Lee Anna M, Messing Robert O
Ernest Gallo Clinic and Research Center, Department of Neurology, University of California at San Francisco, Emeryville, CA 94608, USA.
Ann N Y Acad Sci. 2008 Oct;1141:22-57. doi: 10.1196/annals.1441.022.
Although drugs of abuse have different chemical structures and interact with different protein targets, all appear to usurp common neuronal systems that regulate reward and motivation. Addiction is a complex disease that is thought to involve drug-induced changes in synaptic plasticity due to alterations in cell signaling, gene transcription, and protein synthesis. Recent evidence suggests that drugs of abuse interact with and change a common network of signaling pathways that include a subset of specific protein kinases. The best studied of these kinases are reviewed here and include extracellular signal-regulated kinase, cAMP-dependent protein kinase, cyclin-dependent protein kinase 5, protein kinase C, calcium/calmodulin-dependent protein kinase II, and Fyn tyrosine kinase. These kinases have been implicated in various aspects of drug addiction including acute drug effects, drug self-administration, withdrawal, reinforcement, sensitization, and tolerance. Identifying protein kinase substrates and signaling pathways that contribute to the addicted state may provide novel approaches for new pharmacotherapies to treat drug addiction.
尽管滥用药物具有不同的化学结构且与不同的蛋白质靶点相互作用,但它们似乎都篡夺了调节奖赏和动机的共同神经回路。成瘾是一种复杂的疾病,被认为涉及药物诱导的突触可塑性变化,这是由细胞信号传导、基因转录和蛋白质合成的改变所导致的。最近的证据表明,滥用药物与一个共同的信号通路网络相互作用并对其产生改变,该网络包括特定蛋白激酶的一个子集。本文对其中研究得最为深入的这些激酶进行了综述,包括细胞外信号调节激酶、环磷酸腺苷依赖性蛋白激酶、细胞周期蛋白依赖性蛋白激酶5、蛋白激酶C、钙/钙调蛋白依赖性蛋白激酶II以及Fyn酪氨酸激酶。这些激酶与药物成瘾的各个方面都有关联,包括急性药物效应、药物自我给药、戒断、强化、敏化和耐受。确定导致成瘾状态的蛋白激酶底物和信号通路可能为治疗药物成瘾的新药物疗法提供新的途径。