Neurobiological Basis of Vulnerability in Adolescence to Drug
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Addiction, Opioids, and Beyond
Addiction, Opioids and Beyond Chronic Pain Mental Illness Substance Dep Medical Illness Genetics/Env Objectives Understanding Definitions in Substance Dependency and Addiction. Review of Basic Epidemiology in Opioids Understanding Basic Addiction Physiology and how it relates to Schizophrenia Knowledge the General Overview of SUD Treatment Knowledge of non-pharmacological treatments of SUD. Understanding of Prescription Opioids, Side Effects and Dangers Understanding Prescription Opioids in the setting of Chronic Pain Understand MAT for Opioids (Tip43) with Naltrexone, Methadone and Buprenorphine Naloxone WHAT DOES ADDICTION MEAN? In 2016 11.5 million people 12 years and older misused opioid pain medications 1.8 million had substance use disorder involving prescription pain medications Between 2000 to 2015, more then 500,000 person died from opioid overdoses Opioid and 2012 clinicians wrote 259 million prescription for opioids Overdose 2.5 million people with Opioid Addiction (JAMA) US deaths from drug overdoses hit record high in 2014, propelled by abuse of prescription painkillers and heroin. (CDC) Heroin related deaths tripled since 2010. Only 2.2% of US Physician have waiver to prescribe Buprenorphine (JAMA) Statistically, nonmedical use of drugs from individuals obtained a majority of their drugs from friends and relatives, however 80% of those “friends and family” obtained from ONE DOCTOR. Addiction Poorly Understood • Regard Addiction as a moral problem • Fail to adequately screen • 1% of medical school curriculum • Believe interventions are ineffective JAMA,2003,290, 1299 Defining the Word "Addiction" The American Society of Addiction Medicine (ASAM), American Pain Society (APS), and American Academy of Pain Medicine (AAPM) define addiction as a primary, chronic, neurobiological disease with genetic, psychosocial, and environmental factors influencing its development and manifestations characterized by one or more of the behaviors listed above (ASAM, 2001). -
Neuroplasticity in the Mesolimbic System Induced by Sexual Experience and Subsequent Reward Abstinence
Western University Scholarship@Western Electronic Thesis and Dissertation Repository 6-21-2012 12:00 AM Neuroplasticity in the Mesolimbic System Induced by Sexual Experience and Subsequent Reward Abstinence Kyle Pitchers The University of Western Ontario Supervisor Lique M. Coolen The University of Western Ontario Graduate Program in Anatomy and Cell Biology A thesis submitted in partial fulfillment of the equirr ements for the degree in Doctor of Philosophy © Kyle Pitchers 2012 Follow this and additional works at: https://ir.lib.uwo.ca/etd Recommended Citation Pitchers, Kyle, "Neuroplasticity in the Mesolimbic System Induced by Sexual Experience and Subsequent Reward Abstinence" (2012). Electronic Thesis and Dissertation Repository. 592. https://ir.lib.uwo.ca/etd/592 This Dissertation/Thesis is brought to you for free and open access by Scholarship@Western. It has been accepted for inclusion in Electronic Thesis and Dissertation Repository by an authorized administrator of Scholarship@Western. For more information, please contact [email protected]. NEUROPLASTICITY IN THE MESOLIMBIC SYSTEM INDUCED BY SEXUAL EXPERIENCE AND SUBSEQUENT REWARD ABSTINENCE (Spine Title: Sex, Drugs and Neuroplasticity) (Thesis Format: Integrated Article) By Kyle Kevin Pitchers Graduate Program in Anatomy and Cell Biology A thesis submitted in partial fulfillment of the requirements for degree of Doctor of Philosophy The School of Graduate and Postdoctoral Studies The University of Western Ontario London, Ontario, Canada © Kyle K. Pitchers, 2012 THE UNIVERSITY -
The Effects of Alcohol and Nicotine Pretreatment During Adolescence on Adulthood Responsivity to Alcohol Antoniette M
