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大麻素奖赏的临床前研究、大麻使用障碍的治疗方法,以及大麻素暴露的成瘾相关效应。

Preclinical Studies of Cannabinoid Reward, Treatments for Cannabis Use Disorder, and Addiction-Related Effects of Cannabinoid Exposure.

机构信息

Preclinical Pharmacology Section, Behavioral Neuroscience Research Branch, Intramural Research Program, National Institute on Drug Abuse, NIH, DHHS, Baltimore, MD, USA.

出版信息

Neuropsychopharmacology. 2018 Jan;43(1):116-141. doi: 10.1038/npp.2017.193. Epub 2017 Aug 28.

Abstract

Cannabis use has become increasingly accepted socially and legally, for both recreational and medicinal purposes. Without reliable information about the effects of cannabis, people cannot make informed decisions regarding its use. Like alcohol and tobacco, cannabis can have serious adverse effects on health, and some people have difficulty discontinuing their use of the drug. Many cannabis users progress to using and becoming addicted to other drugs, but the reasons for this progression are unclear. The natural cannabinoid system of the brain is complex and involved in many functions, including brain development, reward, emotion, and cognition. Animal research provides an objective and controlled means of obtaining information about: (1) how cannabis affects the brain and behavior, (2) whether medications can be developed to treat cannabis use disorder, and (3) whether cannabis might produce lasting changes in the brain that increase the likelihood of becoming addicted to other drugs. This review explains the tactics used to address these issues, evaluates the progress that has been made, and offers some directions for future research.

摘要

大麻的使用在社会和法律层面上变得越来越被接受,无论是出于娱乐还是医疗目的。如果没有关于大麻影响的可靠信息,人们就无法就其使用做出明智的决定。与酒精和烟草一样,大麻会对健康造成严重的不良影响,而且有些人难以戒除大麻。许多大麻使用者会继续使用并对其他毒品上瘾,但这种进展的原因尚不清楚。大脑中的天然大麻素系统复杂,涉及许多功能,包括大脑发育、奖励、情绪和认知。动物研究为获得有关以下方面的信息提供了一种客观和受控的手段:(1) 大麻如何影响大脑和行为,(2) 是否可以开发药物来治疗大麻使用障碍,以及 (3) 大麻是否会对大脑造成持久的变化,从而增加对其他毒品上瘾的可能性。这篇综述解释了用于解决这些问题的策略,评估了已经取得的进展,并为未来的研究提供了一些方向。

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Animal models of cannabinoid reward.大麻素奖赏的动物模型。
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Annu Rev Clin Psychol. 2017 May 8;13:397-419. doi: 10.1146/annurev-clinpsy-032816-045128.
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Marijuana Use During Stages of Pregnancy in the United States.美国孕期各阶段的大麻使用情况。
Ann Intern Med. 2017 May 16;166(10):763-764. doi: 10.7326/L17-0067. Epub 2017 Apr 18.
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Behavioral Determinants of Cannabinoid Self-Administration in Old World Monkeys.旧世界猴中大麻素自我给药的行为决定因素
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