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药物复发和渴求的动物模型:从药物激发诱导的复吸到自愿戒断后渴求的潜伏期。

Animal models of drug relapse and craving: From drug priming-induced reinstatement to incubation of craving after voluntary abstinence.

作者信息

Venniro Marco, Caprioli Daniele, Shaham Yavin

机构信息

Behavioral Neuroscience Research Branch, Intramural Research Program, NIDA, NIH, Baltimore, MD, USA; Department of Public Health and Community Medicine, Neuropsychopharmacology Laboratory, Section of Pharmacology, University of Verona, Verona, Italy.

Behavioral Neuroscience Research Branch, Intramural Research Program, NIDA, NIH, Baltimore, MD, USA.

出版信息

Prog Brain Res. 2016;224:25-52. doi: 10.1016/bs.pbr.2015.08.004. Epub 2015 Nov 4.

Abstract

High rates of relapse to drug use during abstinence is a defining feature of drug addiction. In abstinent drug users, drug relapse is often precipitated by acute exposure to the self-administered drug, drug-associated cues, stress, as well as by short-term and protracted withdrawal symptoms. In this review, we discuss different animal models that have been used to study behavioral and neuropharmacological mechanisms of these relapse-related phenomena. In the first part, we discuss relapse models in which abstinence is achieved through extinction training, including the established reinstatement model, as well as the reacquisition and resurgence models. In the second part, we discuss recent animal models in which drug relapse is assessed after either forced abstinence (e.g., the incubation of drug craving model) or voluntary (self-imposed) abstinence achieved either by introducing adverse consequences to ongoing drug self-administration (e.g., punishment) or by an alternative nondrug reward using a discrete choice (drug vs. palatable food) procedure. We conclude by briefly discussing the potential implications of the recent developments of animal models of drug relapse after voluntary abstinence to the development of medications for relapse prevention.

摘要

戒毒期间药物使用的高复发率是药物成瘾的一个决定性特征。在戒毒的吸毒者中,药物复发通常由急性接触自我给药的药物、与药物相关的线索、压力以及短期和长期的戒断症状引发。在这篇综述中,我们讨论了用于研究这些复发相关现象的行为和神经药理学机制的不同动物模型。在第一部分,我们讨论通过消退训练实现戒断的复发模型,包括已确立的复吸模型,以及重新习得和重现模型。在第二部分,我们讨论最近的动物模型,在强制戒断(例如,药物渴望潜伏期模型)或通过对持续的药物自我给药引入不良后果(例如,惩罚)或使用离散选择(药物与美味食物)程序的替代非药物奖励实现的自愿(自我强制)戒断后评估药物复发。我们通过简要讨论自愿戒断后药物复发动物模型的最新进展对预防复发药物开发的潜在影响来结束本文。

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