RT Journal Article T1 Plasma midkine levels in patients with cocaine use disorder during abstinence. T2 Plasma midkine levels in patients with cocaine use disorder during abstinence. A1 Pallardo-Fernandez, Iñigo A1 Garcia-Marchena, Nuria A1 Rodriguez-Rivera, Carmen A1 Pavon, Francisco Javier A1 Gonzalez-Martin, Carmen A1 Rodriguez de Fonseca, Fernando A1 Alguacil, Luis F K1 Cocaine K1 Cocaine-related disorders K1 Midkine AB Preclinical evidence suggests that endogenous midkine could play a key modulatory role on the neurotoxic and addictive effects of different kinds of drugs of abuse, including psychostimulants. However, this hypothesis has not yet been explored in humans. As a first approach to progress in this knowledge, we have comparatively studied plasma midkine levels in 75 patients with cocaine use disorder under abstinence and 26 control subjects matched for sex, age and body mass index. Patients were further segmented into early-abstinent (up to one month of abstinence, n = 30) and late-abstinent (more than one month of abstinence, n = 45). Midkine levels were quantified in plasma samples of all the participants by enzyme-linked immunosorbent assays. Early-abstinent patients exhibited a 60% increase of midkine plasma concentration in comparison with the controls. This elevation tended to normalize upon the progression of abstinence. The results obtained demonstrate that peripheral midkine levels are closely related to cocaine use and are consistent with the idea that this cytokine could play a protective role by limiting the biological activity of psychostimulants. PB Socidrogalcohol SN 0214-4840 YR 2022 FD 2022-11-29 LK http://hdl.handle.net/10668/21749 UL http://hdl.handle.net/10668/21749 LA en LA es NO Pallardo-Fernández I, García-Marchena N, Rodríguez-Rivera C, Pavón FJ, González-Martín C, Rodríguez de Fonseca F, et al. Plasma midkine levels in patients with cocaine use disorder during abstinence. Adicciones. 2022 Nov 29;34(4):273-278 DS RISalud RD Apr 29, 2025