Week 7 : Tobacco and Vaping Flashcards

1
Q

Basics of Tobacco

A

Only known natural source of nicotine

The plant belongs to the nightshade family (Solanaceae)

Nicontiana tabacum is cultivated widely all over the world

Originally cultivated and used in North and South America

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2
Q

History of Tobacco

A
  • Tobacco originates in south and north america. The spanish colonists were then given tobacco from the south American natives
  • Jean Nicot - a French Ambassador to Portugal became convinced of the medical usefulness of the tobacco plant

Presented the tobacco plant to the French royal family

The genus Nicotiana was named after him

Tobacco was widely used for “medicinal” purposes (eg. to help bruises)

  • The English were among the last to take up smoking
    By the end of the 16th century, the demand for tobacco began to worry some

In 1604 King James I published A Counterblaste to Tobacco
Refuted claims for medical benefits of smoking

This early work anticipated many of the modern criticisms of smoking

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3
Q

King James 1 On Smoking

A

It affects the “inward parts of men, soiling and infecting them, with an unctuous and oily kind of Soote, as hath bene found in some great Tobacco takers, that after their death were opened”.

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4
Q

Tobacco in North America

A

Colonists began cultivating tobacco in a last effort before quitting

Hugely successful
By 1720, Virginia tobacco was the primary source for England

Primary reason for slave labour in North America

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5
Q

Smoking and Snuffing and chewing

A

Smoking had been the most popular method of tobacco use in Europe

Snuffing was popular for a time, particularly among clergy
Not outlawed in churches
Easy to hide from disapproving parishioners

Tobacco chewing was an American export
First observed as a habit of native people
Never popular in Europe

Following the Revolutionary War, the new United States deliberately rejected European habits and fashions

Snuff was rejected, tobacco chewing was adopted with patriotic zeal
Chewing was democratic, snuff was aristocratic

Westward expansion brought chewing tobacco with it

Baseball players use of chewing tobacco popularized it
Still common today

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6
Q

Cigarettes

A

Early explorers noted that “Mexican Indians” smoked tobacco through reeds

A small percentage of people in Spain and Portugal smoked cigarettes throughout the next couple of centuries

In 1840, cigarette smoking become very popular in France
– Mostly among French ladies
– Enthusiasm women showed led to general acceptance

About the same time in North Carolina, flue-cured, or “bright” tobacco was discovered
Stephen, a slave on the plantation of Abisha Slade, credited with discovery
Heat cured with charcoal, rather than smoked
More mild taste and aroma, perfect for cigarettes
Perfect for arid, infertile soil

Cigarette smoking skyrocketed

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7
Q

Smoking in the 60’s and 70’s

A

In 1964, the US Surgeon General’s Report linked smoking to cancer and other diseases

In 1971, the Royal College of Physicians of London published a similar report

Smoking has declined among adults in developed nations

Smoking has increased dramatically in developing nations

During this time there was a rapid increase in cig smoking in developing countries but it plateud in industrial countries

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8
Q

By the mid 2020’s around …. of smokers will be in developing countries

A

85%

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9
Q

Neurophysiology of Smoking/vaping aka nicotine

A

*Nicotine acts on the nicotinic acetylcholine receptor (nAChR)
*
*Located in both PNS and CNS
*
*In the PNS, they are located at neuromuscular junctions and control voluntary muscle action
*Blocked by curare, a poison used on dart and arrow tips by some South American tribes
*Blocks the ability of nerves to cause muscle contractions
*Causes paralysis and death by asphyxiation (diaphragm can’t function)

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10
Q

Self-administration of cigarettes in nonhumans

A
  • people argue about what the addictive aspect of cigarettes are as unlike with many addictive substances, non-humans don’t self administer them

it is notoriously difficult to get lab animals to self-administer nicotine
*Some question whether nicotine is a reinforcer at all
*Very narrow range of reinforcing doses
*
*Presence of conditioned stimuli that have been paired with nicotine is critical

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11
Q

Dual reinforcement model

A

*Proposed by Caggiula and colleagues
*Suggests that nicotine
1. is a primary reinforcer
2.enhances the reinforcing value of other stimuli

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12
Q

Other components of cigarettes besides nicotine contribute to addiction - Brennan et al., 2015

A

*Brennan et al. (2015)
*Tested whether rats found nicotine, cigarette tobacco particulate matter, or roll-your-own particulate matter more reinforcing
*Used a self administration and progressive ratio paradigm

*Nicotine = TPM < Roll your own

*iNcotine by itself does not support a lot of behaviour
*It’s probably not that reinforcing

*Nicotine is mixed in with a lot of other ingredients in cigarettes

*Could these other aspects contribute to tobacco addiction?

