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Effects of methamphetamine on signalled probability in rats using concurrent chains. 甲基苯丙胺对并发链大鼠信号概率的影响。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 DOI: 10.1007/s00213-026-07006-x
Rebecca Rose Hazel Bodeker, Randolph C Grace

Pigeons show a suboptimal choice for probabilistic reinforcement in the presence of informative stimuli, which has been proposed as an animal model of gambling. However, this behaviour has been difficult to replicate in rats. In our study, rats responded on alternatives that provided 50% or 100% reinforcement with half of the sessions reliably signalled and half un-signalled. Contrary to expectation, rats preferred the optimal alternative to a greater extent in the signalled sessions compared to the un-signalled sessions. Acute methamphetamine increased preference for the 50% alternative exclusively in signalled sessions. These results suggest that rats, unlike pigeons, are able to use the information provided by the stimulus correlated with non-reinforcement to shift preference away from the suboptimal alternative, and that the influence of methamphetamine on rats' probabilistic choice is context dependent.

鸽子在信息刺激下表现出对概率强化的次优选择,这已被提出作为赌博的动物模型。然而,这种行为很难在大鼠身上复制。在我们的研究中,大鼠对提供50%或100%强化的替代方案做出反应,其中一半的会话有可靠信号,一半没有信号。与预期相反,与无信号组相比,大鼠在有信号组中更喜欢最佳选择。急性甲基苯丙胺增加了对50%替代方案的偏好,只在信号会话中。这些结果表明,与鸽子不同,大鼠能够利用与非强化相关的刺激提供的信息将偏好从次优选择中转移出来,并且甲基苯丙胺对大鼠概率选择的影响是依赖于环境的。
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引用次数: 0
Exploring wanting and liking during positive human-animal interactions. 探索积极的人与动物互动中的欲望和喜爱。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 DOI: 10.1007/s00213-026-07015-w
Suzanne Truong, Oceane Schmitt, Femke Buisman-Pijlman, Maciej Oczak, Jean-Loup Rault

Rationale: Dopamine and opioids modulate the "wanting" and "liking" components of reward processes, yet their specific roles in social and human-animal interactions (HAIs) remain unclear.

Objectives: In this pilot study, we aimed to disentangle the roles of dopamine and opioids during HAIs, contrasting them with food reward and novel object test scenarios. We investigated these neurotransmitter systems as proximate mechanisms for "wanting" and "liking" behaviours in domesticated pigs. Additionally, there is a significant knowledge gap on the optimal dosage for the dopamine D2/D3 receptor antagonist amisulpride and mu-opioid receptor antagonist naloxone.

Methods: We administered amisulpride orally and naloxone intranasally at three dosage levels to 30 female pigs using a within-subject design. Each treatment (drug × dose level) was administered prior to 10-min interaction sessions with a familiar human.

Results: Both the high doses of amisulpride (800 mg) and naloxone (80 mg/ml) significantly increased pigs' latency to first contact with the human compared to pre-test, suggesting both systems modulate the motivation ("wanting") to interact. However, neither influenced the time pigs spent in contact with the human, contrary to our prediction that blocking opioids would decrease this behaviour as an indicator of the pleasurability ("liking") of the interaction.

Conclusion: These altered reward-related behaviours along with the absence of side-effects are the first indicators for the safe and effective use of amisulpride and naloxone to non-invasively study reward mechanisms in domesticated animals.

