Drug-evoked synaptic plasticity in addiction: from molecular changes to circuit remodeling
Open accessAbstract
Addictive drugs have in common that they target the mesocoticolimbic dopamine (DA) system. This system originates in the ventral tegmental area (VTA) and projects mainly to the nucleus accumbens (NAc) and prefrontal cortex (PFC). Here we review the effects that such drugs leave on glutamatergic and GABAergic synaptic transmission in these three brain areas. We refer to these changes as drug-evoked synaptic plasticity, which outlasts the presence of the drug in the brain and contributes to the reorganization of neural circuits. While in most cases these early changes are not sufficient to induce the disease, with repetitive drug exposure, they may add up and cause addictive behavior.
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Key synaptic changes involve glutamate-modulated NMDA and AMPA receptors in glutamatergic projections from the prefrontal cortex and amygdala to the VTA and nucleus accumbens.
“Key synaptic changes involve glutamate-modulated N-methyl-D-aspartate (NMDA) receptors and α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors in glutamatergic projections from the prefrontal cortex and amygdala to the ventral tegmental area and nucleus accumbens (table 2, circuit 4).”
From Neurobiology of addiction: a neurocircuitry analysis (2016) · cites this paper as [43]
The Molecular mechanisms sections for the VTA and nucleus accumbens (page numbers unavailable) describe drug-evoked changes involving AMPA and NMDA receptors and identify excitatory inputs from the prefrontal cortex and amygdala. But the VTA section explicitly says it remains unknown which specific inputs undergo drug-evoked plasticity, so the claim is too specific in placing those receptor changes in the named projections. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAddictive drugs have profound effects on synaptic transmission that may influence LTP and LTD.
“Addictive drugs also have profound effects on synaptic transmission that may influence LTP and LTD (Wolf 2003;Kauer and Malenka 2007;Lu ¨scher and Malenka 2011).”
From NMDA receptor-dependent long-term potentiation and long-term depression (LTP/LTD). (2012) · cites this paper as Lüscher and Malenka 2011
A vast literature from animal studies documents functional changes in fronto-striatal circuits, as well as their limbic and midbrain inputs, associated with addictive behaviors.
“Importantly however, a vast literature from animal studies also documents functional changes in fronto-striatal circuits, as well their limbic and midbrain inputs, associated with addictive behaviors [63][64][65][66][67][68].”
From Addiction as a brain disease revised: why it still matters, and the need for consilience (2021) · cites this paper as [65]
Prairie voles show strong OXTR expression in MLR regions, a conserved reward-processing network implicated in depression, addiction, and schizophrenia.
“Prairie voles strongly express OXTR in regions of the MLR, a conserved neural network (75) involved in reward processing and implicated in numerous human psychiatric disorders including depression (76), addiction (77), and schizophrenia (78).”
From Variation in the Oxytocin Receptor Gene Predicts Brain Region–Specific Expression and Social Attachment (2016) · cites this paper as [76]
Drug-induced phasic DA signaling can eventually trigger neuroadaptations in ancillary circuits related to habit formation and behavioral conditioning.
“Indeed, drug-induced phasic DA signaling can eventually trigger neuroadaptations in ancillary circuits that are related to habit formation and behavioral conditioning.”
From Food and Drug Reward: Overlapping Circuits in Human Obesity and Addiction (2011) · cites this paper as Luscher and Malenka 2011
These neuroadaptations are predominantly induced by D1R signaling and synaptic changes in glutamate-modulated NMDA and AMPA receptors.
“These changes are predominantly induced by D1R signaling and synaptic changes in glutamate-modulated NMDA and AMPA receptors (Luscher and Malenka 2011;Zweifel et al 2009).”
From Food and Drug Reward: Overlapping Circuits in Human Obesity and Addiction (2011) · cites this paper as Luscher and Malenka 2011
Profound sensory experiences even in later life can significantly impact neural circuits, which in turn can recondition behavior.
“However, profound sensory experiences even in later life can significantly impact circuits, which in turn can recondition behavior5,6.”
From Cell type-specific transcriptional programs in mouse prefrontal cortex during adolescence and addiction (2019) · cites this paper as [6]
Major emotional or psychological episodes like chronic stress, trauma, and drug addiction can alter brain function and behavior even much later in life.
“On the other hand, major emotional or psychological episodes like chronic stress, trauma, drug addiction can alter brain function and behavior even much later in life5,6.”
From Cell type-specific transcriptional programs in mouse prefrontal cortex during adolescence and addiction (2019) · cites this paper as [6]
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“Drug-evoked changes in synaptic plasticity have frequently been reported in regions including the nucleus accumbens (NAc) and are suggested to contribute to the aetiology of addiction (Lüscher and Malenka, 2011).”
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- Authors
- Lüscher, C., & Malenka, R. C.
- Affiliations
- University of Geneva (CH)
- Stanford Medicine (US)
- Corresponding author
- Lüscher, Christian
- Malenka, Robert C.
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 69
- Issue
- 4
- Pages
- 650-663
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC4046255
- OpenAlex
- W2036768211
- Semantic Scholar
- 3a30f4b8b94b59db47c95e7c97069630c223861d
- Cited by
- 1,105
- References
- 130
- Citations by year
- 2026: 60 · 2025: 61 · 2024: 66 · 2023: 53 · 2022: 55 · 2021: 83 · 2020: 84 · 2019: 63 · 2018: 85 · 2017: 77 · 2016: 77 · 2015: 81 · 2014: 85 · 2013: 89 · 2012: 60
- FWCI
- 7.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- PubMed Central (acceptedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Funders
- National Institute on Drug Abuse (P01DA008227)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- addiction, mesocorticolimbic dopamine system, ventral tegmental area, nucleus accumbens, prefrontal cortex, glutamatergic neurotransmission, GABAergic neurotransmission, neural circuit remodeling, addictive behavior
- MeSH terms
- Animals, Humans, Limbic System, Models, Anatomic, Nerve Net, Neural Pathways, Neuronal Plasticity, Synapses, 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.
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