*Roll your own tobacco has a higher proportion of MAO inhibitors
*Inhibit the breakdown of monoamine neurotransmitters, including dopamine

*More MAOIs, more dopamine

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13
Q

Besheer et al. (2004) - nicotine and conditioned responses

A

*Two treatment conditions
*Saline
*Nicotine
*Rats received free sucrose presentations when nicotine was on board
*No rewards when injected with saline
*
*Will rats learn a conditioned response during nicotine sessions?

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14
Q

Bauld et al. (2017)

A

*Surveyed over 60,000 youth ages 11-16 for cigarette and e-cigarette use
*Included 3 different group designations
*Never smoked
*Ever smoked
*Regular smoked (weekly)
*
*Never e-cigarette use
*Ever e-cigarette use
*Regular e-cigarette use (weekly)
Regular smokers and have smoked = higher vaping rates
those who have ever vaped = higher risk for smoking
BUT the people who smoke are more likely to vape at a greater level than those who vape to then smoke (so vaping is not likely causing smoking!)

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15
Q

What nicotinereceptors are most studied and widely spread throughout the brain ?

A

A7 and A4B2

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16
Q

Why do people worry that Vapes are a gateway to cigarette smoking?

A

*Because e-cigarettes are being increasingly used by teens, some worry that they are a gateway to cigarette smoking

17
Q

Nicotine Withdrawal symptoms

A

Women > Men (worse symptoms)
Anxiety, irritability, frustration, drop in heart rate, difficulty concentrating, increased apetite and weight gain, restleness, cigarette cravings
can also induce depression and dysphoria particularly in people with a prior history of depression

Lasts for about 8 weeks

18
Q

Two theories of self-administration in humans

A

Two theories
*Constant blood level theory
*Nicotine bolus theory

19
Q

Harmful effects of smoking

A
  • cancers in the head, neck, lungs, blood (leukamia), stomach, kidney, pancreas, colon, bladder, cervix
  • chronic disease eg. stroke, blindness, gum infection, aortic rupture, heart disease, pneumonia, hardening of the arteries, chronic lung disease and asthma, reduced fertility, hip fractures etc
20
Q

Desensitisation of nicotine receptor

A

Desensitization of the nicotinic receptor is triggered by prolonged or repeated exposure to agonists and results in inactivation of its ion channel.

21
Q

Constant blood level theory

A

*Suggests that smokers will adjust their smoking behaviour to maintain a more or less constant level of nicotine in the blood
*Smokers change their puffing depending on the level of nicotine in the cigarette
*Smokers change their puffing over the course of the cigarette
*Smokers smoke first thing in the morning
*
*But…
*Not too good at titrating blood level
*Nicotine replacement therapy is not as effective as one would assume

22
Q

Self-administration of Nicotine in humans

A

*Nicotine is a reinforcer in human smokers
*They are sensitive to changes in concentration and can work to change doses
*The change in blood-nicotine levels responsible for this is not clear
*
*Two theories
*Constant blood level theory
*Nicotine bolus theory

23
Q

Effects of nicotine on performance

A

*Largely inconsistent results over the years
*Poor experimental design
*No control for nicotine withdrawal effects
*No placebo smoking condition

24
Q

Are Vapes healthy?

A

*Too early to definitively say
*
*They are much healthier than cigarettes (95% less harmful)
*Used by many as a smoking cessation aid
*Unclear whether they are helpful-seem to be
*Because they are not burned and smoked they avoid many of the health risks of cigarettes
*
*Due to the huge increases in teen use, many studies are looking at potential adverse effects

*Many potentially harmful effects have been identified
*Inflammation
*Impaired organ development and function
*Risk of cancer due to gene expression changes
*Hypertension
*Cardiovascular effects
*Immunosuppression
*Acute toxicity
*Asthma
*Reduced wound-healing ability
*
*Some of these effects are due to the nicotine content, some to other content
*Research is still relatively scarce

and they EXPLODE

25
Q

Chronic effect on the behaviour and performance of humans

A

*Smokers have lower levels of psychological well-being than non-smokers
*Mood worsens following quitting, but then improves to better than it was during smoking

26
Q

nAChRs in the CNS for Nicotine

A

nAChRs in the CNS are;
*Found throughout the brain
*Participate in a variety of brain functions
*
*Ionotropic receptors
*Comprised of 5 subunits
*
*When activated, allow Na+ and K+ to pass through
*Create an excitatory post synaptic potential

