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Inhibition of urokinase plasminogen activator “uPA” activity alters ethanol consumption and conditioned place preference in mice

Authors Al Maamari E, Al Ameri M, Al Mansouri S, Bahi A

Received 30 May 2014

Accepted for publication 27 June 2014

Published 16 September 2014 Volume 2014:8 Pages 1391—1403


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Elyazia Al Maamari,* Mouza Al Ameri, Shamma Al Mansouri, Amine Bahi*

Department of Anatomy, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates

*These authors contributed equally to this work

Abstract: Urokinase plasminogen activator, uPA, is a serine protease implicated in addiction to drugs of abuse. Using its specific inhibitor, B428, we and others have characterized the role of uPA in the rewarding properties of psychostimulants, including cocaine and amphetamine, but none have examined the role of uPA in ethanol use disorders. Therefore, in the current study, we extended our observations to the role of uPA in ethanol consumption and ethanol-induced conditioned place preference. The general aim of the present series of experiments was to investigate the effects of the administration of the B428 on voluntary alcohol intake and ethanol conditioned reward. A two-bottle choice, unlimited-access paradigm was used to compare ethanol intake between vehicle- and 3, 10, and 30 mg/kg B428-administered mice. For this purpose, the mice were presented with an ethanol solution (2.5%–20%) and water, at each concentration for 4 days, and their consumption was measured daily. Consumption of saccharin and quinine solutions was also measured. Systemic administration of B428 dose-dependently decreased ethanol intake and preference. Additionally, B428 mice did not differ from vehicle mice in their intake of graded solutions of tastants, suggesting that the uPA inhibition did not alter taste function. Also, ethanol metabolism was not affected following B428 injection. More importantly, 1.5 g/kg ethanol-induced conditioned place preference acquisition was blocked following B428 administration. Taken together, our results are the first to implicate uPA inhibition in the regulation of ethanol consumption and preference, and suggest that uPA may be considered as a possible therapeutic drug target for alcoholism and abstinence.

Keywords: B428, CPP, two-bottle choice


Addiction to psychoactive substances is a worldwide burden, one of which is alcohol addiction. In an analytical epidemiology study conducted by Rehm et al it was reported that alcohol consumption is estimated at 3.2% of worldwide mortality causes. Excessive alcohol consumption consequences occur at a younger population age, and the burden of the disease, as measured by disability adjusted life years (DALY), is 4.0% worldwide.1 The DALY is a measurement of premature mortality and the years of life lost while living with a disabling disease.1 It has been reported, in the Summary Health Statistics for US Adults: National Health Interview Survey 2012,2 that in the US alone, 52% of adults aged 18 and over were current regular drinkers.

Although there is an extensive literature using rodent laboratory animal models to understand the neuropharmacological and molecular mechanisms involved in alcohol drinking and abuse, to date, few effective treatments are available for excessive ethanol drinking and alcoholism. It is well established that the extracellular proteases are implicated in the pathophysiology of a number of psychiatric diseases.3,4 In addition, a body of evidence has been accumulated supporting that the extracellular protease system modulates the rewarding properties of drug of abuse.5,6

The urokinase-type plasminogen activator (uPA) is a secreted inducible extracellular serine protease that binds to its receptor (uPAR), which is a glycosylphosphatidylinositol (GPI)-anchored protein.7,8 Activated uPA converts inactive plasminogen into active plasmin, which degrades various components of the extracellular matrix. Besides the function of regulating proteolysis, uPAR could also activate many intracellular signaling pathways that promote cell motility, invasion, proliferation, and survival, through cooperation with transmembrane receptors.9,10 It should be emphasized that uPA has attracted attention as an emerging therapeutic target in cancer.11,12 Using in situ hybridization, Masos and Miskin screened the whole adult mouse brain for cells expressing the uPA and found it predominantly expressed in the subicular complex, the entorhinal cortex, and the parietal cortex. Also, messenger RNA (mRNA) signals were seen in the basolateral nucleus of the amygdala and in the anterodorsal thalamic nucleus and also, in the dentate gyrus of the hippocampus.13 Using, a transgenic approach, the same group reported that mice that overexpress uPA in the brain (αMUPA mice) performed poorly in tasks of spatial, olfactory, and taste-aversion learning, while still displaying normal sensory and motor capabilities,14 suggesting that uPA plays an important role in learning processes. It is, however, unclear whether the involvement of uPA in learning tasks is dependent on plasminogen activator activity.14 The same αMUPA mice exhibited spontaneously reduced food intake and increased life span.15 In detail, compared with their parental wild-type control, αMUPA mice spontaneously consumed less food (approximately 20%), exhibited reduced body weight (approximately 20%) and length (approximately 6%), and also prolonged life span (approximately 20%).16 Using quantitative real-time polymerase chain reaction (PCR) analysis, Froy et al reported that αMUPA mice exhibited robust expression of the clock genes mPer1, mPer2, mClock, and mCry1, but not mBmal1, in the liver.15 Previous studies from our laboratory showed that uPA is strongly induced upon cocaine injection. In fact, we have reported that cocaine administration induced two- to six-fold increase of uPA mRNA in the mesolimbic dopaminergic pathway, including the ventral tegmental area (VTA), the nucleus accumbens (NAc), and the hippocampus.17 In addition local overexpression of uPA in these brain areas, using letiviral-mediated gene transfer technology, increased cocaine-induced locomotor stimulation.17 Most importantly, inhibition of uPA expression, by small interfering RNA (si)RNA-expressing viral vectors, reduced cocaine-induced locomotors activity.18

