Neuropharmacology of Craving & Relapse
Neuropharmacology of Craving & Relapse
Naturally rewarding stimuli such as food and social interaction increase the activity of dopamine cells within the mesocorticolimbic dopamine system, causing a controlled release of dopamine in brain structures like the nucleus accumbens, amygdala, and prefrontal cortex. Drugs of abuse, particularly psychostimulants like cocaine and methamphetamine, mimic these pathways by overexciting the brain natural reward circuits. Tempering the drug-induced amplification of dopamine signaling represents a powerful therapeutic approach to reduce the impact of these compounds on the brain. Our laboratory has pioneered work exploring the potential of the neuromodulator adenosine to serve as a crucial "pharmacological brake" on excessive dopamine signaling. Our foundational work and ongoing studies implicate potential therapeutics to suppress stimulant craving and relapse through the indirect, targeted modulation of the dopamine system.
Areas of Investigation and Mechanistic Insights
Our research has demonstrated that pharmacologically stimulating adenosine A1 or A2A receptors successfully reduces drug-seeking and relapse behaviors for both cocaine and methamphetamine. We have shown that stimulating adenosine A1 receptors during extinction training before a relapse event, or directly during a relapse event, significantly dampens cocaine seeking. This potent protective effect is mediated primarily by presynaptic A1 receptors localized within the nucleus accumbens. Furthermore, our behavioral assays have demonstrated that target activation of adenosine A1 receptors effectively reduces cue-induced drug craving and subsequent relapse behaviors for methamphetamine.Â
Chronic exposure to drugs of abuse fundamentally alters how neuromodulatory systems communicate. A central line of our research investigates exactly how psychostimulants like cocaine and methamphetamine modify the expression of adenosine and dopamine receptors across the mesocorticolimbic dopamine system. Repeated psychostimulant exposure suppresses natural adenosine receptor activity, stripping the brain of its endogenous "brake" and creating an environment that favors unchecked, excessive dopamine stimulation. We utilize precise behavioral testing alongside molecular assays to evaluate how these receptor expression shifts drive the development, transition, and long-term persistence of psychostimulant abuse.
Adenosine plays an essential role in regulating neuronal signaling within the striatal direct pathway. Presynaptic adenosine A1 receptors are expressed where they compete directly with A2A receptors through receptor-receptor interactions to inhibit glutamate release. Postsynaptic A1 receptors are highly co-expressed with dopamine D1 receptors on dynorphin-containing neurons of the direct pathway. These postsynaptic A1 and D1 receptors exert opposing influences on one another via both allosteric receptor-receptor interactions and competing intracellular signaling cascades. Our lab is actively working to determine exactly how manipulating these complementary pre- and postsynaptic adenosine A1 receptor pools alters reward and relapse phenotypes, shedding light on how these direct pathway dynamics contribute to compulsive addictive behaviors.
Within the striatal indirect pathway, adenosine A2A receptors are co-expressed alongside dopamine D2 receptors on enkephalin-containing neurons. These receptor networks oppose each other through intricate allosteric receptor-receptor interactions and opposing intracellular signaling cascades that directly dictate cellular functioning and animal behavior. Following repeated psychostimulant treatment, the inhibitory regulation of D2 receptors via A2A stimulation is often lost, resulting in unbraked D2 receptor signaling that facilitates an increase in addictive-like behaviors. Mechanistically, we discovered that A1 receptor stimulation specifically blocks downstream dopamine D3-driven relapse pathways while leaving D2 and D4 receptor signaling entirely intact. Our ongoing studies seek to resolve how selective stimulation of these adenosine A2A receptor networks can be harnessed to normalize indirect pathway output and suppress relapse.Â
