L6: Neurobiology of Addiction Flashcards

(21 cards)

1
Q

What neurotransmitter is central to addictive behaviors?

A

Dopamine

Dopamine plays a crucial role in reward learning and motivation.

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2
Q

What is the role of dopamine in the brain?

A

Involved in:
* Reward (motivation)
* Motor regulation
* Reward processing
* Compulsion
* Emotion and cognition
* Goal-directed behaviour

These functions highlight dopamine’s importance in various mental processes.

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3
Q

What is the nigrostriatal pathway associated with?

A

Motor regulation

It originates from the Substantia nigra and is impaired in Parkinson’s disease.

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4
Q

What does the mesolimbic pathway process?

A

Reward, pleasure, reinforcement learning

Primary reward pathway

It connects the Ventral tegmental area (VTA) to the Nucleus accumbens (NAc)

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5
Q

What happens to the mesolimbic pathway when a reward or cue is presented?

A

Dopamine spikes

This response is crucial for reinforcement learning and addiction.

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6
Q

How do addictive drugs affect the mesolimbic pathway?

A

Addictive drugs (e.g. cocaine, heoin, nicotine) artificially activate this pathway by:
* Increasing dopamine release
* Blocking reuptake

Frequent exposure leads to stronger cravings and habit formation.

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7
Q

What is the mesocortical pathway linked to?

A

Cognition, motivation, emotion regulation

  • Linked to executive function (decision making, impulse control)
  • Dysfunction of this pathway results in impaired control over compulsive behaviours
  • ADHD and schizophrenia linked to this pathway

It connects the VTA to the prefrontal cortex

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8
Q

What is the function of the Ventral Tegmental Area (VTA)?

A

Origin of the mesolimbic and mesocortical dopamine pathways

Contains 50-60% of the neurons that feed into these pathways

It plays a central role in reward learning and goal-driven behavior.

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9
Q

What occurs in dopamine neurons before and after conditioning?

A

Before: Dopamine spikes when reward is delivered
After: Dopamine increases at the cue/ anticipation of the reward, not the reward
No reward after cure: decreased dopamine firing

This supports the concept of operant conditioning - positive and negative reinforcement

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10
Q

What are the key components of the addiction cycle?

A

Too much reward (dopamine) → fewer receptors → less pleasure (anhedonia) → increased craving/use → addiction

  • Too much reward - dopamine is overstimulated e.g. due to drugs
  • Brain tries to restore balance by downregulating dopamine receptors

This cycle explains the neurobiological basis of addiction.

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11
Q

What happens when dopamine receptors are downregualted

A
  • Tolerance (need more for same effect)
  • Anhedonia (reduced ability to feel pleasure)
  • Craving and compulsive drug-seeking (core features of addiction)
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12
Q

How does dopamine sensitivity relate to personality traits?

A

Linked with:
* Extraversion
* Sensation-seeking
* Impulsivity

These traits may influence vulnerability to addiction.

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13
Q

What does the COMT enzyme do?

A

Breaks down dopamine

  • Individual variation in dopamine metabolism
  • Genetic vulnerability to addiction due to enzyme differences
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14
Q

What is the Endorphins Theory in exercise addiction?

A

Assumes intense exercise increases endorphins → euphoria

This theory has limitations, such as endorphins not crossing the blood-brain barrier.

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15
Q

What does the Endocannabinoid Theory suggest about exercise addiction?

A

Runner’s high may be due to endogenous cannabinoids and therefore related to reward expectation and reduction of stress (reinforcemnt)
* These influence reward and pain reduction
* Not physically addictive but reinforce the running behaviour

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16
Q

What neurobiological similarities exist between Internet Gaming Disorder and other addictions?

A
  1. Activation in brain regions associated with reward (especially dopamine-related areas)
  2. Reduced activity in impulse control areas and impaired decision-making
  3. Reduced functional connectivity in brain networks that are involved in cognitive control, executive function, motivation, and reward
  • Neuroimaging evidence shows similar results to drug-abuse research
  • Video game-playing stimuli activate the brain similarly to activation by drug cues

These similarities highlight how gaming can activate similar brain regions as substance addictions.

17
Q

What structural brain changes are observed in alcoholics?

A

Shrinkage in some studies, but not universally seen

Changes may depend on nutrition and other factors.

18
Q

What are the behavioral manifestations of alcohol consumption?

A

1-2 drinks: Increased euphoria and reduction in anxiety
3-5 drinks: Impaired judgment and motor coordination
10-13 drinks: Sedation
More: Memory impairment, loss of consciousness, coma, death

These effects demonstrate the range of alcohol’s impact on behavior.

19
Q

How does alcohol affect neurotransmitters in the brain?

A
  • Increases dopamine – stimulates pleasure centres and functions in positive reinforcement
  • Decreases serotonin – behavioural inhibitor – increased impulsivity and aggressiveness
  • Stimulates Opiate neuropeptide release (increases endorphins) – pleasure effects, stimulates further drinking
20
Q

How does excessive sugar intake affect dopamine?

A

Activates dopamine release in VTA and sensitises dopamine receptors

This can lead to compulsive sugar consumption similar to drug addiction.

21
Q

What are the key takeaways regarding dopamine’s role in addiction?

A

Dopamine plays a central role in:
* Addiction and reward expectation
* Affecting dopaminergic, opioidergic, and GABAergic systems
* Similar activation patterns in alcohol, sugar, and behavioral addictions

Understanding these mechanisms can explain varying vulnerability to addiction.