University of South Florida Scholar Commons Graduate Theses and Dissertations Graduate School 2007 The effects of alcohol and nicotine pretreatment during adolescence on adulthood responsivity to alcohol Antoniette M. Maldonado University of South Florida Follow this and additional works at: http://scholarcommons.usf.edu/etd Part of the American Studies Commons Scholar Commons Citation Maldonado, Antoniette M., "The effects of alcohol and nicotine pretreatment during adolescence on adulthood responsivity to alcohol" (2007). Graduate Theses and Dissertations. http://scholarcommons.usf.edu/etd/2272 This Thesis is brought to you for free and open access by the Graduate School at Scholar Commons. It has been accepted for inclusion in Graduate Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact [email protected]. The Effects of Alcohol and Nicotine Pretreatment During Adolescence on Adulthood Responsivity to Alcohol by Antoniette M. Maldonado A thesis submitted in partial fulfillment of the requirements for the degree of Masters of Arts Department of Psychology College of Arts and Sciences University of South Florida Major Professor: Cheryl L. Kirstein, Ph.D. Mark Goldman, Ph.D. Toru Shimizu, Ph.D. David J. Drobes, Ph.D. Date of Approval: 18 October, 2007 Keywords: addiction, adolescent, alcohol-nicotine interactions, conditioned place preference, novelty preference © Copyright 2007, Antoniette M. Maldonado Dedication To my mom, Sylvia Ann Valdez. Mom, you are my very best friend and I do not know what I would have done without all of the support you gave me through every single step of this journey. You make such a difference in my life and I cannot even begin to describe how grateful I am to have you still here with me. -
Cannabidiol Attenuates Insular Dysfunction During Motivational Salience Processing in Subjects at Clinical High Risk for Psychosis Robin Wilson1, Matthijs G
Wilson et al. Translational Psychiatry (2019) 9:203 https://doi.org/10.1038/s41398-019-0534-2 Translational Psychiatry ARTICLE Open Access Cannabidiol attenuates insular dysfunction during motivational salience processing in subjects at clinical high risk for psychosis Robin Wilson1, Matthijs G. Bossong1,2, Elizabeth Appiah-Kusi1, Natalia Petros 1, Michael Brammer1,3,JesusPerez4, Paul Allen1,5, Philip McGuire1 and Sagnik Bhattacharyya 1 Abstract Accumulating evidence points towards the antipsychotic potential of cannabidiol. However, the neurocognitive mechanisms underlying the antipsychotic effect of cannabidiol remain unclear. We investigated this in a double-blind, placebo-controlled, parallel-arm study. We investigated 33 antipsychotic-naïve subjects at clinical high risk for psychosis (CHR) randomised to 600 mg oral cannabidiol or placebo and compared them with 19 healthy controls. We used the monetary incentive delay task while participants underwent fMRI to study reward processing, known to be abnormal in psychosis. Reward and loss anticipation phases were combined to examine a motivational salience condition and compared with neutral condition. We observed abnormal activation in the left insula/parietal operculum in CHR participants given placebo compared to healthy controls associated with premature action initiation. Insular activation correlated with both positive psychotic symptoms and salience perception, as indexed by difference in reaction time between salient and neutral stimuli conditions. CBD attenuated the increased -
Ventral Tegmental Area Dopamine Cell Activation During Male Rat
The Journal of Neuroscience, September 21, 2016 • 36(38):9949–9961 • 9949 Behavioral/Cognitive Ventral Tegmental Area Dopamine Cell Activation during Male Rat Sexual Behavior Regulates Neuroplasticity and D-Amphetamine Cross-Sensitization following Sex Abstinence Lauren N. Beloate,1,2 XAzar Omrani,4 Roger A. Adan,4 Ian C. Webb,1 and XLique M. Coolen1,3 1Department of Neurobiology and Anatomical Sciences, 2Graduate Program in Neuroscience, and 3Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Mississippi 39216, and 4Brain Center Rudolf Magnus, Department of Translational Neuroscience, University Medical Center Utrecht, 3584 CG Utrecht, The Netherlands Experience with sexual behavior causes cross-sensitization of amphetamine reward, an effect dependent on a period of sexual reward abstinence. We previously showed that ⌬FosB in the nucleus accumbens (NAc) is a key mediator of this cross-sensitization, potentially via dopamine receptor activation. However, the role of mesolimbic dopamine for sexual behavior or cross-sensitization between natural and drug reward is unknown. This was tested using inhibitory designer receptors exclusively activated by designer drugs in ventral tegmental area (VTA) dopamine cells. rAAV5/hSvn-DIO-hm4D-mCherry was injected into the VTA of TH::Cre adult male rats. Males received clozapine N-oxide (CNO) or vehicle injections before each of 5 consecutive days of mating or handling. Following an abstinence period of 7 d, males were tested for amphetamine conditioned place preference (CPP). Next, males were injected with CNO or vehicle before mating or handling for analysis of mating-induced cFos, sex experience-induced ⌬FosB, and reduction of VTA dopamine soma size. Results showed that CNO did not affect mating behavior. -
