Department of Neurosciences, Medical University of South Carolina, Charleston, SC, United States.
Department of Neurosciences, Medical University of South Carolina, Charleston, SC, United States; Department of Psychiatry, Medical University of South Carolina, Charleston, SC, United States.
Int Rev Neurobiol. 2018;140:201-247. doi: 10.1016/bs.irn.2018.07.007. Epub 2018 Aug 14.
Interest for the use of oxytocin as a treatment for addiction began over 40years ago. Better known for its roles in parturition, lactation and pair bonding, oxytocin also has anxiolytic properties, reduces immune and inflammatory responses, and has a role in learning and memory. In this chapter, oxytocin effects on addiction processes are described by highlighting research findings that have used oxytocin within current preclinical animal models of addiction, relapse, or craving. First, we provide a brief background of the endogenous oxytocin system followed by descriptions of the behavioral models used to study addiction, including models of drug taking and seeking. Then we review recent preclinical studies that have used oxytocin as a therapeutic intervention throughout multiple stages of the addiction cycle from a behavioral and neurobiological perspective. These models encompass the entire range of the addiction cycle including acquisition and maintenance of drug taking, withdrawal and craving during periods of drug abstinence, and ultimately relapse. We then posit several theories about how oxytocin interacts with both drug and social reward, as well as presenting a mechanistic account of how specific oxytocin receptor localization may contribute to oxytocin's efficacy as an addiction therapeutic.
人们对催产素作为治疗成瘾的用途的兴趣可以追溯到 40 多年前。催产素除了在分娩、哺乳和伴侣关系中发挥作用外,还具有抗焦虑特性,可以减轻免疫和炎症反应,并且在学习和记忆中发挥作用。在本章中,通过强调使用催产素的当前临床前动物成瘾模型、复发或渴望的研究结果,描述了催产素对成瘾过程的影响。首先,我们简要介绍了内源性催产素系统,然后描述了用于研究成瘾的行为模型,包括药物摄取和寻求模型。然后,我们回顾了最近的临床前研究,这些研究从行为和神经生物学的角度来看,将催产素作为一种治疗干预措施应用于成瘾周期的多个阶段。这些模型涵盖了成瘾周期的整个范围,包括药物摄取和维持、药物戒断期间的戒断和渴望,以及最终的复发。然后,我们提出了一些关于催产素如何与药物和社会奖励相互作用的理论,以及关于特定催产素受体定位如何有助于催产素作为成瘾治疗的有效性的机制解释。