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1.
J Pharmacol Exp Ther ; 342(1): 205-13, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22518021

ABSTRACT

Previous studies have demonstrated the capacity of a long-acting mutant form of a naturally occurring bacterial double mutant cocaine esterase (DM CocE) to antagonize the reinforcing, discriminative, convulsant, and lethal effects of cocaine in rodents and reverse the increases in mean arterial pressure (MAP) and heart rate (HR) produced by cocaine in rhesus monkeys. This study was aimed at characterizing the immunologic responses to repeated dosing with DM CocE and determining whether the development of anti-CocE antibodies altered the capacity of DM CocE to reduce plasma cocaine levels and ameliorate the cardiovascular effects of cocaine in rhesus monkeys. Under control conditions, intravenous administration of cocaine (3 mg/kg) resulted in a rapid increase in the plasma concentration of cocaine (n = 2) and long-lasting increases in MAP and HR (n = 3). Administration of DM CocE (0.32 mg/kg i.v.) 10 min after cocaine resulted in a rapid hydrolysis of cocaine with plasma levels below detection limits within 5 to 8 min. Elevations in MAP and HR were significantly reduced within 25 and 50 min of DM CocE administration, respectively. Although slight (10-fold) increases in anti-CocE antibodies were observed after the fourth administration of DM CocE, these antibodies did not alter the capacity of DM CocE to reduce plasma cocaine levels or ameliorate cocaine's cardiovascular effects. Anti-CocE titers were transient and generally dissipated within 8 weeks. Together, these results suggest that highly efficient cocaine esterases, such as DM CocE, may provide a novel and effective therapeutic for the treatment of acute cocaine intoxication in humans.


Subject(s)
Carboxylic Ester Hydrolases/administration & dosage , Carboxylic Ester Hydrolases/immunology , Cardiovascular System/drug effects , Cocaine/administration & dosage , Cocaine/immunology , Animals , Antibody Formation/drug effects , Blood Pressure/drug effects , Body Temperature/drug effects , Cocaine/blood , Female , Heart Rate/drug effects , Hydrolysis/drug effects , Macaca mulatta , Male , Motor Activity/drug effects
2.
Future Med Chem ; 4(2): 137-50, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22300094

ABSTRACT

Cocaine is highly addictive and there are no pharmacotherapeutic drugs available to treat acute cocaine toxicity or chronic abuse. Antagonizing an inhibitor such as cocaine using a small molecule has proven difficult. The alternative approach is to modify cocaine's pharmacokinetic properties by sequestering or hydrolyzing it in serum and limiting access to its sites of action. We took advantage of a bacterial esterase (CocE) that has evolved to hydrolyze cocaine and have developed it as a therapeutic that rapidly and specifically clears cocaine from the subject. Native enzyme was unstable at 37°C, thus limiting CocE's potential. Innovative computational methods based on the protein's structure helped elucidate its mechanism of destabilization. Novel protein engineering methodologies were applied to substantially improve its stability in vitro and in vivo. These improvements rendered CocE as a powerful and efficacious therapeutic to treat cocaine intoxication and lead the way towards developing a therapy for addiction.


Subject(s)
Bacteria/enzymology , Carboxylic Ester Hydrolases/metabolism , Cocaine-Related Disorders/enzymology , Drug Overdose , Animals , Butyrylcholinesterase/metabolism , Cocaine/metabolism , Cocaine-Related Disorders/therapy , Enzyme Stability , Humans , Hydrolysis , Mice , Vaccines/therapeutic use
3.
Neuropsychopharmacology ; 37(5): 1092-103, 2012 Apr.
Article in English | MEDLINE | ID: mdl-21993206

ABSTRACT

Recent mutagenesis studies have identified a mutant G4C/S10C/T172R/G173Q cocaine esterase (CCRQ CocE) with an in vitro duration of action of >40 days. Although the in vivo duration of CCRQ CocE's action was <24 h, modification of this enzyme with polyethylene glycol (PEG) polymers resulted in a CocE (PEG-CCRQ CocE) capable of preventing cocaine-induced lethality for up to 72 h. The current studies were aimed at providing a detailed characterization of the effectiveness, selectivity, and duration of PEG-CCRQ CocE's actions in cocaine self-administration and discrimination assays in rats. Pretreatment with PEG-CCRQ CocE produced dose-dependent rightward shifts in the dose-response curves for cocaine self-administration and discrimination, with the highest dose of PEG-CCRQ CocE capable of producing an initial shift of cocaine's reinforcing and interoceptive effects of >30-fold to the right, with significant inhibition of these effects observed for up to 72 h. Although PEG-CCRQ CocE also produced slight reductions in the rates of methylphenidate- and food-reinforced responding, these effects were short-lived, lasting <24 h. Finally, when taken together with the finding that PEG-CCRQ CocE failed to alter the cocaine-like interoceptive effects of either methylphenidate or d-amphetamine, these results suggest that PEG-CCRQ CocE possesses a high degree of pharmacologic specificity for cocaine and a prolonged in vivo duration of action. In conclusion, these studies provide strong evidence to support the further development of long-lasting, highly efficient CocEs, such as PEG-CCRQ CocE, as a potential therapeutic option for the treatment of cocaine abuse in humans.


