Problems of Drug Dependence 1996: Proceedings of the 58Th Annual Scientific Meeting the College on Problems of Drug Dependence, Inc
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National Institute on Drug Abuse RESEARCH MONOGRAPH SERIES Problems of Drug Dependence 1996: Proceedings of the 58th Annual Scientific Meeting The College on Problems of Drug Dependence, Inc. 174 U.S. Department of Health and Human Services • National Institutes of Health Problems of Drug Dependence 1996: Proceedings of the 58th Annual Scientific Meeting The College on Problems of Drug Dependence, Inc. Editor: Louis S. Harris, Ph.D. Virginia Commonwealth University NIDA Research Monograph 174 1997 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Drug Abuse 5600 Fishers Lane Rockville, MD 20857 BOARD OF DIRECTORS Robert L. Balster, Ph.D., President Thomas R. Kosten, M.D. Steven G. Holtzman, Ph.D., President-Elect Michael J. Kuhar, Ph.D. Edward M. Sellers, M.D., Ph.D., Past-President Scott E. Lukas, Ph.D. George E. Bigelow, Ph.D., Treasurer Billy R. Martin, Ph.D. Edgar H. Brenner, J.D. A. Thomas McLellan, Ph.D. Leonard Cook, Ph.D. Roy W. Pickens, Ph.D. Linda B. Cottler, Ph.D, M.P.H. Beny J. Primm, M.D. Linda A. Dykstra, Ph.D. Peter H. Reuter, Ph.D. Avram Goldstein, M.D. Sidney H. Schnoll, M.D., Ph.D. Charles W. Gorodetzky, M.D., Ph.D. Charles R. Schuster, Ph.D. John R. Hughes, M.D. James E. Smith, Ph.D. M. Ross Johnson, Ph.D. Maxine L. Stitzer, Ph.D. EXECUTIVE OFFICER Martin W. Adler, Ph.D. SCIENTIFIC PROGRAM COMMITTEE Thomas R. Kosten, Chair Martin W. Adler Maureen E. Bronson Kathryn A. Cunningham Ellen B. Geller M. Ross Johnson Reese T. Jones Mary J. Kreek Billy R. Martin Sidney H. Schnoll Charles R. Schuster Maxine L. Stitzer George R. Uhl iii The following organizations have generously supported the work of the College on Problems of Drug Dependence during the past year. Astra Boehringer Ingelheim Pharmaceuticals, Inc. National Institute on Drug Abuse Pfizer, Inc. Purdue-Frederick Reckitt and Coleman Research Biochemicals International Sandoz Schering-Plough, Inc. Smith Kline Beecham The Upjohn Company Wyeth-Ayerst Zeneca iv TABLE OF CONTENTS PLENARY SESSION In Memoriam: Stanley L. Wallenstein. Ph.D. - 1921 - 1996 R. W. Houde 1 College on Problems of Drug Dependence Presidential Address 1996: Inhalant Abuse, Forgotten Drug Abuse Problem R. L. Balster 3 The National Institute on Drug Abuse: Changes, Challenges, and Opportunities in 1996 A. I. Leshner 9 Introduction of the Nathan B. Eddy Memorial Award Recipient J. H. Jaffe 14 Lunch with Dr. Kerr: Nathan B. Eddy Award Lecture G. Edwards 17 SYMPOSIUM I Using Molecular Biological Tools to Explore Behavior L. Erinoff and L. Gold, Chairpersons 28 SYMPOSIUM II Drugs of Abuse and the Immune System T. K. Eisenstein and B. Sharp, Chairpersons 31 SYMPOSIUM III Marijuana Use: Basic Mechanisms, Epidemiology, Natural History, and Clinical Issues A. J. Budney and D. B. Kandel, Chairpersons 35 SYMPOSIUM IV Motivational Aspects of Drug Abuse C. W. Schindler and S. R. Goldberg, Chairpersons 38 SYMPOSIUM V Excitatory Amino Acids in Stimulant Abuse and AIDS Dementia T. Kosten, Chairperson 41 v SYMPOSIUM VI Agonist Efficacy, Drug Dependence, and Medications Development J. Bergman and C. P. France, Chairpersons 44 SYMPOSIUM VII Drugs of Abuse and Gender Differences D. Hatsukami and C. L. Wetherington, Chairpersons 48 SYMPOSIUM VIII Presynaptic and Postsynaptic