27
Q

E-cigarettes in New Zealand

A

*Estimated around 100,000 – 200,000 across the country
*
*Government legalising e-cigarettes
*Hopes to help with the Smoke Free New Zealand 2025 initiative
*
*E-cigarettes will be restricted and regulated
*Only available for 18+
*Use prohibited indoors
*Restricted advertising

28
Q

Nicotine as a conditioned stimulus

A

*People engage in other reinforcing activities while smoking
*
*Perhaps the subjective effects of nicotine become associated with other stimuli
*

29
Q

Caggiula et al. (2001)

A

Nicotine infusions that are self-administered (contingent) or response-independent (noncontingent) increase lever pressing for a reinforcing nonpharmacological stimulus in rats, suggesting that in addition to primary reinforcement, nicotine self-administration may result from nicotine enhancing the reinforcement derived from nonnicotine stimuli.
Materials and methods
The rats lever pressed for a visual stimulus with contingent nicotine, noncontingent nicotine, or contingent saline. Separate groups responded for saline or nicotine without the visual stimulus. Three doses of nicotine (0.01, 0.03, and 0.09 mg/kg per infusion, free base) were tested in a between-groups design. After responding on an escalating fixed ratio reinforcement schedule, the rats were tested on a progressive ratio schedule.
Results
Compared to responding for the visual stimulus with saline, both contingent and noncontingent nicotine equally elevated lever pressing for the stimulus at each dose on fixed and progressive ratio schedules. In the absence of the stimulus, only the highest nicotine dose sustained self-administration.

Study was to see if administration of nicotine in non-humans (rats) was cue driven. So trained with a light to cue the nicotine, then when there was no cue (a test trial) found a big drop in selfadministration

30
Q

Clemens et al. (2009)

A

*4 groups
*Saline
*Saline + alkaloid cocktail
*Nicotine
*Nicotine + alkaloid cocktail
*
*Tested rats on self-administration and progressive ratio
*Found higher responses for nicotine + alkaloid coctail

*Some of these alkaloids (nornicotine, anabasine, cotinine) increase DA release in striatum
*
*The cocktail increases the reinforcing efficacy of nicotine?
*
*What about humans?

31
Q

Nicotine bolus theory

A

*Sudden high concentration of nicotine in the brain enhances its reinforcing effect and increases pleasure
*Accounts for the addictive nature of smoking, but not other means of nicotine administration
*
*The kinetics of nAChRs supports this model
*A bolus of nicotine followed by a concentration decrease could activate nAChRs and then return them to their basal state before densensitization
*
*But…
There is no spike in nicotine concentration with each puff

32
Q

Heishman et al. (2010) - meta-anlysis

A

*concluded based on a meta-analysis of carefully-controlled studies
*Fine motor abilities – improves performance
*Alerting attention – improves both accuracy and speed of attention
*Orienting attention – did not improve accuracy, but improved speed
*Short term and long term episodic memory – improves short term, but not long term
*Working memory – no effect, improved response times (targeting AcH receprots and cognitive function

33
Q

Vaping and E-cigs

A

*E-cigarettes
*Heat a liquid (e-liquid) until it vapourises
*Person inhales the vapour
*The e-liquid contains many chemicals
*Nicotine, flavours, catalysing agents (glycerol, propylene glycol), others
*Many of the same toxic agents as in cigarettes
* Tend to be at much lower levels
* Some new toxic agents (metals) found
* Unclear how chemicals combine when vapourised
*Just now beginning to be regulated and studied

34
Q

Acute effect on the behaviour and performance of humans

A

*Many people report that smoking is a pleasurable experience
*Pure nicotine is reinforcing to smokers, but not to non-smokers (Henningfield et al., 1985)

35
Q

Non-nicotine factors

A

*Stimuli that are associated with smoking can acquire reinforcing properties
*
*These stimuli may be important in maintaining smoking and in relapse
*
*Some taste and tactile aspects of smoking may also be important in the reinforcing effects of smoking

36
Q

Rose et al. (2010)

A

*Trained participants (smokers) to self-administer
*Denicotinized puffs + IV nicotine
*Denic puffs + IV saline
*Sham puffs (filter blocked smoke) + IV nicotine
*Sham puffs + IV saline
*
*Then gave them a choice between
*IV saline
*IV nicotine
*Denic puffs
*Sham puffs

37
Q
A