Subject(s)
Carboxylic Ester Hydrolases/pharmacology , Cocaine/pharmacology , Conditioning, Operant/drug effects , Discrimination, Psychological/drug effects , Dopamine Uptake Inhibitors/pharmacology , Reinforcement, Psychology , Animals , Dose-Response Relationship, Drug , Drug Interactions , Food Preferences/drug effects , Injections, Intraperitoneal , Ketamine/pharmacology , Male , Methylphenidate/pharmacology , Rats , Rats, Sprague-Dawley , Reinforcement Schedule , Self Administration , Sucrose/administration & dosage , Sweetening Agents/administration & dosage , Time Factors
4.
Mol Pharmacol ; 80(6): 1056-65, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21890748

ABSTRACT

No small-molecule therapeutic is available to treat cocaine addiction, but enzyme-based therapy to accelerate cocaine hydrolysis in serum has gained momentum. Bacterial cocaine esterase (CocE) is the fastest known native enzyme that hydrolyzes cocaine. However, its lability at 37°C has limited its therapeutic potential. Cross-linking subunits through disulfide bridging is commonly used to stabilize multimeric enzymes. Herein we use structural methods to guide the introduction of two cysteine residues within dimer interface of CocE to facilitate intermolecular disulfide bond formation. The disulfide-crosslinked enzyme displays improved thermostability, particularly when combined with previously described mutations that enhance stability (T172R-G173Q). The newly modified enzyme yielded an extremely stable form of CocE (CCRQ-CocE) that retained greater than 90% of its activity after 41 days at 37°C, representing an improvement of more than 4700-fold over the wild-type enzyme. CCRQ-CocE could also be modified by polyethylene glycol (PEG) polymers, which improved its in vivo residence time from 24 to 72 h, as measured by a cocaine lethality assay, by self-administration in rodents, and by measurement of inhibition of cocaine-induced cardiovascular effects in rhesus monkeys. PEG-CCRQ elicited negligible immune response in rodents. Subunit stabilization and PEGylation has thus produced a potential protein therapeutic with markedly higher stability both in vitro and in vivo.


Subject(s)
Bacterial Proteins/metabolism , Carboxylic Ester Hydrolases/metabolism , Polyethylene Glycols/metabolism , Animals , Cocaine/administration & dosage , Crystallography, X-Ray , Dose-Response Relationship, Drug , Enzyme Stability/drug effects , Macaca mulatta , Mice , Protein Stability/drug effects , Protein Subunits/metabolism , Rats , Self Administration
5.
Mol Pharmacol ; 80(6): 1119-27, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21885621

ABSTRACT

Cocaine toxicity is a widespread problem in the United States, responsible for more than 500,000 emergency department visits a year. There is currently no U.S. Food and Drug Administration-approved pharmacotherapy to directly treat cocaine toxicity. To this end, we have developed a mutant bacterial cocaine esterase (DM-CocE), which has been previously shown to rapidly hydrolyze cocaine into inert metabolites, preventing and reversing toxicity with limited immunogenic potential. Herein we describe the ability of DM-CocE to hydrolyze the active cocaine metabolites norcocaine and cocaethylene and its inability to hydrolyze benzoylecgonine. DM-CocE hydrolyzes norcocaine and cocaethylene with 58 and 45% of its catalytic efficiency for cocaine in vitro as measured by a spectrophotometric assay. We have developed a mass spectrometry method to simultaneously detect cocaine, benzoylecgonine, norcocaine, and ecgonine methyl ester to quantify the effect of DM-CocE on normal cocaine metabolism in vivo. DM-CocE administered to rats 10 min after a convulsant dose of cocaine alters the normal metabolism of cocaine, rapidly decreasing circulating levels of cocaine and norcocaine while increasing ecgonine methyl ester formation. Benzoylecgonine was not hydrolyzed in vivo, but circulating concentrations were reduced, suggesting that DM-CocE may bind and sequester this metabolite. These findings suggest that DM-CocE may reduce cocaine toxicity by eliminating active and toxic metabolites along with the parent cocaine molecule.