The Role of Mesolimbic Reward Neurocircuitry in Prevention and Rescue of the Activity-Based Anorexia (ABA) Phenotype in Rats
Neuropsychopharmacology (2017) 42, 2292–2300 © 2017 American College of Neuropsychopharmacology. All rights reserved 0893-133X/17 www.neuropsychopharmacology.org The Role of Mesolimbic Reward Neurocircuitry in Prevention and Rescue of the Activity-Based Anorexia (ABA) Phenotype in Rats 1 1 ,1 Claire J Foldi , Laura K Milton and Brian J Oldfield* 1 Department of Physiology, Monash University, Clayton, VIC, Australia Patients suffering from anorexia nervosa (AN) become anhedonic; unable or unwilling to derive normal pleasures and avoid rewarding outcomes, most profoundly in food intake. The activity-based anorexia (ABA) model recapitulates many of the characteristics of the human condition, including anhedonia, and allows investigation of the underlying neurobiology of AN. The potential for increased neuronal activity in reward/hedonic circuits to prevent and rescue weight loss is investigated in this model. The mesolimbic pathway extending from the ventral tegmental area (VTA) to the nucleus accumbens (NAc) was activated using a dual viral strategy, involving retrograde transport of Cre (CAV-2-Cre) to the VTA and coincident injection of DREADD receptors (AAV-hSyn-DIO-hM3D(Gq)-mCherry). Systemic clozapine-n-oxide (CNO; 0.3 mg/kg) successfully recruited a large proportion of the VTA-NAc dopaminergic projections, with activity evidenced by colocalization with elevated levels of Fos protein. The effects of reward circuit activation on energy balance and predicted survival was investigated in female Sprague-Dawley rats, where free access to running wheels was paired with time-limited (90 min) access to food, a paradigm (ABA) which will cause anorexia and death if unchecked. Excitation of the reward pathway substantially increased food intake and food anticipatory activity (FAA) to prevent ABA-associated weight loss, while overall locomotor activity was unchanged. -
Early Life Stress, Nicotinic Acetylcholine Receptors and Alcohol Use Disorders
Brain Sci. 2015, 5, 258-274; doi:10.3390/brainsci5030258 OPEN ACCESS brain sciences ISSN 2076-3425 www.mdpi.com/journal/brainsci/ Review Early Life Stress, Nicotinic Acetylcholine Receptors and Alcohol Use Disorders Joan Y. Holgate * and Selena E. Bartlett Institute of Health and Biomedical Innovation, Translational Research Institute, Queensland University of Technology, 37 Kent St, Woolloongabba, Queensland 4102, Australia; E-Mail: [email protected] * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +61-7-3443-7285; Fax: +61-7-3443-7779. Academic Editor: Marcelo Febo Received: 15 April 2015 / Accepted: 18 June 2015 / Published: 30 June 2015 Abstract: Stress is a major driving force in alcohol use disorders (AUDs). It influences how much one consumes, craving intensity and whether an abstinent individual will return to harmful alcohol consumption. We are most vulnerable to the effects of stress during early development, and exposure to multiple traumatic early life events dramatically increases the risk for AUDs. However, not everyone exposed to early life stress will develop an AUD. The mechanisms determining whether an individual’s brain adapts and becomes resilient to the effects of stress or succumbs and is unable to cope with stress remain elusive. Emerging evidence suggests that neuroplastic changes in the nucleus accumbens (NAc) following early life stress underlie the development of AUDs. This review discusses the impact of early life stress on NAc structure and function, how these changes affect cholinergic signaling within the mesolimbic reward pathway and the role nicotinic acetylcholine receptors (nAChRs) play in this process. -
Volatile Solvents As Drugs of Abuse: Focus on the Cortico-Mesolimbic Circuitry
