期刊
BIOLOGICAL PSYCHIATRY
卷 84, 期 3, 页码 180-192出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.biopsych.2017.08.018
关键词
Addiction; Glutamate; PAMs and NAMs; Positive and negative allosteric modulators; Relapse; Self-administration
资金
- Intramural Research Program of the National Institute on Drug Abuse and Sapienza University of Rome
- NATIONAL INSTITUTE ON DRUG ABUSE [ZIADA000434] Funding Source: NIH RePORTER
Results from preclinical rodent studies during the last 20 years implicated glutamate neurotransmission in different brain regions in drug self-administration and rodent models of relapse. These results, along with evidence for druginduced neuroadaptations in glutamatergic neurons and receptors, suggested that addiction might be treatable by medications that inhibit glutamatergic responses to drugs of abuse, drug-associated cues, and stressors. This idea is supported by findings in rodent and primate models that drug self-administration and relapse are reduced by systemic injections of antagonists of ionotropic glutamate receptors or metabotropic glutamate receptors (mGluRs) or orthosteric agonists of mGluR2/3. However, these compounds have not advanced to clinical use because of potential side effects and other factors. This state of affairs has led to the development of positive allosteric modulators (PAMs) and negative allosteric modulators (NAMs) of mGluRs. PAMs and NAMs of mGluRs, either of which can inhibit evoked glutamate release, may be suitable for testing in humans. We reviewed results from recent studies of systemically injected PAMs and NAMs of mGluRs in rodents and monkeys, focusing on whether they reduce drug selfadministration, reinstatement of drug seeking, and incubation of drug craving. We also review results from rat studies in which PAMs or NAMs of mGluRs were injected intracranially to reduce drug self-administration and reinstatement. We conclude that PAMs and NAMs of mGluRs should be considered for clinical trials.
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