Lecture 2: neurobiology Flashcards
neurobiology
what does the neurobiology of the brain attempt to understand?
the changes at the molecular, cellular, and neurocircuitry levels that mediate the transition from occasional, controlled substance use to loss of control in substance intake and addiction
why is it important to understand the neurobiology of addiction?
clinically relevant for treatment
what is the common pathway for all addictive drugs?
release dopamine in the nucleus accumbens
what is the path of neurons in the mesolimbic dopamine pathway?
starts in the ventral tegmental area (VTA), which is one of the principal dopamine producing regions of the brain, of the midbrain and projects to the nucleus accumbens (NAcc), which is strongly associated with the positive reinforcing effects of both natural rewards and addictive drugs
which addictive substances act direct on VTA DA and which act indirectly?
direct: alcohol nicotine, cocaine, amphetamine
indirect: cannabis, opioids, BDZs
what are the two general ways that addictive drugs stimulate dopamine release?
- activate or disinhibiting VTA DA firing
- increase amount of synoptically released DA
what neurotransmitter do opiates mimic?
endorphins
what receptors do opiates bind?
mu opioid receptors (agonists)
what neurotransmitter do psychostimulants mimic?
dopmaine
what do psychostimulants bind to?
dopamine transporter
what neurotransmitter does nicotine mimic?
acetylcholine
what receptor does nicotine bind to?
a2b4 nAChRs (agonists)
what neurotransmitter does alcohol mimic?
GABA and glutamate
what receptors does alcohol bind to?
GABAa (agonist) and NMDA (antagonist)
steps of synaptic DA transmission
- DA Synthesis
- DA is encapsulated into vesicles
- Action potential opens calcium channel –> calcium influx
- Vesicle migrates to membrane for exocytosis
- DA is released and binds to postsynaptic receptors
- Reuptake of DA into presynaptic neuron
- DA is recycled back into vesicles or metabolized
effect of amphetamine on synaptic DA transmission
AMP enters the presynaptic neuron via DAT
- AMP forces DA out of storage vesicles
- DAT starts working in reverse
–> DA expelled
- MAO inhibition (high doses)
effect of cocaine on synaptic DA transmission
DAT blockade (no DA reuptake)
effect of opioids on synaptic DA transmission
binds GABAa receptors, which causes inhibition of GABA release, which decreases the inhibition on dopaminergic neurons, increasing dopamine release
what are benzodiazepines used for?
anxiety disorders and short-term insomnia
which BDZs are used to treat anxiety and which are used for insomnia?
Anxiety Medications: alprazolam (Xanax), lorazepam (Ativan), diazepam (Valium)
Insomnia Medications: lorazepam (Ativan), zopiclone (Imovane)
why are BDZs so addictive?
they affect the dopamine production within the brain just like other highly addictive substances
mechanism of action of BDZs
- Benzodiazepines bind to and activate GABA-A receptors (high affinity for α1 subunits) on GABA interneuron cells in the VTA
- Interneurons ordinarily inhibit the activity of dopaminergic neurons in the VTA
- Activation of the GABA-A receptors reduces the amount of inhibition (i.e., disinhibition) which increases the activity of the VTA’s dopaminergic neurons
what is tolerance?
Decreased brain response following repeated drug use