基本原理:多巴胺和阿片类药物调节奖励过程中的“想要”和“喜欢”成分,但它们在社会和人与动物互动(HAIs)中的具体作用尚不清楚。目的:在这项初步研究中,我们旨在解开多巴胺和阿片样物质在HAIs中的作用,并将它们与食物奖励和新物体测试场景进行对比。我们研究了这些神经递质系统作为家猪“想要”和“喜欢”行为的近似机制。此外,多巴胺D2/D3受体拮抗剂氨硫pride和mu-阿片受体拮抗剂纳洛酮的最佳剂量也存在显著的知识差距。方法:采用受试者内设计,我们给30头母猪口服氨硫pride和纳洛酮三种剂量水平。每次治疗(药物x剂量水平)在与熟悉的人进行10分钟的相互作用之前进行。结果:与测试前相比,高剂量的氨硫pride (800 mg)和纳洛酮(80 mg/ml)显著增加了猪与人首次接触的潜伏期,表明这两个系统都调节了相互作用的动机(“想要”)。然而,两者都没有影响猪与人类接触的时间,这与我们的预测相反,阻断阿片类药物会减少这种行为,这是一种互动愉悦性(“喜欢”)的指标。结论:这些改变的奖励相关行为以及没有副作用是安全有效地使用阿米硫pride和纳洛酮进行无创研究家养动物奖励机制的首要指标。
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引用次数: 0
Heroin-induced neuroadaptations of CB1 receptors and their involvement in conditioned place preference. 海洛因诱导的CB1受体的神经适应及其在条件位置偏好中的作用。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 DOI: 10.1007/s00213-026-07005-y
Ewa Galaj, Charlotte Morris, Anna Fleischer, Coco Xie, Holly Shortell, Joseph Slama, Catherine Litchfield, Sloan Petersohn, Emma Burdick, Kirk Persaud, Sharnom Chowdhury, Amadea Sulka, Arthur Aminov, Robert Ranaldi
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引用次数: 0
MAPK/ERK pathway is necessary to the reconsolidation of fear memory in male and female rats. MAPK/ERK通路是雌雄大鼠恐惧记忆再巩固的必要途径。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 DOI: 10.1007/s00213-025-07002-7
Jaqueline Rauber Ludwig, Thais Fernanda Dalferth, Giovana Vitória Rodrigues Fujita, Cristiane Regina Guerino Furini

Rationale: Fear memories are essential for survival, but their inappropriate expression can contribute to anxiety disorders, phobias, and post-traumatic stress disorders that can present differently between the sexes. Memory reconsolidation is a process through which previously stored memories can be modified upon reactivation. The mitogen-activated protein kinase/extracellular signal-regulated kinase (MAPK/ERK) signaling pathway regulates neuronal gene transcription and is involved in synaptic plasticity and memory formation. Evidence suggests possible sex differences in the neurobiological mechanisms underlying fear responses and memory processes. However, its involvement in the reconsolidation of contextual fear conditioning (CFC) memory in male and female rats remains unclear.

Objective: To investigate the involvement of the MAPK/ERK pathway in the CA1 region of the dorsal hippocampus during CFC memory reconsolidation in male and female Wistar rats.

Methods: The role of the MAPK/ERK pathway was evaluated by infusing the selective inhibitor U0126 (0.04 µg/side) into the hippocampus at different time points after the reactivation session.

Results: The results demonstrated that, in both male and female rats, the inhibition of the MAPK/ERK pathway in the CA1 region impaired the CFC memory reconsolidation when administered immediately and 3 h after the reactivation session. However, this effect was not observed when administered 6 h later.

Conclusions: These findings indicate the involvement of the MAPK/ERK signaling pathway in the CA1 region of the hippocampus in the reconsolidation of contextual fear conditioning memory in male and female rats and provide new insights into the molecular mechanisms underlying memory reconsolidation, highlighting a common molecular mechanism across sexes.

理由:恐惧记忆对生存至关重要,但它们的不恰当表达会导致焦虑症、恐惧症和创伤后应激障碍,这些障碍在两性之间表现不同。记忆再巩固是一个过程,通过这个过程,以前存储的记忆可以在重新激活时被修改。丝裂原活化蛋白激酶/细胞外信号调节激酶(MAPK/ERK)信号通路调节神经元基因转录,参与突触可塑性和记忆形成。有证据表明,恐惧反应和记忆过程背后的神经生物学机制可能存在性别差异。然而,其在雄性和雌性大鼠情境恐惧条件反射(CFC)记忆再巩固中的作用尚不清楚。目的:探讨雄性和雌性Wistar大鼠CFC记忆再巩固过程中海马背侧CA1区MAPK/ERK通路的参与情况。方法:通过在再激活后的不同时间点向海马注入选择性抑制剂U0126(0.04µg/侧),评估MAPK/ERK通路的作用。结果:结果表明,在雄性和雌性大鼠中,CA1区域的MAPK/ERK通路的抑制在立即和再激活后3小时均损害了CFC记忆的再巩固。然而,当6小时后给药时,没有观察到这种效果。结论:本研究结果表明,海马CA1区MAPK/ERK信号通路参与了雄性和雌性大鼠情境恐惧条件反射记忆的再巩固,并为记忆再巩固的分子机制提供了新的见解,突出了跨性别的共同分子机制。
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引用次数: 0
Heightened excitability and impaired Inhibition in methamphetamine users: a pilot study of neurophysiological correlates of psychological symptoms. 甲基苯丙胺使用者兴奋性增强和抑制功能受损:心理症状神经生理学相关的初步研究
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-19 DOI: 10.1007/s00213-025-06996-4
Eman M Khedr, Yasser Elserogy, Abdelrahman Goda, Mohamed Fawzy

Background: In this study, we investigated transcranial magnetic stimulation (TMS)-derived markers of excitability and inhibition in methamphetamine (METH) use disorder.

