Dysregulation of brain stress systems mediates compulsive alcohol drinking
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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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Activated GR recruits CRF signaling in the CeA.
“given that activated GR recruits CRF signaling in the CeA (Koob and Schulkin, 2019;Tunstall et al., 2017)”
From Alcohol dependence and withdrawal increase sensitivity of central amygdalar GABAergic synapses to the glucocorticoid receptor antagonist mifepristone in male rats (2022) · cites this paper as Tunstall et al., 2017
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Central Role of Amygdala and Hypothalamus Neural Circuits in Alcohol Withdrawal Symptom
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Neurobiology of Substance Use Disorders
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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)
- PMC
- PMC5461929
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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