Glial and Neuroimmune Mechanisms as Critical Modulators of Drug Use and Abuse
Open accessAbstract
Drugs of abuse cause persistent alterations in synaptic plasticity that may underlie addiction behaviors. Evidence suggests glial cells have an essential and underappreciated role in the development and maintenance of drug abuse by influencing neuronal and synaptic functions in multifaceted ways. Microglia and astrocytes perform critical functions in synapse formation and refinement in the developing brain, and there is growing evidence that disruptions in glial function may be implicated in numerous neurological disorders throughout the lifespan. Linking evidence of function in health and under pathological conditions, this review will outline the glial and neuroimmune mechanisms that may contribute to drug-abuse liability, exploring evidence from opioids, alcohol, and psychostimulants. Drugs of abuse can activate microglia and astrocytes through signaling at innate immune receptors, which in turn influence neuronal function not only through secretion of soluble factors (eg, cytokines and chemokines) but also potentially through direct remodeling of the synapses. In sum, this review will argue that neural-glial interactions represent an important avenue for advancing our understanding of substance abuse disorders.
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During substance abuse, microglia-mediated neuroinflammation can exert direct neural toxicity and potentially exacerbate addiction via modulation of synapse plasticity.
“Particularly, during substance abuse, microglia-mediated neuroinflammation can exert direct neural toxicity and potentially exacerbate addiction via modulation of synapse plasticity.13, 14”
From Tubular human brain organoids to model microglia-mediated neuroinflammation (2021) · cites this paper as [13]
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- Authors
- Lacagnina, M. J., Rivera, P. D., & Bilbo, S. D.
- Affiliations
- Duke University (US)
- Venue
- Neuropsychopharmacology
- Published
- 2016-07-11
- Volume
- 42
- Issue
- 1
- Pages
- 156-177
- ISSN
- 0893-133X (ISSN-L)
- 1740-634X
- PMC
- PMC5143481
- OpenAlex
- W2462345027
- Cited by
- 271
- References
- 57
- Citations by year
- 2026: 24 · 2025: 24 · 2024: 24 · 2023: 31 · 2022: 32 · 2021: 45 · 2020: 26 · 2019: 19 · 2018: 27 · 2017: 16 · 2016: 3
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Neuropsychopharmacology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Drug Abuse (R01DA034185)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- glial cells, neuroimmune mechanisms, drug addiction, microglia, astrocytes, synaptic plasticity, opioid use disorder, alcoholism, stimulant use disorder, innate immune receptors, cytokines, chemokines, synaptic remodeling
- MeSH terms
- Astrocytes, Brain, Humans, Microglia, Substance-Related Disorders, Toll-Like Receptors
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