Reversing cocaine-induced synaptic potentiation provides enduring protection from relapse

Cocaine addiction remains without an effective pharmacotherapy and is characterized by an inability of addicts to inhibit relapse to drug use. Vulnerability to relapse arises from an enduring impairment in cognitive control of motivated behavior, manifested in part by dysregulated synaptic potentiat...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 2011-01, Vol.108 (1), p.385-390
Hauptverfasser: Moussawi, Khaled, Zhou, Wenhua, Shen, Haowei, Reichel, Carmela M, See, Ronald E, Carr, David B, Kalivas, Peter W
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container_title Proceedings of the National Academy of Sciences - PNAS
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creator Moussawi, Khaled
Zhou, Wenhua
Shen, Haowei
Reichel, Carmela M
See, Ronald E
Carr, David B
Kalivas, Peter W
description Cocaine addiction remains without an effective pharmacotherapy and is characterized by an inability of addicts to inhibit relapse to drug use. Vulnerability to relapse arises from an enduring impairment in cognitive control of motivated behavior, manifested in part by dysregulated synaptic potentiation and extracellular glutamate homeostasis in the projection from the prefrontal cortex to the nucleus accumbens. Here we show in rats trained to self-administer cocaine that the enduring cocaine-induced changes in synaptic potentiation and glutamate homeostasis are mechanistically linked through group II metabotropic glutamate receptor signaling. The enduring cocaine-induced changes in measures of cortico-accumbens synaptic and glial transmission were restored to predrug parameters for at least 2 wk after discontinuing chronic treatment with the cystine prodrug, N-acetylcysteine. N-acetylcysteine produced these changes by inducing an enduring restoration of nonsynaptic glutamatergic tone onto metabotropic glutamate receptors. The long-lasting pharmacological restoration of cocaine-induced glutamatergic adaptations by chronic N-acetylcysteine also caused enduring inhibition of cocaine-seeking in an animal model of relapse. These data mechanistically link nonsynaptic glutamate to cocaine-induced adaptations in excitatory transmission and demonstrate a mechanism to chronically restore prefrontal to accumbens transmission and thereby inhibit relapse in an animal model.
doi_str_mv 10.1073/pnas.1011265108
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subjects Acetylcysteine
Acetylcysteine - pharmacology
Adaptations
Addiction
Addicts
Animal models
Animals
Behavioral neuroscience
Biological Sciences
Chromatography, High Pressure Liquid
Cocaine
Cocaine-Related Disorders - drug therapy
Cognitive ability
Cortex (prefrontal)
Data processing
Drug abuse
Drug addiction
Drug therapy
Drug use
Glutamic Acid - metabolism
Glutamic acid receptors
Glutamic acid receptors (metabotropic)
Homeostasis
Homeostasis - drug effects
Homeostasis - physiology
Long-Term Potentiation - drug effects
Metabotropic glutamate receptors
Microdialysis
Motivation
Nucleus accumbens
Nucleus Accumbens - physiology
Patch-Clamp Techniques
Pharmacology
Potentiation
Prefrontal cortex
Prefrontal Cortex - physiology
prodrugs
Rats
Receptors, Metabotropic Glutamate - metabolism
Relapse
Secondary Prevention
Signal Transduction - drug effects
Signal Transduction - physiology
Synaptic transmission
Synaptic Transmission - drug effects
Vehicles
title Reversing cocaine-induced synaptic potentiation provides enduring protection from relapse
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