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成瘾中的镁元素:概览

Magnesium in addiction - a general view.

机构信息

Department of Pharmacology "Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania.

出版信息

Magnes Res. 2018 Aug 1;31(3):90-98. doi: 10.1684/mrh.2018.0443.

Abstract

Addiction is a dysregulation of brain reward systems that progressively increases, resulting in compulsive drug use and loss of control over drug-taking. Addiction is a brain disease. There is evidence that magnesium deficit is involved in addiction to various addictive substances (heroin, morphine, cocaine, nicotine, alcohol, caffeine, and others). Magnesium is involved in all the stages of addiction. Magnesium deficit enhances the vulnerability to psychoactive substance addiction. Stress and trauma reduce the brain magnesium level and at the same time favor addiction development. In experimental studies, administration of magnesium while inducing morphine dependence in rats reduced the dependence intensity. Magnesium reduces the NMDA receptor activity and the glutamatergic activity. Because stress and trauma induce hypomagnesemia with increased vulnerability to addiction, magnesium intake by people who are under prolonged stress could be a way to reduce this vulnerability and the development of addiction to different psychoactive substances. Anxiety and depression appear to be associated with increases in drug-related harm and addictive substance use. Magnesium anxiolytic effect could be important for the antiaddictive action. Addiction is characterized by relapses. Magnesium deficiency may be a contributing factor to these relapses.

摘要

成瘾是大脑奖励系统的失调,这种失调会逐渐加剧,导致强迫性药物滥用和对药物使用失去控制。成瘾是一种大脑疾病。有证据表明,镁缺乏与各种成瘾物质(海洛因、吗啡、可卡因、尼古丁、酒精、咖啡因等)的成瘾有关。镁参与成瘾的所有阶段。镁缺乏会增加对精神活性物质成瘾的易感性。压力和创伤会降低大脑中的镁水平,同时促进成瘾的发展。在实验研究中,在诱导大鼠对吗啡产生依赖的同时给予镁,可降低依赖强度。镁可降低 NMDA 受体活性和谷氨酸能活性。由于压力和创伤会导致低镁血症和对成瘾的易感性增加,因此处于长期压力下的人摄入镁可能是降低这种易感性和发展对不同精神活性物质成瘾的一种方法。焦虑和抑郁似乎与药物相关伤害和成瘾物质使用的增加有关。镁的抗焦虑作用可能对戒断作用很重要。成瘾的特征是复发。镁缺乏可能是这些复发的一个促成因素。

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