Laboratory of Neuropharmacology, Department of Experimental and Health Sciences, University Pompeu Fabra, PRBB, 08003 Barcelona, Spain.
Neurosci Biobehav Rev. 2010 Nov;35(2):220-31. doi: 10.1016/j.neubiorev.2010.02.006. Epub 2010 Feb 16.
Nicotine is the primary component of tobacco that maintains the smoking habit and develops addiction. The adaptive changes of nicotinic acetylcholine receptors produced by repeated exposure to nicotine play a crucial role in the establishment of dependence. However, other neurochemical systems also participate in the addictive effects of nicotine including glutamate, cannabinoids, GABA and opioids. This review will cover the involvement of these neurotransmitters in nicotine addictive properties, with a special emphasis on the endogenous opioid system. Thus, endogenous enkephalins and beta-endorphins acting on mu-opioid receptors are involved in nicotine-rewarding effects, whereas opioid peptides derived from prodynorphin participate in nicotine aversive responses. An up-regulation of mu-opioid receptors has been reported after chronic nicotine treatment that could counteract the development of nicotine tolerance, whereas the down-regulation induced on kappa-opioid receptors seems to facilitate nicotine tolerance. Endogenous enkephalins acting on mu-opioid receptors also play a role in the development of physical dependence to nicotine. In agreement with these actions of the endogenous opioid system, the opioid antagonist naltrexone has shown to be effective for smoking cessation in certain sub-populations of smokers.
尼古丁是烟草中维持吸烟习惯和导致成瘾的主要成分。反复接触尼古丁引起的烟碱型乙酰胆碱受体的适应性改变在依赖性的建立中起着关键作用。然而,其他神经化学系统也参与了尼古丁的成瘾作用,包括谷氨酸、大麻素、GABA 和阿片类物质。这篇综述将涵盖这些神经递质在尼古丁成瘾特性中的作用,特别强调内源性阿片系统。因此,内源性脑啡肽和β-内啡肽作用于μ-阿片受体参与尼古丁的奖赏作用,而源于前原啡肽的阿片肽参与尼古丁的厌恶反应。据报道,慢性尼古丁处理后,μ-阿片受体的上调可以对抗尼古丁耐受的发展,而κ-阿片受体的下调似乎促进了尼古丁耐受。作用于μ-阿片受体的内源性脑啡肽也在尼古丁躯体依赖的发展中起作用。与内源性阿片系统的这些作用一致,阿片受体拮抗剂纳曲酮已被证明对某些吸烟人群的戒烟有效。
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