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Morphinan neuroprotection: new insight into the therapy of neurodegeneration. 吗啡南神经保护作用:神经退行性疾病治疗的新认识。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i4.30
Wei Zhang, Jau-Shyong Hong, Hyoung-Chun Kim, Wanqin Zhang, Michelle L Block

Neuro-inflammation plays a pivotal role in numerous neurodegenerative disorders, such as Parkinson's disease (PD). Traditional anti-inflammatory drugs have limited therapeutic use because of their narrow spectrum and severe side effects after long-term use. Morphinans are a class of compounds containing the basic morphine structure. The following review will describe novel neuroprotective effects of several morphinans in multiple inflammatory disease models. The potential therapeutic utility and underlying mechanisms of morphinan neuroprotection are discussed.

神经炎症在许多神经退行性疾病,如帕金森病(PD)中起着关键作用。传统的抗炎药由于其谱窄,长期使用后副作用严重,治疗用途有限。吗啡类是一类含有吗啡基本结构的化合物。下面的综述将描述几种吗啡类药物在多种炎症疾病模型中的神经保护作用。本文讨论了吗啡肽神经保护的潜在治疗效用和潜在机制。
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引用次数: 13
A GABA, reelin, and the neurodevelopmental hypothesis of schizophrenia. GABA, reelin和精神分裂症的神经发育假说。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.20
Héctor J Caruncho, Iria G Dopeso-Reyes, M Isabel Loza, Miguel A Rodríguez

The GABA-reelin cortical connection (i.e., the expression and secretion of reelin by GABAergic cortical neurons) has been shown to function not only in the adult cortex but also during tangential migration of GABAergic neuroblasts. Therefore, it is of interest to focus on the possibility that a synergic action of these compounds (understood as a topobiological effect, implying place- and time-dependent interactions) may have important implications in regulating developmental processes such as neuronal migration, dendritic sprouting, synaptogenesis, and axon pruning, as well as being involved in regulation of synaptic plasticity trough life. The present review summarizes the actual knowledge in this field and discusses the possible importance that a dysregulation of GABAergic and reelin systems may have as vulnerability factors for the etiology and pathophysiology of schizophrenia.

GABA-reelin皮质连接(即由gaba能皮质神经元表达和分泌reelin)已被证明不仅在成人皮质中起作用,而且在gaba能神经母细胞的切向迁移过程中也起作用。因此,关注这些化合物的协同作用(被理解为拓扑生物学效应,意味着地点和时间依赖的相互作用)可能在调节发育过程中具有重要意义,如神经元迁移、树突发芽、突触发生和轴突修剪,以及参与调节突触可塑性。本文总结了这一领域的实际知识,并讨论了gaba能和reelin系统的失调可能作为精神分裂症病因和病理生理学的易感性因素的重要性。
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引用次数: 43
Adenosine and adenine nucleotides as regulators of cerebral blood flow: roles of acidosis, cell swelling, and KATP channels. 腺苷和腺嘌呤核苷酸作为脑血流的调节剂:酸中毒、细胞肿胀和KATP通道的作用。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i4.20
John W Phillis

