PMID- 23932919 OWN - NLM STAT- MEDLINE DCOM- 20140715 LR - 20161125 IS - 1873-5177 (Electronic) IS - 0091-3057 (Linking) VI - 110 DP - 2013 Sep TI - Tesofensine induces appetite suppression and weight loss with reversal of low forebrain dopamine levels in the diet-induced obese rat. PG - 265-71 LID - S0091-3057(13)00186-X [pii] LID - 10.1016/j.pbb.2013.07.018 [doi] AB - Tesofensine is a triple monoamine reuptake inhibitor which inhibits noradrenaline, 5-HT and dopamine reuptake. Tesofensine is currently in clinical development for the treatment of obesity, however, the pharmacological basis for its strong and sustained effects in obesity management is not clarified. Tesofensine effectively induces appetite suppression in the diet-induced obese (DIO) rat partially being ascribed to an indirect stimulation of central dopamine receptor function subsequent to blocked dopamine transporter activity. This is interesting, as obese patients have reduced central dopaminergic activity thought to provide a drive for compensatory overeating, but whether treatment with an uptake inhibitor counteracts these changes or not has not been investigated. Tesofensine treatment (2.0 mg/kg/day for 14 days) caused a pronounced anorexigenic and weight-reducing response in DIO rats as compared to age-matched chow-fed rats. DIO rats also exhibited a marked reduction in baseline extracellular dopamine levels in the nucleus accumbens (NAcc) and prefrontal cortex (PFC), as compared to chow-fed rats using microdialysis. While acute administration of tesofensine (2.0 mg/kg) normalized accumbal dopamine levels in DIO rats, the drug had no effect on dopamine levels in chow-fed rats. Tesofensine evoked a stronger stimulatory response on NAcc and PFC dopamine levels in DIO rats, and also induced discrete changes in striatal dopamine D2 receptor expression and transporter binding. In conclusion, tesofensine produces weight loss together with reversal of lowered forebrain dopamine levels in DIO rats, suggesting that tesofensine's anti-obesity effects, at least in part, are associated with positive modulation of central dopaminergic activity. CI - (c) 2013 Elsevier Inc. All rights reserved. FAU - Hansen, Henrik H AU - Hansen HH AD - Department of Pharmacology, Neurosearch A/S, Pederstrupvej 93, DK-2750 Ballerup, Denmark. Electronic address: hbh@gubra.dk. FAU - Jensen, Majbrit M AU - Jensen MM FAU - Overgaard, Agnete AU - Overgaard A FAU - Weikop, Pia AU - Weikop P FAU - Mikkelsen, Jens D AU - Mikkelsen JD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130807 PL - United States TA - Pharmacol Biochem Behav JT - Pharmacology, biochemistry, and behavior JID - 0367050 RN - 0 (Appetite Depressants) RN - 0 (Bridged Bicyclo Compounds, Heterocyclic) RN - BLH9UKX9V1 (Tesofensine) RN - VTD58H1Z2X (Dopamine) SB - IM MH - Animals MH - Appetite/*drug effects MH - Appetite Depressants/*pharmacology MH - Bridged Bicyclo Compounds, Heterocyclic/*pharmacology MH - *Diet MH - Dopamine/*metabolism MH - In Situ Hybridization MH - Male MH - Obesity/*metabolism MH - Prosencephalon/*drug effects/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Weight Loss/*drug effects OTO - NOTNLM OT - Dopamine OT - Obesity OT - Prefrontal cortex OT - Striatum OT - Tesofensine OT - Weight loss EDAT- 2013/08/13 06:00 MHDA- 2014/07/16 06:00 CRDT- 2013/08/13 06:00 PHST- 2013/03/26 00:00 [received] PHST- 2013/07/15 00:00 [revised] PHST- 2013/07/26 00:00 [accepted] PHST- 2013/08/13 06:00 [entrez] PHST- 2013/08/13 06:00 [pubmed] PHST- 2014/07/16 06:00 [medline] AID - S0091-3057(13)00186-X [pii] AID - 10.1016/j.pbb.2013.07.018 [doi] PST - ppublish SO - Pharmacol Biochem Behav. 2013 Sep;110:265-71. doi: 10.1016/j.pbb.2013.07.018. Epub 2013 Aug 7.