The concept of targeting plasminogen activators to tackle addiction and psychiatric diseases is less well developed, and there is scant preclinical evidence as to the likely effectiveness of this approach. This remains the case, even though we have provided compelling evidence of uPA involvement in the rewarding properties of cocaine.1720 Despite this preponderance of evidence linking uPA to addiction to drug of abuse, to date, no studies have examined the effects of pharmacological blockade of uPA on voluntary ethanol consumption and preference.

The aim of the present work was to assess the effect of B428 on voluntary alcohol intake and ethanol-induced conditioned place preference (CPP). B428 is a uPA inhibitor, which, when administered at lower doses, has been proven to selectively reduce the activity of uPA in rodents.2125 Given the reports that suggest that alcohol intake and alcoholism could be mediated by their interaction with serine proteases activity,26 and considering that some of the behavioral effects of psychostimulants depend on the levels of uPA activity,18,19,21 we hypothesized that by reducing the uPA activity, B428 will decrease alcohol consumption, and ethanol-induced CPP will be prevented.

Methods and materials


Male adults C57BL/6 mice weighing 20–30 g, obtained from the central breeding facility of the College of Medicine and Health Sciences of the United Arab Emirates University, were used. They were individually housed in Plexiglas® cages on a 12:12 light/dark cycle (light on at 6:00 am), in a room at approximately 22°C with a humidity of about 50%. Tap water and rodent pellets, obtained from the National Feed and Flour Production and Marketing Company LLC (Abu Dhabi, UAE), were available ad libitum at all times, except where specified. Bedding was produced locally and autoclaved before use. The local Ethics Committee of the College of Medicine and Health Sciences approved the research procedures (protocol number A37-12).


Ethanol solutions (2.5%, 5%, 10%, and 20%; v/v) were prepared from absolute ethyl alcohol (Panreac Quimica SAU, Barcelona, Spain) and diluted using tap water. For taste sensitivity, saccharin sodium salt dihydrate (0.01%, 0.02%, 0.04%, and 0.08%; w/v) and quinine hemisulfate (10, 20, 40, and 80 μM; w/v) were purchased from Sigma-Aldrich Corp (St Louis, MO, USA) and were dissolved in tap water. For the CPP experiments, 1.5 g/kg ethanol was diluted in isotonic saline (0.9% sodium chloride) (10%; v/v). The specific uPA inhibitor B428 was provided by Dr Bruce A Littlefield of Eisai, Inc., Andover, MA, USA, and was dissolved in isotonic saline and administered by intraperitoneal injection (IP) at a volume of 10 mL/kg. For ethanol, saccharin, and quinine intake, vehicle or B428 were injected daily 30 minutes before the lights were switched off. However, for the CPP experiments, vehicle or B428 were administered 15 minutes before saline or ethanol, during conditioning sessions.

Two-bottle choice drinking procedure: 24-hour ethanol access

The two-bottle choice drinking procedure was performed as described previously.2737 In brief, after a 1-week acclimatization period to the animal colony room, mice were presented with free access to an ethanol solution in one drinking 10 mL pipette, with a stainless steel spout, and water in the other on a daily schedule. These fluids were available for 23 hours every day (1 hour was taken for measuring and injecting the animals). In the first experiment, the ethanol solution concentration was increased every 4 days, ranging from 2.5% to 20% (v/v). Therefore, mice were exposed to ethanol for a total of 16 days (four concentrations of ethanol, each for 4 days). The ethanol solution was initially presented on the mouse’s left but the positions of the two drinking pipettes were randomly switched each 24 hours to prevent position preference. Table 1 presents a general design of this experiment.

Table 1 Summary of the experimental procedure used in the two-bottle choice test
Notes: aTap water was available in both drinking bottles. bIn all the two-bottle tests, the drinking bottles were rotated daily to prevent position preference.

Water and ethanol intakes were recorded every day to the nearest 0.1 mL, and body weights were recorded every 4 days. To obtain an accurate measurement of ethanol and water consumption, the amount of daily alcohol and water intakes were determined (in g or mL per kg of body weight, respectively) for each animal and averaged over the 4-day period for each ethanol concentration. The ethanol preference, averaged over the 4-day period, was calculated as volume of ethanol consumed per total volume of water plus ethanol consumed. Total fluid intake, averaged over the 4-day period, was calculated and expressed as volume of water plus ethanol consumed per kilogram of body weight per day (mL/kg/day).30,31,35

For B428 dose response (second experiment), mice received saline and B428 (3, 10, or 30 mg/kg) ~30 minutes prior to 10% ethanol and water access, at the beginning of the dark phase. Ethanol and water consumption were recorded over 24 hours, and results were expressed as described above. This pretreatment regimen created four test groups: 0 mg/kg (n=7); 3 mg/kg (n=7); 10 mg/kg (n=9); and 30 mg/kg (n=8).

