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Publication : Activation of AMPK by metformin improves withdrawal signs precipitated by nicotine withdrawal.

First Author  Brynildsen JK Year  2018
Journal  Proc Natl Acad Sci U S A Volume  115
Issue  16 Pages  4282-4287
PubMed ID  29610348 Mgi Jnum  J:261386
Mgi Id  MGI:6154467 Doi  10.1073/pnas.1707047115
Citation  Brynildsen JK, et al. (2018) Activation of AMPK by metformin improves withdrawal signs precipitated by nicotine withdrawal. Proc Natl Acad Sci U S A 115(16):4282-4287
abstractText  Cigarette smoking is the leading cause of preventable disease and death in the United States, with more persons dying from nicotine addiction than any other preventable cause of death. Even though smoking cessation incurs multiple health benefits, the abstinence rate remains low with current medications. Here we show that the AMP-activated protein kinase (AMPK) pathway in the hippocampus is activated following chronic nicotine use, an effect that is rapidly reversed by nicotine withdrawal. Increasing pAMPK levels and, consequently, downstream AMPK signaling pharmacologically attenuate anxiety-like behavior following nicotine withdrawal. We show that metformin, a known AMPK activator in the periphery, reduces withdrawal symptoms through a mechanism dependent on the presence of the AMPKalpha subunits within the hippocampus. This study provides evidence of a direct effect of AMPK modulation on nicotine withdrawal symptoms and suggests central AMPK activation as a therapeutic target for smoking cessation.
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