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Molecular Mechanisms Underlying Opiate Addiction: Implications for Medications Development 阿片成瘾的分子机制:对药物开发的启示
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0109
Eric J. Nestler
{"title":"Molecular Mechanisms Underlying Opiate Addiction: Implications for Medications Development","authors":"Eric J. Nestler","doi":"10.1006/smns.1997.0109","DOIUrl":"10.1006/smns.1997.0109","url":null,"abstract":"<div><p>Progress is being made in identifying molecular and cellular adaptations induced in specific brain regions by long-term opiate exposure and in relating these adaptations to specific aspects of opiate addiction. In the locus coeruleus, the major noradrenergic nucleus in brain which plays an important role in physical opiate dependence and withdrawal, upregulation of the cAMP pathway in response to chronic opiate administration has been shown to be one important mechanism involved. In the mesolimbic dopamine system, which plays an important role in the reinforcing effects of opiates after short- and long-term exposure, some similar and some different types of opiate-induced adaptations have been identified. As an increasingly complete understanding of opiate action is obtained, this knowledge will provide the framework for the development of novel therapeutic agents to treat opiate addiction.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 3","pages":"Pages 84-93"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73145597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Organization of Opioid Receptors in Human Brain and Drug Interactions Studied by PET and SPECT Imaging: Implications for Treatment Strategies for Opiate Addiction PET和SPECT成像研究人脑中阿片受体的组织和药物相互作用:对阿片成瘾治疗策略的影响
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0113
Jan K. Melichar , Andrea L. Malizia , David J. Nutt
{"title":"Organization of Opioid Receptors in Human Brain and Drug Interactions Studied by PET and SPECT Imaging: Implications for Treatment Strategies for Opiate Addiction","authors":"Jan K. Melichar ,&nbsp;Andrea L. Malizia ,&nbsp;David J. Nutt","doi":"10.1006/smns.1997.0113","DOIUrl":"10.1006/smns.1997.0113","url":null,"abstract":"<div><p>Positron emission tomography (PET) and single photon emission computed tomography (SPECT) are brain imaging techniques that enable the investigation of human neurochemistry<em>in vivo.</em>They can be used to measure receptor parameters (<em>B</em><sub>max</sub>,<em>K<sub>d</sub></em>, binding potential and volume of distribution) and indices (ratio methods) as well as receptor occupancy by drugs. In this article, we review the characteristics of the available ligands for studying brain opioid receptors and the results of studies carried out to date. The possibilities and limitations of using current tools to investigate opioid receptors in human addiction are also discussed.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 3","pages":"Pages 131-139"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78606954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Learning-Induced Receptive Field Plasticity in the Primary Auditory Cortex 初级听觉皮层学习诱导的感受野可塑性
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0106
Norman M. Weinberger
{"title":"Learning-Induced Receptive Field Plasticity in the Primary Auditory Cortex","authors":"Norman M. Weinberger","doi":"10.1006/smns.1997.0106","DOIUrl":"10.1006/smns.1997.0106","url":null,"abstract":"<div><p>Primary sensory cortex in the adult is modified by learning. The primary auditory cortex is retuned when a tone is paired with a behaviorally relevant reinforcer. Frequency receptive fields are shifted toward or to the frequency of the signal stimulus, yielding enhanced processing and representation of important frequencies. Receptive field plasticity constitutes “physiological memory” because, like much memory, it is associative, highly specific, rapidly-induced, and retained indefinitely, at least for months. The basal forebrain cholinergic system may be a substrate because its paired activation is sufficient to induce receptive field plasticity in the absence of actual behavioral learning experiences.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 1","pages":"Pages 59-67"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79271518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Plasticity of Somatosensory Cortex in Primates 灵长类动物体感觉皮层的可塑性
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0101
Sherre L. Florence , Neeraj Jain, Jon H. Kaas
{"title":"Plasticity of Somatosensory Cortex in Primates","authors":"Sherre L. Florence ,&nbsp;Neeraj Jain,&nbsp;Jon H. Kaas","doi":"10.1006/smns.1997.0101","DOIUrl":"10.1006/smns.1997.0101","url":null,"abstract":"<div><p>Over recent years, we have come to the surprising realization that sensory cortex is highly plastic in functional organization, even in adult brains. Much of the evidence for this conclusion comes from studies of the effects of peripheral deafferentation or sensory experience on the somatotopy of primary somatosensory cortex (area 3b) of monkeys. Local modifications in cortical representations occur rapidly after sensory loss or more gradually during altered sensory experience. These changes depend on reductions in lateral inhibition and other dynamic adjustments in sensory networks, as well as Hebbian-like modifications of synaptic strengths. Activity-dependent alterations in the expression of neurotransmitters and modulators may also play a role. After major deactivations, such as those produced by amputation or section of dorsal column afferents, cortex regains responsiveness over a much longer time period as a result, at least in part, from the growth of new connections.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 1","pages":"Pages 3-12"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78560481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 47
