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Neurobiological Theories of Addiction: A Comprehensive Review 成瘾的神经生物学理论:全面回顾
Pub Date : 2024-01-23 DOI: 10.3390/psychoactives3010003
Carmen Ferrer-Pérez, S. Montagud-Romero, M. Blanco-Gandía
It is essential to develop theories and models that enable us to understand addiction’s genesis and maintenance, providing a theoretical and empirical framework for designing more effective interventions. Numerous clinical and preclinical research studies have investigated the various brain and physiological mechanisms involved in addictive behavior. Some researchers have gone a step further, developing what we may refer to as “neurobiological theories of addiction”, which are scientific models that can explain and predict different addiction phenomena. Many of these neurobiological theories are not mutually exclusive but rather extensions and refinements of earlier theories. They all share a similar definition of addiction as a chronic disease characterized by a loss of control over substance consumption, with the brain being identified as the principal organ involved. Most propose a multifactorial causation in which both biological and environmental factors interact, accentuating or causing neurobiological dysfunction in structures and brain circuits involved in behavior and motivation. This review delves into primary neurobiological theories of addiction, commencing with the opponent-process theory—one of the earliest comprehensive explanations of the addictive process. Subsequently, we explore more contemporary formulations connecting behavioral alterations in the addictive process to changes and disruptions in various brain systems.
建立理论和模型使我们能够了解成瘾的起源和维持,为设计更有效的干预措施提供理论和经验框架,这一点至关重要。大量临床和临床前研究调查了成瘾行为所涉及的各种大脑和生理机制。一些研究人员更进一步,提出了我们可以称之为 "成瘾的神经生物学理论 "的科学模型,用以解释和预测不同的成瘾现象。其中许多神经生物学理论并不相互排斥,而是对早期理论的延伸和完善。它们都有一个相似的定义,即成瘾是一种慢性疾病,其特点是对药物消费失去控制,大脑被认为是主要的相关器官。大多数理论都提出了一种多因素致病理论,其中生物和环境因素相互作用,加剧或导致与行为和动机有关的结构和脑回路的神经生物学功能障碍。这篇综述深入探讨了成瘾的主要神经生物学理论,首先是对手过程理论--对成瘾过程最早的全面解释。随后,我们将探讨更多将成瘾过程中的行为改变与各种大脑系统的变化和破坏联系起来的现代理论。
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引用次数: 0
Psychotropic Medications and Dermatological Side Effects: An In-Depth Review 精神药物与皮肤病副作用:深入评述
Pub Date : 2024-01-14 DOI: 10.3390/psychoactives3010002
Novonil Deb, Debankur Dey, Poulami Roy
Psychotropic medications, commonly prescribed for psychiatric disorders, can have underappreciated dermatological side effects. This in-depth review explores the intricate relationship between psychotropic drugs and the skin, emphasizing the significance of recognizing and managing these side effects in clinical practice. It categorizes the dermatological side effects associated with different classes of psychotropic medications. These include antidepressants, antipsychotics, mood stabilizers, and anxiolytics. We delve into the spectrum of dermatological conditions, from mild issues like dry skin and acne to severe complications such as Stevens–Johnson syndrome and drug-induced lupus erythematosus. In conclusion, a comprehensive understanding of the dermatological side effects of psychotropic medications is essential for healthcare providers, enabling a holistic approach to patient care. This review is a valuable resource for clinicians, researchers, and educators, facilitating better-informed decision-making in the treatment of mental health disorders while prioritizing skin health and overall well-being.
