Allostasis and addiction: role of the dopamine and corticotropin-releasing factor systems
Open accessAbstract
Allostasis, originally conceptualized to explain persistent morbidity of arousal and autonomic function, is defined as the process of achieving stability through physiological or behavioral change. Two types of biological processes have been proposed to describe the mechanisms underlying allostasis in drug addiction, a within-system adaptation and a between-system adaptation. In the within-system process, the drug elicits an opposing, neutralizing reaction within the same system in which the drug elicits its primary and unconditioned reinforcing actions, while in the between-system process, different neurobiological systems that the one initially activated by the drug are recruited. In this review, we will focus our interest on alterations in the dopaminergic and corticotropin releasing factor systems as within-system and between-system neuroadaptations respectively, that underlie the opponent process to drugs of abuse. We hypothesize that repeated compromised activity in the dopaminergic system and sustained activation of the CRF-CRF1R system with withdrawal episodes may lead to an allostatic load contributing significantly to the transition to drug addiction.
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This link is an important concept in addiction and is hypothesized to mediate the relationship between early life stress and increased risk of substance use disorders.
“This is an important concept in the field of addiction (Burke and Miczek, 2014b; George et al., 2012; Sinha, 2008), that is hypothesized to mediate the relationship between ELS and increased risk of substance use disorders (Andersen and Teicher, 2009).”
From The effects of early life stress on reward processing (2018) · cites this paper as George et al., 2012
Repeated altered activity in the DA system and sustained activation of the CRF system leads to allostasis and negative emotional states.
“It has been proposed that repeated altered activity in the DA system and sustained activation of the CRF system leads to AL and negative emotional states [174].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [174]
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“Recent discoveries suggest the presence, in the CNS, of a third, extra-hypothalamic, stress system involving noradrenergic and CRHergic signaling in structures such as the central nucleus of the amygdala and the bed nucleus of the stria terminalis, both part of the extended amygdala (Binder and Nemeroff, 2010; George…”
The effects of early life stress on reward processing
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“This is an important concept in the field of addiction (Burke and Miczek, 2014b; George et al., 2012; Sinha, 2008), that is hypothesized to mediate the relationship between ELS and increased risk of substance use disorders (Andersen and Teicher, 2009).”
BackgroundStress is a principal factor that promotes tobacco use in females
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Serum BDNF levels increase during early drug withdrawal in alcohol and crack cocaine addiction
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- Authors
- George, O., Le Moal, M., & Koob, G. F.
- Affiliations
- Scripps Research Institute (US)
- Corresponding author
- George, Olivier
- Venue
- Physiology & Behavior
- Publisher
- Elsevier BV
- Published
- 2012-04
- Volume
- 106
- Issue
- 1
- Pages
- 58-64
- ISSN
- 0031-9384 (ISSN-L)
- PMC
- PMC3288230
- OpenAlex
- W2046914526
- Cited by
- 184
- References
- 129
- Citations by year
- 2026: 9 · 2025: 6 · 2024: 10 · 2023: 13 · 2022: 5 · 2021: 11 · 2020: 12 · 2019: 21 · 2018: 13 · 2017: 8 · 2016: 9 · 2015: 18 · 2014: 25 · 2013: 17 · 2012: 7
- FWCI
- 6.44
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Physiology & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (R01AA008459, AA-06420, AA-08459, P50AA006420, R37AA008459, P60AA006420)
- National Institute on Drug Abuse (DA023597)., R01DA010072, DA04398, DA-10072, R01DA023597, R01DA004398, DA04343, R01DA004043)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- allostasis, drug addiction, dopaminergic system, corticotropin-releasing factor, CRF1 receptor, opponent processes, neural adaptation, withdrawal, allostatic load, arousal, autonomic function
- MeSH terms
- Animals, Corticotropin-Releasing Hormone, Dopamine, Humans, Motivation, Substance Withdrawal Syndrome, Substance-Related Disorders, Allostasis
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.
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