CB L1 - Drug addiction Flashcards

1
Q

Define reinforcing

A

when an animal will perform a behavior in order to obtain that stimulus

(objective)

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2
Q

What is rewarding?

A

Reward is linked to euphoria: a feeling of great happinesss or well-being

(subjecting)

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3
Q

Rewarding substances can lead to…

A

addiction

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4
Q

What pathway leads to addition?

Where does it start? end? What neurotransmitter?

A

Mesolimbic pathway
Cell bodies in the venteral tegmental area

leading to the nucleus accumbens

DA

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5
Q

All drugs of abuse show the release of DA where in the brain

A

nucleus accumbens

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6
Q

What sort of behavior releases DA - natural rewards?

A

Food and sex

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7
Q

Substance that causes dysphoria?

A

u-50,488 (kappa agonist)

shows a reduction in DA release

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8
Q

Do psychoactive substances release DA?

A

No DA release with TCAs and antipsychotics - therefore its not psychoactive that causes DA release

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9
Q

What is the VTA?

NAcc?

A

venteral tegmental area

Neucleus accumbans

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10
Q

What connects to the DA neurone in the VTA?

A

GABA neurone (inhibitory)

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11
Q

Where do cocaine and amphetamine act?

A

inhibit DA reuptake in the NAcc

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12
Q

Where do optiates and cannabis act?

A

inbihit the GAVEergic interneurone in the VTA.

less inbihibition to DA neurone

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13
Q

Where do ethanol and nicotine act?

A

Directing activate the DA neuron (that leads from the VTA to the NAcc)

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14
Q

3 types of ‘dependence’

A
  • Physical dependence (withdrawal)
  • Negative reinforcement (alleviation of underlying problems)
  • Positive reinforcement (psychological dependence)
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15
Q

What proportion of users become addicts?

A

Only a small proportion

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16
Q

4 features of psychological dependannce

A

-extremely high motivation to take drugs with activities focused on procurement and consumption

  • difficulty stopping/limiting drug use
  • use continued despite harmful consequences
  • high propensity to relapse after cessation of use
17
Q

4 features of psychological dependannce

A

-extremely high motivation to take drugs with activities focused on procurement and consumption

  • difficulty stopping/limiting drug use
  • use continued despite harmful consequences
  • high propensity to relapse
18
Q

3 major stimuli for human relapse

A

taking a small dose of the drug
stress
being presented with cues associated with drug taking

19
Q

What % of recovering addicts will relapse within 1 year

A

70-80%

20
Q

What is the animal version of relapse

A

reinstatement

21
Q

2 methods to assess rewarding effects of drugs in animals

A

self-administration

conditional place preferance

22
Q

Self-administration is

A

animals is trained so that when a lever comes out and they press it they get an injection of drug directly into the brain

23
Q

2 exceptions of drugs that don’t release DA?

will rats administer them?

A
  • Diazepam (rats self admin - for anxiety relief?)

- LSD (rats won’t self administer - different drives to take this: dissociation not euphoria)

24
Q

conditional place preference is…

A

Inject animal with drug or saline and place in compartment after.On test day animal receives no injection and separating door is removed.

Rewarding drugs increase time spent in the drug related environment.

25
Q

conditional place preference is…

A

Inject animal with drug or saline and place in compartment after.On test day animal receives no injection and separating door is removed.

Rewarding drugs increase time spent in the drug related environment.

26
Q

How do we reinstate a behaviour in an animal

A
  1. Pressing lever for cocaine
  2. ‘Extinction’ - pressing lever does not release cocaine (not the same as fogetting or reinstatement wouldn’t work)
  3. ‘Drug-primed reinstatement’ - after cocaine injection they press the lever more than ever - motivation has changed

(works with stress and cues too)

27
Q

D2 receptor family includes: …………..and is …………….. coupled

A

D2, D3, D4

Gi/o coupled

28
Q

D1 receptor family includes: …………..and is …………….. coupled

A

D1 & D5

Gs-coupled

29
Q

the DA neurones reaching the NA connect to…..

which have what type of receptors

A

medium spiny neurones

D1 or D2 family: they have opposing effects so why activate both? - probably project to different brain regions.

30
Q

Where do D2 medium spiny neurones lead to?

A

The frontal cortex- probably enable us to feel euphoria

31
Q

Where do D1 medium spiny neurones lead?

A

Feedback loop to the VTA (they are GABAergic)

32
Q

Negative affect hypothesis

A

Eventually you start to be dysphoric and you need the drugs to get back to baseline.

So the motivation to take drug has changed, you need it to feel normal

33
Q

Negative affect hypothesis

A

Eventually you start to be dysphoric and you need the drugs to get back to baseline.

So the motivation to take drug has changed, you need it to feel normal

34
Q

Repeated withdrawl affets baseline mood and may lead to relapse - two theories accounting for this?

A

Dysregulation of stress hormones

Increased production of dynorphin

35
Q

What is dynorphin

A

endogenous ligand for kappa opioid receptor.

Kappa receptor activation inhibits DA neurone

Consequently decrease in basal DA levels

36
Q

How does DA cause an increase in dynorphin?

A

D1 receptors activate adenyl cyclase, increases CREB. CREB is TF which enhances transcription of dynorphin.

Even after stimulus the TF and protein stick around, long term effects