Endocannabinoid release from midbrain dopamine neurons: a potential substrate for cannabinoid receptor antagonist treatment of addiction
Section snippets
Different drugs increase extracellular DA concentrations through distinct mechanisms
Although an increase in DA function is the ultimate result of the use of commonly abused drugs, the mechanisms through which this occurs can differ among distinct classes. Opiate drugs, such as heroin and morphine are thought to increase DA release in the NAc by inhibiting the release of the inhibitory neurotransmitter GABA onto VTA DA neurons (Johnson and North, 1992, Devine and Wise, 1994). This “disinhibition” of the DA neurons increases their rates of spontaneous firing, and increases the
Cannabinoid receptor substrates for marijuana effects on reward circuits
In contrast to the relatively well-understood neurobiological effects of the commonly abused drugs described above, the primary sites of interaction of the primary psychoactive constituent in marijuana, Δ9-THC, are only now being elucidated (Lupica et al., 2004). Our relatively primitive state of understanding of the effects of this drug on central reward pathways is primarily attributable to two factors. First, the Δ9-THC molecule and all experimentally employed cannabinoid drugs are extremely
The retrograde signaling capacity of endocannabinoids
One objective of the preceding studies has been to discover the substrates upon which Δ9-THC acts upon in the drug reward circuitry that may account for its ability to support marijuana use in humans (Lupica et al., 2004, Riegel and Lupica, 2004). However, the physiological effects of endocannabinoids in other brain areas (Alger, 2002) suggest that this system may regulate ongoing brain function, and, if present in reward pathways, may also be involved in gating changes in synaptic efficacy
VTA DA neurons release endocannabinoids
In an attempt to determine whether endocannabinoids might play a role in the VTA, a similar approach to that of Wilson and Nicoll (2001) was utilized during patch clamp recordings from DA neurons (Melis et al., 2004b). However, in this case, rather than measuring endocannabinoid effects on GABAergic synaptic currents, glutamatergic, NMDA receptor-dependent synaptic currents (EPSCs) were measured (Melis et al., 2004b). It was found, similar to previous reports in other brain areas that the
Interpreting VTA endocannabinoid effects
The true consequences of this activity-dependent modulation of synaptic inputs to the VTA DA neurons in the behaving organism are at present unknown. However, we can now make predictions based upon our knowledge of the substrates for endocannabinoid action in the VTA. Part of the difficulty in interpreting these data comes from the observations that both inhibitory GABAergic and excitatory glutamatergic synaptic inputs to VTA DA neurons can simultaneously be inhibited by endocannabinoids acting
Implications for cannabinoid receptor antagonists in the treatment of addiction
The cannabinoid receptor antagonist SR141716A (Rimonabant) can block the subjective rewarding effects of smoked marijuana, and therefore Δ9-THC, in humans (Huestis et al., 2001), as well as eliminate the self-administration of Δ9-THC in monkeys (Tanda et al., 2000). Furthermore, SR141716A appears to show promise as a useful medication for the treatment of cigarette smoking in humans (Le Foll and Goldberg, 2005), and it has been shown to be effective at blocking the self-administration of
The anti-addictive properties of cannabinoid receptor antagonists may reflect their interaction with endocannabinoids in the VTA
Although the neurobiological mechanisms for the potentially beneficial effects of cannabinoid antagonists on drug use and addiction are at present unknown, we propose that the antagonism of CB1 receptors located within the VTA, and the blockade of endocannabinoid action on these receptors represents a critical substrate (Fig. 1). This idea is supported by recent data described above that endocannabinoids are released in an activity-dependent fashion from mesencephalic DA neurons (Melis et al.,
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2022, Neurobiology of DiseaseCitation Excerpt :In general, acute exposure to these drugs increases DA release in the NAc and other brain regions implicated in reward and behavioral actions of these drug (Volkow and Morales, 2015). Cannabis and THC have similar acute DA-increasing actions thought to arise from decreased inhibition of midbrain dopaminergic neurons (Lupica and Riegel, 2005; Peters et al., 2021). Thus, it is important to understand cannabis effects on DA in the human brain.