Neurochemical Alterations in Human Psychostimulant Abusers J. Staley and Y. Hurd, Chairpersons 51 SYMPOSIUM IX Antibody and Protein Based Therapies for Drug Abuse M. Owens and P. Pentel, Chairpersons 54 SYMPOSIUM X Prevalence, Projections and Policy P. Reuter, Chairperson .56 SYMPOSIUM XI Behavioral and Pharmacological Interventions for Pregnant Substance Abusers L. Amass and R. Elk, Chairpersons 59 SYMPOSIUM XII Mechanisms of Abused Drugs: Concordance Between Laboratory Animal and Human Studies K. L. Preston and L. A. Dykstra, Chairpersons . 62 ORAL COMMUNICATIONS I Nicotine: Laboratory and Clinical Studies 65 ORAL COMMUNICATIONS II Analgesia: Opioids and Cannabinoids 69 ORAL COMMUNICATIONS III Contingency Management of Cocaine Dependency 74 vi ORAL COMMUNICATIONS IV Molecular Biological Studies Related to Opioids and Stimulants 78 ORAL COMMUNICATIONS V Drug Discrimination: Cocaine and Hallucinogens 80 ORAL COMMUNICATIONS VI Opioid Tolerance and Physical Dependence 84 ORAL COMMUNICATIONS VII Cocaine Antagonists: DAT and Antibody-Directed Compounds 87 ORAL COMMUNICATIONS VIII HIV, Hepatitis B and C 93 ORAL COMMUNICATIONS IX Drug Discrimination and Self-administration 94 ORAL COMMUNICATIONS X Novel Opioids and Cannabinoids 98 ORAL COMMUNICATIONS XI Immune System: Opioids and Cocaine 103 ORAL COMMUNICATIONS XII Cannabinoids 107 ORAL COMMUNICATIONS XIII Women and Substance Abuse 111 ORAL COMMUNICATIONS XIV Dopamine and Kappa Opioid Receptors: Relationship to Cocaine Effects 113 ORAL COMMUNICATIONS XV Imaging 116 ORAL COMMUNICATIONS XVI Alcohol, Sedative-Hypnotics 121 vii ORAL COMMUNICATIONS XVII Drug Dependency: Psychiatric Comorbidity 124 ORAL COMMUNICATIONS XVIII Drug Dependency: Perinatal Issues 128 ORAL COMMUNICATIONS XIX Adolescents and Substance Abuse 132 ORAL COMMUNICATIONS XX Clinical Pharmacology of Opioids and Cocaine 136 ORAL COMMUNICATIONS XXI Buprenorphine and LAAM: Treatment of Opiate Addiction 141 ORAL COMMUNICATIONS XXII Screening and Epidemiology of Alcohol and Stimulant Abuse 144 POSTER SESSION I-A 148 Neurobiology Opioids: Chemistry, G-Proteins, Metabolism Opioid Receptors: Biochemical and Physiological Pharmacology Behavioral Pharmacology Stimulants: Metabolism, Physiological and Behavioral Effects, Craving, Treatment of Dependence POSTER SESSION I-B 188 HIV/AIDS Medical Complications of Drug Abuse Substances of Abuse and Immune Function Cannabinoids Nicotine PCP/NMDA/Ibogaine Comorbidity of Substance Abuse and Psychiatric Disorders Impulsivity, Aggression, Anger POSTER SESSION II-A 227 Stimulants: Dopamine and Serotonin Systems Inhalants, Sedative-Hypnotics, Alcohol Drug Testing Substance Abuse and Pregnancy Adolescent Substance Abuse viii POSTER SESSION II-B 268 Gender and Age Factors in Substance Abuse Risk Factors for Substance Abuse Opioid Tolerance, Dependence and Treatment Polydrug Abuse The History and Current Activities of the Drug Evaluation Committee (DEC) of the College on Problems of Drug Dependence (CPDD) A. E. Jacobson 314 ANNUAL REPORTS Biological Evaluation of Compounds for Their Physical Dependence Potential and Abuse Liability. II. Drug Evaluation Committee of the College on Problems of Drug Dependence (1996) A. E. Jacobson 323 Dependence Studies of New Compounds in the Rhesus Monkey, Rat and Mouse (1996) M. D. Aceto, E. R. Bowman; L. S. Harris; and E. L. May 338 Evaluation of New Compounds for Opioid Activity (1996) J. H. Woods; F. Medzihradsky; C. B. Smith; E. R. Butelman; and