Two-bottle choice drinking procedure: 24-hour tastant access

To assess whether the decreased ethanol consumption and preference may be due to the pharmacological effects of alcohol, the same mice were tested for increased consumption of nonalcohol tastants. Therefore, the same mice used in the first experiment were tested for saccharin (sweet) and quinine (bitter) intakes and preferences, using the same two-bottle choice paradigm as above.28,36,37 Specifically, 7 days after the ethanol consumption test, a 2-day saccharin drinking test was initiated, where the mice were given the choice between increasing concentrations of saccharin (0.01%, 0.02%, 0.04%, and 0.08%; w/v) and tap water. Therefore, mice were exposed to saccharin for a total 8 days (four concentrations of saccharin, each for 2 days). After completion of the saccharin drinking test and a respective 7-day washout period, mice were given access to increasing concentrations of quinine (10, 20, 40, and 80 μM; w/v) and tap water. Therefore, mice were exposed to quinine for a total 8 days (four concentrations of quinine, each for 2 days). For both tastants, the drinking pipettes were randomly shifted every day to prevent position preference. Fluid intake (water, saccharin, or quinine) was measured daily, and body weights were recorded every 4 days throughout the whole study. Table 1 presents a general design of this experiment. For each fluid, an intake measure was obtained and averaged across a respective period of availability. Intake was then corrected for body weight of the subject. Preference for each substance was calculated according to the formula: (tastant intake/[tastant intake + water intake]) ×100%. Total fluid intake was calculated and expressed as volume of water plus tastant consumed per kilogram of body weight per day (mL/kg/day).29,33,37

Ethanol-induced CPP

The ethanol-induced CPP was performed as described previously.27,29,31,34,37,38 Briefly, mice were trained in one of eight identical two-chamber place conditioning boxes. Two distinct environments (30×30×30 cm) that differed in color and floor texture were separated by a smaller central guillotine door. Each place conditioning experiment consisted of a 7-day schedule with three phases: preconditioning, conditioning, and postconditioning.


During an initial baseline test, mice were placed in the center area and allowed to freely explore the apparatus for 15 minutes. Total time spent in each of the chambers was manually recorded to assess unconditioned preference. During this session, mice exhibiting unconditioned preference (more than 600 seconds) or aversion (less than 300 seconds) for any compartment were discarded from the conditioning session. In the particular experimental setup used in the current study, the mice did not show an unconditioned preference for either of the chambers (440.2±11.01 seconds [chamber A], 459.8±11.01 seconds [chamber B]), which supported our unbiased method. Thus, in one of the chambers A or B, randomly chosen, the mice received saline, and in the other, they were injected with ethanol.


This step was performed during 5 days and included two sessions each day. On the first day, the mice were conditioned for 30 minutes in one of the chambers, chosen as described above, immediately after IP injection of ethanol at 9:30–11:00 am (morning session). After 6 hours, the mice received a single IP injection of saline and were placed, for 30 minutes, in the opposing chambers chosen for the conditioning experiments (evening session). The animals were kept to one chamber by closing the guillotine door during these alternative sessions. On the second day of conditioning, the mice received the saline injections in the morning session and the ethanol injection in the evening session. The third and fifth day of conditioning had the same schedule as the first one. The fourth and sixth day of conditioning had the same schedule as the second one. This procedure had been chosen to control for circadian (morning/evening) variability. During each conditioning day, a mouse was conditioned with one vehicle–environment and one drug–environment pairing, separated by at least 6 hours. Groups were counterbalanced for drug order (morning or evening), drug side, and drug chamber association. In the CPP paradigm, B428 was given to the mice on all the 6 days, either in the morning or in the evening session. No significant differences were observed between groups for any of these variables.

This pretreatment-treatment combination created six test groups, consisting of three saline–saline conditioning groups (VEH [n=9], B428 10 mg/kg [n=12], and B428 30 mg/kg [n=10]) and three saline-ethanol conditioning groups (VEH [n=10], B428 10 mg/kg [n=11], and B428 30 mg/kg [n=10]).


On day 8, 24 hours after the final conditioning session, a 15-minute CPP test was carried out in the same manner as the initial baseline test. Therefore, the guillotine door was opened, and the mice were allowed free access to both chambers. No ethanol injection was given on the CPP test day. Then, the time spent in the ethanol paired chamber was monitored for each mouse, and the change of preference was calculated as the difference between the time spent in the ethanol-paired chamber on the postconditioning, and the time spent in this chamber on the preconditioning day.