Subject(s)
Bacterial Proteins/metabolism , Carboxylic Ester Hydrolases/metabolism , Cocaine/metabolism , Tandem Mass Spectrometry/methods , Animals , Bacterial Proteins/chemistry , Carboxylic Ester Hydrolases/chemistry , Chromatography, High Pressure Liquid/methods , Cocaine/analogs & derivatives , Cocaine/chemistry , Hydrolysis , Male , Rats , Rats, Sprague-Dawley , Rhodococcus/enzymology
6.
Drug Alcohol Depend ; 119(3): 224-8, 2011 Dec 15.
Article in English | MEDLINE | ID: mdl-21775073

ABSTRACT

BACKGROUND: Cocaine toxicity is a prevalent problem in the Unites States for which there is currently no FDA-approved pharmacotherapy. We have developed a bacterial cocaine esterase (CocE) towards this indication. A thermostabilized mutant of CocE (DM-CocE) retains the hydrolytic activity of the wild-type esterase, rapidly hydrolyzing cocaine into the inactive metabolites ecgonine methyl ester and benzoic acid, and can prevent cocaine toxicities in rodent and non-human primate models. To advance DM-CocE towards clinical use, we examine here how the hydrolytic activity of DM-CocE is altered by some drugs commonly co-administered with cocaine. METHODS: We employed a spectrophotometric cocaine hydrolysis assay to evaluate whether pharmacologically relevant doses of alcohol, nicotine, morphine, phencyclidine, ketamine, methamphetamine, naltrexone, naloxone, or midazolam would alter the Michaelis-Menten kinetics of DM-CocE for cocaine. Mass spectrometry was used to evaluate interaction with diazepam as this drug interferes with the absorbance spectra of cocaine critical for the spectrophotometric assay. RESULTS: Alcohol, nicotine, morphine, phencyclidine, ketamine, methamphetamine, naltrexone, naloxone, and midazolam did not alter cocaine hydrolysis by DM-CocE. However, diazepam significantly slowed DM-CocE cocaine hydrolysis at very high concentrations, most likely through interaction of the phenyl ring of the benzodiazepine with the active site of DM-CocE. CONCLUSIONS: DM-CocE does not display significant drug interactions, with the exception of diazepam, which may warrant further study as DM-CocE progresses towards a clinically used pharmacotherapy for cocaine toxicity. Alternate benzodiazepines, e.g., midazolam could be used to avoid this potential interaction.


Subject(s)
Bacterial Proteins/metabolism , Carboxylic Ester Hydrolases/metabolism , Cocaine/metabolism , Mutation/physiology , Pharmaceutical Preparations/metabolism , Cocaine/analysis , Diazepam/analysis , Diazepam/metabolism , Drug Evaluation, Preclinical , Drug Interactions/physiology , Hydrolysis , Mass Spectrometry/methods , Pharmaceutical Preparations/analysis
7.
Drug Alcohol Depend ; 118(2-3): 158-65, 2011 Nov 01.
Article in English | MEDLINE | ID: mdl-21481548

ABSTRACT

BACKGROUND: A longer acting, double mutant bacterial cocaine esterase (CocE T172R/G173Q; DM CocE) has been shown to protect mice from cocaine-induced lethality, inhibit the reinforcing effects of cocaine in rats, and reverse cocaine's cardiovascular effects in rhesus monkeys. The current studies evaluated the effectiveness of DM CocE to protect against, and reverse cocaine's cardiovascular, convulsant, and lethal effects in male and female rats. METHODS: Pretreatment studies were used to determine the effectiveness and in vivo duration of action for DM CocE to protect rats against the occurrence of cardiovascular changes, convulsion and lethality associated with acute cocaine toxicity. Posttreatment studies were used to evaluate the capacity of DM CocE to rescue rats from the cardiovascular and lethal effects of large doses of cocaine. In addition, male and female rats were studied to determine if there were any potential effects of sex on the capacity of DM CocE to protect against, or reverse acute cocaine toxicity in rats. RESULTS: Pretreatment with DM CocE dose-dependently protected rats against cocaine-induced cardiovascular changes, convulsion and lethality, with higher doses active for up to 4h, and shifting cocaine-induced lethality at least 10-fold to the right. In addition to dose-dependently recovering rats from an otherwise lethal dose of cocaine, post-treatment with DM CocE also reversed the cardiovascular effects of cocaine. There were no sex-related differences in the effectiveness of DM CocE to protect against, or reverse acute cocaine toxicity. CONCLUSIONS: Together, these results support the development of DM CocE for the treatment of acute cocaine toxicity.