Neuropsychopharmacology (2013) 38, 2555–2567 & 2013 American College of Neuropsychopharmacology. All rights reserved 0893-133X/13 www.neuropsychopharmacology.org Review Volatile Solvents as Drugs of Abuse: Focus on the Cortico-Mesolimbic Circuitry 1,2 ,1,2 Jacob T Beckley and John J Woodward* 1 2 Department of Neurosciences, Medical University of South Carolina, Charleston, SC, USA; Center for Drug and Alcohol Programs, Department of Psychiatry/Neurosciences, Medical University of South Carolina, Charleston, SC, USA Volatile solvents such as those found in fuels, paints, and thinners are found throughout the world and are used in a variety of industrial applications. However, these compounds are also often intentionally inhaled at high concentrations to produce intoxication. While solvent use has been recognized as a potential drug problem for many years, research on the sites and mechanisms of action of these compounds lags behind that of other drugs of abuse. In this review, we first discuss the epidemiology of voluntary solvent use throughout the world and then consider what is known about their basic pharmacology and how this may explain their use as drugs of abuse. We next present data from preclinical and clinical studies indicating that these substances induce common addiction sequelae such as dependence, withdrawal, and cognitive impairments. We describe how toluene, the most commonly studied psychoactive volatile solvent, alters synaptic transmission in key brain circuits such as the mesolimbic dopamine system and medial prefrontal cortex (mPFC) that are thought to underlie addiction pathology. Finally, we make the case that activity in mPFC circuits is a critical regulator of the mesolimbic dopamine system’s ability to respond to volatile solvents like toluene. -
Heroin Abuse Is Characterized by Discrete Mesolimbic Dopamine and Opioid Abnormalities and Exaggerated Nuclear Receptor-Related 1 Transcriptional Decline with Age
The Journal of Neuroscience, December 5, 2007 • 27(49):13371–13375 • 13371 Brief Communications Heroin Abuse Is Characterized by Discrete Mesolimbic Dopamine and Opioid Abnormalities and Exaggerated Nuclear Receptor-Related 1 Transcriptional Decline with Age Monika Cs. Horvath,1 Gabor G. Kovacs,2 Viktor Kovari,2 Katalin Majtenyi,2 Yasmin L. Hurd,3* and Eva Keller1* 1Department of Forensic Medicine, Semmelweis University, H-1085, Budapest, Hungary, 2National Institute of Psychiatry and Neurology, H-1021, Budapest, Hungary, and 3Department of Psychiatry, Mount Sinai School of Medicine, New York, New York 10029 Dysfunction of mesocorticolimbic dopaminergic neurons is considered a common feature of all drugs of abuse, yet few investigations have evaluated the dopamine (DA) system in nonstimulant human abusers. We examined mRNA expression levels of DA transporter ␣ (DAT), tyrosine hydroxylase (TH), dopamine D2 receptor, -synuclein, and nuclear receptor-related 1 (Nurr1) in discrete mesocorti- colimbic and nigrostriatal subpopulations of heroin users and control subjects. The chronic use of heroin was significantly associated with decreased DAT mRNA expression localized to the paranigral nucleus (PN) and the mesolimbic division of the ventral tegmental area (VTA) with no alterations in nigrostriatal populations. Consistently, the density of DAT immunoreactivity was significantly reduced in the nucleus accumbens but not in dorsal striatum, mesolimbic and nigrostriatal efferent targets, respectively. Significant alteration of the mRNA expression of Nurr1, a transcription factor that regulates DAT expression, was also confined to the PN. Moreover, the results revealed an exaggerated reduction of Nurr1 expression with age in heroin users (r ϭϪ0.8268, p Ͻ 0.001 vs controls, r ϭϪ0.6204, p ϭ ␣ 0.0746). -
Non-Pharmacological Factors That Determine Drug Use and Addiction Aldo Badiani, Klaus Miczek, Christian Müller, Serge Ahmed H
Non-pharmacological factors that determine drug use and addiction Aldo Badiani, Klaus Miczek, Christian Müller, Serge Ahmed H. To cite this version: Aldo Badiani, Klaus Miczek, Christian Müller, Serge Ahmed H.. Non-pharmacological factors that determine drug use and addiction. Neuroscience & Biobehavioral Reviews, Oxford: Elsevier Ltd., 2020, 110, pp.3-27. 10.1016/j.neubiorev.2018.08.015. hal-03005497 HAL Id: hal-03005497 https://hal.archives-ouvertes.fr/hal-03005497 Submitted on 25 Nov 2020 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. Special Issue – IBNS Non-pharmacological factors that determine drug use and addiction Serge Ahmed 1*, Aldo Badiani 2,3*, Klaus A. Miczek 4,5*, Christian P. Müller 6* 1 Université de Bordeaux, Institut des Maladies Neurodégénératives, UMR 5293, 146 rue Léo-Saignat, F-33000 Bordeaux, France; CNRS, Institut des Maladies Neurodégénératives, UMR 5293, 146 rue Léo-Saignat, F-33000 Bordeaux, France. 2 Department of Physiology and Pharmacology, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. 3 Sussex Addiction Research and Intervention Centre (SARIC), School of Psychology, University of Sussex, BN1 9RH, Brighton, UK. 4 Psychology Department, Tufts University, Bacon Hall, 530 Boston Avenue, Medford, MA, 02155, USA. -
