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成瘾性障碍中的认知改变:一种转化方法。

Cognitive Alterations in Addictive Disorders: A Translational Approach.

作者信息

Gasparyan Ani, Maldonado Sanchez Daniel, Navarrete Francisco, Sion Ana, Navarro Daniela, García-Gutiérrez María Salud, Rubio Valladolid Gabriel, Jurado Barba Rosa, Manzanares Jorge

机构信息

Instituto de Neurociencias, Universidad Miguel Hernández-CSIC, Avda de Ramón y Cajal s/n, 03550 San Juan de Alicante, Spain.

Redes de Investigación Cooperativa Orientada a Resultados en Salud (RICORS), Red de Investigación en Atención Primaria de Adicciones (RIAPAd), Instituto de Salud Carlos III, MICINN and FEDER, 28029 Madrid, Spain.

出版信息

Biomedicines. 2023 Jun 23;11(7):1796. doi: 10.3390/biomedicines11071796.

Abstract

The cognitive decline in people with substance use disorders is well known and can be found during both the dependence and drug abstinence phases. At the clinical level, cognitive decline impairs the response to addiction treatment and increases dropout rates. It can be irreversible, even after the end of drug abuse consumption. Improving our understanding of the molecular and cellular alterations associated with cognitive decline could be essential to developing specific therapeutic strategies for its treatment. Developing animal models to simulate drug abuse-induced learning and memory alterations is critical to continue exploring this clinical situation. The main aim of this review is to summarize the most recent evidence on cognitive impairment and the associated biological markers in patients addicted to some of the most consumed drugs of abuse and in animal models simulating this clinical situation. The available information suggests the need to develop more studies to further explore the molecular alterations associated with cognitive impairment, with the ultimate goal of developing new potential therapeutic strategies.

摘要

物质使用障碍患者的认知衰退是众所周知的,在依赖和戒毒阶段均可出现。在临床层面,认知衰退会损害对成瘾治疗的反应并增加脱落率。即使在药物滥用消费结束后,它也可能是不可逆的。增进我们对与认知衰退相关的分子和细胞改变的理解,对于制定针对其治疗的特定治疗策略可能至关重要。开发动物模型以模拟药物滥用引起的学习和记忆改变,对于持续探索这种临床情况至关重要。本综述的主要目的是总结关于某些最常滥用药物成瘾患者以及模拟这种临床情况的动物模型中认知障碍及相关生物标志物的最新证据。现有信息表明需要开展更多研究,以进一步探索与认知障碍相关的分子改变,最终目标是开发新的潜在治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b5/10376598/4f92acfa2cdf/biomedicines-11-01796-g002.jpg

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