Subject(s)
Carboxylic Ester Hydrolases/therapeutic use , Cocaine-Related Disorders/drug therapy , Cocaine/poisoning , Seizures/drug therapy , Animals , Carboxylic Ester Hydrolases/genetics , Carboxylic Ester Hydrolases/metabolism , Cocaine-Related Disorders/genetics , Cocaine-Related Disorders/metabolism , Dose-Response Relationship, Drug , Female , Male , Rats , Rats, Sprague-Dawley , Reinforcement, Psychology , Seizures/chemically induced , Seizures/metabolism
8.
Neuropsychopharmacology ; 36(5): 1047-59, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21289605

ABSTRACT

A long-acting mutant form of a naturally occurring bacterial cocaine esterase (T172R/G173Q CocE; double mutant CocE (DM CocE)) has previously been shown to antagonize the reinforcing, convulsant, and lethal effects of cocaine in rodents. However, the effectiveness and therapeutic characteristics of DM CocE in nonhuman primates, in a more clinically relevant context, are unknown. The current studies were aimed at (1) characterizing the cardiovascular effects of cocaine in freely moving rhesus monkeys, (2) evaluating the capacity of DM CocE to ameliorate these cocaine-induced cardiovascular effects when administered 10 min after cocaine, and (3) assessing the immunological responses of monkeys to DM CocE following repeated administration. Intravenous administration of cocaine produced dose-dependent increases in mean arterial pressure (MAP) and heart rate (HR) that persisted throughout the 2-h observation period following a dose of 3.2 mg/kg cocaine. Cocaine failed to produce reliable changes in electrocardiograph (ECG) parameters, body temperature, and locomotor activity. DM CocE produced a rapid and dose-dependent amelioration of the cardiovascular effects, with saline-like MAP measures restored within 5-10 min, and saline-like HR measures restored within 20-40 min of DM CocE administration. Although administration of DM CocE produced increases in anti-CocE antibodies, they did not appear to have a neutralizing effect on the capacity of DM CocE to reverse the cardiovascular effects of cocaine. In conclusion, these findings in monkeys provide strong evidence to suggest that highly efficient cocaine esterases, such as DM CocE, can provide a potential therapeutic option for treatment of acute cocaine intoxication in humans.


Subject(s)
Carboxylic Ester Hydrolases/genetics , Cardiovascular System/drug effects , Cocaine/pharmacology , Dopamine Uptake Inhibitors/pharmacology , Mutation/genetics , Recombinant Proteins/genetics , Analysis of Variance , Animals , Blood Pressure/drug effects , Body Temperature/drug effects , Carboxylic Ester Hydrolases/metabolism , Dose-Response Relationship, Drug , Electrocardiography/methods , Enzyme-Linked Immunosorbent Assay/methods , Female , Heart Rate/drug effects , Injections, Intravenous/methods , Macaca mulatta , Male , Motor Activity/drug effects , Recombinant Proteins/metabolism
9.
Protein Eng Des Sel ; 23(7): 537-47, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20436035

ABSTRACT

Cocaine is considered to be the most addictive of all substances of abuse and mediates its effects by inhibiting monoamine transporters, primarily the dopamine transporters. There are currently no small molecules that can be used to combat its toxic and addictive properties, in part because of the difficulty of developing compounds that inhibit cocaine binding without having intrinsic effects on dopamine transport. Most of the effective cocaine inhibitors also display addictive properties. We have recently reported the use of cocaine esterase (CocE) to accelerate the removal of systemic cocaine and to prevent cocaine-induced lethality. However, wild-type CocE is relatively unstable at physiological temperatures (tau(1/2) approximately 13 min at 37 degrees C), presenting challenges for its development as a viable therapeutic agent. We applied computational approaches to predict mutations to stabilize CocE and showed that several of these have increased stability both in vitro and in vivo, with the most efficacious mutant (T172R/G173Q) extending half-life up to 370 min. Here we present novel X-ray crystallographic data on these mutants that provide a plausible model for the observed enhanced stability. We also more extensively characterize the previously reported variants and report on a new stabilizing mutant, L169K. The improved stability of these engineered CocE enzymes will have a profound influence on the use of this protein to combat cocaine-induced toxicity and addiction in humans.


