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The Contribution of cocoa additive to cigarette smoking addiction

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Page 118 <strong>of</strong> 207 RIVM report 650270002<br />

Tryptamine<br />

available on respira<strong>to</strong>ry interaction effects via inhalation.<br />

Conclusion<br />

Chemical<br />

Tryptamine can react with several compounds, such as aldehydes and ke<strong>to</strong>nes.<br />

In vivo<br />

Tryptamine derivatives seem <strong>to</strong> affect the monoamine oxidase system and the<br />

CYP2A6 enzym. <strong>The</strong> contribution <strong>of</strong> tryptamine in <strong>cigarette</strong> <strong>smoking</strong> with respect <strong>to</strong><br />

these mechanisms can not be established from available data and need <strong>to</strong> be studied.<br />

DEPENDENCY<br />

It is suggested that tryptamine is seen as allosteric regula<strong>to</strong>r <strong>of</strong> sero<strong>to</strong>nin recep<strong>to</strong>rs.<br />

<strong>The</strong> modula<strong>to</strong>ry effects <strong>of</strong> tryptamine are mediated either directly at presynaptic<br />

and/or postsynaptic tryptamine binding sites <strong>of</strong> sero<strong>to</strong>nin neurons or by inducing<br />

allosteric changes at sero<strong>to</strong>nin recep<strong>to</strong>rs (12). Several studies have shown some<br />

relationship between nicotine or <strong>to</strong>bacco dependency and sero<strong>to</strong>nin activity in the<br />

brain (49-52). <strong>The</strong> tryptamine affected sero<strong>to</strong>nin activity may implicate that<br />

tryptamine could play a role in the <strong>to</strong>bacco dependency process.<br />

On the other hand, the craving qualities <strong>of</strong> chocolate have been thoroughly reviewed<br />

and the conclusion seems <strong>to</strong> be that the pharmacological active compounds in <strong>cocoa</strong><br />

do not contribute <strong>to</strong> chocolate craving (53).<br />

Effects on <strong>smoking</strong> cessation<br />

CYP2A6 is the principle enzyme metabolizing nicotine <strong>to</strong> its metabolite cotinine.<br />

Tryptamine is specific and relatively selective for CYP2A6 and it is suggested that is<br />

may be useful in vivo <strong>to</strong> decrease <strong>smoking</strong> by inhibiting nicotine metabolism (48).<br />

Critical assessment<br />

<strong>The</strong> regulation <strong>of</strong> the sero<strong>to</strong>ninergic system in the brain by tryptamine and the role <strong>of</strong><br />

this system in the <strong>to</strong>bacco dependency seems <strong>to</strong> indicate that tryptamine may has a<br />

role in the <strong>to</strong>bacco dependency process. From literature on chocolate craving, it<br />

seems that pharmacological active compounds does not contribute <strong>to</strong> chocolate<br />

craving.<br />

Conclusion<br />

Sero<strong>to</strong>nin (which is regulated in the brain by tryptamine) plays a role in the nicotine<br />

dependency. It is not clear how the natural amount <strong>of</strong> tryptamine from <strong>to</strong>bacco<br />

(which is probably lower than the endogenous amount in the body) may contribute <strong>to</strong><br />

the process <strong>of</strong> <strong>addiction</strong>. <strong>The</strong> longterm effects <strong>of</strong> tryptamine and its interaction effects<br />

with other agents in the <strong>cigarette</strong> smoke on the pulmonary system and in the <strong>to</strong>bacco<br />

<strong>addiction</strong> process are not known and need <strong>to</strong> be studied.<br />

COMMERCIAL USE<br />

Tryptamine is used as a raw material for the synthesis <strong>of</strong> the vasodila<strong>to</strong>r and<br />

antihypertensive, vincamine (54).<br />

BENEFICIAL EFFECTS<br />

Tryptamine is an endogenous neuroactive metabolite <strong>of</strong> tryp<strong>to</strong>phan. Tryptamine is a

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