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尼古丁、酒精和可卡因通过内源性吗啡信号传导与奖赏过程耦合:多巴胺-吗啡假说。

Nicotine, alcohol and cocaine coupling to reward processes via endogenous morphine signaling: the dopamine-morphine hypothesis.

作者信息

Stefano George B, Bianchi Enrica, Guarna Massimo, Fricchione Gregory L, Zhu Wei, Cadet Patrick, Mantione Kirk J, Casares Federico M, Kream Richard M, Esch Tobias

机构信息

Neuroscience Research Institute, State University of New York College at Old Westbury, Old Westbury, NY 11568, USA.

出版信息

Med Sci Monit. 2007 Jun;13(6):RA91-102.

Abstract

Pleasure is described as a state or feeling of happiness and satisfaction resulting from an experience that one enjoys. We examine the neurobiological factors underlying reward processes and pleasure phenomena. With regard to possible negative effects of pleasure, we focus on addiction and motivational toxicity. Pleasure can serve cognition, productivity and health, but simultaneously promotes addiction and other negative behaviors. It is a complex neurobiological phenomenon, relying on reward circuitry or limbic activity. These processes involve dopaminergic signaling. Moreover, nicotine, cocaine and alcohol appear to exert their pleasure providing action via endogenous morphinergic mechanisms. Natural rewarding activities are necessary for survival and appetitive motivation, usually governing beneficial biological behaviors like eating, sex and reproduction. Social contacts can further facilitate the positive effects exerted by pleasurable experiences. However, artificial stimulants can be detrimental, since flexibility and normal control of behavior are deteriorated. Additionally, addictive drugs are capable of directly acting on reward pathways, now, in part, via endogenous morphine processes.

摘要

愉悦被描述为一种因个人享受的经历而产生的幸福和满足的状态或感觉。我们研究奖励过程和愉悦现象背后的神经生物学因素。关于愉悦可能产生的负面影响,我们关注成瘾和动机毒性。愉悦可以促进认知、提高生产力并有益于健康,但同时也会助长成瘾和其他负面行为。它是一种复杂的神经生物学现象,依赖于奖励回路或边缘系统活动。这些过程涉及多巴胺能信号传导。此外,尼古丁、可卡因和酒精似乎通过内源性阿片肽机制发挥其产生愉悦的作用。自然的奖励活动对于生存和食欲动机是必要的,通常支配着诸如进食、性行为和繁殖等有益的生物行为。社交接触可以进一步促进愉悦体验所带来的积极影响。然而,人工刺激物可能是有害的,因为行为的灵活性和正常控制会受到损害。此外,成瘾性药物能够直接作用于奖励途径,现在部分是通过内源性吗啡过程。

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