精神药物是治疗精神疾病的常用处方药,但其皮肤科副作用却未得到足够重视。这篇深度综述探讨了精神药物与皮肤之间错综复杂的关系,强调了在临床实践中识别和管理这些副作用的重要性。它对与不同类别精神药物相关的皮肤病副作用进行了分类。这些药物包括抗抑郁药、抗精神病药、情绪稳定剂和抗焦虑药。我们深入探讨了各种皮肤病,从皮肤干燥和痤疮等轻微问题到史蒂文斯-约翰逊综合征和药物性红斑狼疮等严重并发症。总之,全面了解精神药物的皮肤病副作用对于医疗服务提供者来说至关重要,这样才能为患者提供全面的护理。本综述是临床医生、研究人员和教育工作者的宝贵资源,有助于在治疗精神疾病时做出更明智的决策,同时优先考虑皮肤健康和整体健康。
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引用次数: 0
The Noscapine Saga: Unravelling a Valuable Jewel from a Poppy Pod—Past, Present and Future Noscapine 传奇:从罂粟花苞中发现珍贵宝石--过去、现在和未来
Pub Date : 2024-01-10 DOI: 10.3390/psychoactives3010001
Anjali Priyadarshani, Rishit Bhatia, Muniba Shan
Noscapine is a naturally occurring alkaloid isolated from Papaver somniferum, commonly known as opium poppy or bread seed poppy. It edges over other opioids as it lacks addictive, sedative or euphoric effects. This review chronicles the saga of endeavours with noscapine, from modest efforts in the mid-1950s to its present anticancer potential and futuristic hope in combating COVID-19. We comprehensively searched for publications including noscapine- and noscapinoid-relevant keywords in different electronic databases such as PubMed, Google Scholars, Elsevier, Springer Link and Science Direct up to June 2023. We excluded those in a language other than English. Noscapine has long been used as an antitussive and suppresses coughing by reducing the activity of the cough centre in the brain. A great number of water-soluble noscapine analogues have been found to be impressive microtubule-interfering agents with a superior antiproliferative activity, inhibiting the proliferation of cancer cell lines with more potency than noscapine and bromo-noscapine. With enhanced drug delivery systems, noscapine has exerted significant therapeutic efficacy in animal models of Parkinson’s disease, polycystic ovary syndrome, multiple sclerosis and other disorders. Furthermore, the merit of noscapine in crossing the blood–brain barrier makes it a putative candidate agent against neurodegenerative and psychiatric diseases. Its long safety record, widespread availability and ease of administration make it an ideal candidate for fighting several life-threatening conditions. Recent promising docking studies onnoscapine with main protease (Mpro) of SARS-CoV-2 paves the way for combinatorial drug therapy with anti-viral drugs and is hopeful in fighting and triumphing over any future COVID-19 pandemic.
Noscapine 是一种天然生物碱,从俗称罂粟或面包籽罂粟的 Papaver somniferum 中分离出来。与其他阿片类药物相比,它没有成瘾、镇静或兴奋作用。这篇综述记录了罂粟碱从 20 世纪 50 年代中期的微薄之力到现在的抗癌潜力,以及未来抗击 COVID-19 的希望。我们在不同的电子数据库(如 PubMed、Google Scholars、Elsevier、Springer Link 和 Science Direct)中全面检索了截至 2023 年 6 月与莨菪碱和莨菪类药物相关的关键词。我们排除了非英语语言的研究。长期以来,那可丁一直被用作镇咳药,通过降低大脑咳嗽中枢的活动来抑制咳嗽。研究发现,大量水溶性那可丁类似物是令人印象深刻的微管干扰剂,具有卓越的抗增殖活性,对癌细胞株增殖的抑制作用比那可丁和溴那可丁更强。通过增强给药系统,诺卡平在帕金森病、多囊卵巢综合征、多发性硬化症和其他疾病的动物模型中发挥了显著疗效。此外,诺卡平在穿越血脑屏障方面的优势使其成为治疗神经退行性疾病和精神疾病的候选药物。它的长期安全记录、广泛可用性和给药简便性使其成为对抗多种危及生命的疾病的理想候选药物。最近对诺斯卡平与 SARS-CoV-2 的主要蛋白酶(Mpro)进行的对接研究前景广阔,为与抗病毒药物进行联合药物治疗铺平了道路,有望战胜未来的 COVID-19 大流行。
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Psychoactives
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