The Contribution of cocoa additive to cigarette smoking addiction

The Contribution of cocoa additive to cigarette smoking addiction The Contribution of cocoa additive to cigarette smoking addiction

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Page 112 of 207 RIVM report 650270002 Tryptamine rate, whilst the pure depressor response was accompanied by a decrease in heart rate. Tryptamine, injected centrally, causes both increases and decreases in arterial blood pressure and heart rate. The pressor response to tryptamine results from the activation of central noncholinergic, methysergide-sensitive, receptor sites and the depressor response to tryptamine may be due to a centrally induced reduction in sympathetic nervous activity. It is tentatively suggested that tryptamine participates in the physiological regulation of the cardiovascular system of the rat, as both a central excitatory and inhibitory regulator (20). Tryptamine produces pharmacological effects in man that are similar to those produced by LSD and other tryptamine derivatives. The cardiovascular effect is tachycardia (19). Renal system diuresis: no data available saluresis: no data available Nervous system central nervous system: It is proposed that tryptamine induces behavioural effect as a result of antagonism of central serotonin systems. It has been shown that serotonin antagonists blocked the certain tryptamine mediated effects, suggesting the possibility of serotonin receptormediated tryptamine responses (12). Tryptamine produces pharmacological effects in man which are similar to those produced by LSD and other tryptamine derivatives. The CNS effects are behavioral changes and hallucinations (19). The effects of intraperitoneal administration of tryptamine to rats pretreated with iproniazid, on the acquisition of an unsignalled one-way active avoidance task, were examined. Tryptamine at 2.5 and 5 mg/kg significantly increased the number of trials required to perform this task. The iproniazid pretreatment had no affect on acquisition, or any other performance variable, of the task. The acquisition deficit induced by tryptamine may involve a direct stimulation of central serotonin receptors since it was not induced by systemically administered serotonin. This effect was reversed by the serotonin antagonists methysergide and metergoline, but was not affected by depletion of brain serotonin, with p-chlorophenylalanine, or by the dopamine antagonist haloperidol (21). Tryptamine given via intracerebroventricular (i.c.v.) injection to mice produced a significant hypothermia at a dosage above 1 µg. The hypothermic effect of tryptamine was inhibited by methysergide whereas ketanserin and p-chlorophenylalanine did not affect it. That study demonstrated that the hypothermia induced by tryptamine i.c.v. was produced by direct activation of the 5-HT1 receptor (22). Tryptamine induces serotonin syndrome (head weaving and hindlimb abduction) and head twitch in mice through induction of the serotonin (5- HT1 and 5-HT2) receptors in the brain (23). When tryptamine was injected (2 – 16 µg/dose) into the paraventricular nucleus of the hypothalamus after pre-treatment with a monoamineoxidase inhibitor or with serotonin, it induced an anorectic effect. This effect may be due to a prolongation of the activity of serotonin resulting from tryptamine competing with serotonin for the same reuptake system (24). autonomic system: No data available Other Tryptamine has been shown to increase a dose-related plasma glucagon level of mice,

RIVM report 650270002 Page 113 of 207 Tryptamine which is mediated by the peripheral serotonin (5-HT2) receptor (25). Another study showed a tryptamine induced apparent increase of serum insulin level in mice, mediated also by the same serotonin receptor (16). Critical assessment Tryptamine is a neurotransmitter or a modulator of neurotransmission. Tryptamine produces pharmacological effects in man that are similar to LSD and other tryptamine derivatives. Such effects are tachypnea, tachycardia, behavioral changes and hallucinations. Experiments with rats showed that tryptamine evoke effects, which are related with the serotonin receptors. It has a biphasic effect on the arterial tone, induces acquisition deficits, hypothermia and anorectic effect and affected the glucose plasma level. The tryptamine dose used to show these effects were in the range of 1 µg (i.c.v.) (22) and 5 mg/kg body weight (ipr.) (21). However, no data are available on tryptamine pharmacological effects by respiratory studies. It is not clear whether the estimated potential tryptamine dose in cigarette (1000 µg/day) exerts any respiratory effects, as only data are available via other routes. Conclusion No conclusion can be made whether the tryptamine dose in cigarettes is high enough to exert any systemic pharmacological effects. The (longterm) effects of tryptamine or its pyrolysis/combustion products on the pulmonary system are unknown and need further study. PHARMACOKINETICS Absorption No data are available on absorption through the respiratory and gastrointestinal system. Bioavailability No data are available on the oral and respiratory bioavailability. Oral tryptamine administration seems to be inactive, due to deamination by monoamine oxidase (26). Distribution Tryptamine is found in the brain, liver, kidney and other tissues (12). Human platelets show an active and saturable uptake of serotonin and tryptamine. The uptake of both substrates appears to be mediated by the same carrier (27). metabolism The major route of catabolism for tryptamine is one of enzymatic inactivation. Sequentional action by monoamine oxidase and aldehyde dehydrogenase results into formation to indole-3-acetic acid (IAA) via indole acetaldehyde. It has been shown that this pathway produces 70 % of IAA. A minor portion of the aldehyde is reduced to indole-3-ethanolamine by aldehyde reductase. N-methyltransferase, has been shown to exist in human brain, lung and blood and is linked to the formation of hallucinogenic N-methyl and N,N-dimethyl derivatives of tryptamine. In addition to methylation of tryptamine, this enzyme is also linked to the formation of harmalan derivatives (a condensed product of tryptamine with aldehydes) (12). Tryptamine metabolism is sensitive to changes in brain tryptophan. This is especially apparent