Blood ethanol concentration

In a separate study, alcohol naïve male adult mice were used to test the effect of B428 on ethanol pharmacokinetics when given an equal amount of ethanol (g) per kg of body weight, according to previously published methods.30,36,37 Mice were injected with B428 (0, 10, or 30 mg/kg) (n=6 each) and then returned to their home cages. After 30 minutes, mice were treated with a 3 g/kg dose of ethanol (IP; 20% v/v in isotonic saline), and trunk blood samples were taken for blood ethanol concentration (BEC) analysis of ethanol metabolism kinetics at 1, 3, and 6 hours after injection. Blood samples were dispensed into a microcentrifuge tube containing 50 μL ethylenediaminetetraacetic acids (EDTA) and centrifuged at 3,000 rpm for 10 minutes. The supernatant was removed and frozen until use. BECs (expressed in g/dL) were determined from serum, using an alcohol dehydrogenase assay from BioVision Research Products (CA, USA) and a standard ethanol concentration curve, according to the manufacturer instructions.

Statistical analysis

For statistical comparisons, the software package IBM SPSS Statistics for Windows Version 21 was used. Data were expressed as means ± standard error of the mean (SEM). The effects of B428 on ethanol (or tastant) consumption and preference were analyzed using a one-way, repeated measures analysis of variance (ANOVA), with drug (vehicle or B428) as the between-subjects factor and ethanol (or tastant) concentration as the within-subjects factor. The effects of B428 dose on ethanol consumption and preference was analyzed using a one-way ANOVA. The effect of B428 on the ethanol-induced CPP acquisition was analyzed using two-way ANOVA with repeated measures, with drug (vehicle or B428) and conditioning (ethanol or saline) as the between-subject factor and time (pre- and postconditioning) as the within-subject factor. The data representing the effect of B428 on BEC were analyzed using a two-way ANOVA, with drug and time as the between-subjects factors. Following a significant F-value, post hoc analyses (Bonferroni test) were performed for assessing specific group comparisons. The level of statistical significance was set at P≤0.05.


uPA inhibition decreased voluntary ethanol intake and preference

In this experiment, we assessed oral ethanol consumption and preference, using a two-bottle preference paradigm, by giving mice continuous access to two drinking 10 mL pipettes: one containing tap water and the other containing an ascending range of ethanol concentrations. Average daily water intake (mL/kg) is shown in Figure 1A; the one-way ANOVA repeated measures revealed no significant effect of treatment (F(1,30) =1.407, P=0.245). However, there was a significant effect of ethanol concentration (F(3,90) =15.246, P<0.000). Most importantly, the interaction between treatment and ethanol concentration was found significant (F(3,90) =4.679, P=0.004). Follow-up paired-sample t-tests indicated that at the 10% ethanol concentration, B428 significantly increased water intake relative to vehicle (P<0.001). No significant differences emerged in the analysis of the 2.5%, 5%, and 20% concentrations (P=0.142, P=0.130, and P=0.214, respectively). Analysis of the ethanol intake (mL/kg) indicated a significant effect of treatment (F(1,30) =6.480, P=0.016) and ethanol concentration (F(3,90) =27.235, P<0.0001), and most importantly, the treatment × ethanol concentration interaction (F(3,90) =27.235, P<0.0001) was found significant (Figure 1B). Follow-up post hoc tests indicated that at the 2.5% ethanol concentration, B428 had no effect on ethanol drinking (P=0.649 versus vehicle). However, significant differences emerged in the analysis of the 5%, 10%, and 20% concentrations (P=0.009, P=0.004, and P<0.0001, respectively) with B428-induced reduction of ethanol intake compared with vehicle. Average daily ethanol consumption, expressed as grams of ethanol per kg of body weight, is shown in Figure 1C, and the one-way ANOVA repeated measures revealed that there was a main effect of treatment (F(1,30) =18.516, P<0.000) and ethanol concentration (F(3,90) =160.251, P<0.000) on daily ethanol consumption. Interestingly, the interaction between treatment and concentration was significant (F(3,90) =6.398, P=0.001). Post hoc analysis indicated that B428-injected mice consumed less ethanol than vehicle, when given access to the 5%, 10%, and 20% ethanol solution (P<0.01). Ethanol preference was related to ethanol concentration in an inverted U-shaped manner, the maximal preference being obtained at 10% ethanol (approximately 80% preference). One-way ANOVA analysis indicated that ethanol preference was affected by treatment (F(1,30) =8.813, P=0.006) and by ethanol concentration (F(3,90) =35.748, P<0.000). Similarly, the treatment × concentration interaction was also significant (F(3,90) =4.787, P=0.004) (Figure 1D). Post hoc analysis indicated that B428-injected mice preferred less ethanol than vehicle when given access to the 5%, 10%, and 20% ethanol solution (P<0.05). Finally no treatment differences in total fluid intake were observed at any of the concentrations of alcohol tested in the two-bottle choice procedure (F(1,30) =1.172, P=0.288). In addition, the main effect of ethanol concentration (F(3,90) =0.389, P=0.761) and the interaction between treatment and concentration were not significant (F(3,90) =0.859, P=0.465) (data not shown).

