使用动物模型研究急性和慢性阿片类戒断引起的负性情绪的特征进展。
Advances in the characterization of negative affect caused by acute and protracted opioid withdrawal using animal models.
机构信息
INSERM U1114, Centre de Recherche en Biomédecine de Strasbourg, Université de Strasbourg, France.
INSERM U1114, Centre de Recherche en Biomédecine de Strasbourg, Université de Strasbourg, France.
出版信息
Neuropharmacology. 2023 Jul 1;232:109524. doi: 10.1016/j.neuropharm.2023.109524. Epub 2023 Mar 30.
Opioid use disorder (OUD) is a chronic brain disease which originates from long-term neuroadaptations that develop after repeated opioid consumption and withdrawal episodes. These neuroadaptations lead among other things to the development of a negative affect, which includes loss of motivation for natural rewards, higher anxiety, social deficits, heightened stress reactivity, an inability to identify and describe emotions, physical and/or emotional pain, malaise, dysphoria, sleep disorders and chronic irritability. The urge for relief from this negative affect is one of major causes of relapse, and thus represents a critical challenge for treatment and relapse prevention. Animal models of negative affect induced by opioid withdrawal have recapitulated the development of a negative emotional state with signs such as anhedonia, increased anxiety responses, increased despair-like behaviour and deficits in social interaction. This research has been critical to determine neurocircuitry adaptations during chronic opioid administration or upon withdrawal. In this review, we summarize the recent literature of rodent models of (i) acute withdrawal, (ii) protracted abstinence from passive administration of opioids, (iii) withdrawal or protracted abstinence from opioid self-administration. Finally, we describe neurocircuitry involved in acute withdrawal and protracted abstinence. This article is part of the Special Issue on "Opioid-induced changes in addiction and pain circuits".
阿片类药物使用障碍(OUD)是一种慢性脑部疾病,源于长期的神经适应性变化,这些变化是在反复使用阿片类药物和戒断发作后产生的。这些神经适应性变化导致了负性情绪的发展,包括对自然奖励的动机丧失、更高的焦虑、社交缺陷、应激反应增强、无法识别和描述情绪、身体和/或情绪疼痛、不适、烦躁、睡眠障碍和慢性易怒。这种对缓解负性情绪的渴望是导致复发的主要原因之一,因此,它代表了治疗和预防复发的一个关键挑战。阿片类药物戒断引起的负性情绪动物模型重现了负性情绪状态的发展,表现为快感缺失、焦虑反应增加、绝望样行为增加和社交互动缺陷等迹象。这项研究对于确定慢性阿片类药物给药或戒断期间的神经回路适应性至关重要。在这篇综述中,我们总结了啮齿动物模型的近期文献,包括(i)急性戒断、(ii)被动给予阿片类药物后的延长戒断、(iii)阿片类药物自我给药的戒断或延长戒断。最后,我们描述了急性戒断和延长戒断涉及的神经回路。本文是“阿片类药物引起的成瘾和疼痛回路变化”特刊的一部分。
相似文献
Biol Psychiatry. 2020-1-1
Biol Psychiatry. 2020-1-1
Cannabis Cannabinoid Res. 2022-10
Handb Clin Neurol. 2014
引用本文的文献
Drug Alcohol Depend. 2025-7-1
Drug Alcohol Depend. 2024-11-1
Pharmacol Biochem Behav. 2024-9
本文引用的文献
Int J Neuropsychopharmacol. 2022-9-28
Mol Psychiatry. 2021-11