Addiction Neuroscience Laboratory, Florey Institute of Neuroscience and Mental Health Parkville, VIC, Australia.
Front Mol Neurosci. 2012 Nov 12;5:99. doi: 10.3389/fnmol.2012.00099. eCollection 2012.
Drug addiction is a chronic, relapsing brain disorder which consists of compulsive patterns of drug-seeking and taking that occurs at the expense of other activities. The transition from casual to compulsive drug use and the enduring propensity to relapse is thought to be underpinned by long-lasting neuroadaptations in specific brain circuitry, analogous to those that underlie long-term memory formation. Research spanning the last two decades has made great progress in identifying cellular and molecular mechanisms that contribute to drug-induced changes in plasticity and behavior. Alterations in synaptic transmission within the mesocorticolimbic and corticostriatal pathways, and changes in the transcriptional potential of cells by epigenetic mechanisms are two important means by which drugs of abuse can induce lasting changes in behavior. In this review we provide a summary of more recent research that has furthered our understanding of drug-induced neuroplastic changes both at the level of the synapse, and on a transcriptional level, and how these changes may relate to the human disease of addiction.
药物成瘾是一种慢性、复发性的大脑紊乱,其特征是强制性的觅药和用药行为,而这些行为是以牺牲其他活动为代价的。从偶然的药物使用到强制性的药物使用的转变,以及持久的复发倾向,被认为是特定大脑回路中持久的神经适应性的基础,类似于那些构成长期记忆形成的基础。跨越过去二十年的研究在确定导致可塑性和行为改变的细胞和分子机制方面取得了巨大进展。在中脑边缘和皮质纹状体通路上的突触传递改变,以及通过表观遗传机制改变细胞的转录潜能,是滥用药物引起行为持久改变的两种重要手段。在这篇综述中,我们总结了最近的研究,这些研究进一步加深了我们对药物引起的神经可塑性变化的理解,包括突触水平和转录水平的变化,以及这些变化如何与人类成瘾性疾病相关。