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Factors regulating stress-induced alcohol-seeking and pharmacotherapeutic treatments: brief introduction and rationale.

机译:调节压力诱导的寻求酒精和药物治疗的因素:简介和基本原理。

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摘要

The central integration of stress responses and stress reactivity are critical factors in drug and alcohol abuse. A wealth of knowledge has been established regarding the identity of many factors implicated to act at the interface between stress and drug/alcohol seeking. For example, the extra-hypothalamic corticotrophin-releasing factor (CRF) system, in particular CRF_1 receptors within the central nucleus of the amygdala are validated as a genuine therapeutic target for the regulation of excessive alcohol seeking that characterizes the postdependent state (for a review see Heilig and Koob, 2007). Notably, with the exception of some specifically developed lines of alcohol-preferring rats (e.g., Ciccocioppo et al., 2006), it is only in the postdependent state that antagonism of amygdaloid CRF_1 receptors regulates alcohol seeking, suggestive of alcohol-induced neuroadaptation (e.g., Funk et al., 2006). Ongoing clinical trials will undoubtedly determine whether such promise translates into medical practice.
机译:压力反应和压力反应性的集中整合是药物和酒精滥用的关键因素。关于与压力和药物/酒精寻求之间的界面有关的许多因素的身份,已经建立了丰富的知识。例如,下丘脑外促肾上腺皮质激素释放因子(CRF)系统,特别是杏仁核中央核内的CRF_1受体已被确认为调节过量酒精的真正治疗靶标,该酒精表征后依赖状态(综述)参见Heilig和Koob,2007年)。值得注意的是,除了一些专门开发的酒精偏爱大鼠系(例如Ciccocioppo等人,2006年)以外,杏仁核CRF_1受体的拮抗作用仅在依赖后的状态下调节酒精寻觅,提示酒精诱导的神经适应(例如Funk等,2006)。正在进行的临床试验无疑将确定这种承诺是否会转化为医学实践。

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