From neurobiology to treatment: progress against addiction

被引:90
作者
Nestler, EJ
机构
[1] Univ Texas, SW Med Ctr, Dept Psychiat, Dallas, TX 75390 USA
[2] Univ Texas, SW Med Ctr, Ctr Basic Neurosci, Dallas, TX 75390 USA
关键词
D O I
10.1038/nn945
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Most advances in addiction treatment to date have addressed the physical dependence and withdrawal that accompany addiction to some drugs of abuse. In contrast, it has proven more difficult to develop medications that effectively treat drug craving and relapse, the core features of addictive disorders. Current efforts focus on developing medications that prevent a drug from getting to its protein target, that mimic drug action and thereby partially alleviate drug craving, or that affect the addiction process per se. The latter approach is the most speculative, but also the most promising in terms of translating basic knowledge of addiction into clinical progress.
引用
收藏
页码:1076 / 1079
页数:4
相关论文
共 28 条
[21]   DOPAMINE-RECEPTOR AGONISTS, PARTIAL AGONISTS AND PSYCHOSTIMULANT ADDICTION [J].
PULVIRENTI, L ;
KOOB, GF .
TRENDS IN PHARMACOLOGICAL SCIENCES, 1994, 15 (10) :374-379
[22]   Where's the excitement in psychostimulant sensitization? [J].
Self, DW .
NEUROPSYCHOPHARMACOLOGY, 2002, 26 (01) :14-17
[23]   Opposite modulation of cocaine-seeking behavior by D-1- and D-2-like dopamine receptor agonists [J].
Self, DW ;
Barnhart, WJ ;
Lehman, DA ;
Nestler, EJ .
SCIENCE, 1996, 271 (5255) :1586-1589
[24]   Stress-induced relapse to heroin and cocaine seeking in rats: a review [J].
Shaham, Y ;
Erb, S ;
Stewart, J .
BRAIN RESEARCH REVIEWS, 2000, 33 (01) :13-33
[25]   Time-dependent changes in extinction behavior and stress-induced reinstatement of drug seeking following withdrawal from heroin in rats [J].
Shalev, U ;
Morales, M ;
Hope, B ;
Yap, J ;
Shaham, Y .
PSYCHOPHARMACOLOGY, 2001, 156 (01) :98-107
[26]  
SILAGY C, 2001, COCHRANE DB SYST REV, V3, P146
[27]   Single cocaine exposure in vivo induces long-term potentiation in dopamine neurons [J].
Ungless, MA ;
Whistler, JL ;
Malenka, RC ;
Bonci, A .
NATURE, 2001, 411 (6837) :583-587
[28]   Drug-activation of brain reward pathways [J].
Wise, RA .
DRUG AND ALCOHOL DEPENDENCE, 1998, 51 (1-2) :13-22