Wallnöfer A
Centre for Human Drug Research, University Hospital Leiden, The Netherlands.
Schweiz Rundsch Med Prax. 1993 Sep 14;82(37):999-1003.
The potential of a compound to induce drug dependency may be described as an interaction of its positive reinforcing and its discriminative as well as its aversive properties. Environmental factors and conditioning play thereby important, modulating roles. Drugs of abuse act via central mechanisms which mediate basal sensations such as reward and satisfaction. Neurochemical and neuroanatomical investigations suggest a key role of the dopaminergic mesolimbic system in these processes. Addictive drugs from several pharmacological classes have in common to stimulate the dopaminergic mesolimbic system, albeit by different mechanisms. However, other non dopaminergic neurotransmitter systems, e.g. the GABAergic, the opioid or the serotonergic system, are also involved in drug-seeking behaviour.
一种化合物诱导药物依赖的可能性可被描述为其正性强化、辨别以及厌恶特性之间的相互作用。环境因素和条件作用在其中发挥着重要的调节作用。滥用药物通过介导诸如奖赏和满足等基本感觉的中枢机制起作用。神经化学和神经解剖学研究表明多巴胺能中脑边缘系统在这些过程中起关键作用。来自几个药理学类别的成瘾药物尽管作用机制不同,但都有一个共同点,即刺激多巴胺能中脑边缘系统。然而,其他非多巴胺能神经递质系统,如γ-氨基丁酸能、阿片类或5-羟色胺能系统,也参与了觅药行为。