Figure 1 Effect of vehicle and B428 (10 mg/kg) on ethanol (2.5%, 5%, 10%, and 20%) consumption and preference.
Notes: (A) Water and (B) ethanol consumption, calculated as milliliters of water or ethanol consumed per kilogram of body weight, in male C57BL/6 mice. (C) Ethanol consumption, calculated as grams of alcohol consumed per kilogram of body weight, in male C57BL/6 mice. (D) Ethanol preference, expressed as ethanol consumed/total fluid consumed. Data are expressed as mean ± SEM. *P<0.05 (versus vehicle). n=16 (vehicle), n=16 (B428). Closed bars: vehicle. Open bars: B428.
Abbreviations: SEM, standard error of the mean; VEH, vehicle.

uPA inhibition did not affect tastants consumption and preference

Ethanol and water likely have different tastes; thus, the lower drinking of ethanol by the B428-injected mice is not likely to be due to a difference in taste sensitivity between the two groups. However, to be more certain, we investigated this possibility with a sweet and a bitter tastant, using the same mice, and results are depicted in Figure 2. Daily water intake (mL/kg) is shown in Figure 2A; the one-way ANOVA repeated measures revealed no significant effect of treatment (F(1,30) =0.001, P=0.993), but there was a significant effect of saccharin concentration (F(3,90) =7.566, P<0.000). Interestingly, the treatment × saccharin concentration interaction was not significant (F(3,90) =0.212, P=0.888). Analysis of the saccharin intake (mL/kg) indicated no significant effect of treatment (F(1,30) =0.011, P=0.918) or saccharin concentration (F(3,90) =0.997, P=0.398), and most importantly, the treatment × saccharin concentration interaction (F(3,90) =0.049, P=0.986) was not significant (Figure 2B). Although the mice consumed more saccharin when the higher concentrations were available than when the lower concentration was offered; main effect of concentration: (F(3,90) =102.040, P<0.000), the saccharin intake was similar for the two experimental groups; main effect of treatment: (F(1,30) =0.011, P=0.917). Also, the interaction between treatment and concentration (F(3,90) =0.042, P=0.989) was not significant (Figure 2C). Similarly, both vehicle- and B428-treated mice showed an increasing preference for saccharin with increasing concentrations (F(3,90) =4.406, P=0.006) (Figure 2D). However, no significant main effect of treatment (F(1,30) =0.014, P=0.905) or treatment × concentration (F(3,90) =0.186, P=0.96) were found on saccharin preference. Finally, the total amount of fluid consumed per day (mL/kg/day) also did not change with increasing concentration (F(3,90) =0.736, P=0.533). No significant main effect of treatment was found (F(1,30) =0.008, P=0.930), with B428-injected mice showing similar total fluid intake at both concentrations tested compared with vehicle-treated mice. Overall, no interactions were found between treatment and concentration on the amount of fluid consumed (F(3,90) =0.039, P=0.990) (data not shown).

Figure 2 Effect of vehicle and B428 (10 mg/kg) on saccharin (0.01%–0.08%) consumption and preference.
Notes: (A) Water and (B) saccharin consumption, calculated as milliliters of water or saccharin consumed per kilogram of body weight, in male C57BL/6 mice. (C) Saccharin consumption, calculated as grams of saccharin consumed per kilogram of body weight, in male C57BL/6 mice. (D) Saccharin preference, expressed as saccharin consumed/total fluid consumed. Data are expressed as mean ± SEM. *P<0.05 (versus 0.01% saccharin), **P<0.01 (versus 0.01% saccharin). n=16 (vehicle), n=16 (B428). Closed bars: vehicle. Open bars: B428.
Abbreviations: SEM, standard error of the mean; VEH, vehicle.

Daily water intake (mL/kg) is shown in Figure 3A; the one-way ANOVA repeated measures revealed no significant effect of treatment (F(1,30) =0.044, P=0.836) or quinine concentration (F(3,90) =0.529, P=0.664) on water consumption. Also, the interaction between the two variables was not significant (F(3,90) =0.446, P=0.721). In addition, there was no significant effect of treatment (F(1,30) =0.076, P=0.784) or saccharin concentration (F(3,90) =0.160, P=0.923) on quinine intake (mL/kg). In addition, the treatment × quinine concentration interaction (F(3,90) =0.187, P=0.905) was not significant (Figure 3B). Similar to ethanol and saccharin, the mice consumed increasing amounts of quinine per day (mg/kg/day) with increasing quinine concentrations (main effect of concentration: F(3,90) =65.802, P<0.000). However, no significant effect was found either for treatment (F(1,30) =0.000, P=0.998) or for concentration × treatment interaction (F(3,90) =0.024, P=0.995) (Figure 3C). For quinine preference, there was a tendency to prefer less quinine when the higher concentrations were offered, but statistical analysis did not reveal a significant effect of concentration (F(3,90) =0.752, P=0.524). In addition, there was no difference between the two groups in quinine preference (main effect of treatment: F(1,30) =0.080, P=0.780). Also, the interaction between treatment and concentration was not significant (F(3,90) =0.132, P=0.941) (Figure 3D). Finally, the total fluid intake consumed per day (mL/kg/day) did not depend on the quinine concentration (F(3,90) =0.543, P=0.654) and did not differ between vehicle and B428 groups (main effect of treatment: F(1,30) =0.027, P=0.870) (data not shown).