Subject(s)
Carboxylic Ester Hydrolases/chemistry , Cocaine/metabolism , Molecular Dynamics Simulation , Mutagenesis, Site-Directed/methods , Bacterial Proteins/chemistry , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Carboxylic Ester Hydrolases/genetics , Carboxylic Ester Hydrolases/metabolism , Cocaine-Related Disorders , Crystallography, X-Ray , Enzyme Stability , Escherichia coli/genetics , Kinetics , Protein Conformation , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Rhodococcus/enzymology , Rhodococcus/genetics , Temperature
10.
Mol Pharmacol ; 77(4): 593-600, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20086035

ABSTRACT

Rhodococcal cocaine esterase (CocE) is an attractive potential treatment for both cocaine overdose and cocaine addiction. CocE directly degrades cocaine into inactive products, whereas traditional small-molecule approaches require blockade of the inhibitory action of cocaine on a diverse array of monoamine transporters and ion channels. The usefulness of wild-type (wt) cocaine esterase is hampered by its inactivation at 37 degrees C. Herein, we characterize the most thermostable form of this enzyme to date, CocE-L169K/G173Q. In vitro kinetic analyses reveal that CocE-L169K/G173Q displays a half-life of 2.9 days at 37 degrees C, which represents a 340-fold improvement over wt and is 15-fold greater than previously reported mutants. Crystallographic analyses of CocE-L169K/G173Q, determined at 1.6-A resolution, suggest that stabilization involves enhanced domain-domain interactions involving van der Waals interactions and hydrogen bonding. In vivo rodent studies reveal that intravenous pretreatment with CocE-L169K/G173Q in mice provides protection from cocaine-induced lethality for longer time periods before cocaine administration than wt CocE. Furthermore, intravenous administration (pretreatment) of CocE-L169K/G173Q prevents self-administration of cocaine in a time-dependent manner. Termination of the in vivo effects of CoCE seems to be dependent on, but not proportional to, its clearance from plasma as its half-life is approximately 2.3 h and similar to that of wt CocE (2.2 h). Taken together these data suggest that CocE-L169K/G173Q possesses many of the properties of a biological therapeutic for treating cocaine abuse but requires additional development to improve its serum half-life.


Subject(s)
Carboxylic Ester Hydrolases/therapeutic use , Cocaine-Related Disorders/drug therapy , Rhodococcus/enzymology , Animals , Carboxylic Ester Hydrolases/chemistry , Carboxylic Ester Hydrolases/pharmacokinetics , Crystallography , Enzyme Stability , Half-Life , Male , Mice , Rats , Rats, Sprague-Dawley , Reinforcement, Psychology , Temperature
11.
Drug Alcohol Depend ; 106(2-3): 219-29, 2010 Jan 15.
Article in English | MEDLINE | ID: mdl-19800183

ABSTRACT

The present study is the first to utilize bacterial cocaine esterase (CocE) to increase elimination of a lethal dose of cocaine and evaluate its cardioprotective effects. Rats received one of 5 treatments: CocE 1 min after saline; CocE 1 min after a lethal i.p. dose of cocaine; saline 1 min after a lethal i.p. dose of cocaine; CocE immediately after observing a cocaine-induced convulsion; and CocE 1 min after observing a cocaine-induced convulsion. Measures were taken of ECG, blood pressure, and cardiac troponin I (cTnI). The specificity of CocE against cocaine was determined by evaluating its actions against the cocaine analogue, WIN-35,065-2, which lacks an ester attack point for CocE. In addition, CocE's effects were compared with those of midazolam, a benzodiazepine often used to manage cocaine overdose. Whereas CocE alone had negligible cardiovascular effects, it blocked or reversed cocaine-induced QRS complex widening, increased QTc interval, ST elevation, bradycardia, and hypertension. When administered 1 min after cocaine, CocE inhibited myocardial damage; however, administered 1 min after a cocaine-induced convulsion (approximately 40s before cocaine-induced death), CocE did not block cTnI release, but did restore cardiac function. Midazolam blocked convulsions, but exhibited inadequate protection against cocaine-induced cardiotoxicity. The majority of rats given cocaine plus midazolam died. CocE did not prevent the lethal cardiovascular effects of WIN-35,065-2. In all likelihood, CocE rapidly and specifically reduced the body burden of cocaine and inhibited or reversed the cardiovascular consequences of high-dose cocaine. These results support CocE as a potential therapeutic avenue in cocaine overdose.


Subject(s)
Carboxylic Ester Hydrolases/therapeutic use , Cardiotonic Agents/therapeutic use , Cardiovascular Diseases/prevention & control , Cocaine-Related Disorders/drug therapy , Cocaine/antagonists & inhibitors , Cocaine/pharmacology , Animals , Blood Pressure/drug effects , Carboxylic Ester Hydrolases/administration & dosage , Cardiotonic Agents/administration & dosage , Cardiovascular Diseases/etiology , Catheters, Indwelling , Cocaine-Related Disorders/complications , Heart Rate/drug effects , Hypotension/etiology , Male , Rats , Rats, Sprague-Dawley , Seizures/chemically induced , Seizures/prevention & control , Telemetry
12.
J Pharmacol Exp Ther ; 331(2): 445-55, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19710369

