[HTML][HTML] Drug dependence and addiction, II: adult neurogenesis and drug abuse

AJ Eisch, CD Mandyam - American Journal of Psychiatry, 2004 - Am Psychiatric Assoc
American Journal of Psychiatry, 2004Am Psychiatric Assoc
The neurobiology of addiction is traditionally thought to involve the “reward pathway” of the
brain: the ventral midbrain, nucleus accumbens, and frontal cortex. However, another brain
region—the hippocampus—has received renewed interest for its potential role in the
initiation, maintenance, and treatment of addiction. Part of this attention is due to the fact that
drugs of abuse are potent negative regulators of a striking aspect of the hippocampus: adult
neurogenesis. In the middle of last century, it was discovered that the mammalian brain can …
The neurobiology of addiction is traditionally thought to involve the “reward pathway” of the brain: the ventral midbrain, nucleus accumbens, and frontal cortex. However, another brain region—the hippocampus—has received renewed interest for its potential role in the initiation, maintenance, and treatment of addiction. Part of this attention is due to the fact that drugs of abuse are potent negative regulators of a striking aspect of the hippocampus: adult neurogenesis.
In the middle of last century, it was discovered that the mammalian brain can give rise to new neurons throughout adulthood. Every species of mammal examined to date—including humans—has been found to have “adult neurogenesis” in just a few discrete brain regions, including the hippocampal dentate gyrus. Adult-generated cells in the dentate gyrus have been shown to mature into hippocampal granule neurons. Of interest is that new neurons in the adult hippocampus have been proposed to be a novel participant in neuroplasticity, or the ability of the adult brain to adapt to new information and new environments. Chronic administration of drugs of abuse as diverse as opiates, THC, and ethanol decrease hippocampal function as well as decrease the number of new cells born in the dentate gyrus. The
American Journal of Psychiatry