Explanations for nicotine addiction: brain neurochemistry AD Flashcards

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1
Q

Neurochemistry

A

relating to chemicals in the brain that regulate biological and psychological functioning

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2
Q

Dopamine

A

a neurotransmitter that generally has an excitatory effect and is associated with the sensation of pleasure. Usually high levels are associated with schizophrenia and usually low levels are associated with parkinson’s disease

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3
Q

Dani and Heinemann

A

focussed on dopamine in their desensitisation hypothesis of nicotine addiction and the neurotransmitter acetylcholine.

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4
Q

nAChRs

A

n=n icotine
Ach= acetylcholine
Rs= receptors

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5
Q

Acetylcholine ACh plays a role in all nervous system activity, which means that….

A

they are on the surfaces of most neurons in the CNS.

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6
Q

The subtype nicotinic acetylcholine receptors (nAChR) are activated by nicotine molecules and then transmits dopamine. This then……..

A

gets followed by shutdowns where the nAChR temporarily cannot respond to neurotransmitters. This is when the neuron is desensitised, which leads to downregulation (a reduction in the number of active neurons because fewer of them are available)

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7
Q

Where are nAChR concentrated?

A

the ventral tegmental area VTA of the brain

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8
Q

What happens when nAChR are stimulated by nicotine?

A

dopamine is transmitted along the mesolimbic pathway to the nucleus accumbens NA, which triggers the release of more dopamine into the frontal cortex.
Simultaneously, dopamine is also transmitted along the mesocortical pathway to be released directly into the frontal cortex.

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9
Q

wat activates the brain dopamine reward system?

A

nicotine, results in pleasurable effects such as mild euphoria, increased alertness and reduction of anxiety. These effects become associated with smiling through operant conditioning.

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10
Q

withdrawl

A

As long as the person is smoking, nAChRs are continually desensitised. But when this person does not smoke for a prolonged period of time nicotine disappears from their body. The nAChRs become functional again and dopamine neurons resensitise and more become available (upregulation).

During this time, the person will experience withdrawal symptoms.

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11
Q

dependance and tolerance

A

Smoker avoids unpleasant physiological and psychological withdrawal by having another cigarette. This means that there is a constant cycle of daytime downregulation and night-time upregulation (from sleeping) creates long term desensitisation of nAChRs.

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12
Q

What does continuous exposure of nAChR to nicotine cause?

A

permanent changes to the brain neurochemistry → a decrease in the number of active receptors

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13
Q

tolerance

A

develops as a smoker has to smoke more to get the same effect.

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14
Q

Research support -
Support from human research

strength

A
  • McEvoy et al studied smoking behaviour in people with schizophrenia who were taking a antipsychotic drug
  • This drug blocks dopamine receptors in the brain, reducing dopamine transmission
  • So people taking the drug had increased levels of smoking presumably from self-medicating
    Supports the view that dopamine has a key role in the neurochemistry of nicotine addiction.
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15
Q

counterpoint to RS -Counterpoint
Explanations of nicotine addiction that consider only the role of dopamine are limited

limitation

A
  • Research increasingly shows complex interactions of several neurochemistry systems
  • Watkins et al said these include neurotransmitter pathways and endogenous opioids
    Therefore the neurochemistry of nicotine addiction cannot be fully understood by just looking at dopamine.
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16
Q

RWA -
Neurochemistry lends to new treatments

strength

A
  • Nicotine replacement therapy NRT helps smokers quit
  • This was developed after nicotine was identified the addictive component in cigarettes
  • NRT products like gum release a controlled dose of nicotine, which acts neurochemically by binding with nAChRs
  • Satisfies cravings and reduces withdrawal symptoms
    Greater understanding of neurochemistry has led to an effective treatment for nicotine addiction.
17
Q

Withdrawal symptoms -
Does not fully explain withdrawal

limtiation

A
  • According to the theory, withdrawal symptoms rely on the amount of nicotine in the body
  • Gilbert challenges this as these factors are not strongly correlated
  • He argues that withdrawal depends on environment and personality
    Withdrawal effects can be explained in other ways
18
Q

determinism - Shiffman and Paty 2006

A

This explanation is biologically deterministic, so nicotine addiction is inevitable in someone who has started smoking because of the chemicals in the brain. But some people smoke without becoming dependent on nicotine