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Caffeine
Brian J. Piper, Ph.D.
Goals
       • Structure of different xanthines
       • Pharmacokinetics
       • Psychological and Physiological
         Effects
       • Pharmacodynamics




http://en.wikipedia.org/wiki/Caffeine
Coffea aribica                                                             Coffea robusta



                             Botany
    • Coffea aribica: grown in Brazil, 10 m tall, 7 years to
      mature
    • Coffea robusta (Coffea canephora): grown in Vietnam,
        < 1 year to mature, 2 x caffeine
    ●    Camellia sinensis: grown in China, 2 m tall, leaves =
        4% caffeine
    ●   Theobroma cacoa: grown in Mexico, 6 m tall, contains
        theobromine, dogs 
Theobroma cacao                                                              Camellia sinensis




                            http://en.wikipedia.org/wiki/Camellia_sinensis
                             http://www.ico.org/botanical.asp
Structure
•   Xanthine: group of mild
    stimulants, Xanthine forms
    backbone
•   Methly Group: a Carbon & 3
    Hydrogens (CH3)
•   Theobromine: Xanthine + two
    methyl groups (3,7)
•   Theophylline: Xanthine + two
    methyl groups (1,3)
•   Caffeine: Xanthine + three methyl
    groups (1,3,7)
Structure
•   Caffeine: Xanthine + three methyl
    groups (1,3,7)
•   CYP1A2: removes methyl groups
Energy Drinks                               Serving Size     Caffeine (mg)
                                            (oz.)
Spike Shooter                               8.4              300
Cocaine                                     8.4              280
Monster Energy                              16               160
Full Throttle                               16               144
Rip It, all varieties                       8                100
Enviga                                      12               100
Tab Energy                                  10.5             95
SoBe                                        8                83
Red Bull Sugarfree                          8.3              80
Rockstar Energy Drink                       8                80
SoBe Adrenaline Rush                        8.3              79
Amp                                         8.4              74
Glaceau Vitamin Water Energy Citrus         20               50
SoBe Essential Energy, Berry or Orange      8                48
      http://www.cspinet.org/new/cafchart.htm Accessed 3/15/08
http://anrcatalog.ucdavis.edu/pdf/8265.pdf
Seizures?
• Rats that were genetically prone
  to convulsions received different
  doses (umol/kg) of
  methylxanthines.
• Behavior was rated for 6 hours:
     –    0 = no response
     –    2 = tremor
     –    4 = forelimb clonus
     –    6 = falling down
     –    8 = tonic-clonic seizures/death




 *Clonus (Gr: violent, confused motion), large involontary movements


De Sarro et al. (1997) Naunyn-Schmiedeberg’s Arch Pharmacol, 356, 48-55.
Seizures?
• Rats that were genetically prone
  to convulsions received different
  doses (umol/kg) of
  methylxanthines.




 *Clonus (Gr: violent, confused motion), large involontary movements


De Sarro et al. (1997) Naunyn-Schmiedeberg’s Arch Pharmacol, 356, 48-55.
Sex Differences in
           Caffeine PK                                     <-women, non-smoking


 • Women and men received
   100 mg caffeine capsules.
 • Women (open circles) had                              men, smoking ->
                                                                           <-men, non-smoking


   higher caffeine levels than
   men (open-squares).
 • Sex differences were
   apparent in both plasma and
   saliva.
 • Smoking: increases CYP1A2
 • Oral Contraceptives: inhibit
   CYP1A2
Carrillo et al. (2000).Ther Drug Monitor, 22, 409-417.
Smoking Difference
         in Caffeine PK                                    <-women, non-smoking


 • Smoking: increases CYP1A2
 • Oral Contraceptives:
   inhibit CYP1A2                                        men, smoking ->
                                                                           <-men, non-smoking




Carrillo et al. (2000).Ther Drug Monitor, 22, 409-417.
Caffeine-Melatonin CYP1A2
                        Interaction
Caffeine increased:
Cmax 2.4
AUC 2.2




  Plasma melatonin levels in humans after melatonin administer either alone (circles)
  or preceeded by 3 x 200 mg or caffeine (squares).



