Gonzales Rueben A, Job Martin O, Doyon William M
Department of Pharmacology, College of Pharmacy, The University of Texas at Austin, 1 University Station A1915, Austin, TX 78712-0125, USA.
Pharmacol Ther. 2004 Aug;103(2):121-46. doi: 10.1016/j.pharmthera.2004.06.002.
The neurobiological processes by which ethanol seeking and consumption are established and maintained are thought to involve areas of the brain that mediate motivated behavior, such as the mesolimbic dopamine system. The mesolimbic dopamine system is comprised of cells that originate in the ventral tegmental area (VTA) and project to several forebrain regions, including a prominent terminal area, the nucleus accumbens (NAcc). The NAcc has been subdivided into core and shell subregions. Both areas receive converging excitatory input from the cortex and amygdala and dopamine input from the VTA, with the accumbal medium spiny neuron situated to integrate the signals. Although forced ethanol administration enhances dopamine activity in the NAcc, conclusions regarding the role of mesolimbic dopamine in ethanol reinforcement cannot be made from these experiments. Behavioral experiments consistently show that pharmacological manipulations of the dopamine transmission in the NAcc alter responding for ethanol, although ethanol reinforcement is maintained after lesions of the accumbal dopamine system. Additionally, extracellular dopamine increases in the NAcc during operant self-administration of ethanol, which is consistent with a role of dopamine in ethanol reinforcement. Behavioral studies that distinguish appetitive responding from ethanol consumption show that dopamine is important in ethanol-seeking behavior, whereas neurochemical studies suggest that accumbal dopamine is also important during ethanol consumption before pharmacological effects occur. Cellular studies suggest that ethanol alters synaptic plasticity in the mesolimbic system, possibly through dopaminergic mechanisms, and this may underlie the development of ethanol reinforcement. Thus, anatomical, pharmacological, neurochemical, cellular, and behavioral studies are more clearly defining the role of mesolimbic dopamine in ethanol reinforcement.
据认为,促使人们寻求和摄入乙醇的神经生物学过程涉及大脑中调节动机行为的区域,比如中脑边缘多巴胺系统。中脑边缘多巴胺系统由起源于腹侧被盖区(VTA)并投射到几个前脑区域的细胞组成,其中一个主要的终末区域是伏隔核(NAcc)。伏隔核已被细分为核心和壳两个亚区。这两个区域都接收来自皮层和杏仁核的汇聚性兴奋性输入以及来自腹侧被盖区的多巴胺输入,伏隔核中的中等多棘神经元能够整合这些信号。尽管强迫给予乙醇会增强伏隔核中的多巴胺活性,但从这些实验中无法得出关于中脑边缘多巴胺在乙醇强化作用中作用的结论。行为实验一致表明,对伏隔核中多巴胺传递进行药理学操作会改变对乙醇的反应,尽管在破坏伏隔核多巴胺系统后乙醇强化作用仍能维持。此外,在乙醇操作性自我给药过程中,伏隔核细胞外多巴胺水平会升高,这与多巴胺在乙醇强化作用中的作用一致。区分对乙醇的渴望反应和乙醇摄入的行为研究表明,多巴胺在寻求乙醇的行为中很重要,而神经化学研究表明,在药理学作用发生之前,伏隔核多巴胺在乙醇摄入过程中也很重要。细胞研究表明,乙醇可能通过多巴胺能机制改变中脑边缘系统的突触可塑性,这可能是乙醇强化作用发展的基础。因此,解剖学、药理学、神经化学、细胞和行为学研究正在更清晰地界定中脑边缘多巴胺在乙醇强化作用中的作用。