Preclinical Behavioral Models for Addressing Unmet Needs in Opiate Addiction

Gery Schulteis , Lisa H. Gold , George F. Koob
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引用次数: 7

Abstract

Addiction is a behavioral state characterized by loss of control over drug use and must be appreciated as a chronic relapsing, not acute, disorder. Factors that contribute to the transition from casual use of a drug to loss of control and compulsive use include positive reinforcement (e.g., euphoria, reward), negative reinforcement (e.g., self-medication, alleviation of withdrawal), and conditioned reinforcement (either positive or negative). These same factors may interact to produce relapse even after prolonged periods of abstinence. This review summarizes the current status of animal behavioral and neurobiological models which were designed to address the multiplicity of factors contributing to the addiction process. Use of these models is critical in assessing efficacy of novel treatments, in exploring the neurobiological substrates of reinforcement, dependence, and withdrawal in an effort to identify new targets for treatment intervention, and in uncovering genetic factors that predispose certain individuals to addiction.

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解决阿片类药物成瘾未满足需求的临床前行为模型
成瘾是一种行为状态,其特征是对药物的使用失去控制,必须被视为一种慢性复发,而不是急性疾病。从随意使用药物过渡到失去控制和强迫性使用的因素包括积极强化(例如,欣赏感,奖励),消极强化(例如,自我用药,减轻戒断)和条件强化(积极或消极)。这些相同的因素可能相互作用,甚至在长时间的戒断后产生复发。本文综述了动物行为和神经生物学模型的现状,这些模型旨在解决导致成瘾过程的多种因素。使用这些模型对于评估新疗法的疗效,探索强化、依赖和戒断的神经生物学基础,以确定治疗干预的新目标,以及揭示易使某些个体成瘾的遗传因素至关重要。
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