Marchant Nathan J, Kaganovsky Konstantin, Shaham Yavin, Bossert Jennifer M
Behavioral Neuroscience Branch, IRP, NIDA, Baltimore, MD, USA; Florey Institute of Neuroscience & Mental Health, University of Melbourne, Parkville, VIC, Australia.
Behavioral Neuroscience Branch, IRP, NIDA, Baltimore, MD, USA.
Brain Res. 2015 Dec 2;1628(Pt A):219-32. doi: 10.1016/j.brainres.2014.09.004. Epub 2014 Sep 6.
Drug addiction is characterized by persistent relapse vulnerability during abstinence. In abstinent drug users, relapse is often precipitated by re-exposure to environmental contexts that were previously associated with drug use. This clinical scenario is modeled in preclinical studies using the context-induced reinstatement procedure, which is based on the ABA renewal procedure. In these studies, context-induced reinstatement of drug seeking is reliably observed in laboratory animals that were trained to self-administer drugs abused by humans. In this review, we summarize neurobiological findings from preclinical studies that have focused on the role of corticostriatal circuits in context-induced reinstatement of heroin, cocaine, and alcohol seeking. We also discuss neurobiological similarities and differences in the corticostriatal mechanisms of context-induced reinstatement across these drug classes. We conclude by briefly discussing future directions in the study of context-induced relapse to drug seeking in rat models. Our main conclusion from the studies reviewed is that there are both similarities (accumbens shell, ventral hippocampus, and basolateral amygdala) and differences (medial prefrontal cortex and its projections to accumbens) in the neural mechanisms of context-induced reinstatement of cocaine, heroin, and alcohol seeking.
药物成瘾的特征是在戒断期间持续存在复吸易感性。在戒毒者中,复吸往往是由于再次接触以前与药物使用相关的环境而引发的。这种临床情况在临床前研究中通过基于ABA更新程序的情境诱导复吸程序进行模拟。在这些研究中,在经过训练可自行给药人类滥用药物的实验动物中,可靠地观察到了情境诱导的觅药行为复现。在这篇综述中,我们总结了临床前研究的神经生物学发现,这些研究聚焦于皮质纹状体回路在情境诱导的海洛因、可卡因和酒精觅药行为复现中的作用。我们还讨论了这些药物类别在情境诱导复现的皮质纹状体机制中的神经生物学异同。最后,我们简要讨论了大鼠模型中情境诱导的觅药行为复吸研究的未来方向。我们从所综述的研究中得出的主要结论是,在情境诱导的可卡因、海洛因和酒精觅药行为复现的神经机制中,既有相似之处(伏隔核壳、腹侧海马体和基底外侧杏仁核),也有不同之处(内侧前额叶皮质及其向伏隔核的投射)。