Imaging Extrastriatal Dopamine Release in Tobacco Smokers and Nonsmokers

Aim 1:

To determine sex differences in amphetamine-induced dopamine (DA) release in healthy tobacco
smokers and nonsmokers.

FLB-457 has been used in several PET centers and has recently been approved for use at the
Yale University PET Center. We would like to determine whether there are sex differences in
amphetamine induced DA release in healthy tobacco smokers and nonsmokers. Specifically, 40
healthy tobacco smokers and 40 healthy nonsmokers will have an magnetic resonance imaging
(MRI) scan followed on another day by two FLB scans (ideally, the two PET scans will be
carried out in the same day). Starting at 3 hours before the second PET scan, amphetamine
(0.4mg/kg, PO) will be administered.

Aim 2:

To determine sex differences in amphetamine-induced dopamine release in tobacco smokers from
Aim 1 after treatment with guanfacine. Guanfacine will be given under a different protocol.
We plan to determine whether guanfacine treatment differentially inhibits amphetamine-induced
DA release in men and smokers from Aim 1. After their first scan, the same 40 healthy tobacco
smokers from Aim 1 will take guanfacine for 3 weeks under and then will have another set of
FLB scans (ideally, the two PET scans will be carried out in the same day). Starting at 3
hours before the second PET scan, amphetamine (0.4mg/kg, PO) will be administered, as before.
The sets of scans will be separated by at least 21 days, but due to scheduling and technical
difficulties the second set may be scheduled up to 6 weeks after the first set.

General inclusion criteria:

- men and women, aged 18-55 years

- who are able to read and write

- who are able to give voluntary written informed consent

- have no current uncontrolled medical condition such as neurological, cardiovascular,
endocrine, renal, liver, or thyroid pathology

- have no history of a neurological or psychiatric disorder, e.g., no DSM-IV Axis 1
diagnosis in 2 preceding years)

- drink less than 21 drinks/week for women and less than 35 drinks per week for men

- have not used marijuana in the past 30 days and have not met criteria for dependence
in the past 2 years

- do not suffer from claustrophobia or any MRI contradictions

- to participate in imaging studies including 2 PET scans and 1 MRI scan

- nonsmokers (smoked < 100 cigarettes in lifetime with urinary cotinine levels 0-30
ng/mL both at intake evaluation and on scan day)

- smokers (smoked at least 10 cigarettes/day for at least one year with an Fagerstrom
score (FTND)>3, urine cotinine >150 ng/mL and carbon monoxide (CO) >12 ppm at intake)

General exclusion criteria:

- psychosis

- presence of acute or unstable medical or neurological illness. Subjects will be
excluded from the study if they present with any history of serious medical or
neurological illness or if they show signs of a major medical or neurological illness
on examination or lab testing including history of seizures, head injury, brain tumor,
heart, liver or kidney disease, eating disorder, diabetes.

- regular use of any psychotropic drugs including anxiolytics and antidepressants and
other over-the-counter medications and herbal products within the last six months

- pregnancy/Breast feeding (as documented by pregnancy testing at screening or at days
of the imaging studies),

- suicidal ideation or behavior

- pacemaker or other ferromagnetic material in body.

- use of medications which affect dopamine transmission within 2 weeks of the PET study

- Participation in other research studies involving ionizing radiation within one year
of the PET scans that would cause the subject to exceed the yearly dose limits for
normal volunteers.

- Blood donation within 8 weeks of the start of the study.

- history of a bleeding disorder or are taking medication to thin their blood