Bell Ryan P, Foxe John J, Ross Lars A, Garavan Hugh
The Cognitive Neurophysiology Laboratory, The Nathan S. Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY 10962, USA; The Sheryl and Daniel R. Tishman Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1300 Morris Park Avenue, Bronx, NY 10461, USA; The Sheryl and Daniel R. Tishman Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Neuroscience, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1300 Morris Park Avenue, Bronx, NY 10461, USA; Program in Cognitive Neuroscience, Department of Psychology, The City College of the City University of New York, 138th Street & Convent Ave, New York, NY 10031, USA; Department of Biology, The City College of the City University of New York, 138th Street & Convent Ave, New York, NY 10031, USA.
The Sheryl and Daniel R. Tishman Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Pediatrics, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1300 Morris Park Avenue, Bronx, NY 10461, USA; The Sheryl and Daniel R. Tishman Cognitive Neurophysiology Laboratory, Children's Evaluation and Rehabilitation Center (CERC), Department of Neuroscience, Albert Einstein College of Medicine, Van Etten Building - Wing 1C, 1300 Morris Park Avenue, Bronx, NY 10461, USA; The Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY 11530-0701, USA.
Neuropharmacology. 2014 Jul;82:143-50. doi: 10.1016/j.neuropharm.2013.02.018. Epub 2013 Mar 6.
Neuroimaging studies in current cocaine dependent (CD) individuals consistently reveal cortical hypoactivity across regions of the response inhibition circuit (RIC). Dysregulation of this critical executive network is hypothesized to account for the lack of inhibitory control that is a hallmark of the addictive phenotype, and chronic abuse is believed to compound the issue. A crucial question is whether deficits in this circuit persist after drug cessation, and whether recovery of this system will be seen after extended periods of abstinence, a question with implications for treatment course and outcome. Utilizing functional magnetic resonance imaging (fMRI), we examined activation in nodes of the RIC in abstinent CD individuals (n = 27) and non-using controls (n = 45) while they performed a motor response inhibition task. In contrast to current users, these abstinent individuals, despite extended histories of chronic cocaine-abuse (average duration of use = 8.2 years), performed the task just as efficiently as non-users. In line with these behavioral findings, no evidence for between-group differences in activation of the RIC was found and instead, robust activations were apparent in both groups within the well-characterized nodes of the RIC. Similarly, our complementary Electroencephalography (EEG) investigation also showed an absence of behavioral and electrophysiological deficits in abstinent drug abusers. These results are consistent with an amelioration of neurobiological deficits in inhibitory circuitry following drug cessation, and could help explain how long-term abstinence is maintained. Finally, regression analyses revealed a significant association between level of activation in the right insula with inhibition success and increased abstinence duration in the CD cohort suggesting that this region may be integral to successful recovery from cocaine addiction.
对当前可卡因依赖(CD)个体的神经影像学研究一致显示,反应抑制回路(RIC)各区域存在皮质活动减退。据推测,这一关键执行网络的失调是成瘾表型缺乏抑制控制的原因,而长期滥用被认为会使问题更加严重。一个关键问题是,该回路的缺陷在戒毒后是否依然存在,以及在长期禁欲后该系统是否会恢复,这一问题对治疗过程和结果具有重要意义。利用功能磁共振成像(fMRI),我们检测了戒毒的CD个体(n = 27)和非吸毒对照者(n = 45)在执行运动反应抑制任务时RIC节点的激活情况。与当前使用者不同,这些戒毒个体尽管有长期慢性可卡因滥用史(平均使用时长 = 8.2年),但执行任务的效率与非使用者一样高。与这些行为学发现一致,未发现RIC激活存在组间差异的证据,相反,在RIC特征明确的节点内,两组均有明显的强烈激活。同样,我们的补充脑电图(EEG)研究也表明,戒毒者不存在行为和电生理缺陷。这些结果与戒毒后抑制性神经回路中神经生物学缺陷的改善相一致,并且有助于解释长期禁欲是如何维持的。最后,回归分析显示,右侧脑岛的激活水平与CD队列中的抑制成功率及禁欲时间延长之间存在显著关联,这表明该区域可能是从可卡因成瘾中成功康复的关键。