Karius: Neurophysiology of Addiction Flashcards

1
Q

what is tolerance

A

-decrease in response to dose of drug

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2
Q

What 2 things comminicate in the core of the reward/pleasure system?

A
  • the Ventral tegmental area (VTA)

- Nucleus Accumbens

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3
Q

What is the VTA?

A
  • major input to the pleasure/reward system

- sends dopamine to target neurons

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4
Q

Where does the VTA receive excitatory input from?

A
  • the prefrontal cortex
  • Lateral hypothalamus
  • Laterodorsal tegmental nucleus
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5
Q

What does the PFC release?

A

-EAA

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6
Q

What does the lateral hypothalamus release?

A

-Orexin

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7
Q

What does the laterodorsal tegmental N nucleus release?-

A

-Acetylcholine

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8
Q

What does the VTA provide to the Nucleus accumbens and how does it do it?

A

-VTA provides dopaminergic input to the nucleus accumbens via the MEDIAN FOREBRAIN BUNDLE

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9
Q

What is the nucleus accumbens?

A
  • the third nucleus in the striatum
  • often referred to as the ventral striatum
  • has the same basic micro-circuitry as the others
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10
Q

Where does the Nucleus accumbens receive excitatory input from?

A
  • PFC
  • Amygdala
  • Hippocampus
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11
Q

Where does the output from the NAc go to?

A
  • the PFC

- releases GABA onto the pre frontal cortex

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12
Q

Does the NAc also send GABAergic input BACK to the VTA?

A
  • yes

- tells the VTA that it’s had enough

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13
Q

Which cotransmitter is also released in the VTA?

A

-dynorphin

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14
Q

Where do the pleasure/reward systems receive inputs from?

A

-multiple opioid paths

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15
Q

What do opioid inputs do to the VTA?

A
  • inhibit a subset of GABAerigic interneurons

- this INCREASES the release of DA in the NAc

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16
Q

Describe the “reward (pleasure) system” and how the following nuclei participate in producing pleasure

A
  • VTA: reveives inputs and releases DA in NAc to lead to feeling of pleasure
  • NAc: part of striatum. D1- activate direct; D3 inhibit indirect pathways. When active, GABA is released to produce pleasure
  • PFC: Receives input allowing pleasure from NAc
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17
Q

What is input to the NAc mediated by?

A

-DA!

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18
Q

What is DA’s effect in the NAc?

A

-inhibitory

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19
Q

At this point, what does the core system of producing pleasure look like?

A
  • VTA releases DA onto the NAc which then decreases its GABA release onto the PFC
  • this leads to pleasure
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20
Q

What do NAc neurons do?

A

-release GABA onto their targets

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21
Q

So then, what is the effect of DA release ?

A

-to decrease GABA release in the PFC and allow activity of the reward pathways

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22
Q

What 2 things are in that flow chart affecting the VTA?

A
  • PFC, Laterodorsal tegmental nucleus: releases EAA’s onto VTA
  • Lateral Hypothalamic nucleus: releases Orexin onto VTA
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23
Q

What does the pathway look like for preventing pleasure?

A
  • PFC, Amygdala, Hippocampus: releases EAA onto NAc
  • NAc increases GABA output onto PFC
  • this leads to absence of pleasure
24
Q

So, how do the opioid produce pleasure?

A
  • activate VTA
  • VTA releases DA onto NAc
  • NAc releases less GABA
  • Pleasure happens
25
Q

Is the pleasure/reward system a positive feedback system?

A

-Unstable

26
Q

Describe DA in this lecture

A
  • released by VTA neurons whose axons terminate in the NA

- binds to D1, 2, 3 receptors (2 and 3 are inhibitory)

27
Q

Describe GABA in this lecture

A
  • released by NA neurons whose axons terminate in the PFC

- also fibers terminating in VTA from NA or interneurons within VTA

28
Q

Describe the opioids in this lecture

A

-major action: inhibit GABA interneuron in VTA….VTA releases more DA in NA…. intense feeling of pleasure (euphoria)

29
Q

So basically, how do we do to produce pleasure?

A
  • activate the VTA
  • inhibit the NAc
  • Less GABA inthe PFC
  • pleasure happens
30
Q

How doe we inhibit pleasure?

A
  • Acivate the NAc
  • more GABA in the PFC
  • prevent pleasure
31
Q

Where are the most prominent changes when we do some memory?

A

-at the synapses!

32
Q

What is long term potentiation?