A considerable volume of evidence implicates the purine adenosine in the regulation of cerebral blood flow during states such as hypotension, neural activation, hypoxia/ischemia, and hypercapnia/acidosis. The aim of this review is to describe developments in our understanding of the roles that adenosine and the adenine nucleotides play in cerebral blood flow control, with some comparisons to coronary blood flow. The first part of the review focuses on the categorization of receptors for adenosine (A1, A2A, A2B, and A3) and the adenine nucleotides, ATP and ADP (P2X and P2Y). Frequently used agonists and antagonists for these different receptors are mentioned. A description follows of the distribution of these different receptors in cerebral arterioles. The second part of the review initially deals with the literature on the release of adenosine and adenine nucleotides into the extracellular space of the brain, describing the various techniques used to make these measurements and assessing the pitfalls associated with their use. This is followed by a discussion of the factors affecting purine release, which include cell swelling and acidosis. The third section evaluates the role of smooth muscle potassium channels in controlling arteriolar diameter. There is evidence for an important role of KATP and KCa channels, but less is known about the contributions of voltage-dependent (KV) and inwardly rectifying (KIR) channels. This section ends with a discussion on the reported inhibitory effect of nitric oxide synthase inhibitors on the KATP channel and the consequences of such an action for the interpretation of much of the published work on nitric oxide as a regulator of cerebral blood flow. The fourth section evaluates the data supporting a role of adenosine and ATP in the regulation of cerebral blood flow during autoregulation, hypotension, neural activity, hypoxia/ ischemia, and hypercapnia. Studies using antagonists and potentiators of adenosine's actions have led to the conclusion that adenosine is involved in vascular flow control, matching metabolic activity to blood flow in all of these conditions, possibly with the exceptions of autoregulation at mean arterial blood pressures above approximately 60 mmHg. Evidence is presented for a major role of A2A, and a more limited role of A2B receptors, in balancing blood flow with metabolism. The primary effect of receptor occupancy is activation of KATP and KCa channels with smooth muscle relaxation and elevated blood flow rates. There are presently fewer data on ATP's participation in flow control, but recent evidence regarding glial cell control of cerebral arteriolar diameter suggests that this may be an important mechanism. The semi-final section, which briefly describes the evidence for a comparable role of adenosine in regulating coronary blood flow, is followed by a concluding statement reaffirming the importance of adenosine as a cerebral blood flow regulator.

大量证据表明嘌呤腺苷在低血压、神经激活、缺氧/缺血和高碳酸血症/酸中毒等状态下调节脑血流。这篇综述的目的是描述我们对腺苷和腺嘌呤核苷酸在脑血流控制中的作用的理解的进展,并将其与冠状动脉血流进行比较。第一部分综述了腺苷受体(A1, A2A, A2B和A3)和腺嘌呤核苷酸,ATP和ADP (P2X和P2Y)的分类。这些不同受体常用的激动剂和拮抗剂也被提及。下面描述了这些不同受体在脑小动脉中的分布。本综述的第二部分首先讨论了关于腺苷和腺嘌呤核苷酸释放到大脑细胞外空间的文献,描述了用于进行这些测量的各种技术,并评估了与它们的使用相关的陷阱。接下来讨论影响嘌呤释放的因素,包括细胞肿胀和酸中毒。第三部分评估平滑肌钾通道在控制小动脉直径中的作用。有证据表明KATP和KCa通道具有重要作用,但对电压依赖性通道(KV)和内整流通道(KIR)的贡献知之甚少。本节最后讨论了已报道的一氧化氮合酶抑制剂对KATP通道的抑制作用,以及对一氧化氮作为脑血流量调节剂的许多已发表工作的解释的这种作用的后果。第四部分评估了支持腺苷和ATP在自我调节、低血压、神经活动、缺氧/缺血和高碳酸血症期间脑血流调节中的作用的数据。使用腺苷作用的拮抗剂和增强剂的研究得出结论,腺苷参与血管流动控制,在所有这些情况下将代谢活动与血流相匹配,可能除了平均动脉血压高于约60 mmHg时的自我调节。有证据表明,A2A受体在平衡血流量和代谢方面发挥着重要作用,而A2B受体的作用则较为有限。受体占用的主要作用是激活KATP和KCa通道,伴随平滑肌松弛和血流量升高。目前关于ATP参与血流控制的数据较少,但最近关于胶质细胞控制脑小动脉直径的证据表明,这可能是一个重要的机制。在半决赛部分,简要介绍了腺苷在调节冠状动脉血流中的类似作用的证据,随后是结论性陈述,重申腺苷作为脑血流调节剂的重要性。
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引用次数: 100
Cannabinoid/opioid crosstalk in the central nervous system. 中枢神经系统中的大麻素/阿片类物质串扰。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.170
Javier Corchero, Jorge Manzanares, José A Fuentes

Promising therapeutic uses and a great variety of pharmacological effects are the leading forces that focus actual cannabinoid research. Cannabinoid and opioid systems share neuroanatomical, neurochemical, and paharmacological features. This fact supports the notion that actions induced by each one of these types of drugs involved an interaction between the endogenous opioid and endocannabinoid neuronal systems. Over the last decade our group and others have investigated cannabinoid/opioid crosstalk in the central nervous system by studying the mechanisms underlying pharmacological and biochemical interactions between the two systems in experimental paradigms of antinociception, drug reinforcement, and anxiety. The goal of this review is to revise the latest work done on this subject, with special emphasis on the research done with genetically modified animals. Whereas clinical progress is going ahead slowly, basic research in this area is progressing rapidly. Clinical applications derived from the cannabinoid/opioid crosstalk and based tightly on medical evidence are yet to come, but it is hoped that knowledge of this central messenger interaction will help to develop new alternatives for the treatment of some pathological states.

