Neurogenetics and Nutrigenomics of Neuro-Nutrient Therapy for Reward Deficiency Syndrome (RDS): Clinical Ramifications as a Function of Molecular Neurobiological Mechanisms
Open accessAbstract
In accord with the new definition of addiction published by American Society of Addiction Medicine (ASAM) it is well-known that individuals who present to a treatment center involved in chemical dependency or other documented reward dependence behaviors have impaired brain reward circuitry. They have hypodopaminergic function due to genetic and/or environmental negative pressures upon the reward neuro-circuitry. This impairment leads to aberrant craving behavior and other behaviors such as Substance Use Disorder (SUD). Neurogenetic research in both animal and humans revealed that there is a well-defined cascade in the reward site of the brain that leads to normal dopamine release. This cascade has been termed the "Brain Reward Cascade" (BRC). Any impairment due to either genetics or environmental influences on this cascade will result in a reduced amount of dopamine release in the brain reward site. Manipulation of the BRC has been successfully achieved with neuro-nutrient therapy utilizing nutrigenomic principles. After over four decades of development, neuro-nutrient therapy has provided important clinical benefits when appropriately utilized. This is a review, with some illustrative case histories from a number of addiction professionals, of certain molecular neurobiological mechanisms which if ignored may lead to clinical complications.
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Disruptions in the Brain Reward Cascade reduce dopamine availability, contributing to craving and addiction.
“Disruptions in this cascade reduce dopamine availability, contributing to craving and addiction.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [72]
The Brain Reward Cascade is a well-characterized neurochemical pathway leading to dopamine release.
“The “Brain Reward Cascade” (BRC) is a well-characterized neurochemical pathway leading to dopamine release.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [72]
Neuro-nutrient therapies grounded in nutrigenomic principles have been developed over four decades to restore dopaminergic balance and show promising clinical results when appropriately applied.
“Neuro-nutrient therapies, grounded in nutrigenomic principles, have been developed over the past four decades to restore dopaminergic balance and show promising clinical results when appropriately applied.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [72]
Individuals with substance use disorders suffer from impaired reward circuitry, often due to hypodopaminergic function caused by genetic or environmental factors.
“According to the American Society of Addiction Medicine (ASAM), individuals with SUDs suffer from impaired reward circuitry, often due to hypodopaminergic function caused by genetic or environmental factors.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [72]
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Kotzailias, N., Marker, M., & Jilma, B. (2004) · Journal of Clinical Psychopharmacology · doi:10.1097/01.jcp.0000138765.08235.46 · Cited by 27 · see citing works
Blum, K., Chen, T. J. H., Downs, B. W., Meshkin, B., Blum, S. H., Pons, M. M., Mengucci, J. F., Waite, R. L., Arcuri, V., ., M. V., et al. (2007) · Trends in Applied Sciences Research · doi:10.3923/tasr.2007.132.138 · Cited by 26 · see citing works
Self-citationThe effects of GABAB ligands on alcohol withdrawal in mice
HUMENIUK, R. E., White, J. M., & Ong, J. A. (1994) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(94)90069-8 · Cited by 26 · see citing works
Studies Linking Smoking-Cessation Drug With Suicide Risk Spark Concerns
Kuehn, B. M. (2009) · JAMA · doi:10.1001/jama.2009.293 · Cited by 26 · see citing works
Improvement of Cocaine-Induced Neuromodulator Deficits by the Neuronutrient Tropamine™
Trachtenberg, M. C., & Blum, K. (1988) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1988.10472501 · Cited by 24 · see citing works
Self-citationEfficacy and safety of the weight-loss drug rimonabant
Després, J., Gaal, L. V., Pi‐Sunyer, X., & Scheen, A. J. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60261-5 · Cited by 24 · see citing works
Neuronutrient effects on weight loss in carbohydrate bingers: an open clinical trial.
Blum, K., Trachtenberg, M. C., & Cook, D. (1990) · Current Therapeutic Research · Cited by 23 · see citing works
Self-citationBlum, K., Giordano, J., Morse, S. A., Liu, Y., Tan, J., Bowirrat, A., Smolen, A., Waite, R., Madigan, M. A., Kerner, M. M., et al. (2010) · Cited by 19 · see citing works
Self-citationTherapeutic Drug Monitoring of Nortriptyline in Smoking Cessation: A Multistudy Analysis
Mooney, M., Reus, V. I., Gorecki, J., Hall, S., Humfleet, G. L., Muñoz, R., & Delucchi, K. (2007) · Clinical Pharmacology & Therapeutics · doi:10.1038/sj.clpt.6100307 · Cited by 18 · see citing works
Dopamine Affects the Change of Pain-Related Electrical Activity Induced by Morphine Dependence
Zhang, Y., Zhang, F., Yang, C., Jin, H., Yang, Y., & Xu, M.-Y. (2012) · Neurochemical Research · doi:10.1007/s11064-011-0690-0 · Cited by 17 · see citing works
NeuRecover-SATM in the Treatment of Cocaine Withdrawal and Craving
Cold, J. A. (1996) · Clinical Drug Investigation · doi:10.2165/00044011-199612010-00001 · Cited by 16 · see citing works
Blum, K., Cull, J. G., Chen, T. J. H., Garcia-Swan, S., Holder, J. M., Wood, R. G., Braverman, E. R., Bucci, L. R., & Trachtenberg, M. G. (1997) · Current Therapeutic Research · doi:10.1016/s0011-393x(97)80108-7 · Cited by 16 · see citing works
Self-citationBlum, K., & Trachtenberg, M. C. (1988) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1988.10472500 · Cited by 15 · see citing works
Self-citationInvestigating Methamphetamine Craving Using the Extinction-Reinstatement Model in the Rat
Kufahl, P. R., & Olive, M. F. (2012) · Journal of Addiction Research & Therapy · doi:10.4172/2155-6105.s1-003 · Cited by 15 · see citing works
Ethanol narcosis in mice: Serotonergic involvement
Blum, K., Wallace, J. E., Calhoun, W. J., et al. (1974) · Cellular and Molecular Life Sciences · doi:10.1007/bf01939005 · Cited by 15 · see citing works
Self-citationBlum, K., Chen, A. L., Chen, T. J., Bowirrat, A., Waite, R. L., Kerner, M. M., Blum, S. H., Downs, B. W., Rhoades, P., Reinking, J. L., et al. (2009) · Cited by 15 · see citing works
Self-citationAnorexigen-related cardiopulmonary toxicity.
