Quintero Garzola Gabriel C
Florida State University - Republic of Panama , Panama City, Republic of Panama.
Neuropsychiatr Dis Treat. 2019 Jul 2;15:1751-1770. doi: 10.2147/NDT.S192746. eCollection 2019.
Different literature reviews of gambling disorder (GD) neurobiology have been focused on human studies, others have focused on rodents, and others combined human and rodent studies. The main question of this review was: which are the main neurotransmitters systems and brain structures relevant for GD based on recent rodent studies? This work aims to review the experimental findings regarding the rodent´s neurobiology of GD. A search in the Pub Med database was set (October 2012-October 2017) and 162 references were obtained. After screening, 121 references were excluded, and only 41 references remained from the initial output. More, other 25 references were added to complement (introduction section, neuroanatomical descriptions) the principal part of the work. At the end, a total of 66 references remained for the review. The main conclusions are: 1) according to studies that used noninvasive methods for drug administration, some of the neurotransmitters and receptors involved in behaviors related to GD are: muscarinic, N-methyl-D-aspartate (NMDA), cannabinoid receptor 1 (CB), cannabinoid receptor 2 (CB), dopamine 2 receptor (D), dopamine 3 receptor (D), and dopamine 4 receptor (D); 2) moreover, there are other neurotransmitters and receptors involved in GD based on studies that use invasive methods of drug administration (eg, brain microinjection); example of these are: serotonin 1A receptor (5-HT), noradrenaline receptors, gamma-aminobutyric acid receptor A (GABA), and gamma-aminobutyric acid receptor B (GABA); 3) different brain structures are relevant to behaviors linked to GD, like: amygdala (including basolateral amygdala (BLA)), anterior cingulate cortex (ACC), hippocampus, infralimbic area, insular cortex (anterior and rostral agranular), nucleus accumbens (NAc), olfactory tubercle (island of Calleja), orbitofrontal cortex (OFC), medial prefrontal cortex (mPFC), prefrontal cortex (PFC) - subcortical network, striatum (ventral) and the subthalamic nucleus (STN); and 4) the search for GD treatments should consider this diversity of receptor/neurotransmitter systems and brain areas.
关于赌博障碍(GD)神经生物学的不同文献综述有的聚焦于人体研究,有的聚焦于啮齿动物研究,还有的将人体和啮齿动物研究结合起来。本综述的主要问题是:基于近期啮齿动物研究,与GD相关的主要神经递质系统和脑结构有哪些?这项工作旨在综述关于啮齿动物GD神经生物学的实验结果。在PubMed数据库中进行了检索(2012年10月至2017年10月),共获得162篇参考文献。筛选后,排除了121篇参考文献,最初的结果中仅剩下41篇参考文献。此外,又补充了25篇参考文献(引言部分、神经解剖学描述)以完善这项工作的主体部分。最后,本综述共保留了66篇参考文献。主要结论如下:1)根据使用非侵入性给药方法的研究,一些与GD相关行为有关的神经递质和受体包括:毒蕈碱型、N-甲基-D-天冬氨酸(NMDA)、大麻素受体1(CB1)、大麻素受体2(CB2)、多巴胺2受体(D2)、多巴胺3受体(D3)和多巴胺4受体(D4);2)此外,基于使用侵入性给药方法(如脑微量注射)的研究,还有其他一些与GD有关的神经递质和受体,例如:5-羟色胺1A受体(5-HT1A)、去甲肾上腺素受体、γ-氨基丁酸A型受体(GABAA)和γ-氨基丁酸B型受体(GABAB);3)不同的脑结构与GD相关行为有关,如:杏仁核(包括基底外侧杏仁核(BLA))、前扣带回皮质(ACC)、海马体、边缘下区、岛叶皮质(前部和嘴侧无颗粒区)、伏隔核(NAc)、嗅结节(卡耶哈岛)、眶额皮质(OFC)、内侧前额叶皮质(mPFC)、前额叶皮质(PFC)-皮质下网络、纹状体(腹侧)和丘脑底核(STN);4)寻找GD的治疗方法应考虑到这种受体/神经递质系统和脑区的多样性。