Neurophysiology Of Reward And Addiction Flashcards

1
Q

What does reward drive?

A

incentive based learning, appropriate response to stimuli, and development of goal directed behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What NTR plays a key role in processes modulating reward seeking behaviors?

A

Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does dopamine arrive at the hypothalamus?

A

a. Medial forebrain bundles carries dopaminergic fibers from vetnral tegmental area (VTA) of midbrain to Nucleus Accumbens
b. All structures —> hypothalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where else do VTA projections go and influence?

What will this cause?

A

hippocampus, amygdala, and prefrontal cortex

Prefrontal cortex —> feedback to VTA (directly or thru nucleus accumbens)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What initiatives the Neuroendocrine and visceral response to reward?

A

Hypothalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is motivation in human behavior?

A

◦ Process that mediates goal-directed responses or goal-seeking behavior to changes in external or internal environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is reinforcement in human behavior?

A

consequence of learned behaviors that alters probability that a behavior will or will not be repeated under similar conditions each time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Saliency?

A

◦ Impt. Thing in surrounding environment worth paying attention to

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a reward for human behavior?

A

◦ Objects, stimuli, or activities that have positive value

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is aversion in human behavior ?

A

◦ Negative reinforcement of behavior - teaches individual to avoid future encounters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is pleasure in human behavior?

What is the physiologic purpose of it?

A

◦ Positive sensation; referred to as euphoria or hedonia

◦ Physiologic purpose:
‣ Promote behaviors consistent w/ survival of self and the species

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a Reward Prediction error?

A

Measure of how much the expected value of a reward differs from the actual reward being received.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is a positive reward prediction error result from?

A

When an unanticipated reward is received

if one predicts a minimal reward, yet experiences a larger reward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When would a negative reward prediction error occur?

What is this associated with?

A

when a reward is expected, yet a minimal reward is received

Depressive response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When would the Reward Prediction Error not be activated?

A

If a reward is anticipated and an equally stimulating reward is received, (aka, a fully predicted reward is received)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What type of RPE will drug use initially cause?

A

Positive RPE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What happens with Repeated Drug use in terms of RPEs?

A

the repetition of these reward prediction error signals the reinforcement of continued drug-released consumption (or exposure to drug-related cues, behaviors, and environments).

These unnatural exposures set up the brain for a reward prediction error that learns over time to formulate better predictions of the future.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What encodes for the difference between reward received and predicted (aka the RPE)?

A

Dopamine

involved in the prediction of reward, assignment of salience, and behavioral learning that occurs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does the extracellular dopamine released in the Limbic systems and other reward centers by drugs of abuse do?

A

motivates further procurement of more drug

(regardless of whether or not the effects of the drug are consciously perceived to be pleasurable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When do natural re-enforcers of reward cease dopamine signaling?

Compared to Drugs of Abuse?

A

once the activity/event concludes.

drugs of abuse continue to increase dopamine signaling unnaturally after event is done.
exacerbates the reward prediction error compared to a natural RPE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What will natural rewards produce?

A

Error correcting Dopamine-RPE signals

Will act until predictions match actual events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

When given a choice between event leading to drug and event leading to natural reward what will an individual exposed to a Drug of Abuse do?

A

Develop bias toward drug that will strengthen with each drug use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How do Drugs of Abuse reinforce their use?

A

increase Extracellular dopamine concentration in Limbic regions (incl. Nucleus Accumbens)
◦ Increase it for longer and larger (5-10 fold) than natural rewards (food or sex)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which drugs of abuse increase dopamine directly? How?

