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. 2021 Jun 6;73(5):1205–1219. doi: 10.1007/s43440-021-00283-7

Table 1.

NAC and SUD—preclinical research

Model/procedure Species, sex NAC (dose, route, treatment) Change References
In vivo Ex vivo
Alcohol
 Chronic alcohol exposure Wistar rats, male

2 g/L po;

45 day

↓ alcohol intake

↓ TG rise (serum)

↓ VLDL rise (serum)

↓ ox-LDL rise (serum)

↑ HDL/TG ratio (serum)

[26]
 Chronic alcohol exposure/deprivation Wistar rats, male 2 g/L po; 15 days during deprivation ↓ TG rise (serum)
 Chronic alcohol/withdrawal Wistar rats, male 60, 90 mg/kg, ip ↓ alcohol withdrawal-induced anxiety (60–90)

↓ CORT rise (serum)

↓ leptin rise (serum)

[32]
 Repeated alcohol in sensitization paradigm Swiss mice, male

60, 120 mg/kg, ip;

15 days

↓ development of alcohol sensitization (120)

↓ ΔFosB rise (PFC)

↑ xCT drop (NAcc)

[29]
 Chronic alcohol access to high alcohol drinkers/deprivation/relapse Wistar rats, male

100 mg/kg, po;

14 days

↓ alcohol intake

↓ alcohol relapse

↓ GSSG/GSH and GFAP rises (HIP) [27]
Alcohol self-administration/seeking/reacquisition Long Evans rats, male 25, 50, 100 mg/kg, ip

↓ alcohol self-administration (25–100)

↓ alcohol seeking

(25–100)

↓ reacquisition of alcohol self-administration

(25–100)

[30]
 Chronic (15 days) voluntary alcohol drinking Sprague–Dawley rats, male 25, 50, 100 mg/kg, ip; 3 days ↓ depression (50–100)

↑ 5-HT drop (25–100; HIP)

↑ 5-HT drop (100; PFC)

↓ GRIN2A and GRIN2B rise (50–100; HIP)

↓ SGPT, SGOT, GGT rises (50–100)

↓ ALP, MCV rises (50–100)

[33]
 Chronic (10 week) intermittent alcohol vapor/extinction/reacquisition Wistar rats, male 25, 50, 100 mg/kg, ip

↓ alcohol reward (25–100)

↓ alcohol motivation (25)

↓ extinction responding (50)

↓ reacquisition of alcohol self-administration (50)

∅ xCT (100; NAc)

∅ GLT-1 (100; NAc)

[30]
 Chronic alcohol access to high alcohol consumers/deprivation/relapse Wistar rats, female

70 mg/kg, ip; 2 days + 40 mg/kg, po;

11 days

↓ alcohol intake

↓ alcohol relapse

↑ Nrf2-ARE pathway (HIP)

↓ GSSG/GSH (HIP)

[28]
 Alcohol deprivation effect (ADE) model Wistar rats, male

2 mg/h, sc (pumps);

14 days

↓ alcohol relapse [31]
60–100 mg/kg, sc ↓ alcohol relapse (60)
Cannabinoids
 THC + CBD self-administration/extinction/reinstatement Sprague–Dawley rats, male

60 mg/kg, ip;

5 days

↓ THC induced-

reinstatement

[34]
Nicotine
 Nicotine self-administration Wistar rats, male 30, 60, and 90 mg/kg, ip ↓ nicotine reward (30–90) [37]
 Nicotine self-administration

60 mg/kg; ip;

14 days

↓ nicotine reward

(no tolerance)

 Nicotine self-administration/extinction/reinstatement 30, 60, 90 mg/kg, ip ↓ cue-induced reinstatement (60–90)
 Nicotine conditional place preference ICR mice, male 5, 15, 30, 60 mg/kg, ip ↓ nicotine reward (5–60) [36]
 2-week continuous nicotine treatment/withdrawal 15, 30, 120 mg/kg, ip

↓ nicotine withdrawal (15–120)

∅ withdrawal-induced anxiety (15–120)

 Neonatal vHIP lesion + nicotine self-administration Sprague–Dawley rats, male

100 mg/kg, ip;

PND 42-PND 91

↓ nicotine reward [35]
 Neonatal vHIP lesion + nicotine self-administration, extinction/reinstatement

100 mg/kg, ip;

PND 42-PND 126

↓ nicotine-induced reinstatement
 Nicotine vs. saccharin discrimination/extinction/reinstatement Wistar rats, male 30, 60, 100 mg/kg, ip ↓ cue-induced reinstatement (100) [39]
 Nicotine conditioned place preference Wistar rats, female bred as high ethanol drinkers

100 mg/kg, po;

9 days

↓ nicotine intake [27]
 Nicotine conditioned place preference/reinstatement ↓ reinstatement of nicotine place preference ↓ GSSG/GSH and GFAP rises (HIP)
 Nicotine self-administration/extinction/reinstatement Sprague–Dawley rats, male

