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A role for brain stress systems in addiction
1Committee on the Neurobiology of Addictive Disorders, The Scripps Research Institute, La Jolla, CA 92037, USA. gkoob@scripps.edu
Neuron
|July 11, 2008
Summary
Brain stress and antistress systems are crucial in drug addiction, influencing compulsive drug seeking and relapse. Understanding these systems offers new therapeutic targets for addiction treatment and prevention.
Area of Science:
- Neuroscience
- Pharmacology
- Addiction Research
Background:
- Drug addiction is a chronic relapsing disorder linked to reward and stress brain region dysregulation.
- Activation of brain stress systems is hypothesized to drive drug seeking via negative reinforcement.
Purpose of the Study:
- To review the role of brain stress and antistress systems in drug dependence.
- To emphasize the neuropharmacological function of extrahypothalamic systems in the extended amygdala.
Main Methods:
- Literature review of neuropharmacological studies.
- Focus on brain stress systems: corticotropin-releasing factor, norepinephrine, orexin, vasopressin, dynorphin.
- Focus on brain antistress systems: neuropeptide Y, nociceptin.
Main Results:
- Brain stress and antistress systems are implicated in the transition to and maintenance of drug dependence.
- These systems, particularly within the extended amygdala, play a key role in addiction.
Conclusions:
- Understanding these systems provides novel therapeutic targets for addiction treatment and prevention.
- Insights into basic brain emotional circuitry organization and function are gained.
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