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奖赏相关精神兴奋剂和阿片类药物中的神经炎症反应:综述

Neuroinflammatory Response in Reward-Associated Psychostimulants and Opioids: A Review.

作者信息

Karimi-Haghighi Saeideh, Chavoshinezhad Sara, Mozafari Roghayeh, Noorbakhsh Farshid, Borhani-Haghighi Afshin, Haghparast Abbas

机构信息

Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Neuroscience Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, P.O. Box: 19615-1178, Tehran, Iran.

出版信息

Cell Mol Neurobiol. 2023 Mar;43(2):649-682. doi: 10.1007/s10571-022-01223-6. Epub 2022 Apr 23.

Abstract

Substance abuse is one of the significant problems in social and public health worldwide. Vast numbers of evidence illustrate that motivational and reinforcing impacts of addictive drugs are primarily attributed to their ability to change dopamine signaling in the reward circuit. However, the roles of classic neurotransmitters, especially dopamine and neuromodulators, monoamines, and neuropeptides, in reinforcing characteristics of abused drugs have been extensively investigated. It has recently been revealed that central immune signaling includes cascades of chemokines and proinflammatory cytokines released by neurons and glia via downstream intracellular signaling pathways that play a crucial role in mediating rewarding behavioral effects of drugs. More interestingly, inflammatory responses in the central nervous system modulate the mesolimbic dopamine signaling and glutamate-dependent currents induced by addictive drugs. This review summarized researches in the alterations of inflammatory responses accompanied by rewarding and reinforcing properties of addictive drugs, including cocaine, methamphetamine, and opioids that were evaluated by conditioned place preference and self-administration procedures as highly common behavioral tests to investigate the motivational and reinforcing impacts of addictive drugs. The neuroinflammatory responses affect the rewarding properties of psychostimulants and opioids.

摘要

药物滥用是全球社会和公共卫生领域的重大问题之一。大量证据表明,成瘾性药物的动机性和强化性影响主要归因于它们改变奖赏回路中多巴胺信号的能力。然而,经典神经递质,尤其是多巴胺以及神经调质、单胺和神经肽在滥用药物强化特性中的作用已得到广泛研究。最近有研究表明,中枢免疫信号包括神经元和胶质细胞通过下游细胞内信号通路释放的趋化因子和促炎细胞因子级联反应,这些信号在介导药物的奖赏行为效应中起关键作用。更有趣的是,中枢神经系统中的炎症反应会调节成瘾性药物诱导的中脑边缘多巴胺信号和谷氨酸依赖性电流。本综述总结了伴随成瘾性药物奖赏和强化特性的炎症反应变化的研究,这些成瘾性药物包括可卡因、甲基苯丙胺和阿片类药物,通过条件性位置偏爱和自我给药程序进行评估,这些程序是研究成瘾性药物动机性和强化性影响的高度常见行为测试。神经炎症反应会影响精神兴奋剂和阿片类药物的奖赏特性。

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