Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Addict Biol. 2021 Jul;26(4):e12982. doi: 10.1111/adb.12982. Epub 2020 Nov 3.
Abstinence is one of the important measures for heroin addiction. However, it is unknown whether long-term abstinence (LA) would improve the coupling among three core brain networks (salience, default mode, and executive control) and decrease craving in treated heroin addicts. Forty-three heroin addicts with LA, 27 heroin addicts with short-term abstinence (SA), and 46 demographically matched healthy controls (HC) participated in the resting-state functional magnetic resonance imaging study. The authors compared the functional connectivity among the three groups and examined how the coupling among salience, default mode, and executive control networks related to duration of abstinence and craving before and after drug cue exposure among heroin addicts. Compared with the SA group, with a tendency toward the HC group, the LA group showed lower drug cue-induced craving, stronger connectivity between the dorsal anterior cingulate cortex (a key node of salience network) and left dorsolateral prefrontal cortex and right posterior parietal cortex (key nodes of executive control network), and stronger connectivity between the right dorsolateral prefrontal cortex and precuneus (a key node of default mode network). Meanwhile, the right dorsolateral prefrontal cortex-precuneus connectivity positively correlated with duration of abstinence. The LA and SA groups demonstrated lower connectivity between the left anterior insula (a key node of salience network) and dorsolateral prefrontal cortex and lower connectivity within the left dorsolateral prefrontal cortex, compared with the HC group. Our findings revealed that LA is associated with lower drug cue induced craving and improve the coupling among the three core brain networks in heroin addicts.
禁欲是海洛因成瘾的重要措施之一。然而,尚不清楚长期禁欲(LA)是否会改善治疗后的海洛因成瘾者的三个核心大脑网络(突显、默认模式和执行控制)之间的耦合,并降低他们的觅药渴求。43 名有 LA 的海洛因成瘾者、27 名有短期禁欲(SA)的海洛因成瘾者和 46 名在人口统计学上匹配的健康对照者(HC)参与了静息态功能磁共振成像研究。作者比较了三组之间的功能连接,并研究了在药物线索暴露前后,突显、默认模式和执行控制网络之间的耦合如何与海洛因成瘾者的禁欲时间和觅药渴求相关。与 SA 组相比,LA 组与 HC 组有趋同的趋势,表现为药物线索诱发的渴求降低,背侧前扣带皮层(突显网络的关键节点)与左侧背外侧前额叶和右侧顶后皮质(执行控制网络的关键节点)之间的连接增强,以及右侧背外侧前额叶与楔前叶(默认模式网络的关键节点)之间的连接增强。同时,右侧背外侧前额叶-楔前叶的连接与禁欲时间呈正相关。与 HC 组相比,LA 和 SA 组的左侧前岛叶(突显网络的关键节点)与背外侧前额叶之间以及左侧背外侧前额叶内部的连接降低。我们的研究结果表明,LA 与较低的药物线索诱发的觅药渴求以及改善海洛因成瘾者三个核心大脑网络之间的耦合有关。
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