7. Physiology of Reward & Addiction Flashcards

1
Q

what is motivation

A

changes in the external or internal environment mediate goal-directed responses or goal-seeking behavior

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2
Q

what is reinforcement

A
  • operant (learned) behaviors that change the probability that a behavior will be repeated under similar conditions each time
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3
Q

what is saliency

A

something important in the surrounding environment worth paying attention to

Salience = stimuli or environmental changes that are arousing or that elicit an attentional-behavioral switch

–> affects motivation to seek anticipated reward & facilitates conditioned learning.

==> associated with drugs that increase DA –> elicit the desire for drug (reason why pt is at risk of relapsing)

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4
Q

what is a reward

A

Objects, stimuli, or activities w/ positive value

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5
Q

what is aversion

A

a negative reinforcement of behavior –> individual learns to avoid future encounters

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6
Q

what is the basis of pleasure

A

= positive sensation

AKA euphoria or hedonia

purpose= promote behaviors consistent with survival of self and the species

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7
Q

what encodes discrepancy btn reward prediction & actual reward

A

DA neurons send signal to downstream brain regions involving reward

  • unpredicted reward - activation
  • predicted reward- no respone
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8
Q

what is the basis for preference of drug use

A

Over repeated drug use–> repetition of reward prediction error (RPE) signals

–> reinforce drug-related cues and behaviors ==> contrast to natural rewards (which produce error-correcting DA-RPE signals only until the predictions match the actual events)

so–> given the choice between drug and natural reward develops a bias towards drug that strengthens with each drug use.

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9
Q

what hormone NT is affected by drugs of use

A
  • DA
  • increased [DA] extracell in limbic regions ( like nucleus accumbens)
  • longer and large increase in DA

(some increase directly & others indirect)

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10
Q

what are the components of the mesolimbic system

A

nucleus Accumbens (NA)

ventral tegmental area (VTA)

the limbic system

pre-frontal cortex (PFC).

(uses DA)

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11
Q

what is the basic circuit

A

PFC/amygdala/hippo activate NA w/ Glu –> supress sensation of pleasure/reward

–> release GABA and inhibit PFC

–> keep brain in reward-neutral state (no pleasure)

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12
Q

what is the reward circuit

A

DA neurons from VTA to NA

–> inhibit NA –> decrease NA activity -

-> results in sensation of pleasure

= DA-hypothesis of reward

(DA-independ reward path - activate reward path)

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13
Q

how is VTA activated

A

behavior/activity that causes reward –> VTA activated by EAA, orexin or ACh

[PFC- EAA

dorsal tegmental area: Ach

hypothal: orexin (consumption of food)]
- exercise, ethanol –> activate endogenous opoids –> bind mu receptors –>

  1. activate VTA DA neurons by inhibiting local interneurons that supress DA activity
  2. activate local interneurons of NA (inhibit local neurons)
  3. activate PFC
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14
Q

what is the reward feedback circuit

A

NA back to VTA

–> inhibit via GABA & dynorphin (cotransmitter)

–> bind kappa-opiod receptors -

CREB –> supress DA release form VTA

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15
Q

what is dynorphin

A

an opoid

binds kappa opiod receptor in VTA

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16
Q

how does chronic drug exposure alter neurons in DA-regulated circuit

A

cellular level: alter expression of TF & proteins that regulate DA

NT level: DA, GLu, GABA, opiods, 5-HT and various neuropeptides (abnormal levels found in mesocortical regions)

17
Q

what is the role of memory for reward/addiction

A

conditioned associates - use circuitry that mediate craving (amygdala) when abuser encounters the drug/person/thing (orbitofrontal cortex) –> driven to make poor decision or seek out drug

memory = increase synaptic strength after high freq stimulation of chem synapses (via phos of AMPA receptors & activation of Ca-calmodulin-CREB mechanism)

18
Q

what is the cause of physical dependency

A

excessive noradrenergic output from the locus ceruleus (involved in arousal and vigilance)

& CREB-dependent upregulation of target genes in locus ceruleus

19
Q

what is FosB

A

splice varients of FosB gene –> upregulated by stress & drugs of abuse

-cause upregulation of AMPA/NMDA (EAA receptors), elements of cell signal transduction, promote drug seeking, motivation & locomotion factors

=long term structural changes (months to years)