Preclinical Evidence for a Role of Glutamatergic Systems in Opioid Tolerance and Dependence 谷氨酸系统在阿片类药物耐受和依赖中的作用的临床前证据
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0111
Charles E. Inturrisi
{"title":"Preclinical Evidence for a Role of Glutamatergic Systems in Opioid Tolerance and Dependence","authors":"Charles E. Inturrisi","doi":"10.1006/smns.1997.0111","DOIUrl":"10.1006/smns.1997.0111","url":null,"abstract":"<div><p>Opioid tolerance and physical dependence are undesirable consequences of chronic opioid use or misuse. Evidence from rodents, using a variety of modes of drug coadministration, reveals that drugs with glutamatergic antagonist activity at the competitive, noncompetitive, or glycine binding sites of the NMDA receptor complex or inhibitors of certain forms of nitric oxide synthase (NOS) can attenuate the development of morphine tolerance and in some cases reverse established tolerance or dependence. Some of these drugs modulate tolerance and dependence without affecting morphine's analgesic effects, suggesting that they prevent neuronal plasticity associated with adaptive changes mediated by the NMDA/NO cascade. Drugs that have a favorable preclinical safety margin are providing leads for new drugs for clinical evaluation.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 3","pages":"Pages 110-119"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76855673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 59
Dynamic and Distributed Somatosensory Representations as the Substrate for Cortical and Subcortical Plasticity 动态和分布式体感表征是皮层和皮层下可塑性的基础
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0103
Miguel A.L. Nicolelis
{"title":"Dynamic and Distributed Somatosensory Representations as the Substrate for Cortical and Subcortical Plasticity","authors":"Miguel A.L. Nicolelis","doi":"10.1006/smns.1997.0103","DOIUrl":"10.1006/smns.1997.0103","url":null,"abstract":"<div><p>Seconds after a cutaneous deafferentation is induced in adult animals, a complex process of plastic reorganization is triggered in the subcortical and cortical structures that form the somatosensory system. This process, which leads to the immediate unmasking of novel neuronal sensory responses, continues to evolve for many weeks and months until most of the neuronal tissue deprived of its original afferent input gains responsiveness to surrounding skin territories. Here, I propose that the existence of dynamic and distributed sensory representations throughout the somatosensory system offers the substrate for the occurrence of immediate plastic remapping of the body surface following either a peripheral injury or a change in sensory experience.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 1","pages":"Pages 24-33"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77124886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 35
Receptive-Field Plasticity in the Adult Visual Cortex: Dynamic Signal Rerouting or Experience-Dependent Plasticity 成人视觉皮层的接受场可塑性:动态信号改道或经验依赖的可塑性
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0104
Yuzo M. Chino
{"title":"Receptive-Field Plasticity in the Adult Visual Cortex: Dynamic Signal Rerouting or Experience-Dependent Plasticity","authors":"Yuzo M. Chino","doi":"10.1006/smns.1997.0104","DOIUrl":"10.1006/smns.1997.0104","url":null,"abstract":"<div><p>Neurons in adult visual cortex can generate new receptive fields (RFs) when small retinal injuries remove their normal feedforward signals, a clear sign of plasticity. The activation of new RFs leads to a striking topographic map reorganization around the deafferentated cortical region. It appears that the lesion down-regulates GABAergic inhibition and uncovers the normally subthreshold signals from remote areas. The newly activated individual neurons and their assemblies show surprisingly normal response patterns, indicating that these large-scale alterations in the cortical map may contribute to, rather than disrupt, visual perception. Thus, weighing a variety of synaptic inputs based on the nature of the current drive and history of prior stimulation, the adult visual cortex is capable of showing considerable “plasticity” while maintaining the overall stability of its functional organization. In the mammalian visual system, however, the involvement of experience-dependent plasticity in this process is, as reviewed here, a matter of debate.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 1","pages":"Pages 34-46"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91327559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Clinical Update of Opioid Agonist and Partial Agonist Medications for the Maintenance Treatment of Opioid Addiction 阿片类药物激动剂和部分激动剂维持治疗阿片类药物成瘾的临床进展
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0114
Mary Jeanne Kreek