A

Cocaine, amphetamine, methamphetamine, and ecstasy

Inhibit DA reuptake
Promote DA release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What drugs of abuse indirectly modulate dopamine levels? | How?
Nicotine Alcohol Opiates Marijuana Via other neuron receptors
26
What predictions are Dopamine involved in?
Reward and Salience
27
What is salience?
stimuli or environmental changes that are arousing or elicit an attentional behavioral switch
28
How does dopamine facilitate seeking behavior thru Conditioned learning?
drugs —> increase DA —> motivate further procurement of more drugs (bc of salience, i.e. arousal) will drive you to situation where sensory stimuli (assoc. w/ drug or w/ drug taking) can lead to increase dopamine and elicit desire for drug = environment where you had drug or stimuli where you had drug, will increase Dopamine and lead to desire for drug
29
Why will a person relapse when placed in an environment similar to where they had previously taken a drug?
environment where you had drug or stimuli where you had drug, will increase Dopamine & lead to desire for drugs = relapse
30
What does the Mesolimbic system network contain?
Nucleus Accumbnes (NA) Ventral Tegmental Area (VTA) Limbic system Pre-frontal cortex (PFC)
31
What NTR does the mesolimbic system primarily use?
Dopamine
32
What other systems also use DA?
Nigrostriatal system Mesocortical system Tuberoinfindibular system
33
What other NTRs are used by the Mesolimbic system besides DA?
``` ‣ GABA ‣ Opioids ‣ Excitatory amino acids (EAA: glutamate) ‣ Dynorphins ‣ Orexin ```
34
What is the basic circuit of the Mesolimbic system? Resutls in?
Nucleus accumbens —> Pre frontal cortex = absents of pleasure
35
How does the Nucleus Accumbens supresses the sensation of pleasure
NA always active via trickle of EAAs from hippocampus, amygdala or PFC NA neurons = GABAeric —> PFC, inhibit it Keeps brain in reward neutral state = no pleasure
36
What kind of neurons are Nucleus Accumbens? What is their target?
GABA-ergic PFC
37
When an action elicits a reward, what region of the Mesolimbic system becomes active?
Ventral tegmental Area
38
When a reward activates the VTA, what happens?
VTA inhibits NA which then can no longer inhibit PFC
39
How does the VTA inhibit NA?
VTA —> DA to NA DA inhibits NA neurons NA activity decreases = no GABA to PFC Pleasure can be sensed
40
What is the “Reward circuit”? Allows for what?
VTA —> NA Allows for presence of pleasure
41
What is the Reward Feedback circuit?
Projections from NA back to VTA NA will release GABA, inhibit VTA NA also releases Dynorphin, causes dysphoria Suppresses DA release from VTA = halts reward process
42
What is Dynorphin? What will it bind? What will it cause?
An opioid released by NA at VTA Binds Kappa Receptor in VTA Causes dysphoria
43
What does the dopamine hypothesis of reward postulate?
that the actions of drugs of abuse are rewarding as a consequence of activation of dopamine in the mesolimbic dopamine system DA from DRUGS —> NA —> PFC can be activated ====pleasure
44
What is Does the Dopamine Independent reward pathway use? Receptors? Result?
Uses endogenous opioids Activates mu receptors Profound sense of pleasure
45
What are endogenous opioids? Where do they increase signaling?
Exercise, ethanol, other activities Increase signaling at all levels of reward network (VTA, NA, and PFC)
46
What will activation of Mu receptors by endogenous opioids cause?
Activation of DA neurons Activation of local interneurons in NA, inhibiting local GABA neurons Activation of PFC itself
47
How are dopamine neurons activated in the VTA?
Thru inhibition of local VTA interneurons that normally suppress DA activity
48
What is the purpose of Normal Reward Stimuli?
Reinforce behaviors consistent with health, longevity, and otherwise don’t seem to have an immediate benefit
49
What is the reward gained by normal reward stimuli/
Sense of pleasure that is derived
50
What is the reward gained due to Drugs of abuse?
Enhanced euphoria and exaggerated reward to an otherwise mild stimulus
51
How does chronic drug exposure alter the morphology of neurons in DA regulated circuits?
alter expression of transcription factors (nuclear proteins that bind to regulatory regions of genes, regulating transcription into mRNA) & alter wide variety of proteins
52
What NTRs can be altered due to Chronic drug exposure?
dopamine, glutamate, GABA, opioids, serotonin, and various Neuropeptide
53
Where do we see abnormal NTR levels in the mesocortical region of the brain?
Orbitofrontal center Cingulate gyrus
54
What is the Orbitofrontal cortex involved in?
Compulsive behavior
55
What is teh cingulate gyrus involved in?
Regulation of disinhibition
56
What is the role of the hippocampus?
creates lasting memories associating good feeling w/ circumstance and environment they occurred in
57
How do Memories facilitate addiction?
Memories are conditioned associated that use same circuits that mediates craving (amygdala) So when abuser sees person/thing they are driven to make poor decision or seek our more drugs in spite of obstacles because they are CONDITIONED
58
What are the mechanisms for learning and memory?
‣ Persistent increase in synaptic strength following high-frequency stimulation of chemical synapse ‣ Requires repeated strong stimulation * Increased phosphorylation of AMPA receptors and more AMPA receptors on post-synaptic membrane * Will lead to activation of Ca-Calmodulin CREB mechanism
59
What is CREB?
◦ cAMP Response-Element Binding Protein targeting CRE (cAMP response elements)
60
What is the target of CREB within the NA?
Dynorphin DNA | Previously shut down pleasure
61