ABSTRACT

Cocaine esterase (CocE) is a naturally occurring bacterial enzyme, is a very efficient protein catalyst for the hydrolysis of cocaine, and has previously been shown to protect rodents from the lethal effects of cocaine. The current studies were aimed at evaluating the capacity of a longer acting mutant form (CocE T172R/G173Q; DM CocE) of CocE to protect against the lethal effects of cocaine, and alter ongoing intravenous cocaine self-administration in rats. A dose-response analysis revealed a dose-dependent suppression of cocaine-reinforced responding with 1.0 mg of CocE T172R/G173Q producing saline-like rates of responding. The effects of 1.0 mg of CocE T172R/G173Q on cocaine-reinforced responding were then compared with responding when saline was available for injection, whereas the selectivity of CocE T172R/G173Q's effects was assessed by evaluating the effects of 1.0 mg of CocE T172R/G173Q on (-)-2beta-carbomethoxy-3beta-phenyltropane (WIN-35065-2)- and food-reinforced responding. Although 1.0 mg of CocE T172R/G173Q suppressed responding maintained by 0.1 mg/kg/injection cocaine, a significant increase in responding was observed when responding was maintained by 1.0 mg/kg/injection cocaine, resulting in a 10-fold rightward shift in the dose-response curve for cocaine self-administration at a dose that did not significantly alter responding maintained by either WIN-35065-2 or food. These findings demonstrate that a long-acting form of CocE is effective at abruptly reducing the ongoing self-administration of low doses of cocaine, and provides a robust antagonism of cocaine's reinforcing effects. Furthermore, these studies provide strong evidence for the potential usefulness of a suitable, stable, and long-acting form of CocE as a pharmacotherapy for cocaine abuse in humans.


Subject(s)
Carboxylic Ester Hydrolases/metabolism , Cocaine-Related Disorders/drug therapy , Cocaine-Related Disorders/psychology , Cocaine/antagonists & inhibitors , Cocaine/toxicity , Dopamine Uptake Inhibitors/antagonists & inhibitors , Dopamine Uptake Inhibitors/toxicity , Substance Abuse, Intravenous/drug therapy , Substance Abuse, Intravenous/psychology , Animals , Conditioning, Operant/drug effects , Dose-Response Relationship, Drug , Male , Rats , Rats, Sprague-Dawley , Seizures/chemically induced , Seizures/prevention & control , Self Administration
13.
Drug Alcohol Depend ; 101(3): 202-9, 2009 May 01.
Article in English | MEDLINE | ID: mdl-19217723

ABSTRACT

BACKGROUND: A bacterial cocaine esterase (CocE) produces robust protection and reversal of cocaine toxicity. The aim of this study was to investigate how effectiveness of CocE was changed following its repeated administration together with cocaine. METHODS: Cocaine toxicity was quantified by measuring the occurrence of convulsions and lethality in mice. Immunologic responses of CocE were determined using ELISA. In the protection experiment, i.v. CocE 0.3mg was given 1min before a lethal dose of i.p. cocaine 180mg/kg. In the rescue experiment, i.v. CocE 0.3mg was given 1min after the occurrence of convulsions elicited by i.p. cocaine 100mg/kg. In both treatment paradigms, four trials were conducted in the same animals with a 2-week interval. RESULTS: CocE retained its effectiveness to protect or rescue mice during the first two trials and these mice did not show an immune response. In contrast, CocE's effectiveness was gradually reduced in the last two trials, accompanied by 10- and 100-fold increases in anti-CocE antibody titers. Nevertheless, effectiveness of CocE could be partially recovered by increasing the dose of CocE. In addition, escalating the dose of CocE from the minimum effective dose for repeated administration could also retain CocE's effectiveness longer and slow the production of anti-CocE antibodies. CONCLUSIONS: These results indicate that CocE is a weak antigen and it can maintain its protective and rescuing ability initially against cocaine-induced toxicity. Decreased effectiveness of CocE following repeated use can be partially improved by adjusting the dose and frequency of CocE treatment.