   Hartter (2003). Brit J Clin Pharmacology, 56, 679-682.
Effects
• Psychological             • Physiological
  –   Increased alertness     – Constricts blood
  –   Improved attention        vessels in brain and
  –   Euphoria (slight)         eyes.
  –   Nervousness (High       – Increases heart rate
      Doses)                  – Elevates urine
                                production
                              – Increases breathing
                                rate
Cognitive Benefits
 • Medical students (N=18)
   completed tests of vigilance or
   sleepiness at baseline, after
   placebo,150 mg caffeine, or
   caffeine + 2 g taurine.
 • Both caffeine & caffeine +
   taurine improved performance




Aggarwal et al. (2011). Brit J Surgery, 98, 1666-1672.
Caffeine & Reinforcement


                                                                             Preference

                                                        ----------------------------------
                                                                              Aversion




Patkina & Zvartau Eur J Neuropsychopharm, 8, 287-291.
Pharmacodynamics
          •        Adenosine antagonist
          •        Increases dopamine & glutamate
          •        Elevates adrenaline (epinephrine)
          •        Blocks antidiuretic hormone




For more details about neurobiological effects of caffeine, goto:
http://images.google.com/imgres?imgurl=http://www.benbest.com/health/A_Recept.gif&imgrefurl=http://www.benbest.com/health/caffeine.html&h=288&w=429&sz=29&tbnid=yC5aX2S9XqKrbM:&tbnh=82&tbnw=123&hl=en&start=12&prev=/images%3Fq%3Dadenosi
ne%26svnum%3D10%26hl%3Den%26lr%3D%26rls%3DCNDB,CNDB:2004-15,CNDB:en%26sa%3DN
Adenosine
• has 24 hour rhythm
Neurochemistry

• Caffeine causes biphasic effects
  on nucleus accumbens
  neurotransmitters and behavior.



  Solinas, M. (2002). et al. J. Neurosci 22, 6321-6324
Caffeine
          Tolerance
•   Caffeine abstaining humans
    (N=18) lived in a lab for two-weeks
     –   Day 1-3: all placebo
     –   Day 4-10: 250 mg caffeine or placebo
     –   Day 11-14: placebo




                                                Robertson et al. (1981) J Clin Invest , 67, 1111-1117.
Tolerance to other
Physiological Effects

                                                         <- Day 1



                                                         <- Day 7




Robertson et al. (1981) J Clin Invest , 67, 1111-1117.
Caffeine Tolerance
       •     Rats received caffeine (1.0,                                               Dose
             0.25, or 0 mg/ml drinking
             water) for two-weeks.
       •     They were then dosed with
             caffeine, adenosine
             antagonists (CPT or MSX) or
             amphetamine.
       •     Motor activity was recorded.
       •     How do you interpret this
             data?



                                                                     Caffeine in Water for 2 weeks


Karcz-Kubicha et al (2003) Neuropsychopharmacology, 28, 1281-1291.
Interpretation
• What information is provided by:
  – A versus B
  – B versus C
  – D versus E versus F
  – G versus H
                                 B


                                         D   E
                                     G                   F



                                                 C   H

                             A
Interpretation
• In rats that were caffeine naïve, caffeine
  caused hyperactivity (A vs. B).
• Rats that regularly consumed caffeine were
  insensitive/tolerant to caffeine (B vs. C).
● There was no cross-
    tolerance to the                       B
    hyperactivity caused by
    amphetamine(D vs. E vs. F).
                                                   D   E
●    Adenosine is important                    G                   F
    for caffeine tolerance.
    Caffeine pre-
    exposed rats also showed a
    blunted hyperactivity to the                           C   H
    A1 and A2A antagonists (G vs H).
                                       A
Caffeine & Parkinson’s
                 Disease (PD)?
      • Dietary habits were
        obtained from middle aged
        men (N=8,000) in 1965.
      • Subjects were monitored
        for 30 years for incidence
        of PD.
      • Mechanisms
              – Antioxidant
              – 3rd variable
Parkinson’s Symptoms (2 min):
http://www.youtube.com/watch?v=_L_WF6gv5BI
Ross, G. W. et al. (2000). JAMA, 283, 2674-2679.
Tri-methyl-xanthine Summary
• Pharmacokinetics (CYP1A2)
• Pharmacodynamics
  – Adenosine antagonist
• Risks (seizures?)
• Benefits (Parkinson’s Disease?)
Self-test
• Jane drinks two large (12 oz) cups of instant
  coffee with breakfast, a Starbucks cafe latte
  in the afternoon, a Coke (12 oz) with dinner,
  and a decaf coffee (8 oz) while studying
  before bed.
• What was her total (mg) of caffeine
  consumption for the day? Please show how
  you reached this total using the chapter in
  Buzzed.

