Smokers could one day be immunised against nicotine so they gain no pleasure
from the habit, according to researchers in the us.
They have devised a
vaccine that floods the body with an antibody to assault nicotine entering the
body.
A study in mice, published in Science Translational Medicine,
showed levels of the chemical in the brain were reduced by 85% after
vaccination.
Years of research are still needed before it could be tested
on people.
However, lead researcher Prof Ronald Crystal is convinced
there will be benefits.
"As far as we can see, the best way to treat
chronic nicotine addiction from smoking is to have these Pacman-like antibodies
on patrol, clearing the blood as needed before nicotine can have any biological
effect. "
New approach
Other "smoking vaccines" have been developed
that train the immune system to produce antibodies that bind to nicotine - it is
the same method used to vaccinate against diseases. The challenge has been to
produce enough antibodies to stop the drug entering the brain and delivering its
pleasurable hit.
Scientists at Weill Cornell Medical College have used a
completely different approach, a gene-therapy vaccine, which they say is more
promising.
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“Start Quote
If they
start smoking again, they will receive no pleasure from it due to the nicotine
vaccine, and that can help them kick the habit”
Prof Ronald Crystal Weill
Cornell Medical College
A genetically modified virus containing the
instructions for making nicotine antibodies is used to infect the liver. This
turns the organ into a factory producing the antibodies.
The research
team compared the amount of nicotine in the brains of normal mice with those
that had been immunised. After being injected with nicotine, the vaccinated mice
had nicotine levels 85% lower.
It is not known if this could be repeated
in humans or if this level of reduction would be enough to help people
quit.
Prof Crystal said that if such a vaccine could be developed then
people "will know if they start smoking again, they will receive no pleasure
from it due to the nicotine vaccine, and that can help them kick the
habit".
He added: "We are very hopeful that this kind of vaccine strategy
can finally help the millions of smokers who have tried to stop, exhausting all
the methods on the market today, but find their nicotine addiction to be strong
enough to overcome these current approaches. "
'Impressive and
intriguing'
There are also issues around the safety of gene therapy in
humans that will need to be answered.
Professor of genetics at the
University of Kent, Darren Griffin, said the findings were "impressive and
intriguing with great potential" but cautioned there were still many issues
which needed addressing.
He said the main issue "is whether the observed
biochemical effects in lab mice genuinely translate to a reduced addiction in
humans given that such addictions can be both physical and
psychological".
Dr Simon Waddington, from University College London,
said: "The technology underpinning gene therapy is improving all the time and it
is encouraging to see these preliminary results that indicate it could be used
to address nicotine addiction, which is damaging to the nation's health and a
drain on the health service economy. "
If such a vaccine was developed it
could also raise ethical questions about vaccinating people, possibly in
childhood, before they even started smoking.
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