Disulfiram has the Potential to Become a Psychotropic Drug

Disulfiram (DSF) usually treats chronic alcoholism and has shown evidence of reduced anxiety through new research.
The Chemical structure of Disulfiram
The Chemical structure of Disulfiram Wikimedia Commons

Alcoholism, if left untreated, could have dangerous repercussions. Thus, it is no surprise that there are a range of drugs developed to treat this condition. Of these drugs, disulfiram (DSF) is approved by the Food and Drug Agency (FDA) for the treatment of alcoholism. DSF primarily inhibits the enzyme aldehyde dehydrogenase (ALDH), which is responsible for the metabolism of alcohol.

The Chemical structure of Disulfiram
Alcohol consumption: Benefits in moderation, risk when overdosed

Could the inhibitory effects of DSF extend to signaling molecules as well?
According to recent studies, DSF in fact inhibits a cytoplasmic protein known as FROUNT, which controls the direction in which certain immune cells migrate. DSF blocks FROUNT from interacting with two chemokine receptors known as CCR2 and CCR5, which are involved in important cellular signaling pathways.

A depiction of addiction to alcohol.
A depiction of addiction to alcohol.Wikimedia commons

A few studies suggest that chemokine receptors may be involved in the regulation of emotional behaviors in rodents. However, there is a lack of data on the exact association between FROUNT-chemokine signaling and DSF. To clarify this link, a team comprising Prof. Akiyoshi Saitoh from Tokyo University of Science and other researchers from institutes across Japan conducted a study examining the pharmacological properties of DSF. The study, which was published online on March 7, 2022 in Frontiers in Pharmacology, describes how the research team used an elevated plus-maze (EPM) test—which is used to screen for anxiolytic drugs—to study the effects of DSF in mice.

Disulfiram substance (pure)
Disulfiram substance (pure)Wikimedia commons

The EPM apparatus consists of four arms set in a cross pattern, connected to a central square. Two arms are protected by vertical boundaries, whereas two have unprotected edges. Usually, mice with anxiety prefer to spend time in the closed arms.

The Chemical structure of Disulfiram
One zip of alcohol is enough to modify the brain

What’s interesting is that these behavioral changes were similar to those observed in mice treated with diazepam. How exactly did DSF achieve this?

The team had previously discovered that increased extracellular glutamate (which is an important amino acid and neurotransmitter) levels are associated with increased anxiety in mice.

Disulfiram in tablet form.
Disulfiram in tablet form.Wikimedia commons

We propose that DSF inhibits FROUNT protein and the chemokine signaling pathways under its influence, which may suppress presynaptic glutamatergic transmission in the brain,” says Prof. Saitoh. “This, in turn, attenuates the levels of glutamate in the brain, reducing overall anxiety.

The Chemical structure of Disulfiram
Science is Rejecting Alcohol and Drugs That Perpetuates Stigma

The team was also pleasantly surprised to find that in contrast with diazepam, DSF treatment did not lead to adverse effects such as amnesia, coordination disorders, or sedation.

According to Prof. Saitoh, “These results indicate that DSF can be used safely by elderly patients suffering from anxiety and insomnia and has the potential to become a breakthrough psychotropic drug.

"The mind and body are two entities of the same being, feed your body like a machine you need, for the long run and do not give into the temptations of the Mind while not neglecting it at the same time, feed your mind and body with love and happiness. " (GN/Newswise)

Hurry up! Join the Medical Internship 3.0!

Related Stories

No stories found.
Medbound
www.medboundtimes.com