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阿片类药物和兴奋剂自我给药复吸中的条件性和非条件性药物效应。

Conditioned and unconditioned drug effects in relapse to opiate and stimulant drug self-adminstration.

作者信息

Stewart J

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1983;7(4-6):591-7. doi: 10.1016/0278-5846(83)90030-1.

Abstract

Humans and laboratory animals given access to opiate and stimulant drugs frequently become compulsive users of these drugs, and often, in spite of prolonged periods of abstinence, persist in drug-seeking behavior and relapse to drug-taking. Evidence suggests that such drugs act on positive appetitive systems of the brain to maintain drug-taking and that, in the absence of drugs, stimuli previously associated with the drug state might acquire the ability to arouse motivational states similar to those activated by the drugs themselves. In rats previously trained to self-administer cocaine or heroin intravenously, noncontingent 'priming' intravenous infusions of cocaine or heroin lead to reinstatement of drug-taking behavior. Priming infusions of pharmacologically related drugs and drugs with similar stimulus properties also reinstate responding. Application of morphine to the cell body region of dopaminergic neurons of the ventral tegmental area (VTA), a site known to support morphine self-administration, reinstates both heroin and cocaine self-administration behavior. Reinstatement is blocked by pretreatment with naltrexone. Morphine applied to several other brain areas rich in opiate receptors does not reinstate the behavior. Application of morphine to the VTA, a site known to support conditioned place preferences as well as self-administration, causes increased locomotion that is naloxone reversible. This locomotor activity shows sensitization upon repeated administration, an effect that is specific to the environment in which morphine is administered. Conditioned increases in activity are observed in the same environment. Neither conditioning nor sensitization develops when animals are pretreated with pimozide.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

给予人类和实验动物使用阿片类药物和兴奋剂的机会后,它们常常会成为这些药物的强迫性使用者,而且通常,尽管经过长时间的戒断,仍会持续存在觅药行为并复吸。有证据表明,此类药物作用于大脑的积极奖赏系统以维持用药行为,并且在没有药物的情况下,先前与药物状态相关的刺激可能会获得激发与药物本身激活的动机状态相似的能力。在先前经训练可静脉内自我给药可卡因或海洛因的大鼠中,非条件性的静脉内“激发”注射可卡因或海洛因会导致用药行为的恢复。注射药理学相关药物以及具有相似刺激特性的药物也会恢复反应。将吗啡应用于腹侧被盖区(VTA)多巴胺能神经元的胞体区域(已知该部位支持吗啡自我给药),会恢复海洛因和可卡因的自我给药行为。纳曲酮预处理可阻断这种恢复。将吗啡应用于其他几个富含阿片受体的脑区并不会恢复该行为。将吗啡应用于VTA(已知该部位支持条件性位置偏爱以及自我给药)会导致运动增加,且这种增加可被纳洛酮逆转。这种运动活动在重复给药后会出现敏化,这一效应对于给予吗啡的环境具有特异性。在相同环境中可观察到条件性活动增加。当用匹莫齐特预处理动物时,既不会出现条件化也不会出现敏化。(摘要截短于250字)

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