Methods: Sixteen methamphetamine users and 20 matched controls underwent psychological assessments, revised form of Symptom Checklist-90-Revised, cognitive assessment, anxiety and depression scales and TMS measures, including resting and active motor thresholds (RMT and AMT), motor evoked potential amplitude (MEP-A), cortical silent period (CSP), and short-interval intracortical inhibition (SICI).

Results: METH users reported higher anxiety, depression, and somatization (p < 0.001), while cognition remained preserved. They exhibited reduced RMT and AMT (p < 0.001), indicating increased excitability, with no significant differences in MEP-A (p = 0.083). CSP onset latency was prolonged at 150% RMT (p = 0.042), suggesting impaired inhibition. Excitability thresholds correlated negatively with methamphetamine dose, while addiction duration was linked to CSP changes and obsessive-compulsive symptoms. Lower thresholds also correlated with greater interpersonal sensitivity and addiction severity.

Conclusion: Increased cortical excitability and decreased inhibitory control are linked to METH usage, and these factors may be underlying psychiatric symptoms. TMS-derived indices show potential as biomarkers for neurophysiological monitoring and targeted interventions in methamphetamine use disorder.

背景:在这项研究中,我们研究了经颅磁刺激(TMS)衍生的甲基苯丙胺(METH)使用障碍的兴奋性和抑制标志物。方法:对16名甲基苯丙胺服用者和20名对照者进行心理评估、新版症状表-90- revised、认知评估、焦虑和抑郁量表以及TMS测量,包括静息和活动运动阈值(RMT和AMT)、运动诱发电位振幅(MEP-A)、皮质沉默期(CSP)和短间期皮质内抑制(SICI)。结果:甲基苯丙胺使用者报告了更高的焦虑、抑郁和躯体化(p结论:皮质兴奋性增加和抑制控制下降与甲基苯丙胺使用有关,这些因素可能是潜在的精神症状。经颅磁刺激衍生的指数显示出作为甲基苯丙胺使用障碍神经生理监测和靶向干预的生物标志物的潜力。
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引用次数: 0
An examination of the interaction between the interoceptive and reinforcing properties of morphine: a self-administration study in male and female rats. 吗啡的内感受性和强化性之间的相互作用:一项雄性和雌性大鼠的自我给药研究。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-17 DOI: 10.1007/s00213-025-07000-9
Allyson K Andrade, Briana Renda, Adiia P Stone, Michael Sharivker, Jessica M Karlovcec, Rita El Azali, Francesco Leri, Scott T Barrett, Jennifer E Murray

Rationale: Interoceptive sensations elicited by psychoactive substances can acquire incentive motivational properties via learned associations with other reinforcers. Moreover, interoceptive drug states have been linked to and can predict their own reinforcing action.

Objectives: Given these interactions between the interoceptive and reinforcing properties of drugs, the current study tested the hypothesis that the learned significance of an interoceptive drug stimulus can enhance its reinforcing action.

Methods: To investigate this, the interoceptive stimulus properties of morphine were trained as a positive or negative occasion setter that signaled the presence or absence of an appetitive (auditory stimulus-sucrose) association, respectively. Then, intravenous morphine self-administration was conducted to assess aspects of morphine reinforcement.

Results: When the interoceptive effects of morphine were learned to facilitate the activation of an appetitive Pavlovian association, it acquired reinforcing properties such that it promoted robust acquisition of lever discrimination, enhanced morphine-seeking under escalating response requirements, and maintained responding in the absence of reinforcement. Conversely, when the interoceptive properties of morphine were learned to facilitate the suppression of the appetitive association, it acquired inhibitory properties, such that it attenuated responding across extinction as well as during reinstatement assessment compared to controls.

Conclusions: Thus, through mechanisms of associative learning, in addition to resolving reward-predictive stimulus ambiguity, the interoceptive effects of morphine can acquire altered reinforcing properties. These findings highlight that the learned significance of a drug's interoceptive effects can alter its subsequent reinforcing efficacy, and that occasion setting serves as a mechanism of learning through which this can occur.

