Neurokinin-1 receptor antagonist rolapitant suppresses anxiety and alcohol intake produced by repeated withdrawal episodes

FEBS J. 2022 Aug;289(16):5021-5029. doi: 10.1111/febs.16400. Epub 2022 Feb 27.

Abstract

Neurokinin-1 receptor (NK1r) antagonists have been shown to suppress operant self-administration of alcohol, voluntary alcohol consumption and stress-induced reinstatement of alcohol-seeking behaviour. Considering the long half-life and anxiolytic-like properties of NK1r antagonist rolapitant, we expected that it may be an effective option for reducing anxiety and alcohol motivation during early withdrawal. Voluntary alcohol intake (two-bottles paradigm) was recorded in male Wistar rats during the three periods: 24 days (basal level), 6-day period when rats received 5 mg·kg-1 rolapitant or vehicle and 12-h period after repeated withdrawal episodes (alcohol cessation for 36 h). We found that upon intraperitoneal (i.p.) administration, rolapitant rapidly penetrated into specific rat brain regions - amygdala, hypothalamus and neocortex - implicated in the control of anxiety and reward. Rolapitant did not affect basal voluntary alcohol intake, but significantly suppressed anxiety-like behaviour and alcohol consumption following withdrawal episodes. Our findings suggest that rolapitant should be further investigated as a novel treatment option for relapse prevention in alcohol-dependent patients.

Keywords: alcohol consumption; anxiety; neurokinin-1 receptor; rolapitant; withdrawal.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcohol Drinking* / adverse effects
  • Alcohol Drinking* / drug therapy
  • Animals
  • Anxiety / drug therapy
  • Ethanol
  • Male
  • Neurokinin-1 Receptor Antagonists* / pharmacology
  • Rats
  • Rats, Wistar
  • Spiro Compounds

Substances

  • Neurokinin-1 Receptor Antagonists
  • Spiro Compounds
  • Ethanol
  • rolapitant