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评估男性海洛因成瘾者长期戒断对三个核心脑网络连接的影响:一项静息态功能磁共振成像研究。

Assessing effect of long-term abstinence on coupling of three core brain networks in male heroin addicts: A resting-state functional magnetic resonance imaging study.

机构信息

Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

出版信息

Addict Biol. 2021 Jul;26(4):e12982. doi: 10.1111/adb.12982. Epub 2020 Nov 3.


DOI:10.1111/adb.12982
PMID:33142364
Abstract

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.

摘要

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。

相似文献

[1]
Assessing effect of long-term abstinence on coupling of three core brain networks in male heroin addicts: A resting-state functional magnetic resonance imaging study.

Addict Biol. 2021-7

[2]
The effect of long-term methadone maintenance treatment on coupling among three large-scale brain networks in male heroin-dependent individuals: A resting-state fMRI study.

Drug Alcohol Depend. 2022-9-1

[3]
Repetitive transcranial magnetic stimulation modulates coupling among large-scale brain networks in heroin-dependent individuals: A randomized resting-state functional magnetic resonance imaging study.

Addict Biol. 2022-3

[4]
Disrupted Default Mode Network and Basal Craving in Male Heroin-Dependent Individuals: A Resting-State fMRI Study.

J Clin Psychiatry. 2016-10

[5]
Craving correlates with mesolimbic responses to heroin-related cues in short-term abstinence from heroin: an event-related fMRI study.

Brain Res. 2012-6-30

[6]
Brain responses to drug cues predict craving changes in abstinent heroin users: A preliminary study.

Neuroimage. 2021-8-15

[7]
Disrupted coupling of large-scale networks is associated with relapse behaviour in heroin-dependent men.

J Psychiatry Neurosci. 2017-9-26

[8]
Functional connectivity of posterior cingulate gyrus in heroin dependents treated by methadone maintenance and protracted abstinence measures: an event-related fMRI study.

Brain Imaging Behav. 2021-10

[9]
Abnormal function of the posterior cingulate cortex in heroin addicted users during resting-state and drug-cue stimulation task.

Chin Med J (Engl). 2013-2

[10]
Cue-elicited craving in heroin addicts at different abstinent time: an fMRI pilot study.

Subst Use Misuse. 2012-2-13

引用本文的文献

[1]
The difference in the effect of methadone and protracted abstinence on the coupling among key large-scale brain networks of individuals with heroin use disorder: A resting-state fMRI study.

Psychol Med. 2025-8-26

[2]
Neurobiological Mechanisms of Action of Transcranial Direct Current Stimulation (tDCS) in the Treatment of Substance Use Disorders (SUDs)-A Review.

J Clin Med. 2025-7-10

[3]
Neurobiology of the incubation of drug craving: An update.

Pharmacol Rev. 2025-3

[4]
Neurobiological mechanisms and related clinical treatment of addiction: a review.

Psychoradiology. 2022-12-16

[5]
Opioid craving does not incubate over time in inpatient or outpatient treatment studies: Is the preclinical incubation of craving model lost in translation?

Neurosci Biobehav Rev. 2024-5

[6]
Abnormal cerebral metabolism and metabolic connectivity in individuals with heroin dependence: an integrated resting-state PET/fMRI study in large-scale networks.

J Psychiatry Neurosci. 2023

[7]
Methadone maintenance treatment alters couplings of default mode and salience networks in individuals with heroin use disorder: A longitudinal self-controlled resting-state fMRI study.

Front Psychiatry. 2023-4-17

[8]
Reconfigurations of Dynamic Functional Network Connectivity in Large-scale Brain Network after Prolonged Abstinence in Heroin Users.

Curr Neuropharmacol. 2024

[9]
Functional and Structural Alteration of Default Mode, Executive Control, and Salience Networks in Alcohol Use Disorder.

Front Psychiatry. 2021-10-20

[10]
Identification of Morphine and Heroin-Treatment in Mice Using Metabonomics.

Metabolites. 2021-9-7

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