Limbic Activation to Cigarette Smoking Cues Independent of Nicotine Withdrawal: A Perfusion fMRI Study

Exposure to cigarette smoking cues can trigger physiological arousal and desire to smoke. The brain substrates of smoking cue-induced craving (CIC) are beginning to be elucidated; however, it has been difficult to study this state independent of the potential contributions of pharmacological withdra...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 2007-11, Vol.32 (11), p.2301-2309
Hauptverfasser: Franklin, Teresa R, wang, Ze, Wang, Jiongjiong, Sciortino, Nathan, Harper, Derek, Li, Yin, Ehrman, Ron, Kampman, Kyle, O'Brien, Charles P, Detre, John A, Childress, Anna Rose
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container_issue 11
container_start_page 2301
container_title Neuropsychopharmacology (New York, N.Y.)
container_volume 32
creator Franklin, Teresa R
wang, Ze
Wang, Jiongjiong
Sciortino, Nathan
Harper, Derek
Li, Yin
Ehrman, Ron
Kampman, Kyle
O'Brien, Charles P
Detre, John A
Childress, Anna Rose
description Exposure to cigarette smoking cues can trigger physiological arousal and desire to smoke. The brain substrates of smoking cue-induced craving (CIC) are beginning to be elucidated; however, it has been difficult to study this state independent of the potential contributions of pharmacological withdrawal from nicotine. Pharmacological withdrawal itself may have substantial effects on brain activation to cues, either by obscuring or enhancing it, and as CIC is not reduced by nicotine replacement strategies, its neuro-anatomical substrates may differ. Thus, characterizing CIC is critical for developing effective interventions. This study used arterial spin-labeled (ASL) perfusion fMRI, and newly developed and highly appetitive, explicit smoking stimuli, to examine neural activity to cigarette CIC in an original experimental design that strongly minimizes contributions from pharmacological withdrawal. Twenty-one smokers (12 females) completed smoking and nonsmoking cue fMRI sessions. Craving self-reports were collected before and after each session. SPM2 software was employed to analyze data. Blood flow (perfusion) in a priori -selected regions was greater during exposure to smoking stimuli compared to nonsmoking stimuli ( p
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The brain substrates of smoking cue-induced craving (CIC) are beginning to be elucidated; however, it has been difficult to study this state independent of the potential contributions of pharmacological withdrawal from nicotine. Pharmacological withdrawal itself may have substantial effects on brain activation to cues, either by obscuring or enhancing it, and as CIC is not reduced by nicotine replacement strategies, its neuro-anatomical substrates may differ. Thus, characterizing CIC is critical for developing effective interventions. This study used arterial spin-labeled (ASL) perfusion fMRI, and newly developed and highly appetitive, explicit smoking stimuli, to examine neural activity to cigarette CIC in an original experimental design that strongly minimizes contributions from pharmacological withdrawal. Twenty-one smokers (12 females) completed smoking and nonsmoking cue fMRI sessions. Craving self-reports were collected before and after each session. SPM2 software was employed to analyze data. Blood flow (perfusion) in a priori -selected regions was greater during exposure to smoking stimuli compared to nonsmoking stimuli ( p &lt;0.01; corrected) in ventral striatum, amygdala, orbitofrontal cortex, hippocampus, medial thalamus, and left insula. Perfusion positively correlated with intensity of cigarette CIC in both the dorsolateral prefrontal cortex ( r 2 =0.54) and posterior cingulate ( r 2 =0.53). This pattern of activation that includes the ventral striatum, a critical reward substrate, and the interconnected amygdala, cingulate and OFC, is consistent with decades of animal research on the neural correlates of conditioned drug reward.</description><identifier>ISSN: 0893-133X</identifier><identifier>EISSN: 1740-634X</identifier><identifier>DOI: 10.1038/sj.npp.1301371</identifier><identifier>PMID: 17375140</identifier><identifier>CODEN: NEROEW</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Behavioral Sciences ; Biological and medical sciences ; Biological Psychology ; Brain Mapping ; Brain research ; Cigarettes ; Conditioning, Operant - drug effects ; Conditioning, Operant - physiology ; Cues ; Drug withdrawal ; Female ; Humans ; Image Processing, Computer-Assisted - methods ; Limbic System - blood supply ; Magnetic Resonance Imaging ; Male ; Medical imaging ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuroimaging ; Neurosciences ; Nicotine ; Nicotine - adverse effects ; original-article ; Oxygen - blood ; Pharmacotherapy ; Psychiatry ; Psychology. 