Serra Marcello, Simola Nicola, Pollack Alexia E, Costa Giulia
Department of Biomedical Sciences, Section of Neuroscience, University of Cagliari, Cagliari, Italy.
Department of Biology, University of Massachusetts-Boston, Boston, MA, USA.
Neural Regen Res. 2024 Sep 1;19(9):1908-1918. doi: 10.4103/1673-5374.390971. Epub 2023 Dec 15.
Preclinical and clinical studies indicate that psychostimulants, in addition to having abuse potential, may elicit brain dysfunctions and/or neurotoxic effects. Central toxicity induced by psychostimulants may pose serious health risks since the recreational use of these substances is on the rise among young people and adults. The present review provides an overview of recent research, conducted between 2018 and 2023, focusing on brain dysfunctions and neurotoxic effects elicited in experimental models and humans by amphetamine, cocaine, methamphetamine, 3,4-methylenedioxymethamphetamine, methylphenidate, caffeine, and nicotine. Detailed elucidation of factors and mechanisms that underlie psychostimulant-induced brain dysfunction and neurotoxicity is crucial for understanding the acute and enduring noxious brain effects that may occur in individuals who use psychostimulants for recreational and/or therapeutic purposes.
临床前和临床研究表明,精神刺激药物除了具有滥用潜力外,还可能引发脑功能障碍和/或神经毒性作用。由于这些物质在年轻人和成年人中的娱乐性使用呈上升趋势,精神刺激药物引起的中枢毒性可能带来严重的健康风险。本综述概述了2018年至2023年间进行的最新研究,重点关注苯丙胺、可卡因、甲基苯丙胺、3,4-亚甲基二氧基甲基苯丙胺、哌醋甲酯、咖啡因和尼古丁在实验模型和人类中引发的脑功能障碍和神经毒性作用。详细阐明精神刺激药物诱导脑功能障碍和神经毒性的因素和机制,对于理解使用精神刺激药物进行娱乐和/或治疗的个体可能出现的急性和持久性有害脑效应至关重要。