Subject(s)
Carboxylic Ester Hydrolases/pharmacology , Cocaine-Related Disorders/drug therapy , Cocaine/administration & dosage , Cocaine/metabolism , Animals , Antibodies/blood , Antibody Specificity , Carboxylic Ester Hydrolases/therapeutic use , Cocaine/immunology , Cocaine/toxicity , Enzyme-Linked Immunosorbent Assay , Humans , Male , Mice , Posture , Seizures/chemically induced , Seizures/prevention & control
14.
Mol Pharmacol ; 75(2): 318-23, 2009 Feb.
Article in English | MEDLINE | ID: mdl-18987161

ABSTRACT

Enhancing cocaine metabolism by administration of cocaine esterase (CocE) has been recognized as a promising treatment strategy for cocaine overdose and addiction, because CocE is the most efficient native enzyme for metabolizing the naturally occurring cocaine yet identified. A major obstacle to the clinical application of CocE is the thermoinstability of native CocE with a half-life of only a few minutes at physiological temperature (37 degrees C). Here we report thermostable variants of CocE developed through rational design using a novel computational approach followed by in vitro and in vivo studies. This integrated computational-experimental effort has yielded a CocE variant with a approximately 30-fold increase in plasma half-life both in vitro and in vivo. The novel design strategy can be used to develop thermostable mutants of any protein.


Subject(s)
Carboxylic Ester Hydrolases/therapeutic use , Cocaine-Related Disorders/drug therapy , Cocaine/metabolism , Animals , Carboxylic Ester Hydrolases/metabolism , Cocaine/administration & dosage , Cocaine/toxicity , Cocaine-Related Disorders/complications , Disease Models, Animal , Drug Design , Drug Overdose , Male , Mice , Structure-Activity Relationship , Substrate Specificity
15.
Ann Emerg Med ; 54(3): 409-20, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19013687

ABSTRACT

STUDY OBJECTIVE: Cocaine toxicity results in cardiovascular complications, seizures, and death and accounts for approximately 20% of drug-related emergency department visits every year. Presently, there are no treatments to eliminate the toxic effects of cocaine. The present study hypothesizes that a bacterial cocaine esterase with high catalytic efficiency would provide rapid and robust protection from cocaine-induced convulsions, epileptogenic activity, and lethality. METHODS: Cocaine-induced paroxysmal activity and convulsions were evaluated in rats surgically implanted with radiotelemetry devices (N=6 per treatment group). Cocaine esterase was administered 1 minute after a lethal dose of cocaine or after cocaine-induced convulsions to determine the ability of the enzyme to prevent or reverse, respectively, the effects of cocaine. RESULTS: The cocaine esterase prevented all cocaine-induced electroencephalographic changes and lethality. This effect was specific for cocaine because the esterase did not prevent convulsions and death induced by a cocaine analog, (-)-2beta-carbomethoxy-3beta-phenyltropane. The esterase prevented lethality even after cocaine-induced convulsions occurred. In contrast, the short-acting benzodiazepine, midazolam, prevented cocaine-induced convulsions but not the lethal effects of cocaine. CONCLUSION: The data showed that cocaine esterase successfully degraded circulating cocaine to prevent lethality and that cocaine-induced convulsions alone are not responsible for the lethal effects of cocaine in this model. Therefore, further investigation into the use of cocaine esterase for treating cocaine overdose and its toxic effects is warranted.


Subject(s)
Anticonvulsants/therapeutic use , Carboxylic Ester Hydrolases/therapeutic use , Cocaine-Related Disorders/drug therapy , Cocaine/toxicity , Seizures/chemically induced , Seizures/prevention & control , Animals , Bacteria/enzymology , Cocaine/analogs & derivatives , Cocaine-Related Disorders/mortality , Disease Models, Animal , Electroencephalography/drug effects , Hypnotics and Sedatives/therapeutic use , Male , Midazolam/therapeutic use , Rats , Rats, Sprague-Dawley , Seizures/mortality , Treatment Outcome
16.
J Pharmacol Exp Ther ; 320(2): 926-33, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17114567

ABSTRACT

Cocaine esterase (CocE) is the most efficient protein catalyst for the hydrolysis of cocaine characterized to date. The aim of this study was to investigate the in vivo potency of CocE in blocking cocaine-induced toxicity in the mouse and to assess CocE's potential immunogenicity. Cocaine toxicity was quantified by measuring the occurrence of convulsions and lethality. Intravenous administration of CocE (0.1-1 mg) 1 min before cocaine administration produced dose-dependent rightward shifts of the dose-response curve for cocaine toxicity. More important, i.v. CocE (0.1-1 mg), given 1 min after the occurrence of cocaine-induced convulsions, shortened the recovery time after the convulsions and saved the mice from subsequent death. Effects of repeated exposures to CocE were evaluated by measuring anti-CocE antibody titers and the protective effects of i.v. CocE (0.32 mg) against toxicity elicited by i.p. cocaine (320 mg/kg) (i.e., 0-17% occurrence of convulsions and lethality). CocE retained its potency against cocaine toxicity in mice after a single prior CocE exposure (0.1-1 mg), and these mice did not show an immune response. CocE retained similar effectiveness in mice after three prior CocE exposures (0.1-1 mg/week for 3 weeks), although these mice displayed 10-fold higher antibody titers. CocE partially lost effectiveness (i.e., 33-50% occurrence of convulsions and lethality) in mice with four prior exposures to CocE (0.1-1 mg/2 week for four times), and these mice displayed approximately 100-fold higher antibody titers. These results suggest that CocE produces robust protection and reversal of cocaine toxicity, indicating CocE's therapeutic potential for acute cocaine toxicity. Repeated CocE exposures may increase its immunogenicity and partially reduce its protective ability.


