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莫达非尼通过激活内侧前额叶皮层的 D1R-ERK-CREB 通路来挽救反复吗啡诱导的突触和行为损伤。

Modafinil rescues repeated morphine-induced synaptic and behavioural impairments via activation of D1R-ERK-CREB pathway in medial prefrontal cortex.

机构信息

College of Forensic Science, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Department of Forensic Medicine, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan, China.

出版信息

Addict Biol. 2022 Jan;27(1):e13103. doi: 10.1111/adb.13103. Epub 2021 Oct 14.

Abstract

Long-term opioid abuse causes a variety of long-lasting cognitive impairments such as attention, impulsivity and working memory. These cognitive impairments undermine behavioural treatment for drug abuse and lead to poor treatment retention and outcomes. Modafinil is a wake-promoting drug that shows potential in improving attention and memory in humans and animals. However, modafinil's effect on opioid-induced cognitive impairments remains unclear, and the underlying mechanism is poorly understood. This study showed that repeated morphine administration significantly impairs attention, increases impulsivity and reduces motivation to natural rewards in mice. Systemic modafinil treatment at low dose efficiently ameliorates morphine-induced attention dysfunction and improves motivation and working memory in mice. High dose of modafinil has adverse effects on impulsive action and attention. Local infusion of D1R antagonist SCH-23390 reverses the morphine-induced synaptic abnormalities and activation of the D1R-ERK-CREB pathway in medial prefrontal cortex (mPFC). This study demonstrated a protective effect of modafinil in mPFC neurons and offered a therapeutic potential for cognitive deficits in opioid abuse.

摘要

长期滥用阿片类药物会导致多种持久的认知障碍,如注意力、冲动和工作记忆。这些认知障碍会破坏对药物滥用的行为治疗,导致治疗效果不佳和治疗结果不理想。莫达非尼是一种促醒药物,它在改善人类和动物的注意力和记忆力方面显示出潜力。然而,莫达非尼对阿片类药物引起的认知障碍的影响仍不清楚,其潜在机制也知之甚少。本研究表明,反复给予吗啡可显著损害小鼠的注意力,增加冲动行为,并降低对自然奖励的动机。低剂量的系统莫达非尼治疗能有效改善吗啡引起的注意力功能障碍,并提高小鼠的动机和工作记忆。高剂量的莫达非尼对冲动行为和注意力有不良影响。内侧前额叶皮质(mPFC)中 D1R 拮抗剂 SCH-23390 的局部输注可逆转吗啡诱导的突触异常和 D1R-ERK-CREB 通路的激活。这项研究证明了莫达非尼对 mPFC 神经元的保护作用,并为阿片类药物滥用引起的认知缺陷提供了一种治疗潜力。

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