理据:由精神活性物质引起的内感受可通过与其他强化物的习得关联而获得激励动机特性。此外,内感受性药物状态与它们自己的强化作用有关,并且可以预测它们自己的强化作用。目的:考虑到药物的内感受性和强化性之间的相互作用,本研究验证了内感受性药物刺激的习得意义可以增强其强化作用的假设。方法:为了研究这一点,吗啡的内感受性刺激特性被训练成一个积极或消极的场合设置者,分别表明食欲(听觉刺激-蔗糖)关联的存在或不存在。然后,进行静脉注射吗啡自我给药,以评估吗啡强化的各个方面。结果:当学习吗啡的内感受效应促进食欲巴甫洛夫关联的激活时,它获得了强化特性,如促进杠杆辨别的稳健习得,在反应要求不断升级的情况下增强吗啡寻求,并在没有强化的情况下维持反应。相反,当吗啡的内感受性特性被学习为促进食欲关联的抑制时,它获得了抑制特性,因此与对照组相比,它在灭绝和恢复评估期间的反应减弱。结论:因此,通过联想学习机制,吗啡的内感受效应除了可以解决奖励预测刺激的模糊性外,还可以获得改变的强化特性。这些发现强调,药物的内感受性效应的习得意义可以改变其随后的强化效果,而情境设置作为一种学习机制,通过这种机制可以发生这种情况。
{"title":"An examination of the interaction between the interoceptive and reinforcing properties of morphine: a self-administration study in male and female rats.","authors":"Allyson K Andrade, Briana Renda, Adiia P Stone, Michael Sharivker, Jessica M Karlovcec, Rita El Azali, Francesco Leri, Scott T Barrett, Jennifer E Murray","doi":"10.1007/s00213-025-07000-9","DOIUrl":"https://doi.org/10.1007/s00213-025-07000-9","url":null,"abstract":"<p><strong>Rationale: </strong>Interoceptive sensations elicited by psychoactive substances can acquire incentive motivational properties via learned associations with other reinforcers. Moreover, interoceptive drug states have been linked to and can predict their own reinforcing action.</p><p><strong>Objectives: </strong>Given these interactions between the interoceptive and reinforcing properties of drugs, the current study tested the hypothesis that the learned significance of an interoceptive drug stimulus can enhance its reinforcing action.</p><p><strong>Methods: </strong>To investigate this, the interoceptive stimulus properties of morphine were trained as a positive or negative occasion setter that signaled the presence or absence of an appetitive (auditory stimulus-sucrose) association, respectively. Then, intravenous morphine self-administration was conducted to assess aspects of morphine reinforcement.</p><p><strong>Results: </strong>When the interoceptive effects of morphine were learned to facilitate the activation of an appetitive Pavlovian association, it acquired reinforcing properties such that it promoted robust acquisition of lever discrimination, enhanced morphine-seeking under escalating response requirements, and maintained responding in the absence of reinforcement. Conversely, when the interoceptive properties of morphine were learned to facilitate the suppression of the appetitive association, it acquired inhibitory properties, such that it attenuated responding across extinction as well as during reinstatement assessment compared to controls.</p><p><strong>Conclusions: </strong>Thus, through mechanisms of associative learning, in addition to resolving reward-predictive stimulus ambiguity, the interoceptive effects of morphine can acquire altered reinforcing properties. These findings highlight that the learned significance of a drug's interoceptive effects can alter its subsequent reinforcing efficacy, and that occasion setting serves as a mechanism of learning through which this can occur.</p>","PeriodicalId":20783,"journal":{"name":"Psychopharmacology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of morphine self-administration on brain structure and microglial phenotypic diversity in the absence of neuronal loss in male Wistar rats. 吗啡自我给药对雄性Wistar大鼠无神经元丢失时脑结构和小胶质细胞表型多样性的影响。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-16 DOI: 10.1007/s00213-025-06994-6
Ana Débora Elizarrarás-Herrera, David Medina-Sánchez, Mariana Stefania Serrano-Ramírez, Diego Angeles-Valdez, Luis A Trujillo-Villarreal, María Antonieta Carbajo-Mata, César J Carranza-Aguilar, Eduardo A Garza-Villarreal

Rationale: Opioid addiction, including morphine use, is a major public health crisis in the U.S. It has been associated with brain volume changes in reward-related regions, neuronal loss, and neuroinflammation. While these alterations have been studied separately, it remains unclear whether structural changes co-occur with microglial adaptations at early stages of morphine use.

