Reward And Addiction Flashcards

1
Q

What is motivation?

A

A process that mediates goal directed responses or goal seeking behavior to changes in the external or internal environment

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2
Q

What is reinforcement?

A

The consequences of operant (learned) behaviors that alters the probability that a behavior will be repeated under similar conditions each time

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3
Q

What is salience?

A

Something important in the surrounding environment worth paying attention to
The attention grabbing feature of rewarding objects (think of it as wanting)

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4
Q

Describe salience

A

Heightens perception and focuses attention toward the particular sights, sounds and smells associated with these rewards in a way that normally promotes well being and survival
Typically triggered by encounters with reward related cues and experienced as surges of motivation to obtain and consume the reward that can last beyond the time the individual is exposed to the cue
Something having salience = something has value to the individual so that they want it

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5
Q

What is reward?

A

Involves hedonic effect of pleasure, motivation to obtain the reward because of its value (salience) and associated learning

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6
Q

What is aversion?

A

A negative reinforcement of behavior that the individual will learn to avoid in future encounters

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7
Q

What is pleasure/hedonia?

A

A subjectively positive sensations often referred to as euphoria or hedonia
Think of it as liking

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8
Q

What is anhedonia?

A

Lack of interest in something (no longer liking something you used to)

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9
Q

What is the physiologic purpose of pleasure?

A

To promote behaviors that are consistent with survival of self and the species

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10
Q

What is reward prediction error (RPE)?

A

Mismatch between events and reward elicited
An unpredicted reward elicits an activation (positive prediction error)
A fully predicted reward elicits no response
Omission of a predicted reward induces a depression (negative prediction error)

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11
Q

Dopaminergic neurons encode the discrepancy between what?

A

Reward predictions and information about the actual reward received and broadcast this signal to downstream brain signals involved in reward learning

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12
Q

Describe drugs of abuse

A

Increase extracellular dopamine concentrations in limbic regions including the NA
Drugs of abuse provide longer and large increases in dopamine than natural reinforcers like food and sex
Some drugs increase dopamine directly (ex. Cocaine, amphetamine, meth and ecstasy)
Other drugs work indirectly via other neuron receptors that modulate dopamine levels (ex. Nicotine, alcohol, opiates and marijuana)

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13
Q

What are the important brain regions for reward and addiction?

A

The mesolimbic system such as NA, ventral tegmental area (VTA), prefrontal cortex (PFC), limbic system

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14
Q

What is the main function of the nucleus accumbens (NA)?

A

To suppress sensations of pleasure/reward

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15
Q

Describe the nucleus accumbens

A

Is constitutively activated by a constant trickle of EAA like glutamate from the hippocampus, amygdala, or even the PFC
NA neurons are GABAergic meaning that activation of these neurons stimulate them to release GABA upon their target and inhibit it
Inhibit the PFC which keeps the brain in a reward neutral state (no pleasure)

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16
Q

What is the reward circuit?

A

When you do something that elicits a reward the VTA becomes activated which inhibits the NA

  1. DA neurons from the VTA project to the NA
  2. DA is released into the NA and inhibits its neurons
  3. NA activity decreases
  4. Decreased NA activity results in sensation of pleasure
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17
Q

What is the VTA activated by?

A

Upon engaging in a behavior or activity that results in reward the VTA is activated by EAA, orexin or ACh
These NTs may arise from the PFC (EAA), other tegmental nuclei like the dorsal tegmental area (ACh) or in the case of consumption of food from the hypothalamus (orexin)

18
Q

What is the reward feedback circuit?

A

There exist projections from the NA back to the VTA and in this case GABAergic neurons from the NA project back into the VTA where they inhibit it
In addition to releasing GABA the NA neurons also release a co-transmitter called dynorphin (an opioid that binds to kappa-opioid receptor in the VTA)
Together the GABA and dynorphin function to suppress additional release of dopamine from the VTA as a means to halt the reward process

19
Q

What is the dopamine hypothesis of reward?

A

Together the inactivation of the NA via dopaminergic neurons from the VTA is termed the dopamine hypothesis of reward
Many drugs of abuse activate the mesolimbic DA system and the associated hedonic effect is a result

20
Q

What is the dopamine independent reward pathway?

A

Also activates the reward pathway
Exercise, ethanol and other activities increase endogenous opioid signaling at all levels of the reward network including the VTA, NA and PFC

21
Q

How do exercise, ethanol and other activities elicit the dopamine independent reward pathway?

