Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Neuropsychopharmacology. 2013 Oct;38(11):2240-8. doi: 10.1038/npp.2013.124. Epub 2013 May 15.
Exposure to drugs of abuse lead to both rewarding effects and the subsequent development of negative affects. The progressive dysregulation of both processes is thought to critically contribute to the addictive state. Whereas cocaine-induced maladaptations in reward circuitry have been extensively examined, the cellular substrates underlying negative affect remain poorly understood. This study focuses on the central nucleus of the amygdala (CeA), a brain region that has been implicated in negative affective states upon withdrawal from chronic cocaine use. We observed that the two major types of CeA neurons, low-threshold bursting (LTB) neurons and regular spiking (RS) neurons, exhibited different sensitivity to corticotrophin-releasing factor (CRF), a stress hormone that has been implicated in negative affect during drug withdrawal. Furthermore, LTB and RS neurons developed opposite membrane adaptations following short-term (5 day) cocaine self-administration; the membrane excitability was increased in LTB neurons but decreased in RS neurons. These short-term exposure-induced effects were transient as they were present on withdrawal day 1 but disappeared on withdrawal day 21. However, extended exposure (21 day) led to sustained increase in the membrane excitability of LTB neurons such that it lasted over 21 days into the withdrawal period. These results suggest that CeA neurons can be a cellular target for cocaine to reshape the circuitry mediating negative affects during withdrawal, and that the long-lasting cellular alterations in selective subpopulations of CeA neurons may lead to unbalanced CeA processing, thus contributing to the progressive aggravation of negative affective states during withdrawal from chronic cocaine exposure.
滥用药物会产生奖赏效应,随后会产生负面情绪。这两个过程的逐渐失调被认为是导致成瘾状态的关键因素。虽然可卡因引起的奖赏回路适应不良已经被广泛研究,但负面情绪的细胞基础仍知之甚少。本研究集中在杏仁中央核(CeA),这是一个在慢性可卡因使用戒断后与负面情绪状态有关的脑区。我们观察到,CeA 的两种主要类型神经元,即低阈值爆发(LTB)神经元和规则放电(RS)神经元,对促肾上腺皮质释放因子(CRF)表现出不同的敏感性,CRF 是一种与药物戒断期间负面情绪有关的应激激素。此外,LTB 和 RS 神经元在短期(5 天)可卡因自我给药后表现出相反的膜适应;LTB 神经元的膜兴奋性增加,但 RS 神经元的膜兴奋性降低。这些短期暴露引起的效应是短暂的,因为它们在戒断第 1 天存在,但在第 21 天戒断时消失。然而,长期暴露(21 天)导致 LTB 神经元的膜兴奋性持续增加,以至于在戒断期持续 21 天以上。这些结果表明,CeA 神经元可能是可卡因重塑戒断期间介导负面情绪的回路的细胞靶点,而选择性 CeA 神经元亚群的持久细胞改变可能导致 CeA 处理失衡,从而导致慢性可卡因暴露戒断期间负面情绪状态的逐渐恶化。