RIVM report 650270002 Page 113 <strong>of</strong> 207<br />

Tryptamine<br />

which is mediated by the peripheral sero<strong>to</strong>nin (5-HT2) recep<strong>to</strong>r (25). Another study<br />

showed a tryptamine induced apparent increase <strong>of</strong> serum insulin level in mice,<br />

mediated also by the same sero<strong>to</strong>nin recep<strong>to</strong>r (16).<br />

Critical assessment<br />

Tryptamine is a neurotransmitter or a modula<strong>to</strong>r <strong>of</strong> neurotransmission. Tryptamine<br />

produces pharmacological effects in man that are similar <strong>to</strong> LSD and other tryptamine<br />

derivatives. Such effects are tachypnea, tachycardia, behavioral changes and<br />

hallucinations. Experiments with rats showed that tryptamine evoke effects, which<br />

are related with the sero<strong>to</strong>nin recep<strong>to</strong>rs. It has a biphasic effect on the arterial <strong>to</strong>ne,<br />

induces acquisition deficits, hypothermia and anorectic effect and affected the<br />

glucose plasma level. <strong>The</strong> tryptamine dose used <strong>to</strong> show these effects were in the<br />

range <strong>of</strong> 1 µg (i.c.v.) (22) and 5 mg/kg body weight (ipr.) (21). However, no data are<br />

available on tryptamine pharmacological effects by respira<strong>to</strong>ry studies. It is not clear<br />

whether the estimated potential tryptamine dose in <strong>cigarette</strong> (1000 µg/day) exerts any<br />

respira<strong>to</strong>ry effects, as only data are available via other routes.<br />

Conclusion<br />

No conclusion can be made whether the tryptamine dose in <strong>cigarette</strong>s is high enough<br />

<strong>to</strong> exert any systemic pharmacological effects. <strong>The</strong> (longterm) effects <strong>of</strong> tryptamine<br />

or its pyrolysis/combustion products on the pulmonary system are unknown and need<br />

further study.<br />

PHARMACOKINETICS<br />

Absorption<br />

No data are available on absorption through the respira<strong>to</strong>ry and gastrointestinal<br />

system.<br />

Bioavailability<br />

No data are available on the oral and respira<strong>to</strong>ry bioavailability.<br />

Oral tryptamine administration seems <strong>to</strong> be inactive, due <strong>to</strong> deamination by<br />

monoamine oxidase (26).<br />

Distribution<br />

Tryptamine is found in the brain, liver, kidney and other tissues (12).<br />

Human platelets show an active and saturable uptake <strong>of</strong> sero<strong>to</strong>nin and tryptamine.<br />

<strong>The</strong> uptake <strong>of</strong> both substrates appears <strong>to</strong> be mediated by the same carrier (27).<br />

metabolism<br />

<strong>The</strong> major route <strong>of</strong> catabolism for tryptamine is one <strong>of</strong> enzymatic inactivation.<br />

Sequentional action by monoamine oxidase and aldehyde dehydrogenase results in<strong>to</strong><br />

formation <strong>to</strong> indole-3-acetic acid (IAA) via indole acetaldehyde. It has been shown<br />

that this pathway produces 70 % <strong>of</strong> IAA. A minor portion <strong>of</strong> the aldehyde is reduced<br />

<strong>to</strong> indole-3-ethanolamine by aldehyde reductase. N-methyltransferase, has been<br />

shown <strong>to</strong> exist in human brain, lung and blood and is linked <strong>to</strong> the formation <strong>of</strong><br />

hallucinogenic N-methyl and N,N-dimethyl derivatives <strong>of</strong> tryptamine. In addition <strong>to</strong><br />

methylation <strong>of</strong> tryptamine, this enzyme is also linked <strong>to</strong> the formation <strong>of</strong> harmalan<br />

derivatives (a condensed product <strong>of</strong> tryptamine with aldehydes) (12). Tryptamine<br />

metabolism is sensitive <strong>to</strong> changes in brain tryp<strong>to</strong>phan. This is especially apparent

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