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Neuropharmacology: Caffeine

  • 2. Goals • Structure of different xanthines • Pharmacokinetics • Psychological and Physiological Effects • Pharmacodynamics http://en.wikipedia.org/wiki/Caffeine
  • 3. Coffea aribica Coffea robusta Botany • Coffea aribica: grown in Brazil, 10 m tall, 7 years to mature • Coffea robusta (Coffea canephora): grown in Vietnam, < 1 year to mature, 2 x caffeine ● Camellia sinensis: grown in China, 2 m tall, leaves = 4% caffeine ● Theobroma cacoa: grown in Mexico, 6 m tall, contains theobromine, dogs  Theobroma cacao Camellia sinensis http://en.wikipedia.org/wiki/Camellia_sinensis http://www.ico.org/botanical.asp
  • 4. Structure • Xanthine: group of mild stimulants, Xanthine forms backbone • Methly Group: a Carbon & 3 Hydrogens (CH3) • Theobromine: Xanthine + two methyl groups (3,7) • Theophylline: Xanthine + two methyl groups (1,3) • Caffeine: Xanthine + three methyl groups (1,3,7)
  • 5. Structure • Caffeine: Xanthine + three methyl groups (1,3,7) • CYP1A2: removes methyl groups
  • 6.
  • 7. Energy Drinks Serving Size Caffeine (mg) (oz.) Spike Shooter 8.4 300 Cocaine 8.4 280 Monster Energy 16 160 Full Throttle 16 144 Rip It, all varieties 8 100 Enviga 12 100 Tab Energy 10.5 95 SoBe 8 83 Red Bull Sugarfree 8.3 80 Rockstar Energy Drink 8 80 SoBe Adrenaline Rush 8.3 79 Amp 8.4 74 Glaceau Vitamin Water Energy Citrus 20 50 SoBe Essential Energy, Berry or Orange 8 48 http://www.cspinet.org/new/cafchart.htm Accessed 3/15/08
  • 9. Seizures? • Rats that were genetically prone to convulsions received different doses (umol/kg) of methylxanthines. • Behavior was rated for 6 hours: – 0 = no response – 2 = tremor – 4 = forelimb clonus – 6 = falling down – 8 = tonic-clonic seizures/death *Clonus (Gr: violent, confused motion), large involontary movements De Sarro et al. (1997) Naunyn-Schmiedeberg’s Arch Pharmacol, 356, 48-55.
  • 10. Seizures? • Rats that were genetically prone to convulsions received different doses (umol/kg) of methylxanthines. *Clonus (Gr: violent, confused motion), large involontary movements De Sarro et al. (1997) Naunyn-Schmiedeberg’s Arch Pharmacol, 356, 48-55.
  • 11. Sex Differences in Caffeine PK <-women, non-smoking • Women and men received 100 mg caffeine capsules. • Women (open circles) had men, smoking -> <-men, non-smoking higher caffeine levels than men (open-squares). • Sex differences were apparent in both plasma and saliva. • Smoking: increases CYP1A2 • Oral Contraceptives: inhibit CYP1A2 Carrillo et al. (2000).Ther Drug Monitor, 22, 409-417.
  • 12. Smoking Difference in Caffeine PK <-women, non-smoking • Smoking: increases CYP1A2 • Oral Contraceptives: inhibit CYP1A2 men, smoking -> <-men, non-smoking Carrillo et al. (2000).Ther Drug Monitor, 22, 409-417.
  • 13. Caffeine-Melatonin CYP1A2 Interaction Caffeine increased: Cmax 2.4 AUC 2.2 Plasma melatonin levels in humans after melatonin administer either alone (circles) or preceeded by 3 x 200 mg or caffeine (squares). Hartter (2003). Brit J Clin Pharmacology, 56, 679-682.
  • 14. Effects • Psychological • Physiological – Increased alertness – Constricts blood – Improved attention vessels in brain and – Euphoria (slight) eyes. – Nervousness (High – Increases heart rate Doses) – Elevates urine production – Increases breathing rate