Figure 3 Effect of vehicle and B428 (10 mg/kg) on quinine (10–80 μM) consumption and preference.
Notes: (A) Water and (B) quinine consumption, calculated as milliliters of water or quinine consumed per kilogram of body weight, in male C57BL/6 mice. (C) Quinine consumption, calculated as milligrams of quinine consumed per kilogram of body weight, in male C57BL/6 mice. (D) Quinine preference, expressed as quinine consumed/total fluid consumed. Data are expressed as mean ± SEM. *P<0.05 (versus 10 μM quinine), **P<0.01 (versus 10 μM quinine). n=16 (vehicle), n=16 (B428). Closed bars: vehicle. Open bars: B428.
Abbreviations: SEM, standard error of the mean; VEH, vehicle.

These data suggest that differences in taste sensitivity are unlikely to have played a significant role in the treatment difference (vehicle versus B428) in ethanol consumption and preference. Overall, these results suggest that uPA activity is an important contributor to mechanisms that underlie the motivation to consume alcohol.

B428 dose-dependently decreased ethanol consumption and preference

Next, different groups of mice (n=7–9) were exposed to a two-bottle free-choice paradigm with ethanol (10%) and tap water, and we tested the effects of a range of B428 doses (0, 3, 10, and 30 mg/kg) on ethanol and water intake, and preference. Therefore, C57BL/6 mice were trained to drink 10% alcohol versus water under a two-bottle choice, home-cage, continuous access to alcohol paradigm, and the results are presented in Figure 4. Average daily water intake (mL/kg) is shown in Figure 4A; the one-way ANOVA indicated a main effect of B428 dose (F(3,27) =21.910, P<0.000). Follow-up paired-sample t-tests revealed a dose-dependent increase in water intake (P<0.001) with 10 and 30 mg/kg compared with 0 mg/kg. In contrast, no significant effect on water intake was observed with low dose of B428 (3 mg/kg) (P=1.000) compared with control. The effect of B428 dose on ethanol intake (mL/kg) is depicted in Figure 4B. As expected, data analysis revealed a significant effect of B428 (F(3,27) =30.764, P<0.000). Post hoc analysis showed that compared with control, mice consumed less alcohol when injected with 10 and 30 mg/kg B428 (P<0.001 and P<0.000, respectively). In addition, there was a significant difference between 10 and 30 mg/kg (P=0.035). As for ethanol consumption, calculated as grams per kilogram of body weight, the one-way ANOVA revealed that B428 significantly and dose-dependently reduced alcohol consumption determined after 24 hours access to alcohol (F(3,27) =30.781, P<0.000). Post hoc evaluation indicated that as expected, B428 (10 mg/kg) significantly reduced ethanol intake, by approximately 50% compared with control (P<0.000). Also, the 30 mg/kg dose significantly reduced ethanol intake post-24-hour treatment, by 80% and 50% compared with control and 10 mg/kg, respectively (P<0.000 and P=0.035). However, no significant effect on ethanol intake was observed with low dose of B428 (3 mg/kg) (P=1.000) (Figure 4C). Similarly and as depicted in Figure 4D, pretreatment with B428 resulted in a dose-dependent reduction in the ethanol preference (F(3,27) =37.537, P<0.000). Specifically, alcohol preference in 10 and 30 mg/kg B428-treated mice was approximately 50% and 75% lower, respectively, than that recorded in saline-dosed mice (P<0.001). In contrast, in the 3 mg/kg B428-treated mouse group, mice were completely devoid of any response to the ethanol exposure as their ethanol preference was approximately 97% similar to the control group (P=1.000). In addition, there was a significant difference between the 10 and 30 mg/kg B428 doses (P=0.011) with respect to ethanol preference. Finally, no differences between any of the groups of mice were observed in total fluid consumption, whatever the B428 dose concentration used. In fact, the one-way ANOVA test revealed no significant effect of treatment on total fluid intake (F(3,27) =0.831, P=0.488) (data not shown).

Figure 4 Effect of B428 (0, 3, 10, and 30 mg/kg) on ethanol (10%) consumption and preference.
Notes: (A) Water and (B) ethanol consumption, calculated as milliliters of water or ethanol consumed per kilogram of body weight, in male C57BL/6 mice. (C) Ethanol consumption, calculated as grams of alcohol consumed per kilogram of body weight, in male C57BL/6 mice. (D) Ethanol preference, expressed as ethanol consumed/total fluid consumed. Data are expressed as mean ± SEM. *P<0.01 (versus 0 mg/kg), **P<0.001 (versus 0 mg/kg), #P<0.05 (versus 10 mg/kg). n=7 (0 mg/kg), n=7 (3 mg/kg), n=9 (10 mg/kg), and n=8 (30 mg/kg).
Abbreviation: SEM, standard error of the mean.

