Factors modulating neural reactivity to drug cues in addiction: a survey of human neuroimaging studies
Open accessAbstract
Human neuroimaging studies suggest that neural cue reactivity is strongly associated with indices of drug use, including addiction severity and treatment success. However, little is known about factors that modulate cue reactivity. The goal of this review, in which we survey published fMRI and PET studies on drug cue reactivity in cocaine, alcohol, and tobacco cigarette users, is to highlight major factors that modulate brain reactivity to drug cues. First, we describe cue reactivity paradigms used in neuroimaging research and outline the brain circuits that underlie cue reactivity. We then discuss major factors that have been shown to modulate cue reactivity and review specific evidence as well as outstanding questions related to each factor. Building on previous model-building reviews on the topic, we then outline a simplified model that includes the key modulatory factors and a tentative ranking of their relative impact. We conclude with a discussion of outstanding challenges and future research directions, which can inform future neuroimaging studies as well as the design of treatment and prevention programs.
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In humans, cue-induced craving involves activation of circuits similar to those in animals, with drug-associated and non-drug addiction cues activating the prefrontal cortex, including dorsolateral prefrontal cortex, anterior cingulate gyrus, and medial orbitofrontal cortex.
“In humans, cue-induced craving appears to involve activation of similar circuits, in which cues that are associated with drugs and elements of non-drug addictions produce activation of the prefrontal cortex, including the dorsolateral prefrontal cortex, anterior cingulate gyrus, and medial orbitofrontal cortex.101–105”
From Neurobiology of addiction: a neurocircuitry analysis (2016) · cites this paper as [105]
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Experimental — accuracy not yet measuredThe Go system could drive craving and engage habits via the basal ganglia.
“The Go system could drive craving and engage habits via the basal ganglia.105,127”
From Neurobiology of addiction: a neurocircuitry analysis (2016) · cites this paper as [105]
In drug-dependent humans, drug cues consistently increase BOLD responses in the STR, BLA, VTA, PFC, hippocampus, and NAc.
“In drug-dependent humans, drug cues consistently increase BOLD responses in the STR, BLA, VTA, PFC, hippocampus, and NAc (Grusser et al., 2004, Jasinska et al., 2014, Lukas et al., 2013, Maas et al., 1998).”
From Sensitive periods of substance abuse: Early risk for the transition to dependence (2017) · cites this paper as Jasinska et al., 2014
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- Authors
- Jasinska, A. J., Stein, E. A., Kaiser, J., Naumer, M. J., & Yalachkov, Y.
- Affiliations
- National Institute on Drug Abuse (US)
- Goethe University Frankfurt (DE)
- Corresponding author
- Jasinska, Agnes J.
- Yalachkov, Yavor
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 38
- Pages
- 1-16
- ISSN
- 0149-7634 (ISSN-L)
- PMC
- PMC3913480
- OpenAlex
- W2020327987
- Cited by
- 513
- References
- 154
- Citations by year
- 2026: 20 · 2025: 29 · 2024: 30 · 2023: 38 · 2022: 39 · 2021: 44 · 2020: 64 · 2019: 42 · 2018: 48 · 2017: 45 · 2016: 50 · 2015: 42 · 2014: 21 · 2013: 1
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 DA999999)
- 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, addiction, cocaine use, alcohol consumption, smoking, brain circuits, addiction severity, treatment outcomes
- MeSH terms
- Brain, Brain Mapping, Cues, Humans, Models, Neurological, Behavior, Addictive, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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