Department of Pharmacological and Biomolecular Sciences, Università degli Studi di Milano, Milan, Italy.
Dipartimento di Salute Mentale e Dipendenze, ASST Fatebenefratelli-Sacco, Milan, Italy.
Br J Pharmacol. 2022 Sep;179(17):4233-4253. doi: 10.1111/bph.15523. Epub 2021 Jun 8.
Drug addiction is a devastating disorder with a huge economic and social burden for modern society. Although an individual may slip into drug abuse throughout his/her life, adolescents are at higher risk, but, so far, only a few studies have attempted to elucidate the underlying cellular and molecular bases of such vulnerability. Indeed, preclinical evidence indicates that psychostimulants and adolescence interact and contribute to promoting a dysfunctional brain. In this review, we have focused our attention primarily on changes in neuroplasticity brought about by cocaine, taking into account that there is much less evidence from exposure to cocaine in adolescence, compared with that from adults. This review clearly shows that exposure to cocaine during adolescence, acute or chronic, as well as contingent or non-contingent, confers a vulnerable endophenotype, primarily, by causing changes in neuroplasticity. Given the close relationship between drug abuse and psychiatric disorders, we also discuss the translational implications providing an interpretative framework for clinical studies involving addictive as well as affective or psychotic behaviours. LINKED ARTICLES: This article is part of a themed issue on New discoveries and perspectives in mental and pain disorders. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v179.17/issuetoc.
药物成瘾是一种具有巨大经济和社会负担的破坏性疾病,对现代社会而言。尽管一个人可能会在一生中陷入药物滥用,但青少年的风险更高,但到目前为止,只有少数研究试图阐明这种脆弱性的潜在细胞和分子基础。事实上,临床前证据表明,精神兴奋剂和青春期相互作用,导致大脑功能失调。在这篇综述中,我们主要关注可卡因引起的神经可塑性变化,因为与成年期相比,青春期接触可卡因的证据要少得多。这篇综述清楚地表明,青春期急性或慢性、偶然或非偶然地接触可卡因会导致易感性表型,主要是通过改变神经可塑性。鉴于药物滥用与精神疾病之间的密切关系,我们还讨论了转化的意义,为涉及成瘾以及情感或精神病行为的临床研究提供了一个解释框架。
本文是关于精神和疼痛障碍新发现和新视角的专题的一部分。要查看该部分中的其他文章,请访问 http://onlinelibrary.wiley.com/doi/10.1111/bph.v179.17/issuetoc.