Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice

Abstract The anti‐cocaine monoclonal antibody, h2E2, is a candidate for treating cocaine‐use disorder. h2E2 binds to and sequesters cocaine in the plasma compartment, effectively decreasing cocaine concentrations in the brains of rats and mice. Despite the binding of cocaine to h2E2, plasma cocaine...

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Main Authors: Mackenzie E. Turner, Hanna N. Wetzel, Dakota B. Zinani, Christopher A. Crutchfield, Andrew B. Norman
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Pharmacology Research & Perspectives
Online Access:https://doi.org/10.1002/prp2.1009
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author Mackenzie E. Turner
Hanna N. Wetzel
Dakota B. Zinani
Christopher A. Crutchfield
Andrew B. Norman
author_facet Mackenzie E. Turner
Hanna N. Wetzel
Dakota B. Zinani
Christopher A. Crutchfield
Andrew B. Norman
author_sort Mackenzie E. Turner
collection DOAJ
description Abstract The anti‐cocaine monoclonal antibody, h2E2, is a candidate for treating cocaine‐use disorder. h2E2 binds to and sequesters cocaine in the plasma compartment, effectively decreasing cocaine concentrations in the brains of rats and mice. Despite the binding of cocaine to h2E2, plasma cocaine concentrations decline rapidly in rodents over time, but there was a drastic decrease in the urinary elimination of cocaine in the presence of h2E2. Since cocaine is not being renally excreted, the apparent disappearance of cocaine from the plasma must be explained by either metabolism or distribution. However, binding of cocaine to h2E2 may restrict the availability of cocaine for hydrolysis by endogenous esterases. Therefore, the antibody would be expected to extend the elimination half‐life of cocaine. In contrast, previous studies reported h2E2 as having no effect on the rate of cocaine clearance. It is important to examine the ultimate clearance of the cocaine to ascertain its half‐life and potential for re‐intoxication. Therefore, we investigated the effects of h2E2 on cocaine hydrolysis in vitro and on cocaine metabolism and disposition in vivo over a 6‐h time course. The spontaneous and enzyme‐mediated in vitro hydrolysis of cocaine was drastically decreased in the presence of h2E2 in vitro. Additionally, in mice, h2E2 significantly increased the distribution and elimination half‐lives of cocaine relative to vehicle controls over an extended time course. Therefore, we concluded that h2E2 slowing the distribution and elimination of cocaine is the most appropriate explanation for the initial disappearance of cocaine from the plasma in vivo.
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spelling doaj.art-dee88af421da49db8c47c107362dd31d2022-12-22T04:13:05ZengWileyPharmacology Research & Perspectives2052-17072022-10-01105n/an/a10.1002/prp2.1009Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in miceMackenzie E. Turner0Hanna N. Wetzel1Dakota B. Zinani2Christopher A. Crutchfield3Andrew B. Norman4Department of Pharmacology & Systems Physiology, College of Medicine University of Cincinnati Cincinnati Ohio USADepartment of Pharmacology & Systems Physiology, College of Medicine University of Cincinnati Cincinnati Ohio USADepartment of Pharmacology & Systems Physiology, College of Medicine University of Cincinnati Cincinnati Ohio USADepartment of Pathology & Laboratory Medicine, College of Medicine University of Cincinnati Cincinnati Ohio USADepartment of Pharmacology & Systems Physiology, College of Medicine University of Cincinnati Cincinnati Ohio USAAbstract The anti‐cocaine monoclonal antibody, h2E2, is a candidate for treating cocaine‐use disorder. h2E2 binds to and sequesters cocaine in the plasma compartment, effectively decreasing cocaine concentrations in the brains of rats and mice. Despite the binding of cocaine to h2E2, plasma cocaine concentrations decline rapidly in rodents over time, but there was a drastic decrease in the urinary elimination of cocaine in the presence of h2E2. Since cocaine is not being renally excreted, the apparent disappearance of cocaine from the plasma must be explained by either metabolism or distribution. However, binding of cocaine to h2E2 may restrict the availability of cocaine for hydrolysis by endogenous esterases. Therefore, the antibody would be expected to extend the elimination half‐life of cocaine. In contrast, previous studies reported h2E2 as having no effect on the rate of cocaine clearance. It is important to examine the ultimate clearance of the cocaine to ascertain its half‐life and potential for re‐intoxication. Therefore, we investigated the effects of h2E2 on cocaine hydrolysis in vitro and on cocaine metabolism and disposition in vivo over a 6‐h time course. The spontaneous and enzyme‐mediated in vitro hydrolysis of cocaine was drastically decreased in the presence of h2E2 in vitro. Additionally, in mice, h2E2 significantly increased the distribution and elimination half‐lives of cocaine relative to vehicle controls over an extended time course. Therefore, we concluded that h2E2 slowing the distribution and elimination of cocaine is the most appropriate explanation for the initial disappearance of cocaine from the plasma in vivo.https://doi.org/10.1002/prp2.1009
spellingShingle Mackenzie E. Turner
Hanna N. Wetzel
Dakota B. Zinani
Christopher A. Crutchfield
Andrew B. Norman
Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
Pharmacology Research & Perspectives
title Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
title_full Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
title_fullStr Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
title_full_unstemmed Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
title_short Effects of a recombinant humanized anti‐cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
title_sort effects of a recombinant humanized anti cocaine monoclonal antibody on the metabolism and distribution of cocaine in vitro and in mice
url https://doi.org/10.1002/prp2.1009
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