Objective: This study aimed to examine region-specific brain volume changes, cellular counts, and the emergence of distinct microglial phenotypes in addiction-related regions, using a model of morphine self-administration that simulates the early phase of morphine consumption.

Methods: Male Wistar rats were trained to self-administer morphine (0.01 mg/kg/inf) for 20 days in 3-hour daily sessions under operant conditioning. Structural MRI was conducted before and after the self-administration period, and brain volume was quantified using deformation-based morphometry. Brain tissue was immunolabeled for Iba1 and NeuN, and confocal microscopy images of microglia were analyzed using principal component analysis and K-means clustering.

Results: Morphine self-administration produced volume increases in the globus pallidus and reductions in the insular cortex. Microglial density was elevated in these regions and other addiction-related areas, including the caudate-putamen and dentate gyrus, without significant variations in neuronal count but with a marked reduction in neuronal soma size in these latter regions. Clustering revealed diverse microglial phenotypes, including intermediate morphologies, with region-dependent distributions indicative of diverse neuroinflammatory states.

Conclusions: These findings suggest that morphine-induced brain volume changes during the early stages of consumption are not attributable to neuronal loss but may reflect adaptive processes involving neuronal restructuring and microglial remodeling. Microglial phenotyping emerges as a sensitive approach for detecting neuroinflammatory patterns linked to addiction vulnerability.

理由:阿片类药物成瘾,包括吗啡的使用,是美国一个主要的公共卫生危机。它与奖赏相关区域的脑容量变化、神经元丧失和神经炎症有关。虽然这些改变已被单独研究,但在吗啡使用的早期阶段,结构变化是否与小胶质细胞适应共同发生仍不清楚。目的:本研究旨在研究区域特异性脑容量变化、细胞计数和成瘾相关区域中不同小胶质细胞表型的出现,使用吗啡自我给药模型模拟吗啡消耗的早期阶段。方法:训练雄性Wistar大鼠在操作条件下自我给药吗啡(0.01 mg/kg/inf),每天3小时,持续20天。在给药前后分别进行结构MRI检查,并用基于变形的形态测量法对脑容量进行量化。脑组织免疫标记Iba1和NeuN,并使用主成分分析和K-means聚类分析小胶质细胞共聚焦显微镜图像。结果:吗啡自我给药使苍白球体积增加,岛叶皮质体积减少。这些区域和其他与成瘾相关的区域(包括尾壳核和齿状回)的小胶质细胞密度升高,神经元数量没有显著变化,但这些区域的神经元体大小明显减少。聚类揭示了不同的小胶质细胞表型,包括中间形态,区域依赖性分布表明不同的神经炎症状态。结论:这些发现表明,吗啡引起的早期脑容量变化不是由于神经元的损失,而可能反映了涉及神经元重组和小胶质细胞重塑的适应性过程。小胶质细胞表型是检测与成瘾易感性相关的神经炎症模式的一种敏感方法。
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引用次数: 0
Increased drug seeking and vulnerability to relapse after escalation of nicotine intake by dose manipulation in male and female rats. 在雄性和雌性大鼠中,通过剂量控制尼古丁摄入量增加后,药物寻求增加和易复发。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-13 DOI: 10.1007/s00213-025-06973-x
Kevin Letort, Laetitia Lageyre, Serge H Ahmed, Karine Guillem

Rationale: Nicotine addiction is characterized by escalated drug use, craving and a high relapse rate after abstinence. Recently, we showed that, compared to rats with a fixed moderate dose of nicotine, rats with access to increasing high doses of nicotine for self-administration progressively escalated their nicotine intake. Whether these animals with escalating patterns of nicotine self-administration also develop other behavioral signs of addiction remains to be investigated.

Results: Here we report that after escalation of nicotine intake, animals have a greater difficulty of abstaining from seeking the drug, a greater responsiveness to nicotine-induced craving-like behavior, and an increased vulnerability to re-escalate nicotine intake post-extinction than rats with stable patterns of nicotine intake. No substantial sex differences in the development of these different addiction-related phenomena were observed. Finally, after escalation, nicotine intake also became primarily dependent on nicotine reinforcement and less so on the nicotine-paired cue.

Conclusions: Overall, this study shows that most of the behavioral changes observed following escalation of nicotine self-administration are similar to those previously observed with other drugs of abuse.

