Department of Anatomy and Neurobiology, University of Maryland School of Medicine, Baltimore, USA.
Department of Physiology and Pharmacology, Sapienza University of Rome, Rome, Italy; Santa Lucia Foundation (IRCCS Fondazione Santa Lucia), Rome, Italy.
Neurosci Biobehav Rev. 2021 Dec;131:847-864. doi: 10.1016/j.neubiorev.2021.09.050. Epub 2021 Sep 28.
It was suggested in 1986 that cue-induced cocaine craving increases progressively during early abstinence and remains high during extended periods of time. Clinical evidence now supports this hypothesis and that this increase is not specific to cocaine but rather generalize across several drugs of abuse. Investigators have identified an analogous incubation phenomenon in rodents, in which time-dependent increases in cue-induced drug seeking are observed after abstinence from intravenous drug or palatable food self-administration. Incubation of craving is susceptible to variation in magnitude as a function of biological and/or the environmental circumstances surrounding the individual. During the last decade, the neurobiological correlates of the modulatory role of biological (sex, age, genetic factors) and environmental factors (environmental enrichment and physical exercise, sleep architecture, acute and chronic stress, abstinence reinforcement procedures) on incubation of drug craving has been investigated. In this review, we summarized the behavioral procedures adopted, the key underlying neurobiological correlates and clinical implications of these studies.
1986 年有人提出,在戒断早期,线索诱发的可卡因渴求会逐渐增加,并在长时间内保持较高水平。临床证据现在支持这一假设,即这种增加不仅是可卡因特有的,而是普遍存在于几种滥用药物中。研究人员在啮齿动物中发现了类似的潜伏期现象,即在静脉注射药物或美味食物自我给药戒断后,观察到与线索相关的药物寻求时间依赖性增加。渴望的潜伏期容易受到个体周围生物和/或环境因素的变化的影响。在过去的十年中,人们研究了生物因素(性别、年龄、遗传因素)和环境因素(环境丰富和体育锻炼、睡眠结构、急性和慢性压力、戒断强化程序)对药物渴望潜伏期的调节作用的神经生物学相关性。在这篇综述中,我们总结了这些研究采用的行为程序,以及这些研究的关键潜在神经生物学相关性和临床意义。
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