Behavioural and Clinical Neuroscience Institute and Department of Experimental Psychology, University of Cambridge, Cambridge, UK.
Neuropsychopharmacology. 2012 Jun;37(7):1612-9. doi: 10.1038/npp.2012.6. Epub 2012 Feb 15.
Compulsive drug seeking, which is characterized by continued instrumental effort despite contingent punishment, has been shown to emerge after extended drug self-administration. Exactly what aspect of drug self-administration drives the appearance of addictive behavior is unclear, but the mechanistic explanations that have been offered differ in one key respect. On one hand, it has been suggested that dysfunctional conditioning during self-administration drives unrealistic reward expectations, ultimately producing resistance to punishment. If this is indeed the pathological process that drives compulsive behavior, then compulsivity should be apparent only in the presence of the pavlovian and instrumental stimuli that underwent frequent pairing with the drug reward. On the other hand, it has also been suggested that extended drug intake produces general changes to reward and decision-making circuits that manifest as compulsive drug seeking. Unfortunately, conditioning history and drug intake are generally intrinsically intertwined. However, here we used an animal model of compulsive cocaine seeking to selectively manipulate drug intake and the degree of conditioning in the test context, to investigate which of the two is more important for the emergence of compulsive cocaine seeking. The results show that extended drug intake alone is sufficient, but extended conditioning in the test context is not necessary for the emergence of compulsive cocaine seeking, resolving a fundamental question in addiction research.
强迫性药物寻求行为,其特征是尽管有偶然的惩罚,但仍持续进行工具性努力,已被证明在长期药物自我给药后出现。确切地说,是什么样的药物自我给药驱动了成瘾行为的出现尚不清楚,但已经提出的机制解释在一个关键方面存在差异。一方面,有人认为,自我给药期间功能失调的条件作用会驱动不切实际的奖励预期,最终导致对惩罚的抵抗力。如果这确实是驱动强迫行为的病理过程,那么只有在与药物奖励频繁配对的条件刺激和工具刺激存在的情况下,才会出现强迫性。另一方面,也有人认为,长期的药物摄入会对奖励和决策回路产生普遍的改变,表现为强迫性药物寻求。不幸的是,条件作用历史和药物摄入通常是内在交织在一起的。然而,在这里,我们使用强迫性可卡因寻求的动物模型来选择性地操纵药物摄入和测试环境中的条件作用程度,以调查哪一种对强迫性可卡因寻求的出现更为重要。结果表明,单独延长药物摄入就足以引起强迫性可卡因寻求,但在测试环境中延长条件作用对于强迫性可卡因寻求的出现并不是必需的,从而解决了成瘾研究中的一个基本问题。