Pharmacologically-mediated reactivation and reconsolidation blockade of the psychostimulant-abuse circuit: A novel treatment strategy
| Autor: | William C. Wetsel, Tong H. Lee, Paolo Mannelli, Steven T. Szabo, Ashwin A. Patkar, O. Barry Mangum, J. Corey Fowler, Wayne F. Beyer |
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| Rok vydání: | 2012 |
| Předmět: |
Agonist
medicine.medical_specialty Substance-Related Disorders medicine.drug_class media_common.quotation_subject Self Administration Dysfunctional family Toxicology Article Behavior Therapy medicine Animals Humans Pharmacology (medical) Psychiatry media_common Pharmacology Central Nervous System Sensitization Addiction Methamphetamine Abstinence medicine.disease Ondansetron Rats Substance abuse Psychiatry and Mental health Synaptic plasticity Central Nervous System Stimulants Memory consolidation Serotonin Antagonists Psychology Neuroscience medicine.drug |
| Zdroj: | Drug and Alcohol Dependence. 124:11-18 |
| ISSN: | 0376-8716 |
| DOI: | 10.1016/j.drugalcdep.2012.01.021 |
| Popis: | Psychostimulant abuse continues to present legal, socioeconomic and medical challenges as a primary psychiatric disorder, and represents a significant comorbid factor in major psychiatric and medical illnesses. To date, monotherapeutic drug treatments have not proven effective in promoting long-term abstinence in psychostimulant abusers. In contrast to clinical trials utilizing monotherapies, combinations of dopamine (DA) agonists and selective 5-HT(3), 5HT(2A/2C), or NK(1) antagonists have shown robust efficacy in reversing behavioral and neurobiological alterations in animal models of psychostimulant abuse. One important temporal requirement for these treatments is that the 5-HT or NK(1) receptor antagonist be given at a critical time window after DA agonist administration. This requirement may reflect a necessary dosing regimen towards normalizing underlying dysfunctional neural circuits and "addiction memory" states. Indeed, chronic psychostimulant abuse can be conceptualized as a consolidated form of dysfunctional memory maintained by repeated drug- or cue-induced reactivation of neural circuit and subsequent reconsolidation. According to this concept, the DA agonist given first may reactivate this memory circuit, thereby rendering it transiently labile. The subsequent antagonist is hypothesized to disrupt reconsolidation necessary for restabilization, thus leading progressively to a therapeutically-mediated abolishment of dysfunctional synaptic plasticity. We propose that long-term abstinence in psychostimulant abusers may be achieved not only by targeting putative mechanistic pathways, but also by optimizing drug treatment regimens designed to disrupt the neural processes underlying the addicted state. |
| Databáze: | OpenAIRE |
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