100 mg/kg ip;

4 days

∅ cue-induced reinstatement ∅ dendritic spine morphology rised or mRNA/protein of relevant glutamatergic genes rises (NAcc core) [42]

100 mg/kg ip;

15 days

↓ extinction

↓ cue-induced reinstatement

 Nicotine self-administration/extinction/reinstatement Sprague–Dawley rats, male

100 mg/kg ip;

4 days

↓ cue-induced reinstatement [41]
Sprague–Dawley rats, female

∅ cue-induced reinstatement

(during estrous or met/diestrus)

 Nicotine self-administration/extinction/reinstatement Sprague–Dawley rats, male

60, 100 mg/kg ip;

14 days

↓ cue-induced reinstatement (100) [40]
 Nicotine self-administration/cue-exposure extinction/reinstatement ↓ cue-induced nicotine reinstatement (100)

↑ GLT-1 drop and ↓ GluN2B rise (NAcc shell; 7 days after)

↑ xCT drop (NAcc shell; 50 days after)

↑ mGluR2 (NAcc shell + core; 50 days after)

 Nicotine self-administration/home abstinence/relapse ∅ cue-induced nicotine relapse (100)
 Nicotine self-administration/extinction/reinstatement Sprague–Dawley rats, male

100 mg/kg, ip;

5 days

↓ cue-induced nicotine reinstatement (100)

↓ AMPA/NMDA ratio,

↓ TNFα and ↑ GFAP

(NAcc core)

[38]
Opioids
 Heroin self-administration/extinction/reinstatement Sprague–Dawley rats, male

100 mg/kg, ip;

15 days

↓ cue-induced reinstatement

↓ heroin-induced reinstatement

[44]
 Heroin self-administration/extinction/reinstatement Lister Hooded rats, male 30, 60, 90 mg/kg, ip

∅ early cue-induced reinstatement

↓ late cue-induced reinstatement (90)

[43]
 Repeated, systemic morphine administration + naloxone-precipitated withdrawal Swiss–Webster mice, male 50 mg/kg, ip ↓ withdrawal symptoms (in combination with Nigella sativa oil)

↓ NO (brain)

↑ GSH (brain)

[45]
↓ withdrawal symptoms (in combination with α-lipic acid)

↓ NO, GLU, MDA

↑ GSH, GSH-Px

[46]
Psychostimulants
 Amphetamine self-administration Squirrel monkey, male 10, 30 mg/kg, im

∅ amphetamine reward

∅ cocaine reward

∅ cocaine reinstatement

[47]
 Repeated amphetamine in sensitization paradigm Sprague–Dawley rats, male

90 mg/kg, ip;

1 or 10 days

∅ re-expression of amphetamine sensitization [48]
 Cocaine self-administration/extinction/reinstatement Sprague–Dawley rats, male

60 mg/kg, ip;

4 days

↓ cocaine-induced reinstatement ↓ GLU release rise and ↑ xCT activity drop (NAcc) [10]
 Cocaine self-administration/extinction/reinstatement Sprague–Dawley rats, male 60 mg/kg, sc ↓ cocaine-induced reinstatement [50]
 Cocaine self-administration Sprague–Dawley rats, male

60 mg/kg, ip;

11 days

∅ cocaine reward acqusition

∅ cocaine reward

[21]
 Cocaine self-administration in escalation paradigm

60 mg/kg, ip;

11 days

↓ cocaine-induced escalation of drug intake
 Cocaine self-administration/extinction/reinstatement

60 mg/kg, ip;

10–11 days

↓ cocaine-induced reinstatement

↑ xCT and basal GLU (NAcc)

↓ cocaine-evoked GLU release (NAcc)

 Repeated cocaine in sensitization paradigm

60 mg/kg, ip;

7 days

↓ cocaine-induced development of behavioral sensitization
 Cocaine self-administration in extended paradigm/extinction/reinstatement Sprague–Dawley rats, male 30, 60 mg/kg, ip

↓ cocaine-induced reinstatement

(30, 60)

[14]
 Cocaine self-administration/extinction/reinstatement

90 mg/kg, ip;

12 days

(acquisition of self-administration)

↓ cocaine-induced reinstatement
 Cocaine self-administration/extinction/reinstatement Sprague–Dawley rats, male

33, 100 mg/kg, ip;

12 days

↓ cocaine-induced reinstatement (100) ↑ AMPA/NMDA ratio drop (NAcc) [51]
 Cocaine self-administration/extinction Sprague–Dawley rats, male

100 mg/kg, ip;

7 days

↑ xCT and GLT-1 drop (NAcc) [8]
 Cocaine self-administration Sprague–Dawley rats, male

60 mg/kg, ip;

12 days

∅ cocaine reward [78]
 Cocaine self-administration/extinction/reinstatement

60 mg/kg, ip;

7 days

↓ cocaine-induced reinstatement
 Cocaine self-administration/extinction/reinstatement Sprague–Dawley rats, male

