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尼古丁成瘾:不仅仅是多巴胺。

Nicotine addiction: More than just dopamine.

机构信息

Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06508, USA; Interdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT 06508, USA. Electronic address: https://twitter.com/kristenkim415.

Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06508, USA; Interdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT 06508, USA.

出版信息

Curr Opin Neurobiol. 2023 Dec;83:102797. doi: 10.1016/j.conb.2023.102797. Epub 2023 Oct 11.

Abstract

Despite decades of research and anti-tobacco messaging, nicotine addiction remains an important public health problem leading to hundreds of thousands of deaths each year. While fundamental studies have identified molecular, circuit-level and behavioral mechanisms important for nicotine reinforcement and withdrawal, recent studies have identified additional pathways that are important for both nicotine seeking and aversion. In particular, although dopaminergic mechanisms are necessary for nicotine-dependent reward and drug-seeking, novel glutamate and GABA signaling mechanisms in the mesolimbic system have been identified for their contributions to reward-related behaviors. An additional area of active investigation for nicotine addiction focuses on molecular mechanisms in the habenula-interpeduncular pathway driving nicotine aversion and withdrawal. Across all these domains, sex differences in the molecular basis of nicotine-induced behaviors have emerged that identify important new directions for future research. Recent studies reviewed here highlight additional pathways that could provide therapeutic targets for smoking cessation and problematic nicotine vaping.

摘要

尽管经过了几十年的研究和反烟草宣传,尼古丁成瘾仍然是一个重要的公共卫生问题,每年导致数十万人死亡。尽管基础研究已经确定了分子、回路水平和行为机制对于尼古丁强化和戒断很重要,但最近的研究已经确定了其他对于尼古丁寻求和厌恶都很重要的途径。特别是,虽然多巴胺能机制对于尼古丁依赖的奖励和觅药是必要的,但中脑边缘系统中新的谷氨酸和 GABA 信号机制已经被确定为其对与奖励相关的行为的贡献。尼古丁成瘾的另一个活跃研究领域集中在驱动尼古丁厌恶和戒断的缰核-脚间核通路中的分子机制。在所有这些领域中,已经出现了尼古丁诱导行为的分子基础中的性别差异,为未来的研究确定了重要的新方向。这里回顾的最近的研究强调了其他可能为戒烟和有问题的尼古丁蒸气提供治疗靶点的途径。

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