine: safety and immunogenicity. Vaccine 20:1196–1204
Li QQ, Luo YX, Sun CY, Xue YX, Zhu WL, Shi HS et al (2011) A morphine/heroin vaccine with new hapten design attenuates behavioral effects in rats. J Neurochem 119:1271–1281
Martell BA, Mitchell E, Poling J, Gonsai K, Kosten TR (2005) Vaccine pharmacotherapy for the treatment of cocaine dependence. Biol Psychiatry 58:158–164
McCluskie MJ, Pryde DC, Gervais DP, Stead DR, Zhang N, Benoit M et al (2013) Enhancing immunogenicity of a 3′aminomethylnicotine-DT-conjugate anti-nicotine vaccine with CpG adjuvant in mice and non-human primates
McGee D, Godin S (2013) RBP-8000: A Dose Escalation Cocaine Interaction study in Male Sprague Dawley Rats. Abstract. http://www.smithersavanza.com/documents/Reckitt-Poster-Abstract-31-Oct-2013.pdf
Montoya ID, Vocci F (2008) Novel medications to treat addictive disorders. Curr Psychiatry Rep 10:392–398
Moreno AY, Mayorov AV, Janda KD (2011) Impact of distinct chemical structures for the development of a methamphetamine vaccine. J Am Chem Soc 133:6587–6595
Nabi Pharmaceuticals (2012) NicVAX® (Nicotine Conjugate Vaccine). http://www.nabi.com/pipeline/pipeline.php?id=3
Orson FM, Kinsey BM, Singh RA, Wu Y, Gardner T, Kosten TR (2008) Substance abuse vaccines. Ann N Y Acad Sci 1141:257–269
Peterson EC, Owens SM (2009) Designing immunotherapies to thwart drug abuse. Mol Interv 9:119–124
Pfizer at USB Global Life Sciences Conference – Edited Transcript. Thomson Reuters Streetevents. (http://www.pfizer.com/files/investors/presentations/public_ubs_transcript_092012.pdf). Accessed Sept 2012
Pravetoni M, Le NM, Harmon TM, Tucker AM, Portoghese PS, Pentel PR (2012) An oxycodone conjugate vaccine elicits drug-specific antibodies that reduce oxycodone distribution to brain and hot-plate analgesia. J Pharmacol Exp Ther 341:225–232
Pravetoni M, Le NM, Tucker AM, Harmon TM, Hawley TM, Portoghese PS et al (2013) Reduced antinociception of opioids in rats and mice by vaccination with immunogens containing oxycodone and hydrocodone haptens. J Med Chem 56:915–923
Selecta Biosciences (2012) Selecta biosciences initiates phase 1 clinical study of SEL-068, a first-in-class synthetic nicotine vaccine for smoking cessation and relapse prevention http://www.selectabio.com/news/recent-news/Selecta-Biosciences-Initiates-Phase-1-Clinical-Study-of-SEL-068.cfm
Stowe GN, Vendruscolo LF, Edwards S, Schlosburg JE, Misra KK, Schulteis G et al (2011) A vaccine strategy that induces protective immunity against heroin. J Med Chem 54:5195–5204
Tonstad S, Heggen E, Giljam H, Lagerbäck PÃ…, Tønnesen P, Wikingsson LD, Lindblom N, de Villiers S, Svensson TH, FagerstrÂm KO (2013) Niccine®, a nicotine vaccine, for relapse prevention: a phase II, randomized, placebo-controlled, multicenter clinical trial. Nicotine Tob Res 15(9):1492–1501
Treweek JB, Roberts AJ, Janda KD (2011) Immunopharmacotherapeutic manifolds and modulation of cocaine overdose. Pharmacol Biochem Behav 98:474–484
U.S. Food and Drug Administration (1999) Regulation of biological products. 42USC262 [On-line]. http://www.fda.gov/RegulatoryInformation/Legislation/ucm149278.htm
Unknown (2012) Swedish scientists working on Niccine, a vaccine to fight against http://healthvox.info/?p=33
Zheng F, Zhan CG (2009) Recent progress in protein drug design and discovery with a focus on novel approaches to the development of anti-cocaine medications. Futur Med Chem 1:515–528
Zheng F, Yang W, Ko MC, Liu J, Cho H, Gao D et al (2008) Most efficient cocaine hydrolase designed by virtual screening of transition states. J Am Chem Soc 130:12148–12155
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Italia
About this entry
Cite this entry
Montoya, I.D. (2015). Biologics (Vaccines, Antibodies, Enzymes) to Treat Drug Addictions. In: el-Guebaly, N., Carrà , G., Galanter, M. (eds) Textbook of Addiction Treatment: International Perspectives. Springer, Milano. https://doi.org/10.1007/978-88-470-5322-9_31
Download citation
DOI: https://doi.org/10.1007/978-88-470-5322-9_31
Published:
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5321-2
Online ISBN: 978-88-470-5322-9
eBook Packages: MedicineReference Module Medicine