60, 100 mg/kg, ip;

12 days

↓ cocaine-induced reinstatement (100)

↓ cue + cocaine-induced reinstatement (100)

[52]
 Cocaine self-administration/home abstinence/relapse ↓ context-induced relapse (100)
 Cocaine self-administration Squirrel monkeys, male 10 mg/kg, im ∅ cocaine reward [47]
 Cocaine self-administration/extinction/reinstatement ∅ cocaine-induced reinstatement
 Cocaine self-administration/extinction/reinstatement Sprague–Dawley rats, male

1, 10 ug/side,

intra-NAcc

↓cocaine-induced reinstatement (1–10)

↓ cue + cocaine-induced reinstatement (1–10)

[53]
 Cocaine self-administration/extinction/reinstatement 10 mg/kg, ip

∅ cocaine-induced reinstatement

↓ cocaine-induced reinstatement (in combination with MTEP)

 Cocaine self-administration Lister Hooded rats, male 30, 60, 90 mg/kg, ip ∅ cocaine reward [54]
 Cocaine self-administration/extinction 15, 30, 60, 90 mg/kg, ip ↓ early cocaine-induced seeking (30–90)
 Cocaine self-administration Wistar rats, male 25–100 mg/kg, ip ∅ cocaine reward [55]

100 mg/kg, ip;

6 days

∅ cocaine reward
 Cocaine self-administration/extinction/reinstatement 12.5–50 mg/kg, ip

↓ cue-induced reinstatement (12.5–50)

↓ cocaine-induced reinstatement (25–50)

 Cocaine self-administration/extinction/reinstatement Sprague–Dawley rats, male

100 mg/kg, ip;

5 days

↓ cue-induced reinstatement ↑ GLT-1 drop (NAcc) [58]
 Cocaine self-administration Sprague–Dawley rats, male

60 mg/kg, ip;

19 days

∅ cocaine reward ↓ Zif268 drop (NAcc, DSTR) [57]
 Cocaine self-administration in escalation paradigm

∅ cocaine reward

↑ abstinence

↑ GLT-1 drop and

↑ Zif268 drop (NAcc, DSTR)

 Cocaine self-administration/extinction/reinstatement Wistar rats, male

100 mg/kg, ip;

10 days

↓ cue-induced reinstatement

↓ cocaine-induced reinstatement

[19]
 Bulbectomy + cocaine self-administration/extinction/reinstatement

∅ cue-induced reinstatement

∅ cocaine-induced reinstatement

 Neonatal vHIP lesion + repeated cocaine in sensitization paradigm Sprague–Dawley rats, male

100 mg/kg, ip;

PND 28-PND 84

∅ development of cocaine behavioral sensitization [35]
 Cocaine self-administration Squirrel monkeys, male

10 mg/kg, im;

10 days

∅ cocaine reward [56]
 Cocaine self-administration/extinction/reinstatement

10 mg/kg, im;

15 days

↑ extinction

∅ cocaine-induced reinstatement

 Methamphetamine self-administration/extinction/reinstatement Sprague–Dawley rats, female 30, 60, 120 mg/kg, ip

∅ methamphetamine reward

∅ methamphetamine-induced reinstatement

[49]

↑ increased, ∅ no changed, ↓ decreased, ΔFosB protein encoded by the FBJ murine osteosarcoma viral oncogene homolog B (FOSB) gene, 5-HT serotonin, ALP alkaline phosphatase, AMPA α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid receptor, CBD cannabidiol, CORT corticosterone, DSTR dorsal striatum, GFAP glial fibrillary acidic protein, GGT gamma-glutamyl transferase, GLT-1 glial glutamate transporter 1, GLU glutamate, GluN2B NMDA receptor subunit 2B, GRIN2A gene encoding NMDA receptor subunit 2A, GRIN2B gene encoding NMDA receptor subunit 2B, GSH glutathione, GSH-Px glutathione peroxidase, GSSG oxidized glutathione, HDL high-density lipoprotein, HIP hippocampus, MCV mean corpuscular volume, MDA malondialdehyde, mGluR2 metabotropic glutamate receptor type 2, MTEP 3-((2-Methyl-4-thiazolyl)ethynyl)pyridine, a selective allosteric antagonist of the metabotropic glutamate receptor subtype 5, NAC N-acetylcysteine, NAcc nucleus acumbens, NMDA N-methyl-d-aspartate receptor, NO nitric oxide, Nrf2-ARE transcription NF-E2-related factor 2 binds to antioxidant responsive element, ox-LDL oxidized-low-density lipoprotein, PFC prefrontal cortex, PND postnatal day, SGOT serum glutamic oxaloacetic transaminase, SGPT serum glutamic pyruvic transaminase, TG triacylglycerol, THC tetrahydrocannabinol, TNFα tumor necrosis factor alpha, vHIP ventral hippocamapus, VLDL very low-density lipoprotein, xCT cystine-glutamate antiporter, Zif268 zinc finger protein 268