Lecture 26- Reward Dysfunction Flashcards

1
Q

What two types of brain systems are there?

A

-Systems with a specific function: For example, the visual system or the system invovled in fine movements of the fingers

-Systems with a generic function: systems that process information received
from regions performing widely differing specific functions to perform a particular behaviourally important operation (you can’t easily say where the operation/ function is located: is kind of spilt across lots of different regions).

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2
Q

What is the mesolimbic dopamine (ventral) circuit as part of the reward system?

A
  • Inputs from hippocampus to integrate memory of ‘context’
  • Inputs from amygdala to
    integrate memory
    of an emotional e.g.
    fearful situation
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3
Q

What is the nigrostriatal
dopamine (dorsal) circuit as part of the reward system?

A
  • Reinforces sensory-motor
    associations
  • Important in learning new skills
  • Important in forming habits: also disordered in addictions
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4
Q

What type of system is the reward system (specific or generic)?

A

It is a generic system because it integrates information from many addiction areas serving different functions and SELECTS a behavioural response: e.g. stay or go?; repeat what you just did or don’t; or do something different.

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5
Q

What group of brain structures does the reward system often involve?

A

Basal Ganglia

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6
Q

Which components of the basal ganglia are associated with either the mesolimbic dopamine circuit or the nigrostriatal dopamine (sensorimotor) circuit?

A

1)
Striatum (caudate,
putamen- sensorimotor- dorsal circuit).
Nucleus accumbens
(limbic- ventral)
2) Globus pallidus
(sensorimotor-dorsal), ventral pallidum (limbic-ventral)
3) Substantia nigra
(sensorimotor dopamine -
nigrostriatal-dorsal), ventral
tegmental area (limbic
dopamine - mesolimbic- ventral)
4) (Subthalamic nucleus)

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7
Q

How does the basal ganglia part of the reward system
select between the options of what to do? What is the problem with this?

A

-There are separate pathways that lead to different behavioural outputs
-We have competing
‘motivations’ BUT only
one set of muscles to
respond with! So need to ensure correct ‘selection’
-This selection is the role of the reward system in the basal ganglia. Different parts select the most appropriate
/ most important movement, sensation, idea, plan, memory, emotion, in a given situation, based on experience

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8
Q

What different actions/ paths can the reward system follow in order to choose the best outcome?

A

-Limbic areas= Motivation/emotion
-Associative/ sensory areas= Cognition (ideas/memories/plans)
-Motor areas= responsible for sensorimotor (stimuli/ actions)

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9
Q

What tool do the basal ganglia use to inform choice actions? (think a psychology concept)

A

Reinforcement learning –
learning the strategy to be taken in a given situation that maximises the
chance of a successful outcome
-strategy is stored for later selection
-reinforcement makes that strategy more likely to be selected in a similar situation in future

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10
Q

How is dopamine important in reinforcement learning?

A

positive reinforcement releases dopamine and therefore, increases the chance of action again (want dopamine release to happen again). I.e. dopamine is essential for learning.

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11
Q

Where can the dopamine signal (or the amount of dopamine released after a rewarding stimuli) be measured? What might these rewarding stimuli be?

A

-In the striatum of the basal ganglia
-Rewarding stimuli= sex/ food

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12
Q

When does dopamine need to be released in order to be reinforcing and what change to the synapses occurs?

A

-Release of dopamine into the striatum AFTER cortical activity (an ‘action’) can increase the strength of synapses from the cortex
-Temporal order is important: has to be after otherwise it doesn’t make sense not backing up the action so won’t be reinforced to do it again.
-Therefore, Synaptic plasticity at corticostriatal synapses controls what is learnt for later selection

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13
Q

How do you record the strength of the corticostriatal synapses?

A

Record via an electrode into the spiny projection neurons which connect to the cortical neurons

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14
Q

What physiological term describes the strengthening of the corticostriatal synapses in response to positively rewarding stimuli after a cortical action (reinforcement/ reward learning)?

A

Long Term Potentiation (LTP)

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15
Q

How do we know that dopamine release is reinforcing?

A

-Because animals will learn the action required to activate their own dopamine pathways: Intracranial self-stimulation (ICSS)
-ICSS is where a stimulating electrode is placed in an area near dopamine neurons (near the substania nigra) . The animal will just keep pressing the lever to release more dopamine (it has directly activated the reward pathways).

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16
Q

What are some examples of cases where the reward system goes wrong?

