Neurobiology of Addiction Flashcards
mesocortical DA pathways in the brain + functions (2)
- VTA -> PFC (executive functions)
- VTA -> NAcc (motivation)
what do commonly abused drugs all have in common
all stimulate DA transmission one way or another (at synapse level)
ways drugs increase DA signalling and at which part of the neuron (2)
- activating or disinhibiting VTA DA cell firing (at cell body level)
- increasing amount of synaptically released DA (at synaptic level)
ex of drugs that activate or disinhibit VTA DA cell firing (4)
- morphine
- heroin
- alcohol
- nicotine
ex of drugs that increase DA release at synapse (4)
- amphetamine
- cocaine
- methamphetamine
- phencyclidine
DA synthesis steps & enzymes (4)
phenylalanine -> tyrosine (hydroxyalse)
tyrosine -> L-DOPA (hydroxylase)
L-DOPA -> DA (L-AA decarboxylase)
synaptic DA transmission (9 elements)
axon terminal:
1. DA production
2. encapsulation of DA vesicles by vesicular transporters
3. voltage-gated calcium channels opened due to AP (increase in intracellular calcium)
4. vesicular fusion/exocytosis of vesicle + release of DA from vesicle in synaptic cleft
postsyn neuron:
5. DA in synaptic cleft bind to DAr on postsynaptic neuron
6a. activation of 2nd messenger processes
6b. COMT (on postsyn neuron) binds unbound extracellular DA and metabolizes it into 3-methoxytyramine
6c. DAT reuptakes into presyn neuron unbound DA from cleft
7c. DA binds to MAO and metabolizes it into DOPAC (inactivated); DOPAC -> HVA
role of MAO and COMT
MAO: inactivates DA (deamination) that is pumped from synaptic cleft via DAT
COMT: binds unbound DA from synaptic cleft and inactivates it (methylation)
amphetamine synaptic transmission (5 elements)
- vesicular transporter (axon terminal) prefer amphetamine over DA (internalizes more amphetamine molecules than DA)
- DA not taken up by vesicles floats around in presynaptic axon terminal
- increased [DA] in presynaptic axon terminal reverses the effect of DAT: instead of DA reuptake from synaptic cleft, DA release into synaptic cleft
- high amphetamine doses inhibit MAO in presynaptic axon terminal (no DA inactivation)
- increased unbound DA in synaptic cleft
cocaine synaptic transmission (3 elements)
- vesicular transporter not affected
- exocytosis not affected
- DAT blocked -> prolongs time that DA spends in synaptic cleft, increases DA binding to DAr on postsynaptic neuron
opiate (heroin, morphine) synaptic transmission (no drug vs with drug)
- no drug: GABA interneuron in VTA releases GABA that binds to DA neurons and stops neuron from firing too fast (inhibition)
- with drug: GABA interneuron inhibited (disinhibition) so decreased GABA binding to DA neuron and DA neuron fires faster
where do morphine and heroin bind (2)
u receptors on VTA GABA interneurons and NAcc GABA neurons that feedback to VTA cell bodies
what determines the level of sensitization
length of the off period
what is acute tolerance
decrease of NAcc DA levels and behavioral response with each dose (closely spaced repeated administration; 1-2 per day)
how long does sensitization last
months, years (maybe permanent) -> neuroadpative alterations to circuitry mediating actions of drugs
what is cross-sensitization
repeated administration of drug #1 will later sensitize to effects of different drug (even if never taken it before)