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可卡因觅药行为潜伏期前额叶皮质 - 伏隔核通路的持续强化。

Persistent strengthening of the prefrontal cortex - nucleus accumbens pathway during incubation of cocaine-seeking behavior.

作者信息

Luís Catarina, Cannella Nazzareno, Spanagel Rainer, Köhr Georg

机构信息

Physiology of Neural Networks, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Germany; Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Germany.

Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Germany.

出版信息

Neurobiol Learn Mem. 2017 Feb;138:281-290. doi: 10.1016/j.nlm.2016.10.003. Epub 2016 Oct 5.

Abstract

High rates of relapse after prolonged abstinence are often triggered by exposure to drug-associated cues that induce drug craving. Incubation of drug craving is a phenomenon that consists of time-dependent increases in cue-induced drug craving during withdrawal. Plasticity mechanisms in the nucleus accumbens (NAc) underlie drug-seeking responses and involve changes in excitatory synaptic transmission's efficacy. In particular, the prefrontal cortex (PFC) glutamatergic input to the NAc core has been well characterized regarding cocaine-evoked plasticity following non-contingent versus contingent exposure to cocaine or alternatively after protracted abstinence. Still, the synaptic strength during the course of withdrawal compared to drug-naïve condition is unknown, since electrophysiological characterizations are mainly performed in brain slices or focus on distinct time points during cocaine-evoked plasticity in vivo. Here we used an incubation paradigm, in which rats had extended accessed to cocaine self-administration, and underwent cue-induced reinstatement at withdrawal day 1 and 30. Longitudinal in vivo field potential recordings in awake rats showed that chronic contingent exposure to cocaine strengthened the prelimbic PFC to NAc core pathway when compared to pre-cocaine condition. This strengthening was associated with decreased paired-pulse ratios (PPR), indicative of presynaptic enhancement of glutamate release, which persisted throughout withdrawal. Moreover, both field potential increase and PPR reduction after chronic cocaine exposure correlated with the number of cocaine infusions received during training. The present results together with previous findings of withdrawal-dependent postsynaptic enhancement of the PFC-NAc core pathway, suggest an additional presynaptic strengthening that is initiated during self-administration and maintained throughout abstinence in drug-seeking rats. These cocaine-driven neuroadaptations may provide a neural substrate for maladaptive processing of cues that can ultimately trigger craving and relapse.

摘要

长期禁欲后的高复发率通常是由接触与药物相关的线索引发的,这些线索会诱发药物渴望。药物渴望的潜伏期是一种现象,包括戒断期间线索诱发的药物渴望随时间的增加。伏隔核(NAc)中的可塑性机制是寻求药物反应的基础,涉及兴奋性突触传递效能的变化。特别是,关于非偶然与偶然接触可卡因后或长期禁欲后可卡因诱发的可塑性,前额叶皮层(PFC)向NAc核心的谷氨酸能输入已得到充分表征。然而,与未接触过药物的状态相比,戒断过程中的突触强度尚不清楚,因为电生理特征主要在脑片中进行,或聚焦于体内可卡因诱发可塑性过程中的不同时间点。在这里,我们使用了一种潜伏期范式,即大鼠有更多机会自行注射可卡因,并在戒断第1天和第30天接受线索诱发的复吸。清醒大鼠的纵向体内场电位记录表明,与接触可卡因前的状态相比,长期偶然接触可卡因增强了前边缘PFC到NAc核心的通路。这种增强与配对脉冲比率(PPR)降低有关,表明谷氨酸释放的突触前增强,这种增强在整个戒断过程中持续存在。此外,慢性可卡因暴露后的场电位增加和PPR降低都与训练期间接受的可卡因注射次数相关。目前的结果与先前关于PFC-NAc核心通路依赖戒断的突触后增强的研究结果一起,表明在自行给药期间启动并在寻求药物的大鼠整个禁欲过程中维持的额外突触前增强。这些由可卡因驱动的神经适应性变化可能为线索的适应不良处理提供神经基础,最终可能引发渴望和复发。

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