β_lactam antibiotics against drug addiction: A novel therapeutic option

Drug Dev Res. 2023 Nov;84(7):1411-1426. doi: 10.1002/ddr.22110. Epub 2023 Aug 21.

Abstract

Drug addiction as a problem for the health of the individual and the society is the result of a complex process in which there is an interaction between brain nuclei and neurotransmitters (such as glutamate). β-lactam antibiotics, due to their enhancing properties on the glutamate transporter glutamate transporter-1, can affect and counteract the addictive mechanisms of drugs through the regulation of extracellular glutamate. Since glutamate is a key neurotransmitter in the development of drug addiction, it seems that β-lactams can be considered as a promising treatment for addiction. However, more research in this field is necessary to identify other mechanisms involved in their effectiveness. This article is a review of the studies conducted on the effect of β-lactam administration in preventing the development of drug addiction, as well as their possible cellular and molecular mechanisms. This review suggests the clinical use of β-lactam antibiotics that have weak antimicrobial properties (such as clavulanic acid) in the treatment of drug dependence.

Keywords: EAAT2; addiction; beta-lactam; dependence; tolerance; withdrawal.

Publication types

  • Review

MeSH terms

  • Amino Acid Transport System X-AG
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Glutamates
  • Humans
  • Monobactams
  • Substance-Related Disorders* / drug therapy
  • beta-Lactams* / pharmacology
  • beta-Lactams* / therapeutic use

Substances

  • beta-Lactams
  • Monobactams
  • Anti-Bacterial Agents
  • Amino Acid Transport System X-AG
  • Glutamates