BRAIN BUILDUP CAUSES ADDICTION
by
WILLIAM McCALL
Cocaine may be one of the toughest addictions to cure because it
triggers a buildup of a protein that persists in the brain and
stimulates genes that intensify the craving for the drug, new
research suggests.
Scientists at the Yale School of Medicine were able to isolate
the long-lived protein, called Delta-FosB, and show that it
triggered addiction when released to a specific area of the brains
of genetically engineered mice.
The protein (pronounced fawz-bee) isn't produced in the brain
until addicts have used cocaine several times, or even for several
years. But once the buildup begins, the need for the drug becomes
overpowering and the user's behavior becomes increasingly
compulsive.
``It's almost like a molecular switch,'' said Eric Nestler, who
led the research. ``Once it's flipped on, it stays on, and doesn't
go away easily.''
The findings, to be published Thursday in the journal Nature,
were called ``elegant'' and ``brilliant'' by other researchers who
said it offered the first concrete proof that drug use triggers a
specific long-term change in brain chemistry.
The study indicates genetics is less a factor in addiction than
prolonged drug use, said Alan Leshner, director of the National
Institute on Drug Abuse, which funded part of the study.
``Your genes don't doom you to be an addict,'' Leshner said.
``They just make you more, or less, susceptible. We've never found
one gene that keeps you from being an addict, or one that dictates
you're going to be an addict.''
Nestler and his colleagues combined genetic and biochemical
research to isolate the Delta-FosB protein and the area of the
brain it affected, then did behavioral studies on the mice.
Once the level of Delta-FosB accumulates, it begins to regulate
genes that control a region of the brain called the nucleus
accumbens, an area involved in addictive behavior and pleasure
responses.
They speculated that Delta-FosB also activates other genes that
produce biochemical compounds called glutamates, which carry
messages in brain cells. Receptors in the brain cells become highly
sensitive to glutamate, particularly in the nucleus accumbens.
To test the theory, they inserted a gene associated with
glutamate into the nucleus accumbens of experimental mice. Those
mice showed a ``dramatic'' increase in cocaine sensitivity, they
reported.
``This is a major advance in our understanding of addiction,''
said Francis White, chairman of cellular and molecular pharmacology
at Finch University of Health Sciences in Chicago.
Other researchers were more cautious, noting that addiction is a
complex process in humans because it is linked to learning and
multiple chemical pathways in the brain.
``It's not clear to me that there's a separate molecular pathway
that's going to be assignable to drug abuse and not interfere with
other learning,'' said Gary Aston-Jones of the University of
Pennsylvania School of Medicine.
The craving for cocaine can be so powerful, a recovered addict
who has avoided the drug for years may start feeling his or her
heart race just by seeing something associated with drug use, such
as a $100 bill or a familiar street corner, Aston-Jones said.
``You want to knock out the memory for the drug but you don't
want to knock out the memory for the way home,'' he said.
Steve Hyman, director of the National Institute of Mental
Health, said the study also indicated the buildup of the Delta-FosB
protein might be a factor with other drugs, including amphetamine,
morphine, heroin and nicotine.
``This is an important stepping stone but there is a long road
to travel,'' Hyman said.
RDS
CREB
Opioids
Reward
Cocaine
Dopamine
Speedballs
Natural drugs
Drug addiction
Zero tolerance
Hedonic set-point
Mesolimbic dopamine
Addiction and reward
The nucleus accumbens
The pleasure and the pain
A vaccine against pleasure?

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