Subject(s)
Carboxylic Ester Hydrolases/immunology , Carboxylic Ester Hydrolases/pharmacology , Cocaine/toxicity , Animals , Antibodies/blood , Dose-Response Relationship, Drug , Male , Mice , Seizures/chemically induced , Time Factors
17.
Mol Pharmacol ; 70(6): 1885-91, 2006 Dec.
Article in English | MEDLINE | ID: mdl-16968810

ABSTRACT

There is no approved means to prevent the toxic actions of cocaine. Cocaine esterase (CocE) is found in a rhodococcal strain of bacteria that grows in the rhizosphere soil around the coca plant and has been found to hydrolyze cocaine in vitro. The esteratic activity of CocE (0.1-1.0 mg, i.v.) was characterized and confirmed in vivo by assessing its ability to prevent cocaine-induced convulsions and lethality in the rat. The therapeutic efficiency of the enzyme was demonstrated by the increasing dose of cocaine (100-1000 mg/kg, i.p.) required to produce toxic effects after a single intravenous injection of CocE. The enzyme demonstrated rapid kinetics for cocaine degradation in rat and human serum. Two catalytically inactive mutants of CocE (S117A or Y44F) failed to protect rats from the toxic effects of cocaine, confirming the protective effects are due to hydrolytic activity. However, butyrylcholinesterase, an endogenous cocaine-hydrolyzing enzyme, was inactive (1.3-13 mg, i.v.) in this rat toxicity procedure. Furthermore, CocE did not block the lethality of WIN-35065-2 (560 mg/kg, i.p.), a cocaine analog that lacks the benzoyl ester moiety targeted by CocE. This characterization of CocE provides preliminary evidence that the enzyme could serve as a suitable antidote to cocaine toxicity in humans.


Subject(s)
Bacteria/enzymology , Carboxylic Ester Hydrolases/pharmacology , Cocaine/toxicity , Animals , Butyrylcholinesterase/pharmacology , Chromatography, High Pressure Liquid , Cocaine/analogs & derivatives , Cocaine/antagonists & inhibitors , Cocaine/metabolism , Cocaine/pharmacology , Humans , Hydrolysis , Male , Rats , Rats, Sprague-Dawley , Spectrometry, Mass, Electrospray Ionization
18.
Biochim Biophys Acta ; 1576(3): 298-305, 2002 Jul 19.
Article in English | MEDLINE | ID: mdl-12084576

ABSTRACT

The replication (Rep) proteins of adeno-associated virus (AAV) play prominent roles in regulation of viral DNA replication, RNA transcription, assembly of an infectious virion and establishment of the provirus. We have previously demonstrated that all four Rep proteins are phosphorylated on serine residues [Virology 23 (1997) 332-336]. Reversible phosphorylation may provide a mechanism for regulating Rep protein function. To test this hypothesis, we used the phosphatase inhibitor okadaic acid (OA) to obtain hyper-phosphorylated Rep proteins. OA treatment of AAV- and adenovirus (Ad)-infected cells and baculovirus-infected insect cells at a concentration of 100 nM resulted in a significant increase in Rep protein phosphorylation. This concentration suggests that protein phosphatase 2A (PP2A) is one of the enzymes involved in regulation of Rep phosphorylation. The increased phosphorylation occurred primarily on serine residues with a detectable amount of phosphate on threonine. Hyper-phosphorylation of Rep78 resulted in reduced binding to the AAV origin of DNA replication. Hyper-phosphorylated Rep78 also had diminished helicase activity. These results suggest that regulated phosphorylation of Rep78 plays a role in controlling Rep functions in the virus replication cycle.


Subject(s)
DNA Helicases/metabolism , DNA-Binding Proteins/metabolism , Terminal Repeat Sequences , Viral Proteins/metabolism , Cell Line , DNA Helicases/antagonists & inhibitors , DNA-Binding Proteins/antagonists & inhibitors , Enzyme Inhibitors/metabolism , Humans , Okadaic Acid/metabolism , Phosphorylation , Protein Binding , Viral Proteins/antagonists & inhibitors
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