A
  • a series of changes in the pre and post synaptic neurons of a synapse which leads to increased response tot he released NT
  • must last for hours after the stimulation
  • usually follows strong stimulation
  • triggers a series of biochemic events that change gene trascription and translation
  • permanently alter synaptic structure
33
Q

What is synaptic plasticity?

A
  • changes in the anatomy and physiology of synapses associated with learning
  • some changes are permanent, others more transient
34
Q

What is long term potentiation again?

A
  • increase in response to same stimulus
  • changes in both the pre and post synaptic neurons
  • Includes: increased NT release, increased post-synaptic responses due to changes in the receptors to which the NT binds
35
Q

How do Opiates work?

A
  • agonist at opioid receptors

- second messenger system (Gi)

36
Q

How does Cannabis work?

A

-CB-1 receptor, leads to DA release

37
Q

Which drugs activate GPCR’s?

A

-Opiates and Cannabis

38
Q

Which drugs alter ion channels?

A
  • Nicotine: agonist at nicotinic cholinergic receptors, influx of sodium
  • Ethanol/PCP: Antagonist at NMDA receptors (PCP is weak, but ethanol is allegedly pretty good at it)
39
Q

Which drugs interfere with re-uptake mechanisms?

A
  • CocaineL inhibit re uptake of DA, leads to increase in DA availability at synapes, similar effects on other monoamine system
  • Amphetamines: reversal of DA reuptake transporters
40
Q

How does ethanol activate the reward system?

A
  • activates the opioid inputs (particuluarly to the VTA)

- VTA releases DA onto NAc, that decreases GABA…. pleasure happens

41
Q

What does PCP and ethanol do to EAA inputs to the NAc?

A
  • disrupts them
  • stops the PFC, amygdala, hippocampus from releasing EAA
  • EAA can’t activate NAc
  • Low GABA to PFC
  • pleasure happens
42
Q

The PFC is working, will pleasure happen?

A

-yes, if PFC is NOT inhibited by GABA, pleasure seems to happen

43
Q

What agents will increase the activity of VTA DA neurons?

A
  • cocaine
  • amphetamines
  • cannabis
44
Q

What does Nicotine activate?

A

-Nicotinic AchR on VTA neurons and induces them to release DA

45
Q

What is the result of increasing the action of dopamine in the NAc?

A

-euphoria is produced

46
Q

What are the normal responses to pleasurable stimuli?

A
  • result of DA release in the nucleus accumbens
  • Goal: reinforce the occurrence of behaviors that are not necessarily immediately beneficial
  • the reward for these behaviors is pleasure
47
Q

How do the drugs of addiction, how do they work?

A
  • the vast majority of addictive drugs lead to an increase in the DA released within the nucleus accumbens
  • The release of DA is not proportional to the normal stimuli
  • this leads to euphoria or an exaggerated reward response to even mild stimuli
48
Q

How does INduction of CREB happens?

A
  • cAMP response element binding ptn

- Part of regulatory region in many genes: neuropeptides, enzymes for making NT, receptors?

49
Q

What does CREB do to produce effects of drugs?

A
  • within the NAc:

- leads to increased production of dynorphin: opioid substance, binds to kappa-receptors

50
Q

Does the NAc send GABA-ergic and dynorphin-ergic input back to the ventral tegmental area?

A

-yes

51
Q

What does the increase in hynorphin release for the NAc do?

A
  • turns the input from the VTA off, reducing the effect of the drugs
  • this is part of the process of desensitization that occurs with drug addiction
52
Q

What is associated with the Activation of CREB within the locus ceruleus and the periaquaductal grey?

A
  • the physical dependence on the drugs

- the mechanism for this is unclear

53
Q

are changes in CREB temporary?

A
  • yes

- they return to normal within a week of drug abstinence

54
Q

What is delta-FosB?

A
  • a long term response to drug addiction

- also a regulator of transcription

55
Q

Describe the Major features of drug addiction and relate them to the neural changes induced by the drugs?

A
  • The stronger stimulation can produce LTP in VTA neurons: more synapses, more response to released DA, increase in CREB production/activity, Increase dynorphin release in VTA
  • Delta FosB: longer lasting effects than CREB, mostly associated with anatomic changes in synapses (more synapses, more dendritic spines)
56
Q

What is synaptic plasticity?

A
  • changes in the anatomy and physiology of synapses associated with learning
  • some changes are permanent, others more transient
57
Q

What is long-term potentiation?

A
  • increase in response to same stimulus
  • changes in both the pre and post synaptic neurons
  • include: increased NT release, increased post synaptic responses due to changes in the receptors to which the NT binds