Although substantial research effort has focused on developing pharmacological treatments for
cocaine abuse, no effective medications have been developed. Recent studies show that
enzymes that metabolize
cocaine in the periphery, forestalling its entry into the brain, can prevent
cocaine toxicity and its behavioral effects in rodents. Here we report on effects of one such
enzyme (Albu-CocH) on the pharmacokinetic and behavioral effects of
cocaine in squirrel monkeys. Albu-CocH was developed from successive mutations of human
butyrylcholinesterase (BChE) and has 1000-fold greater catalytic activity against
cocaine than naturally occurring BChE. Pharmacokinetic studies showed that Albu-CocH (5 mg/kg) had a half-life of 56.6 hours in squirrel monkeys. In these studies, plasma levels of
cocaine following i.v. 1 mg/kg
cocaine were reduced 2 hours after administration of Albu-CocH, whereas plasma levels of the
cocaine metabolite
ecgonine methyl ester were increased. These effects were still evident 72 hours following Albu-CocH administration. In behavioral experiments in monkeys, pre-treatment with 5 mg/kg Albu-CocH dramatically decreased
self-administration of a reinforcing dose of i.v.
cocaine (30 µg/kg/injection) for over 24 hours. Pre-treatment with 5 mg/kg Albu-CocH also attenuated the reinstatement of extinguished
cocaine self-administration by an i.v. priming injection of
cocaine (0.1 or 0.3 mg/kg) and, in separate studies, attenuated the discriminative-stimulus effects of
cocaine. The ability of Albu-CocH to attenuate the abuse-related effects of
cocaine in squirrel monkeys indicates that further investigation of BChE mutants as potential treatment for
cocaine abuse and toxicity is warranted.