Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, China.
National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence Research, Peking University, Beijing, 100191, China.
Mol Psychiatry. 2023 Apr;28(4):1415-1429. doi: 10.1038/s41380-023-01942-2. Epub 2023 Jan 16.
In 1986, Gawin and Kleber reported a progressive increase in cue-induced drug craving in individuals with cocaine use disorders during prolonged abstinence. After years of controversy, as of 2001, this phenomenon was confirmed in rodent studies using self-administration model, and defined as the incubation of drug craving. The intensification of cue-induced drug craving after withdrawal exposes abstinent individuals to a high risk of relapse, which urged us to develop effective interventions to prevent incubated craving. Substantial achievements have been made in deciphering the neural mechanisms, with potential implications for reducing drug craving and preventing the relapse. The present review discusses promising drug targets that have been well investigated in animal studies, including some neurotransmitters, neuropeptides, neurotrophic factors, and epigenetic markers. We also discuss translational exploitation and challenges in the field of the incubation of drug craving, providing insights into future investigations and highlighting the potential of pharmacological interventions, environment-based interventions, and neuromodulation techniques.
1986 年,Gawin 和 Kleber 报道在长期戒断期间,可卡因使用障碍个体的线索诱导药物渴求呈渐进性增加。经过多年的争议,截至 2001 年,啮齿动物自我给药模型的研究证实了这一现象,并将其定义为药物渴求的潜伏期。戒断后线索诱导的药物渴求加剧使戒断个体面临高复发风险,促使我们开发有效的干预措施来预防潜伏的渴求。在破译神经机制方面取得了重大进展,这对减少药物渴求和预防复发具有潜在意义。本文综述了在动物研究中得到充分研究的有希望的药物靶点,包括一些神经递质、神经肽、神经营养因子和表观遗传标记物。我们还讨论了药物渴求潜伏期领域的转化利用和挑战,为未来的研究提供了思路,并强调了药理学干预、基于环境的干预和神经调节技术的潜力。