在阿片类药物使用障碍的情况下,电图暗示反应与accumbens深度大脑刺激共同定位
Liming Qiu1, Young-Hoon Nho1, Robert L Seilheimer2
1Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Nature communications
|January 29, 2026
概括
这项研究表明,深度大脑刺激 (DBS) 可以通过向药物引发反应来个性化治疗阿片类药物使用障碍 (OUD). 这种基于生物标志物的方法成功地减少了OUD患者的渴望.
科学领域:
- 神经科学是一个神经科学.
- 神经调节是一种神经调节.
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 影响着数以百万计的患者,许多患者对当前的治疗没有反应.
- 药物-cue反应性是严重OUD的关键特征,并预测治疗失败.
研究的目的:
- 通过利用药物诱导反应来优化阿片类药物使用障碍 (OUD) 的深度大脑刺激 (DBS).
- 为了证明OUD治疗的个性化,生物标志物信息的神经调节策略.
主要方法:
- 在OUD患者的个性化药物-cue反应任务中记录了核 (NAc) 电生理学.
- 在腹部NAc中确定了与渴望相关的药物唤起的电生理信号.
- 使用电生理学生物标志物和行为数据来指导DBS编程.
主要成果:
- 在NAc中确定了一种特定的电生理信号,与渴望有关.
- 交付给这个NAc区域的DBS减弱了与渴望相关的信号.
- 优化的DBS编程导致持续抑制与药物相关的渴望.
结论:
- 这项研究为OUD中个性化神经调节策略提供了原则证明.
- 生物标志物告知DBS可以有效地准和减少OUD中的渴望.
- 个性化神经调节对于治疗耐火性UUD具有前景.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
1.1K
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.1K
Non-Verbal Cues
329
Non-verbal communication extends beyond gestures and facial expressions to include vocal elements known as paralanguage. Paralanguage consists of non-verbal vocal cues such as pitch, loudness, speech rate, pauses, and non-verbal vocalizations like laughter, sighs, and moans. These elements not only accompany speech but also provide critical emotional and contextual information.The Role of Paralanguage in CommunicationParalanguage adds depth to spoken language by conveying emotions and...
329
Opioid Receptors: Overview
4.3K
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
4.3K
Opioid Analgesics: Morphine and Other Natural Cogeners
1.0K
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
1.0K
Intrinsically Disordered Proteins
19.4K
Intrinsically disordered proteins are a group of proteins that do not fold into specific three-dimensional structures. Their structural flexibility allows them to complement ordered proteins to perform functions that are inaccessible to rigid structures. They are more common in eukaryotes than prokaryotes and may either be exclusively intrinsically disordered or hybrid proteins, consisting of a mix of ordered and disordered regions. The absence of a rigid structure in these proteins can be...
19.4K
Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents
674
Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
674