{"title":"Clinical Update of Opioid Agonist and Partial Agonist Medications for the Maintenance Treatment of Opioid Addiction","authors":"Mary Jeanne Kreek","doi":"10.1006/smns.1997.0114","DOIUrl":"10.1006/smns.1997.0114","url":null,"abstract":"<div><p>After years of failures in managing heroin addiction by both supportive and punitive abstinence-based treatment modalities or incarceration, with or without initial short-term detoxification using an opioid agonist, research into the potential use of primarily mu opioid receptor directed agonist (or use of a partial agonist) in the chronic maintenance treatment of long-term opiate (primarily heroin) addiction was performed and such treatments have been developed. Of these treatments, chronic “maintenance” with the long-acting, orally effective, synthetic opioid methadone has been shown to be both highly effective and very safe. The extent of its effectiveness is directly related to its appropriate use in maintenance treatment, combining the use of<em>proper</em>doses of methadone (60 to 120 mg/day in most patients) with adjunctive treatment, including counseling and access to medical, behavioral, and psychiatric care. More recently, a second long-acting opioid,<em>l</em>-α-acetylmethadol (LAAM) has been approved for chronic maintenance of opiate addiction. This agent has also been shown to be safe and effective when used in appropriate doses and with adjunctive treatment as needed by each individual. A third agent, a partial agonist (or mixed agonist–antagonist) buprenorphine, is currently under rigorous study in the United States and is already being used in other parts of the world in the chronic maintenance treatment of opiate addiction. Other novel approaches such as using a kappa opioid receptor agonist, like the natural opioid receptor peptide dynorphin A, or a synthetic peptide or heterocyclic congener thereof, are now under study. This paper presents a historical review of the development, the pharmacokinetic and pharmacodynamic properties of each agent, their neurobiological effects and safety, and efficacy in treatment. A formulation of the rationale for use of these and other opioid agonist-like compounds which might be developed in the future for the treatment of opioid addiction will be discussed.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 3","pages":"Pages 140-157"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89730124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Adaptive Plasticity in Primate Motor Cortex as a Consequence of Behavioral Experience and Neuronal Injury 灵长类动物运动皮质的适应性可塑性是行为经验和神经元损伤的结果
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0102
Randolph J. Nudo , Erik J. Plautz, Garrett W. Milliken
{"title":"Adaptive Plasticity in Primate Motor Cortex as a Consequence of Behavioral Experience and Neuronal Injury","authors":"Randolph J. Nudo ,&nbsp;Erik J. Plautz,&nbsp;Garrett W. Milliken","doi":"10.1006/smns.1997.0102","DOIUrl":"10.1006/smns.1997.0102","url":null,"abstract":"<div><p>It is now clear that the motor cortex of adult mammals is capable of widespread functional reorganization. After specific types of motor skill training, the cortical representations of the movements used to perform the task expand, invading adjacent motor representations. After peripheral nerve injury, representations of unaffected muscles expand, invading those of the denervated muscles. After focal cortical injury, representations in the uninjured, adjacent cortical tissue undergo widespread alterations. Specific changes are dependent upon the use of the affected limb during the postinjury period. It now appears likely that motor map alterability results from changes in synaptic efficacy of intrinsic horizontal connections within motor cortex. Taken together, these studies suggest that the neurophysiological circuitry underlying muscle and movement maps within primary motor cortex is continually remodeled throughout an individual's life. The functional organization of motor cortex is constantly reshaped by behavioral demands for the learning of new motor skills.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 1","pages":"Pages 13-23"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86040240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 86
Activity-Dependent Plasticity in Adult Somatic Sensory Cortex 成人躯体感觉皮层的活动依赖性可塑性
Seminars in Neuroscience Pub Date : 1997-01-01 DOI: 10.1006/smns.1997.0105
F.F. Ebner, V. Rema, R. Sachdev, F.J. Symons
{"title":"Activity-Dependent Plasticity in Adult Somatic Sensory Cortex","authors":"F.F. Ebner,&nbsp;V. Rema,&nbsp;R. Sachdev,&nbsp;F.J. Symons","doi":"10.1006/smns.1997.0105","DOIUrl":"10.1006/smns.1997.0105","url":null,"abstract":"<div><p>Plasticity in somatic sensory cortex refers to the ability of cells to change their response to sensory inputs. Typically changes depend upon activity-induced modifications of synaptic strength. Increasing or decreasing synaptic strength is orchestrated through changes in transmitter release from axon terminals, in glutamate receptor properties, in postsynaptic cell depolarization, and in calcium activation of a cascade of intracellular events. Synaptic changes in cortex are facilitated by the level of cortical excitability and modulatory transmitters that create the background for activity arriving over sensory pathways. Ongoing activity initiated by peripheral receptors creates the patterns of activity in cortex that map the activity-dependent representation of the body onto cortex.</p></div>","PeriodicalId":101157,"journal":{"name":"Seminars in Neuroscience","volume":"9 1","pages":"Pages 47-58"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1006/smns.1997.0105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127328773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 28
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