Drug Addiction 2 Flashcards

1
Q

What’s an assay for addictive potential in humans?

A
Drug self administration
Usually IV pump
works for all except alcohol-(cause rats avoid this)
Does'nt work for non addictive drugs 
- FR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is an FR schedule? What does it cause at different doses? Why is it difficult to interpret?

A

Fixed ratio: # presses to get a reward.
Get a typical dose response curve, inverted U shape.
- higher doses the number of presses declines cause of satiation, aversive reactions or side effects, or physically unable to press
- manipulations are difficult to interpret cause increased pressing could mean that 1) increased liking or wanting 2) compensatory casue you reduced rewarding effets of the drug so they’re pressing more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happens when a new drug comes out and you wana see if its okay to give to public?

A

Do a FR schedule to see if they self administer.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is PR schedule?

A

Progressive ratio schedule. # of presses incresaes.
Measuring breakpoint.
Measuring motivation to obtain drug.

At optimal doses of drug, animals will work super hard to get it. (harder than lower or too high doses)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens when you deplete dopmaine in NAc

A

INITIAL LERNING. Abolishes the learning in all but opiates (cause they are reinforcing on their own)

TRAINED TO SELF ADMINISTER

  • on FR schedule, DA antagonists increase lever pressing.
  • on PR schedule, breakpoint decreases. Reduced motivation for the drug.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How do you measure the rewarding effects of a drug?

A

Conditioned place preference (two places that make a learned association) - no lever pressing

  • gets drug either way.
  • just a measure of how much it likes it.

At high doses, you get place AVERSION.

Drugs of abuse get this place preference when given systemically or right into the NAc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens to place preference when you block DA receptors in NAc?

A

Blocks place preference.

- also dependent on the amygdala, if you block that it doesn’t work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which addictive drugs induce place preference?

A

all of them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

describe the conditioned place preference in humans.

A

Find a ball, then get a reward at the same time shown a background. OR another ball and get nothing. At the end of experiment, asked which background they like more

1) healthy people like the rewarded background more
2) parkinsonian patients did not show a preference.

NO ASSOCIATION about the reward: means that you have things in your life that you probably don’t know why you like.

DEPENDANT ON DA TRANSMISSION.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe DA sensitiztion.

A

Repeated exposure to ALL addictive drugs cause sensitization to DA transmission. (same dose of drug causes a lot of increase)
- hyperdopamine state. (even after 4 days, can stay for a year in humans)

INCREASED MOTIVATION to seek drugs in response to cues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do you model drug relapse?

A

Reinstatement paridigm.

  • rat given cues and a drug, lever presses measured
  • rat then in extinction, lever presses go down.
  • rat given a trigger, then drug seeking behavior REINSTATED-more lever presses (even tho they aren’t getting any drug) with triggers by giving either cue, stress or a little bit of the drug (itty bitty)

FOUND

1) DA release in NAc increases in response to the trigger, and
2) lever pressing increases almost back to step 1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens to reinstatement when you block DA receptors in NAc?

A

Reduces/Abolishes reinstatement in ALL DRUGS.
- DA antagonists block Cue and stress induced reinstatement
MEANING: ability of triggers to reinstate drug seeking is dependent on DA transmission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the neural circuits that underlie drug relapse (reinstatement).

A

DA system circuits
PFC, NAc, Amygdala
- inactivating DA in these areas reduces reinstatement.

Repeated drug exposure can make these areas more responsive to “triggers”

In humans: PET studies have been shown that when you give them triggers, these brain regions activate and they say they are craving more.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Summarize dopamine’s effect on addiciton.

A
  1. Addictive drugs increase mesolimibic DA levels (not liking, but wanting)
  2. when drugs induce DA release, they make your brain think something important is going on and brain makes associations with environmental cues linked to drug taking
    3) reward associated cues increase DA release in NAc, can trigger same behaviors (drug seeking)
    4) drug use sensitizes the DA system that may amplify effects of cues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the Incentive sensitization hypothesis

A
  • cues take control over behavior.

Hedonic effects: tolerance (liking decreases)
Dopamine and drug related cues: sensitized (wanting increases)

Multiple cues can activate the DA system to trigger conditioned responses : cravings.
- make you THINK you WANT the drug (similar to how food makes you hungry)

These effects are amplified by the hyperdopamineric state.
- positive feedback loop even if the drug isn’t pleasurable.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the theories of long term (not just one exposure) neuroadaptive effects of drug use?

A

1) DA sensitization: repeated exposure makes you more sensitive, more responsive to cues/stress.
- change in neural networks of VTA, PFC and NAC

2) down regulation of reward circuitry: tolerance to pleasurable effects
- change within a system

3) Anti-reward system: stress and aversion have their own systems (NE, Peptide transmitters like CRF and dynorphin, central nuclus of amygdala and NAC
- between systems

17
Q

Describe Koob’s theory of withdrawal?

A

Goes from impulsive (chasing pleasureable effects) to compulsive (chasing relief)

Physical withdrawal contributes to some stuff, but not to all

Dysphoric mood lasts way longer and gets worse after every withdrawal experience (bad mood after hangovers get worse the longer you go on)

Take drug just to feel better not to feel euphoric

18
Q

What happens in the brain during the Anti-reward circuitry theory?

A

Initially: drugs activate positive reinforcing effects on non-depedent circuit (GABA, opoiod peptides, NAc, VTA, DA)
- but over time, drugs don’t activate this as well. After repeated use, get tolerance.

Activation of anti-reward system increases (NE, CRF, DYNORPHIN -kappa receptors)
GETS WORSE OVER TIME.
1.) mediates aversive effects of stress
2) limits reward functions.

Antirward system activated during withdrawal, which leads to depressed mood, which leads to more drug taking.
- but reduced pleasure during the drug taking.

19
Q

What is the opponent process model of motivation?

A

A classic anti-reward circuitry model.
- Initial strong reaction to a drug (pleasure) but then you get an opposing respons to counteract it.

STUDY
coca-paste, high then a crash even tho coke in the system still (brain compensating)

Baseline changes over repeated drug exposure, just trying to get back to “normal” rather than get “high” and the compensatory effects get longer and larger.

20
Q

What do we do about these competing theories?

A
  • depends on type of drug.
    OPiates and alcohol: antireward
    stimulants like nicotine and psychostimulants: positive incentive is more likley
21
Q

What happens to your PFC when you get addicted to drugs with repeated use?

A

PFC gets smaller

  • reduced gray matter.
  • looks like its caused by the drug taking not a precursor.

FUnction reduces

  • impaired flexibility and more impulsivity
  • fewer D2 receptors in striatum (lower PFC activity due to this)
  • D2 receptors are usually a “brake” on certain actions

PFC and Striatum work together mediated by DA.
- reduced D2 receptors and reduced PFC grey matter may lead to reduced impulse control, planning, emotional regulation. MAKES IT HARDER TO MAKE YOURSELF STOP CAUSE YOU’RE NOT LOGICAL.

22
Q

Why did people used to think addiction wasn’t a disease and why are they maybe wrong?

A
  • addiciton is a personal weakness
  • NO: work on alcoholism showed that there were dystregulation of brain function, which reduced guilt for people

-no lab tests, only behavioral tests so its not a disease
NO: what about other psychiatric disorders like depression or schizophrenia

it’s that person’s fault for doing it
-NO: jsut cause someone smoked and got cancer doesn’t mean its not a disease.

Depends on severity of addiction, some people spontaneously resolve, some people have different reactions.

23
Q

why do some people not get addcited to drugs?

A

genetic, neural alterations that make people a bit more suceptible