Department of Translational Neuroscience, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Fundamental Neuroscience, University of Lausanne, Lausanne, Switzerland; Inserm UMR-S 839, Institut du Fer à Moulin, Paris, France.
Pharmacol Biochem Behav. 2017 Nov;162:87-93. doi: 10.1016/j.pbb.2017.08.007. Epub 2017 Aug 24.
Withdrawal after drug intake triggers a wealth of affective states including negative feelings reminiscent of depressive symptoms. This negative state can ultimately be crucial for relapse, a hallmark of addiction. Adaptations in a wide number of neuronal circuits underlie aspects of drug withdrawal, however causality between cellular modifications within these systems and precise behavioral phenotypes remains poorly described. Recent advances point to an instrumental role of the lateral habenula in driving depressive-like states during drug withdrawal. In this review we will discuss the general behavioral features of drug withdrawal, the importance of plasticity mechanisms in the mesolimbic systems, and the latest discoveries highlighting the implications of lateral habenula in drug addiction. We will further stress how specific interventions in the lateral habenula efficiently ameliorate depressive symptoms. Altogether, this work aims to provide a general knowledge on the cellular and circuit basis underlying drug withdrawal, ultimately speculating on potential treatment for precise aspects of addiction.
药物摄入后的戒断会引发多种情感状态,包括类似于抑郁症状的负面情绪。这种负面状态最终可能对复发至关重要,而复发是成瘾的一个标志。大量神经元回路的适应性变化是药物戒断的基础,但这些系统内细胞变化与特定行为表型之间的因果关系仍描述不足。最近的研究进展表明,外侧缰核在药物戒断期间驱动类似抑郁的状态中具有重要作用。在这篇综述中,我们将讨论药物戒断的一般行为特征、中脑边缘系统中可塑性机制的重要性,以及强调外侧缰核在药物成瘾中的最新发现。我们还将进一步强调外侧缰核的特定干预如何有效地改善抑郁症状。总的来说,这项工作旨在提供药物戒断的细胞和回路基础的一般知识,最终推测针对成瘾的特定方面的潜在治疗方法。