Gross, S. B., & Lepor, N. E. (2000) · PubMed · Cited by 15 · see citing works
Blum, K., Giordano, J., Morse, S. A., Anderson, A., Carbajal, J., Waite, R., Downs, B. W., Downs, J. M., Madigan, M. A., Barh, D., et al. (2011) · IIOAB Letters · doi:10.5195/iioablett.2011.9 · Cited by 13 · see citing works
Self-citationQSAR study and synthesis of new phenyltropanes as ligands of the dopamine transporter (DAT)
Mavel, S., Mincheva, Z., Méheux, N., et al. (2012) · Bioorganic & Medicinal Chemistry · doi:10.1016/j.bmc.2012.01.014 · Cited by 12 · see citing works
Permeability of the blood-brain barrier to parenteral 5-hydroxytryptamine in the neonate chick
Hanig, J. P., Aiello, E., & Seifter, J. (1970) · European Journal of Pharmacology · doi:10.1016/0014-2999(70)90063-4 · Cited by 10 · see citing works
Alcohol and central nervous system peptides.
Blum, K. (1983) · PubMed · Cited by 10 · see citing works
Self-citationMethionine enkephalin as a possible neuromodulator of regional cerebral blood flow
Blum, K., Gaskill, H. V., DeLallo, L., et al. (1985) · Cellular and Molecular Life Sciences · doi:10.1007/bf01970019 · Cited by 8 · see citing works
Self-citationJiaJun, Y., Aiyun, H., Shanshan, Z., & Minhong, Z. (2011) · Journal of Trace Elements in Medicine and Biology · doi:10.1016/j.jtemb.2011.01.001 · Cited by 6 · see citing works
Cocchi, R., & Tornati, A. (1977) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1977.tb06675.x · Cited by 6 · see citing works
Klemperer, D. (2010) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2010.0277 · Cited by 5 · see citing works
High Resolution Brain SPECT Imaging in a Clinical Substance Abuse Practice
Amen, D. (2010) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2010.10400688 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [1]Blum K Kozlowski GP Ollat H Parvez S Parvez H Ethanol and neuromodulators interaction: a cascade model of reward Alcohol and Behavior 1990 VSP Press Utrecht The Netherlands
- [74]Zhang Y Zhang F Yang C Jin H Yang Y Dopamine affects the change of pain-related electrical activity induced by morphine dependence Neurochem Res 2012 37 977 982 22240902
- [118]1st Conference on Reward Deficiency Syndrome: Genetic Antecedents and Clinical Pathways San Francisco, California, USA 11247387
- [123]Braverman ER Braverman D Acrui V Kerner M Downs BW Sustainable Weight Loss and Muscle Gain Utilizing the Rainbow Diet™: Targeting Noradrenergic and dopaminergic Mechanistic Sites, Hormonal Deficiency Repletion Therapy and Exercise: A case report The American Journal of Bariatric Medicine 2010 25 18 28
- [124]Miller Merlene Chen Amanda LC Stokes Stan D Silverman Susan Bowirrat Abdalla Early Intervention of Intravenous KB220IV- Neuroadaptagen Amino-Acid Therapy (NAAT)™ Improves Behavioral Outcomes in a Residential Addiction Treatment Program: A Pilot Study J Psychoactive PMC4074362 23457891
Cited by
Sorted by citations
The Role of Nutrition in Addiction Recovery
Wiss, D. A. (2019) · The Assessment and Treatment of Addiction · doi:10.1016/b978-0-323-54856-4.00002-x · Cited by 20 · see citing works
Blum, K., Gold, M., Jafari, N., Lewandrowski, K.-U., Sharafshah, A., Mohankumar, K., Lorio, M., Bowirrat, A., Pinhasov, A., Thanos, K., et al. (2026) · Psychology Research and Behavior Management · doi:10.2147/prbm.s561157 · Cited by 1 · see citing works
“72 Adolescence is a key period of vulnerability for addiction, during which environmental exposures can epigenetically activate or suppress inherited risk factors.”
Self-citation
- Authors
- Blum, K.
- Affiliations
- University of Florida (US)
- Corresponding author
- Blum, Kenneth
- ORCID
- Blum, Kenneth
- Venue
- Journal of Addiction Research & Therapy
- Publisher
- OMICS Publishing Group
- Published
- 2013
- Volume
- 03
- Issue
- 05
- Pages
- 139-139
- ISSN
- 2155-6105 (ISSN-L)
- PMC
- PMC3733258
- OpenAlex
- W2156039239
- Cited by
- 73
- References
- 114
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 8 · 2020: 3 · 2019: 1 · 2018: 5 · 2017: 5 · 2016: 10 · 2015: 15 · 2014: 13 · 2013: 6
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Journal of Addiction Research & Therapy (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA007112, K05AA000219)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- reward deficiency syndrome, nutrigenomics, dopamine release, addiction, substance use disorders, craving, genetic susceptibility, medical complications
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