Neurophysiology of Reward and Addiction Flashcards

1
Q

Reward prediction error

A
  • Dopaminergic neurons encode the mismatch b/w reward predicted and the info about the actual reward, then send this to brain regions involved in reward learning
    1. Positive prediction error - unpredicted reward elicits an activation (brain arousal)
    2. No response - fully predicted reward –> assigns value to reward itself rather than only noting when it occurred
    3. Negative prediction error - omission of a predicted reward induces depression
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2
Q

Drug vs natural reward

A
  • Repeated drug use causes repeated reward prediction error signals since the exogeneous compound elicits a larger and longer (5-10X) increase in extracellular [dopamine] in limbic regions than natural reinforcers (e.g. food and sex). These signals continue to reinforce drug-related cues and behaviors since we are unable to appropriately correct the reward prediction to this level
  • Natural rewards produce an error-correcting dopamine reward prediction error that signals until the predictions match the actual events
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3
Q

Reward prediction and salience

A
  • Salience = stimuli or environmental changes that are arousing or elicit an attentional-behavioral switch and it affects the motivation to seek anticipated reward + conditions learning –> drug-induced dopamine will motivate further drug procurement b/c salience and motivation to seek the drug becomes more powerful
  • Also leads to an increase in DA via sensory stimuli associated w/ drug or drug taking to elicit desire for drug –> risk of relapse when exposed to familiar environment
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4
Q

Dopamine-hypothesis of reward

A
  1. Activation of the ventral tegmental area when engaging in behavior/activity that results in reward
  2. Dopaminergic neurons from the ventral tegmental area project to the nucleus accumbens
  3. Dopamine inhibits nucleus accumbens –> decreased activity
  4. Decreased GABA released on the prefrontal cortex –> sensation of pleasure
  5. Nucleus accumbens projects back on to the ventral tegmental area and eventually releases GABA and dynorphin (acts through kappa-opioid receptors) to suppress the additional DA release from the VTA to halt reward process
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5
Q

main function of the nucleus accumbens

A
  • Suppress sensations of pleasure/reward via GABA projections to constitutively inhibit the prefrontal cortex –> reward-neutral state
  • Nucleus accumbens is constitutively activated by trickle of EAA from hippocampus, amygdala or prefrontal cortex
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6
Q

How does the ventral tegmental area become activated in reward pathway?

A

Upon engaging in behavior or activity that results in reward it can be activated by:

  1. EAA from pre-frontal cortex
  2. ACh from dorsal tegmental area
  3. Orexin from hypothalamus in consuming food
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7
Q

Dopamine-independent reward pathway

A
  • Exercise, ethanol, etc increase endogenous opioid at all lvls of the reward network via activation of mu-receptors w/in:
    1. Dopaminergic neurons in the ventral tegmental area –> inhibit local interneurons to ‘disinhibit’ DA neurons and allow for DA release
    2. Local interneurons in the nucleus accumbens to inhibit GABA neurons locally
    3. Prefrontal cortex
  • Net = profound sense of pleasure
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8
Q

Normal reward stimuli vs reward due to drugs of abuse: normal reward stimuli

A
  • Caused by release of dopamine from ventral tegmental area
  • Reinforces behaviors c/w health, longevity and don’t have immediate benefit
  • Reward = sense of pleasure
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9
Q

Normal reward stimuli vs reward due to drugs of abuse: drugs of abuse

A
  • Drugs enhance dopamine release from ventral tegmental area
  • Dopamine signal in nucleus accumbens is not proportional to stimuli (constant negative reward prediction error)
  • Reward = enhanced euphoria and exaggerated reward to an otherwise mild stimulus
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10
Q

Memory in reward/addiction: hippocampus

A

-Lasting memory created that associates rewarding feelings w/ circumstance/context and environment in which they occur (“conditioned associations”)

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11
Q

Memory in reward/addiction: amygdala

A
  • retrieval of fear memories

- mediates cravings

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12
Q

Memory in reward/addiction: ventral tegmental area

A

-signal prediction error b/w expected outcome and actual reward experienced

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13
Q

Memory in reward/addiction: substantia nigra & dorsal striatum

A

-motor response associated w/ navigating environment toward desirable cue w/ goal of engaging in activity that elicits reward

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14
Q

Memory in reward/addiction: orbitofrontal cortex

A

-when abuser encounters associated persons or things and then driven to make poor decisions or seek out more drugs in spit of obstacles

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15
Q

Memory mechanisms in reward/addiction

A
  • Persistent increase in synaptic strength following high-frequency stimulation of a chemical synapse –> requires repeated strong stimulation (Papez circuit)
    a. Short-term - increased phosphorylation of AMPA in post-synpatic membrane
    b. Longer term - activation of Ca2+-Calmodulin-CREB mechanism (LTP)
    c. Life long - signaling cascades involving deltaFosB and AP-1
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16
Q

Memory mechanisms in reward/addiction: CREB

A
  1. Stimulates production of dynorphin w/in the nucleus accumbens but acts for days-weeks and returns to normal lvls after cessation of reward stim
  2. Mediates physical dependency w/in locus ceruleus due to excessive noradrenergic output and CREB-dependent upregulation of structural proteins involved in learning and memory
17
Q

Memory mechanisms in reward/addiction: deltaFosB and AP-1

A
  • Lifelong implications/learning
  • Transcription factors that increase transcription/translation of:
    a. structural proteins
    b. EAA receptor expression
    c. Elements of cell signal transduction pathways
    d. Factors promoting drug seeking, motivation and locomotion
18
Q

Stress, memory and reward: nucleus accumbens

A
  • Assigns salience to certain stimuli and mediates decisions that seek a desirable or avoid an aversive situation
  • Acute stress, mediated by corticotrophin releasing factor, usually increases dopamine release in the nucleus accumbens in short term
  • Severe, chronic stress results in corticotrophin releasing factor-mediated dopamine release to result in aversive results –> switches emotional response to acute stressors due to divergent action of CRF1 vs CRF2 receptors in the nucleus accumbens