The neural basis of drug stimulus processing and craving: an activation likelihood estimation meta-analysis
Open accessAbstract
Background The capacity of drug cues to elicit drug-seeking behavior is believed to play a fundamental role in drug dependence; yet the neurofunctional basis of human drug cue-reactivity is not fully understood. We performed a meta-analysis to identify brain regions that are consistently activated by presentation of drug cues. Studies involving treatment-seeking and nontreatment-seeking substance users were contrasted to determine whether there were consistent differences in the neural response to drug cues between these populations. Finally, to assess the neural basis of craving, consistency across studies in brain regions that show correlated activation with craving was assessed. Methods Appropriate studies, assessing the effect of drug-related cues or manipulations of drug craving in drug-user populations across the whole brain, were obtained via the PubMed database and literature search. Activation likelihood estimation, a method of quantitative meta-analysis that estimates convergence across experiments by modeling the spatial uncertainty of neuroimaging data, was used to identify consistent regions of activation. Results Cue-related activation was observed in the ventral striatum (across both subgroups), amygdala (in the treatment-seeking subgroup and overall), and orbitofrontal cortex (in the nontreatment-seeking subgroup and overall) but not insula cortex. Although a different pattern of frontal and temporal lobe activation between the subgroups was observed, these differences were not significant. Finally, right amygdala and left middle frontal gyrus activity were positively associated with craving. Conclusions These results substantiate the key neural substrates underlying reactivity to drug cues and drug craving.
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A 2011 meta-analysis did not support the role of the insula in drug cue activity- or craving-related activity.
“Surprisingly, a 2011 meta-analysis did not support the role of the insula in drug cue activity- or craving-related activity.”
From The Insula: A Brain Stimulation Target for the Treatment of Addiction (2019) · cites this paper as Chase et al., 2011
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- Authors
- Chase, H. W., Eickhoff, S. B., Laird, A. R., & Hogarth, L.
- Affiliations
- University of Nottingham (GB)
- Forschungszentrum Jülich (DE)
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Chase, Henry W.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2011-10
- Volume
- 70
- Issue
- 8
- Pages
- 785-793
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC4827617
- OpenAlex
- W2019447274
- Cited by
- 316
- References
- 132
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 15 · 2023: 24 · 2022: 17 · 2021: 29 · 2020: 31 · 2019: 21 · 2018: 25 · 2017: 19 · 2016: 29 · 2015: 21 · 2014: 25 · 2013: 27 · 2012: 13
- FWCI
- 8.75
- Type
- journal article
- Language
- en
- Update notices
- erratum (2021-03-01)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- JuSER (Forschungszentrum Jülich) (submittedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Funders
- Medical Research Council (G0701456, R01-MH074457-01A1)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- drug cue reactivity, drug craving, drug addiction, ventral striatum, amygdala, orbitofrontal cortex, insula cortex, middle frontal gyrus
- MeSH terms
- Algorithms, Brain, Brain Mapping, Cues, Humans, Patient Acceptance of Health Care, Behavior, Addictive, Drug-Seeking Behavior
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