A

Via activation of mu receptors they activate
1. DA neurons in the VTA via inhibiting local VTA interneurons that would normally suppress DA activity therefore opioids disinhibition DA neurons
2. Local interneurons in the NA which inhibit the GABAergic neurons locally
3. The PFC itself
The net result is a profound sense of pleasure or even euphoria

22
Q

Describe normal reward stimuli

A

Due to release of dopamine from VTA
Purpose is to reinforce behaviors consistent with health, longevity and otherwise done seem to have an immediate benefit
The reward for these behaviors is the sense of pleasure that is derived

23
Q

Describe rewards due to drugs of abuse

A

Manny drugs enhance dopamine release from VTA
Dopamine signal in the NA is not proportional to stimuli
The reward for this is enhanced euphoria and exaggerated reward to an otherwise mild stimulus

24
Q

What role does the hippocampus have?

A

A lasting memory is crated that associates rewarding feelings with the circumstance and environment in which they occur called conditioned associations

25
Q

What is the role of the amygdala?

A

Mediates craving

26
Q

What is the role of the orbitofrontal cortex?

A

When the abuser encounters the associated persons or things and is then driven to make poor decisions or seek out more drugs in spite of obstacles

27
Q

Describe the memory mechanisms in reward and addiction

A

A persistent increase in synaptic strength following high frequency stimulation of a chemical synapse
Requires repeated strong stimulation
Short term: increased phosphorylating of AMPA receptors in the post synaptic membrane
Longer term: activation of the Ca-calmodulin CREB mechanism
Life long: signaling cascades involving delta-FosB and AP1

28
Q

What is the role of CREB in the NA?

A

Calmodulin-Ca —> cAMP —> CREB —> activates gene targets for dynorphin
Fairly short acting (days-weeks) and returns to normal levels after cessation of rewarding stimulus

29
Q

What is the role of CREB in the locus ceruleus?

A

Mediates physical dependency
Due to excessive noradrenergic output from the LC (involved in arousal and vigilance) and CREB-dependent upregulation of target genes in LC
Calmodulin-Ca —> cAMP —> CREB —> targets structural proteins involved in learning and memory

30
Q

What role do TFs delta-FosB and AP1 have?

A

Lifelong implications
Drugs of abuse, chronic stress and other factors —> signaling cascades —> activation of delta-FosB and AP1 —> targets structural proteins, EAA receptor expression, elements of cell signal transduction pathways and factors promoting drug seeking motivation, and locomotion

31
Q

What gene and epigenetic expression changes do the TFs delta-FosB, AP1 and CREB result in?

A
BDNF (promotes neuron growth) 
Cytoskeleton structural proteins 
Synapse and growth formation 
Enzymes for NT synthesis 
NT receptors
32
Q

What is the role of the NA in memory, fear, stress and reward?

A

Assignment of salience of certain stimuli and mediate decisions that seek a desirable or avoid an aversive situation

33
Q

Acute stress (corticotrophin releasing factor (CRF)) usually increases what?

A

Dopamine release in the NA in the short term

34
Q

Severe chronic stress results in CRF inducing a what?

A

Dopamine release that was once associated with pleasurable results switches to aversive results
This switches the emotional response to acute stressors
Due to the divergent action of CRF1 vs CRF2 subtype receptors in the NA

35
Q

What is the role of the VTA in terms of memory, fear, stress and reward?

A

Signals prediction error between expected outcome and actual reward experienced

36
Q

What is the role of the hippocampus in terms of memory, fear, stress and reward?

A

Provides place and direction contextual information about environment in which stimuli is experienced

37
Q

What is the role of the substantia nigra and dorsal striatum in terms of memory, fear, stress and reward?

A

Motor response associated with navigating the environment toward a desirable cue with the goal of engaging in the activity that elicits reward

38
Q

What is the role of the amygdala in terms of memory, fear, stress and reward?

A

Retrieval of fear memories

39
Q

Describe the non addicted brain

A

The saliency of substances (the things to which one is not addicted) and substance cues should be low because the brain inhibits the drive to seek such substances
Conditioned cues have little or no influence on the saliency of drug substances
The saliency of natural rewards greatly overrides the saliency of drugs

40
Q

Describe the addicted brain

A

The saliency of substances (the thing to which one is addicted) and substance related cues is increased
This overrides the PFC’s control of behavior
The PFC can no longer inhibit the drive to seek substances
Conditioned cues reinforce the saliency of substances further increasing substance seeking behavior
The saliency of substances overrides the saliency of natural rewards which no longer influence behavior