Sex-related differences in the efficacy of Baclofen enantiomers on
alcohol drinking and dopamine release in the core of the nucleus
accumbens
Abstract
Background and Purpose. Clinical studies on the effectiveness of
Baclofen in alcohol use disorder (AUD) yielded mixed results possibly
because of differential effects of the enantiomers and sex-related
differences. Here we examined the effect of the different enantiomers on
ethanol intake and on evoked dopamine release in the nucleus accumbens
(NAcc), in both male and female Long Evans rats. Experimental Approach.
Fifteen rats from each sex were trained to chronically self-administer
20% ethanol solution in daily 15min sessions and were treated with the
different enantiomers (RS(±), R(+) and S(-)). Key Results.
RS(±)-Baclofen and R(+)-Baclofen reduced ethanol intake in both males
and females but more females were non-responders or less sensitive to
the treatment. S(-)-Baclofen did not have any effect on average but in
some individuals, especially in the females, increased ethanol intake by
at least 100%. There were no sex-differences in Baclofen
pharmacokinetic but a strong negative correlation was found in females
with a paradoxical effect of increased ethanol intake with higher blood
Baclofen concentration. The R(+) and RS(±) enantiomers decreased
dopamine release in both sexes and this effect was attenuated after
chronic ethanol intake. Dopamine release was increased by S(-)-Baclofen
specifically in females after chronic ethanol intake. Conclusion and
implications. Our results demonstrate a sex-dependent effect of the
different enantiomers of Baclofen and the increase of ethanol intake in
females may be related to an increasing effect on dopamine release. Our
results should warrant future clinical studies on AUD pharmacotherapy
that will deeply analyze sex difference.