Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO, USA.
Pain Center, Washington University in St Louis, St. Louis, MO, USA.
Neuropsychopharmacology. 2024 May;49(6):915-923. doi: 10.1038/s41386-024-01828-z. Epub 2024 Feb 19.
Opioid use disorder is a chronic relapsing disorder encompassing misuse, dependence, and addiction to opioid drugs. Long term maintenance of associations between the reinforcing effects of the drug and the cues associated with its intake are a leading cause of relapse. Indeed, exposure to the salient drug-associated cues can lead to drug cravings and drug seeking behavior. The dorsal hippocampus (dHPC) and locus coeruleus (LC) have emerged as important structures for linking the subjective rewarding effects of opioids with environmental cues. However, their role in cue-induced reinstatement of opioid use remains to be further elucidated. In this study, we showed that chemogenetic inhibition of excitatory dHPC neurons during re-exposure to drug-associated cues significantly attenuates cue-induced reinstatement of morphine-seeking behavior. In addition, the same manipulation reduced reinstatement of sucrose-seeking behavior but failed to alter memory recall in the object location task. Finally, intact activity of tyrosine hydroxylase (TH) LC-dHPC afferents is necessary to drive cue induced reinstatement of morphine-seeking as inhibition of this pathway blunts cue-induced drug-seeking behavior. Altogether, these studies show an important role of the dHPC and LC-dHPC pathway in mediating cue-induced reinstatement of opioid seeking.
阿片类药物使用障碍是一种慢性复发性疾病,包括阿片类药物的滥用、依赖和成瘾。长期保持药物的强化作用与摄入药物相关的线索之间的联系是导致复发的主要原因。事实上,暴露于明显的与药物相关的线索会导致药物渴求和药物寻求行为。背侧海马体(dHPC)和蓝斑核(LC)已成为将阿片类药物的主观奖赏效应与环境线索联系起来的重要结构。然而,它们在线索诱导的阿片类药物使用复发中的作用仍有待进一步阐明。在这项研究中,我们表明,在重新暴露于与药物相关的线索时,化学遗传抑制兴奋性 dHPC 神经元可显著减弱线索诱导的觅药行为的复燃。此外,相同的操作减少了蔗糖觅药行为的复燃,但未能改变物体位置任务中的记忆召回。最后,完整的酪氨酸羟化酶(TH)LC-dHPC 传入活动是驱动线索诱导的觅药复燃所必需的,因为该途径的抑制会削弱线索诱导的药物觅药行为。总之,这些研究表明 dHPC 和 LC-dHPC 通路在介导阿片类药物觅药的线索诱导复燃中起着重要作用。