Department of Neuroscience, Baylor College of Medicine, Houston, Texas 77030, USA.
Cold Spring Harb Perspect Med. 2013 Jun 1;3(6):a012138. doi: 10.1101/cshperspect.a012138.
The majority of people who attempt to quit smoking without some assistance relapse within the first couple of weeks, indicating the increased vulnerability during the early withdrawal period. The habenula, which projects via the fasciculus retroflexus to the interpeduncular nucleus, plays an important role in the withdrawal syndrome. Particularly the α2, α5, and β4 subunits of the nicotinic acetylcholine receptor have critical roles in mediating the somatic manifestations of withdrawal. Furthermore, withdrawal from nicotine induces a hypodopaminergic state, but there is a relative increase in the sensitivity to phasic dopamine release that is caused by nicotine. Therefore, acute nicotine re-exposure causes a phasic DA response that more potently reinforces relapse to smoking during the withdrawal period.
大多数试图在没有任何帮助的情况下戒烟的人在最初的几周内都会复吸,这表明在早期戒断期间他们的脆弱性增加。缰核通过缰核反射束投射到脚间核,在戒断综合征中起着重要作用。特别是烟碱型乙酰胆碱受体的α2、α5 和β4 亚单位在介导戒断的躯体表现方面起着关键作用。此外,尼古丁戒断会导致多巴胺能低下状态,但尼古丁会引起对相位多巴胺释放的敏感性相对增加。因此,急性尼古丁再暴露会引起相位 DA 反应,在戒断期间更有力地加强对吸烟的复吸。