有希望的治疗用途和多种药理作用是大麻素研究的主要力量。大麻素和阿片系统具有相同的神经解剖学、神经化学和药理学特征。这一事实支持了这样一种观点,即每一种药物引起的作用都涉及内源性阿片样物质和内源性大麻素神经元系统之间的相互作用。在过去的十年中,我们的团队和其他人通过研究两个系统在抗痛觉、药物强化和焦虑的实验范式中潜在的药理和生化相互作用机制,研究了大麻素/阿片类药物在中枢神经系统中的串扰。这篇综述的目的是修订关于这一主题的最新工作,特别强调转基因动物的研究。虽然临床进展缓慢,但该领域的基础研究进展迅速。来自大麻素/阿片类药物串音的临床应用并严格基于医学证据尚未到来,但希望对这种中心信使相互作用的了解将有助于开发治疗某些病理状态的新选择。
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引用次数: 77
Protecting the brain: the search for a clinically effective neuroprotective drug for stroke. 保护大脑:寻找临床有效的中风神经保护药物。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.100
A Richard Green

The idea that it should be possible to develop a neuroprotective drug that protects the brain from some of the consequences of an acute ischaemic stroke has been in existence for some time and has developed from our increasing knowledge of the biochemical consequences of an acute ischaemic episode. A variety of drugs have been developed to interfere with these biochemical changes. However, while many of these compounds have been shown to be efficacious in animal models of stroke, none has succeeded in clinical trials and reached the market in the Western world. Partly as a result of these failures, guidelines have been published and further extended that detail criteria that should be met before a novel compound is progressed to clinical investigation. These guidelines are reviewed herein, and the author suggests the probability that none of the compounds that have previously failed clinically would have fulfilled the current selection criteria for advancement to clinical trial. It is proposed that NXY-059 (Cerovive) is the first neuroprotective agent to reach the clinical trial phase that meets all the suggested guidelines for neuroprotective drug development, and the preclinical profile of this compound is reviewed.

有可能开发出一种神经保护药物,保护大脑免受急性缺血性中风的一些后果,这种想法已经存在了一段时间,并且随着我们对急性缺血性发作的生化后果的了解不断增加而发展。人们开发了各种各样的药物来干扰这些生化变化。然而,尽管这些化合物中的许多在中风动物模型中被证明是有效的,但没有一种在临床试验中取得成功,并进入西方世界的市场。部分由于这些失败,指南已经出版,并进一步扩展了在新化合物进入临床研究之前应该满足的详细标准。本文对这些指南进行了回顾,作者认为,以前在临床试验中失败的化合物都不可能满足目前进入临床试验的选择标准。本文认为,NXY-059 (Cerovive)是第一个进入临床试验阶段的神经保护药物,符合神经保护药物开发的所有建议指南,并对该化合物的临床前概况进行了综述。
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引用次数: 18
5-Lipoxygenase as a putative link between cardiovascular and psychiatric disorders. 5-脂氧合酶被认为与心血管和精神疾病有关。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.190
Radmila Manev, Hari Manev

There is evidence of an association between depression and anxiety and cardio- cerebro-vascular conditions, but the mechanisms of this association are unknown. Here we review a possible role for the 5-lipoxygenase (5-LOX) pathway. 5-LOX is an enzyme that, in association with 5-LOX-activating protein (FLAP), leads to the synthesis of leukotrienes from omega-6 arachidonic acid. Production of active leukotrienes can be reduced by dietary omega-3 fatty acids, which also are beneficial in cardiac and psychiatric (e.g., depression) pathologies. Human 5-LOX and FLAP gene polymorphisms are a risk factor in atherosclerosis and cardio-cerebro-vascular pathologies; an overactive 5-LOX pathway is found in these diseases. Studies with 5-LOX-deficient transgenic mice suggest that 5-LOX activity may contribute to anxiety- and depression-like behaviors. Future research should characterize the role of the 5-LOX pathway in comorbid cardio-cerebro-vascular and psychiatric disorders and in the therapeutic actions of dietary omega-3 fatty acids.