Gail Winger 396 AUTHOR INDEX 421 SUBJECT INDEX ix IN MEMORIAM Stanley L. Wallenstein, a member of the College on Problems of Drug Dependence and, for many years, a regular participant in the annual scientific meetings of the former NAS-NRC Committee on Problems of Drug Dependence, died of a cerebral hemorrhage on January 2, 1996. He was 75 years of age - but right up to just before his death, and after his retirement from the Sloan-Kettering Institute in 1991, he continued to be active as a consultant to his former associates at Memorial Hospital and to some in industry on matters relating to clinical analgesic methodology. Stan Wallenstein may be well remembered by older members of the CPDD as a long-time member of the Sloan-Kettering Analgesic Studies team headed by Ray Houde. Starting as a research fellow in Dr. Houde’s lab in 1951, he soon became an important contributor to the controlled clinical analgesic assay methodology which the S.K.I. group pioneered and was noted for. From 1953 onward, Stan Wallenstein was either a co-author or a presenter of the group’s annual reports to the NRC Committee on Narcotics and Drug Addiction and later the CPDD, after the committee’s name was changed in 1966. Ever since those early years, when the prototypes of most of the now familiar opioid agonists and antagonists were being introduced into medicine, the S.K.I. group’s primary interests had been to assist in defining the balance between the desired analgesic properties of these drugs in patients with cancer and their known or suspected abuse liability. Trained as a psychologist, Stan was instrumental in introducing the use of several innovative experimental designs for these assays and he 1 has been the author on a number of journal articles and chapters in books on the subject of the measurement of pain and assessment of analgesia. Stanley Wallenstein was a native New Yorker, a graduate of Stuyvesant High School and of City College of New York. He received his postgraduate education at New York University where he obtained his master’s degree in psychology. At Sloan-Kettering, he moved up through the ranks to Associate Laboratory member of the Institute by the time of his retirement. Stan was a member of the Lyceum Club of the New York Academy of Sciences as well as a founder member of several scientific pain societies including the Eastern Pain Association, the American Pain Society and the international Association for the Study of Pain. In addition to his wife, Joan, the only distaff member of the family, Stanley Wallenstein is survived by three sons and seven grandsons - a veritable American League baseball team, complete with a designated hitter - a role which he himself often played at crucial times in the annals of the Sloan-Kettering Institute Analgesic Studies Laboratory. Raymond W. Houde Memorial Sloan-Kettering Cancer Institute New York, New York 2 COLLEGE ON PROBLEMS OF DRUG DEPENDENCE PRESIDENTIAL ADDRESS 1996: INHALANT ABUSE, A FORGOTTEN DRUG ABUSE PROBLEM R. L. Balster Center for Drug and Alcohol Studies and Department of Pharmacology and Toxicology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA I want to take advantage of the opportunity presented to me to give Presidential remarks for the CPDD to bring to the attention of the College a very important drug abuse problem that has been neglected by the vast majority of drug abuse scientists.