Thus, B428 potently reduced alcohol intake in C57BL/6 mice, with no effect on total fluid intake, suggesting that B428 effects on mice alcohol intake occurred through a specific reduction of alcohol consumption rather than nonspecific motor effects. Taken together, the B428-induced anti-alcohol effects are considered to have certain selectivity and specificity as the reduction of voluntary ethanol intake coincided with a reduction of ethanol preference.

B428-inhibited uPA activity impaired ethanol-induced CPP

The CPP procedure was used to investigate whether B428 affected the rewarding properties of ethanol and whether B428 by itself induced rewarding or aversive effects. The timeline of the experiments is depicted in Figure 5A and B. As can be seen in Figure 5C, ethanol (1.5 g/kg) produced an increase of time spent in the drug-paired chamber in mice (main effect of ethanol conditioning: F(1,56) =37.621, P<0.000). Interestingly, administration of B428 (10 or 30 mg/kg) 30 minutes before saline or ethanol injection reduced the preference time induced by ethanol (main effect of treatment: F(2,56) =10.062, P=0.043). Most importantly, a two-way ANOVA of treatment and conditioning (saline versus ethanol) revealed an interaction between these two factors (F(2,56) =9.812, P<0.000). Tests of the within-subject factors indicated that there was a significant effect of time (F(1,56) =33.205, P<0.000), a significant time × treatment interaction (F(2,56) =10.062, P<0.000), a significant time × conditioning interaction (F(1,56) =37.621, P<0.000), and a significant time × conditioning × treatment interaction (F(2,45) =9.812, P<0.000) detected. Post hoc analysis showed that when conditioned with ethanol and compared with vehicle (Figure 5), 10 and 30 mg/kg B428 significantly inhibited CPP expression (P=0.012 and P<0.001, respectively). Interestingly, there was a significant difference between 10 and 30 mg/kg (P=0.039).

Figure 5 Effect of B428 (0, 10, and 30 mg/kg) on ethanol-elicited conditioned place preference.
Notes: Experimental procedures for (A) saline–saline and (B) saline–ethanol conditioning. (C) Ethanol-elicited place preference test, expressed as mean time ± SEM (seconds) spent on the ethanol paired box (test minus habituation). Male C57BL/6 mice in the conditioning subgroups had previously received pairings of B428 (0, 10, or 30 mg/kg) before saline or ethanol (1.5 g/kg; IP). *P<0.05 (versus saline conditioning), **P<0.01 (versus saline conditioning), #P<0.05 (versus B428 0 mg/kg), ##P<0.01 (versus B428 0 mg/kg), $P<0.05 (versus B428 10 mg/kg). Saline–saline conditioning: n=9 (B428 0 mg/kg), n=12 (B428 10 mg/kg), and n=10 (B428 30 mg/kg). Saline–ethanol conditioning: n=10 (B428 0 mg/kg), n=11 (B428 10 mg/kg), and n=10 (B428 30 mg/kg).
Abbreviations: CPP, conditioned place preference; E, ethanol; IP, intraperitoneal; S, saline; SEM, standard error of the mean; VEH, vehicle.

B428 had no effect on blood ethanol concentration

Finally, the BEC in vehicle- and B428-injected mice was assessed in order to test whether the B428 utilized in this study was eliciting its effect by altering alcohol absorption and metabolism. Animals were injected with B428 (0, 10, or 30 mg/kg; n=6 each) 30 minutes before alcohol administration (3 g/kg). BEC (in g/dL) were determined by collecting blood 1, 3, and 6 hours after alcohol administration, and the results are depicted in Table 2. The two-way ANOVA with drug and time as the between-subject factors revealed a main effect of time (F(2,45) =25.613, P<0.000), with BECs significantly greater at 1 hour than at 3 (P=0.023) and 6 hours (P<0.000) postethanol. However, the rate of alcohol metabolism, as measured by the slope of the line, was not significantly different between the three groups (F(2,45) =0.182, P=0.834). Interestingly, the interaction between treatment and time was not significant (F(2,45) =0.258, P=0.903). Thus, there was no evidence that ethanol pharmacokinetics was affected by preexposure to 10 or 30 mg/kg B428.

Table 2 Blood ethanol concentration
Notes: Mice were injected with B428 (0, 10, or 30 mg/kg), and 30 minutes later, they received an acute injection of ethanol (3 g/kg). Blood ethanol concentrations, expressed in g/dL, were measured 1, 3, and 6 hours later. Data are expressed as mean ± SEM. N=6 in each group. *P<0.05 (versus 1 hour), **P<0.01 (versus 1 hour).
Abbreviation: SEM, standard error of the mean.