  • 15. Cognitive Benefits • Medical students (N=18) completed tests of vigilance or sleepiness at baseline, after placebo,150 mg caffeine, or caffeine + 2 g taurine. • Both caffeine & caffeine + taurine improved performance Aggarwal et al. (2011). Brit J Surgery, 98, 1666-1672.
  • 16. Caffeine & Reinforcement Preference ---------------------------------- Aversion Patkina & Zvartau Eur J Neuropsychopharm, 8, 287-291.
  • 17. Pharmacodynamics • Adenosine antagonist • Increases dopamine & glutamate • Elevates adrenaline (epinephrine) • Blocks antidiuretic hormone For more details about neurobiological effects of caffeine, goto: http://images.google.com/imgres?imgurl=http://www.benbest.com/health/A_Recept.gif&imgrefurl=http://www.benbest.com/health/caffeine.html&h=288&w=429&sz=29&tbnid=yC5aX2S9XqKrbM:&tbnh=82&tbnw=123&hl=en&start=12&prev=/images%3Fq%3Dadenosi ne%26svnum%3D10%26hl%3Den%26lr%3D%26rls%3DCNDB,CNDB:2004-15,CNDB:en%26sa%3DN
  • 18. Adenosine • has 24 hour rhythm
  • 19. Neurochemistry • Caffeine causes biphasic effects on nucleus accumbens neurotransmitters and behavior. Solinas, M. (2002). et al. J. Neurosci 22, 6321-6324
  • 20. Caffeine Tolerance • Caffeine abstaining humans (N=18) lived in a lab for two-weeks – Day 1-3: all placebo – Day 4-10: 250 mg caffeine or placebo – Day 11-14: placebo Robertson et al. (1981) J Clin Invest , 67, 1111-1117.
  • 21. Tolerance to other Physiological Effects <- Day 1 <- Day 7 Robertson et al. (1981) J Clin Invest , 67, 1111-1117.
  • 22. Caffeine Tolerance • Rats received caffeine (1.0, Dose 0.25, or 0 mg/ml drinking water) for two-weeks. • They were then dosed with caffeine, adenosine antagonists (CPT or MSX) or amphetamine. • Motor activity was recorded. • How do you interpret this data? Caffeine in Water for 2 weeks Karcz-Kubicha et al (2003) Neuropsychopharmacology, 28, 1281-1291.
  • 23. Interpretation • What information is provided by: – A versus B – B versus C – D versus E versus F – G versus H B D E G F C H A
  • 24. Interpretation • In rats that were caffeine naïve, caffeine caused hyperactivity (A vs. B). • Rats that regularly consumed caffeine were insensitive/tolerant to caffeine (B vs. C). ● There was no cross- tolerance to the B hyperactivity caused by amphetamine(D vs. E vs. F). D E ● Adenosine is important G F for caffeine tolerance. Caffeine pre- exposed rats also showed a blunted hyperactivity to the C H A1 and A2A antagonists (G vs H). A
  • 25. Caffeine & Parkinson’s Disease (PD)? • Dietary habits were obtained from middle aged men (N=8,000) in 1965. • Subjects were monitored for 30 years for incidence of PD. • Mechanisms – Antioxidant – 3rd variable Parkinson’s Symptoms (2 min): http://www.youtube.com/watch?v=_L_WF6gv5BI Ross, G. W. et al. (2000). JAMA, 283, 2674-2679.
  • 26. Tri-methyl-xanthine Summary • Pharmacokinetics (CYP1A2) • Pharmacodynamics – Adenosine antagonist • Risks (seizures?) • Benefits (Parkinson’s Disease?)
  • 27. Self-test • Jane drinks two large (12 oz) cups of instant coffee with breakfast, a Starbucks cafe latte in the afternoon, a Coke (12 oz) with dinner, and a decaf coffee (8 oz) while studying before bed. • What was her total (mg) of caffeine consumption for the day? Please show how you reached this total using the chapter in Buzzed.