A

-Parkinson’s= Motor (execution of movement)
-OCD= Cognitive (planning actions)
-Addiction= Sensorimotor (Stimulus then response)
-Schizophrenia/ psychosis= Limbic (emotion/ memory)

17
Q

What happens in Parkinson’s in relation to dopamine?

A

In Parkinson’s disease dopamine is lost in the basal ganglia - radiolabelled (PET scan) ‘DOPA’ shows that the caudate is unsymmetrical in terms of dopamine filled in patients compared to controls

18
Q

What happens when dopamine is lost?

A

-Dopamine is usually replaced by L-DOPA (e.g. in treatment of Parkinson’s) which is turned into dopamine and floods the system, losing natural dopamine timing
-Problem is when L-DOPA is administered it results in prolonged slow dopamine functions whereas dopamine is meant to just provide a short boost and lose natural timing

19
Q

What does high levels of dopamine at the wrong times result in?

A

-Means strengthening of synapses that
reinforce actions that are not useful
-Result= ‘DISORDERED’ MOTOR REINFORCEMENT

20
Q

As opposed to L-Dopa administration what can also be used in Parkinson’s and what might be the problem with this?

A

-Dopamine like drugs that directly activate receptors for dopamine
-Problem is that these can override the reward system and reinforce addictive behaviours
-Result= ‘DISORDERED’ SENSORIMOTOR REINFORCEMENT

21
Q

What is a definition of addiction? What is a more PC term for addiction?

A

-Repeated use of an addictive substance that persists despite serious harmful consequences to an individual and significant problems in their life - interferences with social/occupational functions

-Addiction is thought of as a chronic relapsing disorder,
with periods of abstinence followed by relapse

-Diagnostically, the term Substance Use Disorder is
preferable since it has fewer negative connotations
than the term “addiction”

22
Q

How is successful are attempts to stop substance use typically?

A

-Efforts to stop substance use are largely ineffective, with relapse occurring without treatment in 80% of individuals

23
Q

What is physical dependance?

A

-Increased experience leads to reduced drug action (tolerance)

-Cessation of drug-taking leads to intense physiological disturbances
(withdrawal: ‘extinction’ of the sensorimotor habit of drug taking)

24
Q

What is a Psychological dependance to drugs?

A
  • a condition which develops when:

-taking a drug produces a pleasurable state;
- a person is motivated to take the drug in order to
maintain a pleasurable state or to avoid discomfort
-abnormal limbic drive for addictive substances

25
Q

What method has been used to learn about patterns of substance use
and the brain mechanisms associated?

A

self-administration studies in rats

26
Q

Is there a common pathway for addictions?

A

-The common pathway is
enhanced dopamine release
-Stimulants work directly on the drug terminal. Drugs like cannabis, opiates and alcohol work on the GABA neuron to reduce inhibition of dopamine terminals. Cannabis and nicotine on the other hand excite the dopamine terminals.
-From the dopamine terminal ,signal goes to the nucleus accumbens, prefrontal cortex and other brain regions.

27
Q

What do PET scans show as the effect of addictions the brain?

A

-Radiolabelled cocaine binds to dopamine sites in the striatum. As time increases from administering drug then scan becomes more organised/ binds

28
Q

What study shows that Dopamine in the striatum is
associated with a drug ‘high’ ?

A

-Measured binding of a radiolabelled dopamine-like molecule to dopamine
receptors
- (Left) drug users given a placebo drug (no drug abuse properties) - radiolabelled molecule can easily access dopamine receptors in striatum
- (Right) participants given a dose of methylphenidate (which has drug abuse properties) -causes widespread dopamine release - radiolabelled
molecule has fewer places to bind because of effect of the drug
- Measured amount of dopamine release after methylphenidate as
difference in labelled molecule signal
- (Bottom graph) The larger the difference in the signal, the more dopamine was released, the greater
the ‘high’ the user experiences

29
Q

What effect does repeated drug use of have on the dopamine system?

A

-Repeated drug taking means that less of the
radiolabelled molecule
can bind to the dopamine
transporter (DAT)
(compared to a control
person)
- Suppression of access to
dopamine sites by normal
dopamine release - ?may
underlie intense craving
- Some of these changes
can thankfully be
reversed by abstinence
from drug taking

30
Q

Putting it together: how does addiction ‘highjack’ the brain’s reward / positive reinforcement system?

A

-addictive substances induce abnormally high dopamine release
throughout the brain that can lead to:
- abnormal sensorimotor associations that drives habitual action of
taking substances in a specific situation (physical dependence)
- abnormal limbic drive (motivation/memory) for addictive substances
(psychological dependence / craving)