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Published on: February 20, 2019
Reward system and addiction: what dopamine does and doesn't do.
Gaetano Di Chiara1, Valentina Bassareo
1Department of Toxicology, University of Cagliari, Via Ospedale 72, 09124 Cagliari, Italy. gadichia@tiscali.it
Current Opinion in Pharmacology
|December 19, 2006
Summary
Addictive drugs hijack the brain's reward system, unlike food, by directly altering dopamine release in the nucleus accumbens shell. This leads to drug-associated cues gaining abnormal motivational power, initiating addiction.
Area of Science:
- Neuroscience
- Addiction Research
- Neurobiology of Reward
Background:
- Palatable food and addictive drugs both increase extracellular dopamine (DA) in the brain.
- This dopamine release is preferentially targeted to the nucleus accumbens shell, not the core.
- Drugs bypass natural habituation mechanisms, unlike food, leading to altered learning.
Purpose of the Study:
- To elucidate the distinct mechanisms by which drugs and food influence dopamine release in the nucleus accumbens.
- To understand how drug-conditioned stimuli acquire excessive incentive-motivational properties.
- To explore the neuroadaptive changes underlying compulsive drug seeking and relapse.
Main Methods:
- Investigated extracellular dopamine release in the nucleus accumbens shell and core.
- Compared the effects of palatable food versus addictive drugs on dopamine signaling.
- Examined Pavlovian incentive learning associated with drug-conditioned stimuli.
Main Results:
- Addictive drugs, unlike food, abnormally facilitate Pavlovian incentive learning by directly affecting accumbens shell DA.
- Drug-conditioned stimuli acquire the ability to release DA in the shell, but not the core.
- This aberrant DA signaling initiates the drug addiction process by imbuing drug cues with excessive motivational drive.
Conclusions:
- Drug-induced alterations in dopamine signaling in the nucleus accumbens shell are critical for addiction initiation.
- Chronic drug use may lead to impaired prefronto-striatal function, contributing to compulsive drug seeking and relapse.
- Understanding these neuroadaptive processes is key to developing effective addiction treatments.
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