有证据表明抑郁、焦虑和心脑血管疾病之间存在关联,但这种关联的机制尚不清楚。在这里,我们回顾了5-脂氧合酶(5-LOX)途径的可能作用。5-LOX是一种酶,与5-LOX激活蛋白(FLAP)结合,导致omega-6花生四烯酸合成白三烯。饮食中的omega-3脂肪酸可以减少活性白三烯的产生,这对心脏和精神疾病(如抑郁症)也有好处。人类5-LOX和FLAP基因多态性是动脉粥样硬化和心脑血管疾病的危险因素;在这些疾病中发现了过度活跃的5-LOX通路。对缺乏5-LOX的转基因小鼠的研究表明,5-LOX活性可能导致焦虑和抑郁样行为。未来的研究应该确定5-LOX通路在心脑血管和精神疾病合并症中的作用,以及饮食中omega-3脂肪酸的治疗作用。
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引用次数: 29
Brain neurosteroids in gender-related aggression induced by social isolation. 社会孤立诱发性别攻击的脑神经类固醇
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.80
Graziano Pinna, Roberto C Agis-Balboa, Mohemed-Salim Doueiri, Alessandro Guidotti, Erminio Costa

Genetic, environmental, or hormonal factors and their interactions have been implicated in the expression of gender-related aggressive behavior in humans. Several independent lines of evidence support the role of hormonal and environmental factors in the aggressive behavior of experimental animals. Social isolation (SI) for 2-4 weeks in male but not in female mice results in the expression of aggression to a same-sex intruder. Long-term treatment (3 weeks) with anabolic steroids during SI in female mice induces aggressive behavior toward a male intruder of a severity similar to that observed in socially isolated (SI) male mice. The induced aggression in male and female mice is associated with a decrease of brain allopreg-nanolone (Allo). In SI male mice, aggression can be prevented by treatment with L-methionine (MET), which has also been shown to decrease reelin and GAD67 mRNA expression and maintain normal brain Allo content. The histone deacetylase inhibitor valproic acid can reverse this process, suggesting that histone tail acetylation may reverse the action of MET. We conclude that during social isolation, aggression can be controlled either by preventing Allo downregulation (e.g., by treatment with MET) or by direct administration of Allo or of agents (e.g., fluoxetine) that upregulate brain Allo content in SI mice.

遗传、环境或激素因素及其相互作用与人类性别相关攻击行为的表达有关。几条独立的证据线支持激素和环境因素在实验动物的攻击行为中的作用。社会隔离(SI)在雄性小鼠中持续2-4周,而在雌性小鼠中没有,结果对同性入侵者表现出攻击性。在社会隔离(SI)期间,雌性小鼠长期使用合成代谢类固醇治疗(3周)会诱导对雄性入侵者的攻击行为,其严重程度与在社会隔离(SI)雄性小鼠中观察到的相似。雄性和雌性小鼠的诱导攻击与脑内异丙孕酮(Allo)的减少有关。在SI雄性小鼠中,用l -蛋氨酸(MET)治疗可以预防攻击行为,这也被证明可以降低reelin和GAD67 mRNA的表达并维持正常的脑Allo含量。组蛋白去乙酰化酶抑制剂丙戊酸可以逆转这一过程,提示组蛋白尾部乙酰化可能逆转MET的作用。我们得出结论,在社会隔离期间,攻击可以通过防止Allo下调(例如,通过MET治疗)或通过直接施用Allo或上调SI小鼠脑Allo含量的药物(例如氟西汀)来控制。
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引用次数: 45
Dopamine reuptake by norepinephrine neurons: exception or rule? 去甲肾上腺素神经元对多巴胺的再摄取:例外还是规律?
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.130
Ezio Carboni, Alessandra Silvagni

