Novel Therapeutic Strategies for Alcohol and Drug Addiction: Focus on GABA, Ion Channels and Transcranial Magnetic Stimulation

被引:70
作者
Addolorato, Giovanni [4 ]
Leggio, Lorenzo [4 ,5 ]
Hopf, F. Woodward [6 ]
Diana, Marco [7 ]
Bonci, Antonello [1 ,2 ,3 ]
机构
[1] NIDA Intramural Res Program, Baltimore, MD USA
[2] UCSF, Dept Neurol, San Francisco, CA USA
[3] Johns Hopkins Sch Med, Solomon H Snyder Dept Neurosci, Baltimore, MD USA
[4] Univ Cattolica Sacro Cuore, Inst Internal Med, Rome, Italy
[5] Brown Univ, Sch Med, Dept Behav & Social Sci, Ctr Alcohol & Addict Studies, Providence, RI 02912 USA
[6] Univ Calif San Francisco, Dept Neurol, Ernest Gallo Clin & Res Ctr, San Francisco, CA USA
[7] Univ Sassari, Dept Drug Sci, G Minardi Cognit Neurosci Lab, I-07100 Sassari, Italy
关键词
alcoholism; addiction; pharmacotherapy; GABA; ion channels; transcranial magnetic stimulation; RANDOMIZED CONTROLLED-TRIAL; ETHANOL WITHDRAWAL SYNDROME; PLACEBO-CONTROLLED TRIAL; COCAINE-DEPENDENT INDIVIDUALS; DIHYDROPYRIDINE BINDING-SITES; NUCLEUS-ACCUMBENS SHELL; VENTRAL TEGMENTAL AREA; PREFERRING AA RATS; HIGH-DOSE BACLOFEN; ADD-ON GABAPENTIN;
D O I
10.1038/npp.2011.216
中图分类号
Q189 [神经科学];
学科分类号
071006 [神经生物学];
摘要
Drug addiction represents a major social problem where addicts and alcoholics continue to seek and take drugs despite adverse social, personal, emotional, and legal consequences. A number of pharmacological compounds have been tested in human addicts with the goal of reducing the level or frequency of intake, but these pharmacotherapies have often been of only moderate efficacy or act in a sub-population of humans. Thus, there is a tremendous need for new therapeutic interventions to treat addiction. Here, we review recent interesting studies focusing on gamma-aminobutyric acid receptors, voltage-gated ion channels, and transcranial magnetic stimulation. Some of these treatments show considerable promise to reduce addictive behaviors, or the early clinical studies or pre-clinical rationale suggest that a promising avenue could be developed. Thus, it is likely that within a decade or so, we could have important new and effective treatments to achieve the goal of reducing the burden of human addiction and alcoholism. Neuropsychopharmacology Reviews (2012) 37, 163-177; doi: 10.1038/npp.2011.216; published online 26 October 2011
引用
收藏
页码:163 / 177
页数:15
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