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Psychiatry ; Smoking ; Smoking - psychology ; Tobacco smoking ; Tobacco Use Disorder - physiopathology ; Tobacco Use Disorder - psychology ; Tobacco, tobacco smoking ; Toxicology</subject><ispartof>Neuropsychopharmacology (New York, N.Y.), 2007-11, Vol.32 (11), p.2301-2309</ispartof><rights>American College of Neuropsychopharmacology 2007</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Nov 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-95769f7962e75dbdb8adff0a22f6367426e0568da003eb3fbac9bb710c5591aa3</citedby><cites>FETCH-LOGICAL-c452t-95769f7962e75dbdb8adff0a22f6367426e0568da003eb3fbac9bb710c5591aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.npp.1301371$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.npp.1301371$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19171977$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17375140$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franklin, Teresa R</creatorcontrib><creatorcontrib>wang, Ze</creatorcontrib><creatorcontrib>Wang, Jiongjiong</creatorcontrib><creatorcontrib>Sciortino, Nathan</creatorcontrib><creatorcontrib>Harper, Derek</creatorcontrib><creatorcontrib>Li, Yin</creatorcontrib><creatorcontrib>Ehrman, Ron</creatorcontrib><creatorcontrib>Kampman, Kyle</creatorcontrib><creatorcontrib>O'Brien, Charles P</creatorcontrib><creatorcontrib>Detre, John A</creatorcontrib><creatorcontrib>Childress, Anna Rose</creatorcontrib><title>Limbic Activation to Cigarette Smoking Cues Independent of Nicotine Withdrawal: A Perfusion fMRI Study</title><title>Neuropsychopharmacology (New York, N.Y.)</title><addtitle>Neuropsychopharmacol</addtitle><addtitle>Neuropsychopharmacology</addtitle><description>Exposure to cigarette smoking cues can trigger physiological arousal and desire to smoke. The brain substrates of smoking cue-induced craving (CIC) are beginning to be elucidated; however, it has been difficult to study this state independent of the potential contributions of pharmacological withdrawal from nicotine. Pharmacological withdrawal itself may have substantial effects on brain activation to cues, either by obscuring or enhancing it, and as CIC is not reduced by nicotine replacement strategies, its neuro-anatomical substrates may differ. Thus, characterizing CIC is critical for developing effective interventions. This study used arterial spin-labeled (ASL) perfusion fMRI, and newly developed and highly appetitive, explicit smoking stimuli, to examine neural activity to cigarette CIC in an original experimental design that strongly minimizes contributions from pharmacological withdrawal. Twenty-one smokers (12 females) completed smoking and nonsmoking cue fMRI sessions. Craving self-reports were collected before and after each session. 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The brain substrates of smoking cue-induced craving (CIC) are beginning to be elucidated; however, it has been difficult to study this state independent of the potential contributions of pharmacological withdrawal from nicotine. Pharmacological withdrawal itself may have substantial effects on brain activation to cues, either by obscuring or enhancing it, and as CIC is not reduced by nicotine replacement strategies, its neuro-anatomical substrates may differ. Thus, characterizing CIC is critical for developing effective interventions. This study used arterial spin-labeled (ASL) perfusion fMRI, and newly developed and highly appetitive, explicit smoking stimuli, to examine neural activity to cigarette CIC in an original experimental design that strongly minimizes contributions from pharmacological withdrawal. Twenty-one smokers (12 females) completed smoking and nonsmoking cue fMRI sessions. Craving self-reports were collected before and after each session. SPM2 software was employed to analyze data. Blood flow (perfusion) in a priori -selected regions was greater during exposure to smoking stimuli compared to nonsmoking stimuli ( p &lt;0.01; corrected) in ventral striatum, amygdala, orbitofrontal cortex, hippocampus, medial thalamus, and left insula. Perfusion positively correlated with intensity of cigarette CIC in both the dorsolateral prefrontal cortex ( r 2 =0.54) and posterior cingulate ( r 2 =0.53). This pattern of activation that includes the ventral striatum, a critical reward substrate, and the interconnected amygdala, cingulate and OFC, is consistent with decades of animal research on the neural correlates of conditioned drug reward.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>17375140</pmid><doi>10.1038/sj.npp.1301371</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Behavioral Sciences
Biological and medical sciences
Biological Psychology
Brain Mapping
Brain research
Cigarettes
Conditioning, Operant - drug effects
Conditioning, Operant - physiology
Cues
Drug withdrawal
Female
Humans
Image Processing, Computer-Assisted - methods
Limbic System - blood supply
Magnetic Resonance Imaging
Male
Medical imaging
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Neuroimaging
Neurosciences
Nicotine
Nicotine - adverse effects
original-article
Oxygen - blood
Pharmacotherapy
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Smoking
Smoking - psychology
Tobacco smoking
Tobacco Use Disorder - physiopathology
Tobacco Use Disorder - psychology
Tobacco, tobacco smoking
Toxicology
title Limbic Activation to Cigarette Smoking Cues Independent of Nicotine Withdrawal: A Perfusion fMRI Study
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