Fishberg Department of Neuroscience and Friedman Brain Institute, Mount Sinai School of Medicine, New York, NY 10029, USA.
Neuron. 2011 Dec 22;72(6):977-90. doi: 10.1016/j.neuron.2011.10.012.
While the abuse of opiate drugs continues to rise, the neuroadaptations that occur with long-term drug exposure remain poorly understood. We describe here a series of chronic morphine-induced adaptations in ventral tegmental area (VTA) dopamine neurons, which are mediated via downregulation of AKT-mTORC2 (mammalian target of rapamycin complex-2). Chronic opiates decrease the size of VTA dopamine neurons in rodents, an effect seen in humans as well, and concomitantly increase the excitability of the cells but decrease dopamine output to target regions. Chronic morphine decreases mTORC2 activity, and overexpression of Rictor, a component of mTORC2, prevents morphine-induced changes in cell morphology and activity. Further, local knockout of Rictor in VTA decreases DA soma size and reduces rewarding responses to morphine, consistent with the hypothesis that these adaptations represent a mechanism of reward tolerance. Together, these findings demonstrate a novel role for AKT-mTORC2 signaling in mediating neuroadaptations to opiate drugs of abuse.
虽然阿片类药物的滥用不断上升,但长期药物暴露引起的神经适应仍知之甚少。我们在这里描述了一系列慢性吗啡诱导的腹侧被盖区(VTA)多巴胺神经元的适应性变化,这些变化是通过 AKT-mTORC2(雷帕霉素复合物 2 的哺乳动物靶点)的下调介导的。慢性阿片类药物会减少啮齿动物 VTA 多巴胺神经元的大小,这在人类中也有观察到,同时会增加细胞的兴奋性,但会减少多巴胺向靶区的输出。慢性吗啡会降低 mTORC2 的活性,而 mTORC2 的组成部分 Rictor 的过表达可以防止吗啡引起的细胞形态和活性变化。此外,VTA 中 Rictor 的局部敲除会减少 DA 体大小,并降低对吗啡的奖赏反应,这与这些适应性变化代表奖赏耐受的一种机制的假设一致。总之,这些发现表明 AKT-mTORC2 信号在介导阿片类药物滥用的神经适应中具有新的作用。