In the present study, we have demonstrated that, using the two-bottle choice drinking paradigm under unlimited access conditions, the specific brain penetrant uPA inhibitor, B428, dose-dependently reduced ethanol consumption and preference, whereas intake of the nonalcohol tastants saccharin and quinine, were not affected. More importantly, systemic injection of B428 prior to each ethanol conditioning impaired ethanol-induced CPP expression.

The continuous unlimited drinking paradigm used in the current study was chosen for multiple reasons. First, when rodents have continuous access to ethanol in the home cage 24 h/day, ethanol consumption is necessarily related to the pharmacological effects of alcohol. In addition, continuous unlimited access procedures are also more appropriate to study the pharmacological effects of compounds with long elimination half-lives, such as B428, in rodents and other small animals.25,39 Along these lines, a previous study from our laboratory has shown that in Wistar rats, B428 blocked cocaine-induced psychomotor stimulation.21 In agreement with the current findings, we have also shown in a previous study that ethanol treatment dose-dependently induced the expression and the enzymatic activity of another serine protease, namely, tissue plasminogen activator (tPA), in the NAc.32 More importantly, ethanol-induced locomotor stimulation, behavioral sensitization and CPP were enhanced following tPA overexpression in the NAc, when examined using a lentiviral vector. However, knockdown of tPA expression with specific siRNA-expressing lentiviral vectors blocked the rewarding properties of ethanol.32

The CPP paradigm is assumed to reflect the secondary motivational properties of drugs and their potential for abuse.40 The CPP procedure is very useful for distinguishing between the effects of drugs on acquisition versus expression of learning.41,42 In the present study, systemic administration of 1.5 g/kg of ethanol during five conditioning sessions, using an unbiased paradigm, induced robust CPP. Our result is similar to previously reported studies that indicated that a moderate dose of ethanol (1.5–2 g/kg) produced a significant CPP in C57BL/6 mice.4346 Our previous research revealed that the systemic administration of B428 impaired cocaine-induced CPP,21 suggesting that uPA inhibition can impair the capacity of environmental cues that are associated with psychostimulation to elicit approach behavior. In this study, the same dose of B428 did influence the acquisition of the CPP response to ethanol, which is consistent with our previous finding on tPA.32 For CPP acquisition/learning, the stimulus must be rewarding and the animals must associate the rewarding effects with environmental cues (associative learning). Disruption of one of these processes is manifested as a reduced preference for the drug-paired compartment.47,48 The fact that B428 blocked the acquisition of ethanol-induced CPP indicates that uPA activity is critical for one or both of the aforementioned processes.

Most studies examining the behavioral, neuroanatomical, and neurochemical mechanisms underlying ethanol consumption and preference have implicated glutamate, dopamine, serotonin, gamma-aminobutyric acid (GABA), and several other neuropeptides in very specific circuitries of the brain, such as the mesocorticolimbic reward system, the amygdala, and other limbic brain regions.4953 These regions contain considerable amounts of uPA expression.3,13,19,20 Therefore, future studies examining the contribution of uPA in localized specific brain regions are needed, to determine the neurobiological mechanism(s) by which uPA inhibition using B428 reduces ethanol consumption and preference. In addition, more studies are needed to determine whether uPA mediates ethanol consumption and preference via genomic or nongenomic mechanisms. The fact that effects were observed, in the present study, within 24 hours of B428 administration suggests possible dual actions of uPA in mediating these phenomena.

In conclusion, the present study demonstrates, for the first time, the involvement of uPA in voluntary ethanol consumption and preference as well as in the conditioned rewarding effects of ethanol in adult mice. In particular, this serine protease was shown to be involved in the acquisition of ethanol-induced CPP. Such new knowledge concerning the neurobiological basis of the rewarding effects of ethanol may be of help in designing adequate therapies for users who become dependent or are concerned about their use of alcohol. In addition, future studies examining the ability of selective B428-like uPA inhibitors to reduce ethanol consumption and preference using other rodent models of alcoholism (ie, operant self-administration, relapse) may uncover novel therapeutic approaches for the treatment of alcoholism and excessive ethanol intake in humans.


This work was supported by grants from the United Arab Emirates University and the National Research foundation.

The authors are grateful to Dr Bruce A Littlefield of Eisai, Inc., Andover, MA, USA, for providing B428. The authors would like to acknowledge Mr Mohamed Elwasila and Mr Mohamed Shafiullah for their technical assistance, and Dr Mahmoud Hag Ali, of the Central Animal Facility, for his advice on veterinary care.

Author contributions

AB was responsible for the study concept and design. EA, SA, MA, and AB contributed to the acquisition of animal data. AB performed the data analysis, and EA, SA, and MA helped in the interpretation of findings. EA and AB drafted the manuscript. All the authors provided critical revision of the manuscript for important intellectual content, reviewed content, and approved the final version for publication.


The authors report no conflicts of interest in this work.



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