Substance Abuse
Effects of withdrawal linked to compulsive drug use and craving
By Scripps Research Institute
Jun 3, 2006, 01:00

This research fills many gaps in our understanding of how the brain changes during drug addiction. While scientists had previously shown that drugs such as heroin stimulate the brain's pleasure centers and thereby motivate drug consumption, the role of withdrawal-associated inhibitory effects on brain pleasure centers in motivating drug intake had been more difficult to quantify.

"This is a missing piece of the puzzle that scientists have been interested in for many years," Kenny said. "Withdrawal was important anecdotally, but there had been no solid empirical data demonstrating an instrumental role of withdrawal in addiction-like behaviors."

Kenny and colleagues now provide strong evidence that withdrawal contributes to the development of compulsive drug consumption in addicts. During the study, rodents were permitted to self-administer various levels of heroin. Those receiving the highest levels showed withdrawal-like decreases in the activity of the brain's reward systems. Crucially, as this withdrawal effect got worse, their drug intake became greater.

"As levels of drug consumption increase, the withdrawal state becomes more profound," Kenny said. "Taking more of the drug alleviates withdrawal, but also makes the underlying condition worse. You set up a vicious cycle where you're taking more of the drug to relieve a progressively worsening withdrawal."

Importantly, the researchers also identified a previously unknown source of drug craving, provoked by stimuli linked to withdrawal through Pavlovian conditioning. In the study, cues in the environment-a buzzer and light-repeatedly paired with drug withdrawal by themselves came to precipitate a withdrawal-like state and to prompt drug seeking.

"Through classical conditioning, these cues alone could precipitate drug-seeking behaviors," said Kenny. "Thus, in addition to memories of the pleasurable effects of drugs, memories of aversive drug withdrawal may also drive drug craving and relapse."

This line of research has the potential to aid in the development of new therapies for addiction. "If we understand the underlying biology, we may be able to block it to eliminate craving and prevent relapse among drug addicts," Kenny said.

All rights reserved by www.rxpgnews.com