理由:尼古丁成瘾的特点是不断升级的药物使用,渴望和戒断后的高复发率。最近,我们发现,与固定的中等剂量尼古丁的大鼠相比,自我摄入高剂量尼古丁的大鼠逐渐增加尼古丁摄入量。这些自我给药模式不断升级的动物是否也会出现其他成瘾行为迹象仍有待研究。结果:本研究发现,与尼古丁摄入量稳定的大鼠相比,尼古丁摄入量增加后,动物更难放弃寻找药物,对尼古丁诱导的渴望行为有更大的反应,并且在灭绝后尼古丁摄入量再次增加的脆弱性增加。在这些不同的成瘾相关现象的发展中,没有观察到实质性的性别差异。最后,在尼古丁增加后,尼古丁摄入也主要依赖于尼古丁强化,而不太依赖于尼古丁配对提示。结论:总体而言,本研究表明,尼古丁自我给药升级后观察到的大多数行为变化与之前滥用其他药物时观察到的变化相似。
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引用次数: 0
Can the incentive-sensitization theory of addiction incorporate addiction to opioid drugs? 成瘾的激励-敏感化理论能否将阿片类药物成瘾纳入其中?
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-10 DOI: 10.1007/s00213-025-07001-8
Terry E Robinson, Kent C Berridge

The Incentive Sensitization Theory (IST) of addiction posits that repeated intermittent exposure to potentially addictive drugs can sensitize brain mesolimbic dopamine systems. Those systems normally attribute incentive salience to rewards and their cues, but when sensitized may produce compulsive cue-triggered 'wanting' for drugs that can persist long after the discontinuation of drug use and the cessation of withdrawal symptoms, thus contributing to an enduring propensity to relapse. Much of the original evidence for IST came from studies on psychostimulant drugs, such as amphetamine and cocaine. But can IST account for addiction to opioid drugs as well? Several serious objections have been raised as to whether pathological 'wanting' for opioids involves dopamine sensitization, as posited by IST, thus suggesting IST does not apply to opioid addiction. Here we assess those objections and provide a review of evidence from the opioid literature on both human and non-human animals relevant to IST. We first summarize the main tenets of IST and the major objections to IST regarding opioid use disorder and addiction. We then address the following specific questions. (1) Do opioid drugs engage mesolimbic systems, including dopamine? (2) Do opioid drugs sensitize those dopamine systems? (3) Do opioid drugs also sensitize the incentive motivational effects of drugs and their cues, to produce incentive-sensitization and excessive 'wanting'? (4) Is dopamine necessary for opioid self-administration. We conclude that the answer to the question posed in the title of this paper is 'yes', even though there remain significant gaps in this literature that need to be filled by future studies.

成瘾的激励致敏理论(IST)认为,反复间歇性暴露于潜在成瘾药物可以使大脑中边缘多巴胺系统致敏。这些系统通常将激励显著性归因于奖励及其线索,但当敏感时可能会产生强迫性的线索触发的对药物的“渴望”,这种渴望可能在停止使用药物和戒断症状停止后持续很长时间,从而导致持久的复发倾向。IST的许多原始证据来自对精神兴奋剂的研究,如安非他明和可卡因。但是IST也能解释阿片类药物成瘾吗?关于阿片类药物的病理性“渴望”是否涉及多巴胺致敏,如IST所假设的那样,提出了一些严重的反对意见,从而表明IST不适用于阿片类药物成瘾。在这里,我们评估了这些反对意见,并提供了与IST相关的人类和非人类动物阿片类药物文献证据的回顾。我们首先总结了IST的主要原则和IST关于阿片类药物使用障碍和成瘾的主要反对意见。然后我们讨论以下具体问题。(1)阿片类药物是否参与包括多巴胺在内的中脑边缘系统?(2)阿片类药物是否使这些多巴胺系统敏感?(3)阿片类药物是否也使药物及其线索的激励动机效应敏感,从而产生激励-敏感和过度的“想要”?(4)多巴胺是否为阿片类药物自我给药所必需。我们得出的结论是,对本文标题中提出的问题的答案是“是”,尽管这一文献中仍存在重大空白,需要通过未来的研究来填补。
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引用次数: 0
Clozapine and treatment-resistant schizophrenia: evidence versus implementation. 氯氮平和难治性精神分裂症:证据与实施。
IF 3.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-06 DOI: 10.1007/s00213-025-06982-w
Alina Wilkowska, Wiesław Jerzy Cubała, Hélène Verdoux
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引用次数: 0
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Psychopharmacology
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