Dopamine reuptake by norepinephrine terminals can occur in brain areas such as the prefrontal cortex, the nucleus accumbens shell, and the bed nucleus of stria terminalis that are innervated, although unevenly, by both dopamine and norepinephrine neurons. Therefore the antidepressants that bind selectively the norepinephrine transporter might produce their therapeutic effect by raising the extracellular concentration of dopamine besides that of norepinephrine. Moreover, cocaine can be reinforcing even in knock-out mice for the dopamine transporter because it might raise synaptic dopamine in the nucleus accumbens shell by preventing its uptake by the norepinephrine transporter, an effect that could take place even in wild animals. Recently, it has also been suggested that dopamine can be co-released with norepinephrine by norepinephrine neurons, although it is not clear whether this feature might be related to a previous nonspecific uptake of dopamine by the norepinephrine transporter. In this review we discuss the potential role of the nonspecific uptake of dopamine by norepinephrine transporter in the mechanism of action of drugs of abuse, antipsychotics, and antidepressants.

去甲肾上腺素终端对多巴胺的再摄取可发生在前额皮质、伏隔核壳和终纹床核等脑区,这些脑区受多巴胺和去甲肾上腺素神经元的支配,尽管不均匀。因此,选择性结合去甲肾上腺素转运体的抗抑郁药可能通过提高除去甲肾上腺素外的细胞外多巴胺浓度来发挥其治疗作用。此外,即使在多巴胺转运蛋白被敲除的小鼠中,可卡因也能增强多巴胺转运蛋白的作用,因为它可能通过阻止去甲肾上腺素转运蛋白对突触多巴胺的吸收而提高伏隔核外壳中的突触多巴胺,这种效应甚至可能发生在野生动物身上。最近,也有研究表明,多巴胺可以通过去甲肾上腺素神经元与去甲肾上腺素共同释放,尽管尚不清楚这一特征是否与去甲肾上腺素转运体先前非特异性摄取多巴胺有关。在这篇综述中,我们讨论了去甲肾上腺素转运体对多巴胺的非特异性摄取在滥用药物、抗精神病药和抗抑郁药的作用机制中的潜在作用。
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引用次数: 83
AMPA receptor blockade potentiates the stimulatory effect of L-DOPA on dopamine release in dopamine-deficient corticostriatal slice preparation. AMPA受体阻断增强左旋多巴对多巴胺缺乏皮质纹状体薄片制备中多巴胺释放的刺激作用。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.140
Zsolt Juranyi, Nora Sziray, Bernadett Marko, Gyorgy Levay, Laszlo G Harsing

The release of [3H]dopamine was measured in rat corticostriatal slice preparations that contained the striatum and the adjacent prefrontal cortex to maintained glutamatergic corticostriatal afferentation. These slices were prepared from either nontreated or 6-hydroxydopamine-pretreated rats. The slices were loaded with [3H]dopamine, submerged in a two-compartment bath so that the cortical region was contained in one compartment, the corpus callosum was passed through a silicone greased slot, and the striatal region was contained in the other compartment. The cortical and the striatal parts were superfused with Krebs-bicarbonate buffer independently. The release of [3H]dopamine was determined from the striatal part at rest and in response to electrical stimulation of the cortical area. Electrical stimulation of the cortical part increased the release of [3H]dopamine from the striatal part of the slices, and this release was found to be higher after lesion of the nigrostriatal dopaminergic pathway with 6-hydroxydopamine. Cortically evoked [3H]dopamine release was even higher in the presence of the dopamine precursor L-DOPA after 6-hydroxdopamine lesion. Perfusion of GYKI-53405, a noncompetitive AMPA receptor antagonist, in combination with L-DOPA further increased both basal and stimulation-evoked [3H]dopamine release, whereas GYKI-53405 by itself did not influence basal [3H]dopamine outflow from striatum. These findings indicate that, in parkinsonian striatum, the stimulatory effect of L-DOPA on dopamine release is potentiated by AMPA receptor blockade, and the antiparkinsonian effect of GYKI-53405 may be due to its L-DOPA sparing effect.