A Single Dose of Nicotine Enhances Reward Responsiveness in Nonsmokers: Implications for Development of Dependence Ruth S
A Single Dose of Nicotine Enhances Reward Responsiveness in Nonsmokers: Implications for Development of Dependence Ruth S. Barr, Diego A. Pizzagalli, Melissa A. Culhane, Donald C. Goff, and A. Eden Evins Background: Tobacco smoking, driven by the addictive properties of nicotine, is the most prevalent preventable cause of death in the Western world. Accumulated evidence suggests that nicotine may increase appetitive responding for nondrug incentives in the environment. Methods: To test this hypothesis, we conducted a randomized, double-blind, placebo-controlled, crossover study of the effect of a single dose of transdermal nicotine on reward responsiveness in 30 psychiatrically healthy nonsmokers. A novel signal detection task in which correct responses were differentially rewarded in a 3:1 ratio was used to assess the extent to which participants modulated their behavior as a function of reward. Results: Despite expected adverse effects such as nausea, nicotine significantly increased response bias toward the more frequently rewarded condition, at the expense of accuracy, independent of effects on attention or overall vigilance. Additionally, response bias on placebo was greater in participants who received nicotine in the first session, indicating that an effect of nicotine on reward responsiveness or reward-based learning persisted for at least 1 week. Conclusions: These findings suggest that a single dose of nicotine enhances response to non-drug-related rewards in the environment, with lasting effects. This effect may contribute to reinforcement of early smoking behavior and development of nicotine dependence. Key Words: Anhedonia, drug addiction, nicotine, nonsmokers, re- ducted in conjunction with a larger study of the effect of nicotine ward, reward responsiveness on cognitive performance in nonsmokers (7). -
An Investigation of Behavioural Response to Natural Rewards and Drug Cues
Psychiatry Research 215 (2014) 522–527 Contents lists available at ScienceDirect Psychiatry Research journal homepage: www.elsevier.com/locate/psychres Do motivation deficits in schizophrenia-spectrum disorders promote cannabis use? An investigation of behavioural response to natural rewards and drug cues Clifford M. Cassidy, Martin Lepage, Ashok Malla n McGill University, Douglas Mental Health University Institute, 6875 Boul., Lasalle, Montreal, Qc, Canada H4H 1R3 article info abstract Article history: Deficits in incentive motivation are often present in both Schizophrenia Spectrum Disorders (SSD) and Received 13 June 2013 substance-use disorders. The current study aims to test whether the presence of such deficits confers Received in revised form vulnerability to cannabis use in individuals with SSD. SSD patients (n¼35) and healthy controls (n¼35) were 3 December 2013 each divided into a group with (n¼20)andagroupwithout(n¼15) current cannabis use disorder. Subjects Accepted 14 December 2013 performed a behavioural task designed for schizophrenia patients in which they could seek exposure to Available online 21 December 2013 pleasant and cannabis visual stimuli on the basis of internal representations of these stimuli. Intensity of Keywords: cannabis use was assessed by self-report. SSD patients were significantly less likely than controls to exert effort Psychosis to try to re-view pleasant stimuli but were not significantly less likely to work to avoid unpleasant stimuli. Lack Reward of response to re-view pleasant stimuli significantly predicted higher subsequent cannabis self-administration Substance use in patients but not controls, after controlling for degree of prior exposure to cannabis. Deficits in incentive Addiction motivation may be an aspect of SSD which promotes cannabis use in this population.