Kutlu Munir G, Burke Dennis, Slade Susan, Hall Brandon J, Rose Jed E, Levin Edward D
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, USA.
Behav Brain Res. 2013 Nov 1;256:273-8. doi: 10.1016/j.bbr.2013.08.005. Epub 2013 Aug 12.
The insular cortex has been associated with the processing of rewarding stimuli and with the neural bases of drug addiction. Ischemic damage to the insula has been associated with decreased desire to smoke cigarettes. Which component of insular function is involved in the neural basis of cigarette smoking is not clear. Dopamine systems are crucial for the reinforcing value of addictive drugs. The DA projection from the ventral tegmental area to the nucleus accumbens (NAc) has been shown to be a vital pathway for the primary reinforcement caused by taking a variety of abused drugs. In the current set of studies, the roles of D₁ and D₂ receptors in the insular cortex in the self-administration of nicotine by rats were assessed. Adult female Sprague-Dawley rats were fitted with jugular catheters and given access to self-administer nicotine. Bilateral local infusion cannulae were implanted into the agranular insular cortex to locally administer D₁ and D₂ antagonists (SCH-23390 and haloperidol). Acute local infusions of the D₁ antagonist SCH-23390 into the insula (1-2 μg/side) significantly decreased nicotine self-administration by more than 50%. Repeated infusions of SCH-23390 into the agranular insula caused continuing decreases in nicotine self-administration without signs of tolerance. In contrast, local infusions of the D₂ antagonist haloperidol 0.5-2 μg/side did not have any discernable effect on nicotine self-administration. These studies show the importance of DA D₁ systems in the insula for nicotine reward.
岛叶皮质与奖赏性刺激的处理以及药物成瘾的神经基础有关。岛叶的缺血性损伤与吸烟欲望降低有关。目前尚不清楚岛叶功能的哪个组成部分参与了吸烟的神经基础。多巴胺系统对成瘾药物的强化作用至关重要。从腹侧被盖区到伏隔核的多巴胺投射已被证明是服用多种滥用药物所导致的初级强化的重要途径。在当前的一系列研究中,评估了岛叶皮质中D₁和D₂受体在大鼠自我给药尼古丁过程中的作用。成年雌性斯普拉格-道利大鼠植入颈静脉导管,使其能够自我给药尼古丁。将双侧局部输注套管植入无颗粒岛叶皮质,以局部给予D₁和D₂拮抗剂(SCH-23390和氟哌啶醇)。向岛叶急性局部输注D₁拮抗剂SCH-23390(每侧1-2微克)可使尼古丁自我给药显著减少超过50%。向无颗粒岛叶重复输注SCH-23390会持续降低尼古丁自我给药,且无耐受迹象。相比之下,每侧局部输注0.5-2微克D₂拮抗剂氟哌啶醇对尼古丁自我给药没有任何明显影响。这些研究表明岛叶中多巴胺D₁系统对尼古丁奖赏的重要性。