在含有纹状体和相邻前额叶皮层以维持谷氨酸能皮质纹状体传入的大鼠皮质纹状体切片中,测量了[3H]多巴胺的释放。这些切片由未处理或6-羟多巴胺预处理的大鼠制备。这些切片被加载了[3H]多巴胺,浸泡在一个双室浴中,这样皮层区域被包含在一个室中,胼胝体被通过一个硅脂槽,纹状体区域被包含在另一个室中。皮质和纹状体部分分别灌注克雷布斯-碳酸氢盐缓冲液。[3H]多巴胺的释放是在静息时纹状体部分和对皮质区的电刺激的反应中测定的。电刺激皮质部分增加了纹状体部分的[3H]多巴胺释放,并且发现在黑质纹状体多巴胺能通路被6-羟多巴胺破坏后,这种释放量更高。6-羟多巴胺损伤后,在多巴胺前体左旋多巴存在的情况下,皮层诱发的[3H]多巴胺释放量更高。GYKI-53405(一种非竞争性AMPA受体拮抗剂)与L-DOPA联合灌注可进一步增加基底和刺激诱发的[3H]多巴胺释放,而GYKI-53405本身不影响纹状体基底[3H]多巴胺流出。这些结果表明,在帕金森纹状体中,左旋多巴对多巴胺释放的刺激作用通过AMPA受体阻断而增强,GYKI-53405的抗帕金森作用可能是由于其左旋多巴的节约作用。
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引用次数: 12
Cannabinoids and reward: interactions with the opioid system. 大麻素和奖励:与阿片系统的相互作用。
Pub Date : 2004-01-01 DOI: 10.1615/critrevneurobiol.v16.i12.160
Liana Fattore, Gregorio Cossu, Maria S Spano, Serena Deiana, Paola Fadda, Maria Scherma, Walter Fratta

There is currently substantial evidence that Cannabis sativa derivates act on brain reward in a way very similar to other drugs of abuse and exert numerous pharmacological effects through their interaction with various neurotransmitters and neuromodulators. Among them, the endogenous opioids seem to play an important role in modulating the addictive properties of cannabinoids. Given the plethora of research activity on such a topic, this brief review is necessarily focused on cannabinoid/opioid interaction in reward-related events and restricted to the recent literature. Recent findings from our and other laboratories concerning cannabinoid reinforcing effects as revealed by behavioral animal models of addiction are here summarized. Evidence is then provided demonstrating a functional cross-talk between the cannabinoid and opioid systems in the mutual modulation of the addictive behavior; accordingly, very recent data from transgenic mice lacking either the cannabinoid CB1 or opioid receptors are also presented. Finally, the role of the endogenous cannabinoid system in relapse to opioids is investigated by means of extinction/reinstatement animal models following a period, even prolonged, of drug abstinence. Altogether, the reviewed studies provided a better understanding of the neurobiological mechanisms involved in cannabinoid actions and revealed a bidirectional interaction between the endogenous cannabinoid and opioid systems in reward that extends to central mechanisms underlying relapsing phenomena. Challenges for the future involve elucidation of the neuroanatomical substrates of cannabinoids action, even in light of the therapeutic potential of these compounds.

目前有大量证据表明,大麻衍生物对大脑奖励的作用方式与其他滥用药物非常相似,并通过与各种神经递质和神经调节剂的相互作用发挥许多药理作用。其中,内源性阿片类药物似乎在调节大麻素的成瘾性方面起着重要作用。鉴于这一主题的研究活动过多,本文的简要回顾必须集中在大麻素/阿片类药物在奖励相关事件中的相互作用,并仅限于最近的文献。我们和其他实验室关于大麻素强化效应的最新发现,正如成瘾行为动物模型所揭示的那样,在这里进行总结。然后提供证据证明大麻素和阿片系统之间在成瘾行为的相互调节中的功能串扰;因此,最近来自缺乏大麻素CB1或阿片受体的转基因小鼠的数据也被提出。最后,内源性大麻素系统在阿片类药物复发中的作用通过灭绝/恢复动物模型在一段时间后,甚至延长,药物戒断进行了研究。综上所述,这些研究为大麻素作用的神经生物学机制提供了更好的理解,并揭示了内源性大麻素和阿片系统在奖励中的双向相互作用,并延伸到复发现象的中枢机制。未来的挑战涉及大麻素作用的神经解剖学底物的阐明,即使在这些化合物的治疗潜力的光。
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引用次数: 104
期刊
Critical reviews in neurobiology
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