What is the target of CREB in locus ceruleus?
Target genes in locus ceruleus —> increase NE output —> Physical dependency
62
What are the two targets of CREB in reward pathways/
NA | Locus ceruleus
63
What is the purpose of CREB in the Locus ceruleus?
Mediate physical dependency
64
What is the acting limit of CREB?
Short acting Will return to normal when you stop using drug
65
What upregulates FosB and AP-1?
Stress and drugs of abuse
66
What will upregulation of FosB and AP-1 cause?
Upregulated expression of ‣ EAA REceptor expression (AMPA/NMDA) ‣ Elements of cell signal transduction pathways ‣ Factors promoting drug, seeking, motivation, locomotion
67
What is the acting period for TF’s FosB and AP-1?
Mos. Or years
68
What is AP-1?
Dimer formed by Fos/Jun interactions
69
What can large increases in Dopamin induce?
Conditioned learning
70
What will the conditioned learning induced from large DA increase from drugs cause?
Large,fast, short lived increase of DA in VTA to NA that reflect EXPECTATION of reward
71
How does this learned conditioning in drug users differ from natural reinforcers?
Natural reinforcers: DA firing stop when event stops Drug conditioned learning = continued increase in DA release
72
What are the conditioned responses induced by Drugs?
◦ Provide powerful cues to drug taking in social situation ◦ Drug associated cues: person who they took drug with, or drug paraphernalia ‣ Elicit drug urges and physiologic responses (sympathetics activation) ‣ Activates reward circuits in addicted human subjects
73
What does fear conditioning in terms of drug withdrawal cause? Leads to?
Fear drug withdrawal symptoms Learn that drug can resist these effects Leads to any source of stress or frustration becoming cue for drug use
74
What is fear conditioning?
‣ Learned behavior assoc. with something unpleasant or aversive
75
How does DA alter conditions thru which fear occurs?
Thru the association itself and the expression of memory Due to DA receptors and signaling cascades in different regions of brain
76
In a non-addicted brain, what will the arousal to a substance be? How do conditioned cues affect it?
Salience and substance cues = low (Brain inhibits it) Little to no influence on salience of drug subst.
77
In a non-addicted brain, will salience to natural rewards or to drugs be higher?
Natural rewards
78
In an Addicted brain, how does the addictive substance influence salience and cues? What will an addicted brain do to the PFC?
Cues and saliency toward substance = HIGH Will override PFC’s control of behavior
79
In an addicted brain, what has more saliency: natural rewards or substance?
Substance of abuse
80
What is the role of amygdala?
Retrieval of fear memories
81
What does the VTA signal?
Signals prediction error b/w expected outcome and actual reward experience thru DA
82
What does the NA assign and mediate?
Assigns arousal to certain stimulus Mediates decision to seek or avoid situation
83
What does acute stress cause?
Corticotrophin releasing factor Will increase DA release in NA for a short term
84
What does the short increase in DA cause during acute stress?
Causes reward experienced during times of acute stress to have more significance (e.g. I eat chocolate ice cream when I’m stressed and it helps me feel better compared to eating chocolate ice cream when I am happy and calm)
85
What does prolonged, chronic, severe stress do to the reward system?
Erodes the reward-process
86
Why does chronic stress present differently than acute?
CRF —> CRF1 and F2 subtypes receptors in NA —> DA release —> associates DA with aversive things Messes up reward-process pathway
87
What does the hippocampus provide?
place and direction-contextual info about environment where stimuli is expereinced
88
What is the role of Substantia Nigra and DOrsal Striatum with reward-pathway?
‣ facillitates motor response assoc. w/ navigating environment toward desirable cue • W/ goal of engaging in activity that elicits reward
89
How can you treat withdrawal symptoms?
Act on Noradrenergic neurons in the locus ceruleus w/ a receptor agonist
90
What is physical dependence on a drug due to?
Excess NE output from locus ceruleus (involves CREB dependent upregulation of target genes in locus ceruleus)
91
What does salience do?
Heightens perception and focuses attention toward particular sights, sounds, and smells associated w/ rewards
92
What triggers salience? How does one experience salience?
Encounters w/ reward-related cues Surges of motivation
93
What is ANhedonia?
Lack of interest in something No longer liking something that was previously lived
94
What 3 things does reward involve?
1) hedonic “Liking” effect of pleasure 2) motivation to obtain reward bc of its value 3) associated learning
95
What is the NTR from the PFC(!) to the Nucelus Accumbens?
EAAs Glutamate!
96
How can you treat withdrawal symptoms?
Act on Noradrenergic neurons in the locus ceruleus w/ a receptor agonist
97
What is physical dependence on a drug due to?
Excess NE output from locus ceruleus (involves CREB dependent upregulation of target genes in locus ceruleus)
98
What does salience do?
Heightens perception and focuses attention toward particular sights, sounds, and smells associated w/ rewards
99
What triggers salience? How does one experience salience?
Encounters w/ reward-related cues Surges of motivation
100
What is ANhedonia?
Lack of interest in something No longer liking something that was previously lived
101
What 3 things does reward involve?
1) hedonic “Liking” effect of pleasure 2) motivation to obtain reward bc of its value 3) associated learning
102
What is the NTR from the PFC(!) to the Nucelus Accumbens?
EAAs Glutamate!