Nestler E J, Aghajanian G K
Department of Psychiatry, Yale University School of Medicine and Connecticut Mental Health Center, 34 Park Street, New Haven, CT 06508, USA.
Science. 1997 Oct 3;278(5335):58-63. doi: 10.1126/science.278.5335.58.
Drug addiction results from adaptations in specific brain neurons caused by repeated exposure to a drug of abuse. These adaptations combine to produce the complex behaviors that define an addicted state. Progress is being made in identifying such time-dependent, drug-induced adaptations and relating them to specific behavioral features of addiction. Current research needs to understand the types of adaptations that underlie the particularly long-lived aspects of addiction, such as drug craving and relapse, and to identify specific genes that contribute to individual differences in vulnerability to addiction. Understanding the molecular and cellular basis of addictive states will lead to major changes in how addiction is viewed and ultimately treated.
药物成瘾是由于反复接触滥用药物导致特定脑神经元发生适应性变化所致。这些适应性变化共同产生了界定成瘾状态的复杂行为。在识别此类随时间变化的、药物诱导的适应性变化并将其与成瘾的特定行为特征联系起来方面正在取得进展。当前的研究需要了解构成成瘾特别持久方面(如药物渴望和复发)基础的适应性变化类型,并识别导致个体成瘾易感性差异的特定基因。了解成瘾状态的分子和细胞基础将导致对成瘾的看法以及最终治疗方式发生重大改变。