Cited by 55Neurotransmitter Receptor Influence on BehaviorSubstance Abuse Treatment and OutcomesNeuroscience and Neuropharmacology Research

Dysregulation of brain stress systems mediates compulsive alcohol drinking

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Tunstall, Brendan J, Carmack, Stephanie A, Koob, George F, Vendruscolo, Leandro F·2017·Current Opinion in Behavioral Sciences

Abstract

The transition from moderate to compulsive alcohol drinking is driven by increasingly dysfunctional reward and stress systems. We review behavioral and pharmacological studies of alcohol self-administration in rats that were mainly conducted within the framework of the alcohol vapor model of dependence. We discuss neurotransmitter systems that are implicated in alcohol drinking, with a focus on contrasting those neurotransmitter systems that drive behavior in the dependent vs. nondependent states. We hypothesize that the identification of systems that become increasingly dysfunctional in alcohol dependence will reveal possible targets for successful interventions to reduce the motivation that drives compulsive alcohol drinking. In our opinion, drugs that (1) normalize, rather than block, a hypofunctional reward system via restoration of the function of hypothalamic stress systems, and (2) desensitize extrahypothalamic stress systems have the potential to selectively and effectively curb compulsive alcohol drinking.

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Authors
Tunstall, B. J., Carmack, S. A., Koob, G. F., & Vendruscolo, L. F.
Affiliations
National Institutes of Health (US)
Corresponding author
Vendruscolo, Leandro F
Venue
Current Opinion in Behavioral Sciences
Publisher
Elsevier BV
Published
2017-02
Volume
13
Pages
85-90
ISSN
2352-1546 (ISSN-L)
OpenAlex
W2553162569
Cited by
55
References
51
Citations by year
2026: 3 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 7 · 2020: 6 · 2019: 11 · 2018: 7 · 2017: 3
FWCI
0.77
Type
journal article
Language
en
Open access
Locations
  • Current Opinion in Behavioral Sciences (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (NIDA) Intramural Research Program
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 › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
alcoholism, alcohol self-administration, reward systems, stress system, hypothalamic-pituitary-adrenal axis, neurotransmitter systems, drinking motives, pharmacological treatment of alcoholism

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