Mesocorticolimbic function in cocaine polydrug users: A multimodal study of drug cue reactivity and cognitive regulation

Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s)....

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Published inAddiction biology Vol. 29; no. 1; pp. e13358 - n/a
Main Authors Scala, Stephanie G., Kang, Min Su, Cox, Sylvia M. L., Rosa‐Neto, Pedro, Massarweh, Gassan, Leyton, Marco
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.01.2024
John Wiley and Sons Inc
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Online AccessGet full text
ISSN1355-6215
1369-1600
1369-1600
DOI10.1111/adb.13358

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Abstract Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non‐dependent cocaine polydrug users and cocaine‐naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue‐induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine‐related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets. Recreational cocaine users underwent functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) to measure drug cue reactivity and mGlu5 receptor availability. Compared to control participants, cocaine users displayed greater relative mesocorticolimbic activations to drug cues whereas mGlu5 receptor availability was lower only in those who had used cocaine more than 75 times. Lower prefrontal mGluR5 availability was associated with higher subcortical drug cue responses during craving regulation trials. Together, these results suggest that accumulating cocaine use might reduce cortical mGluR5 contributing to impaired cognitive control.
AbstractList Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug-related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non-dependent cocaine polydrug users and cocaine-naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [ C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue-induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [ C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [ C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine-related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets.
Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non‐dependent cocaine polydrug users and cocaine‐naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue‐induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine‐related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets. Recreational cocaine users underwent functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) to measure drug cue reactivity and mGlu5 receptor availability. Compared to control participants, cocaine users displayed greater relative mesocorticolimbic activations to drug cues whereas mGlu5 receptor availability was lower only in those who had used cocaine more than 75 times. Lower prefrontal mGluR5 availability was associated with higher subcortical drug cue responses during craving regulation trials. Together, these results suggest that accumulating cocaine use might reduce cortical mGluR5 contributing to impaired cognitive control.
Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non‐dependent cocaine polydrug users and cocaine‐naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [ 11 C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue‐induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [ 11 C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users ( n  = 12), individual differences in prefrontal [ 11 C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine‐related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets.
Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non‐dependent cocaine polydrug users and cocaine‐naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [ 11 C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue‐induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [ 11 C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users ( n  = 12), individual differences in prefrontal [ 11 C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine‐related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets. Recreational cocaine users underwent functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) to measure drug cue reactivity and mGlu5 receptor availability. Compared to control participants, cocaine users displayed greater relative mesocorticolimbic activations to drug cues whereas mGlu5 receptor availability was lower only in those who had used cocaine more than 75 times. Lower prefrontal mGluR5 availability was associated with higher subcortical drug cue responses during craving regulation trials. Together, these results suggest that accumulating cocaine use might reduce cortical mGluR5 contributing to impaired cognitive control.
Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug-related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non-dependent cocaine polydrug users and cocaine-naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11 C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue-induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11 C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11 C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine-related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets.Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug-related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non-dependent cocaine polydrug users and cocaine-naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11 C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue-induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11 C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11 C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine-related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets.
Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non‐dependent cocaine polydrug users and cocaine‐naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue‐induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine‐related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets.
Author Leyton, Marco
Cox, Sylvia M. L.
Scala, Stephanie G.
Rosa‐Neto, Pedro
Massarweh, Gassan
Kang, Min Su
AuthorAffiliation 5 McConnell Brain Imaging Centre Montreal Neurological Institute Montreal Quebec Canada
6 Department of Psychology McGill University Montreal Quebec Canada
2 Sunnybrook Research Institute University of Toronto Toronto Ontario Canada
3 Department of Psychiatry McGill University Montreal Quebec Canada
4 Department of Neurology & Neurosurgery, Montreal Neurological Institute McGill University Montreal Quebec Canada
7 Center for Studies in Behavioral Neurobiology Concordia University Montreal Quebec Canada
1 Integrated Program in Neuroscience McGill University Montreal Quebec Canada
AuthorAffiliation_xml – name: 3 Department of Psychiatry McGill University Montreal Quebec Canada
– name: 4 Department of Neurology & Neurosurgery, Montreal Neurological Institute McGill University Montreal Quebec Canada
– name: 1 Integrated Program in Neuroscience McGill University Montreal Quebec Canada
– name: 7 Center for Studies in Behavioral Neurobiology Concordia University Montreal Quebec Canada
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– name: 2 Sunnybrook Research Institute University of Toronto Toronto Ontario Canada
– name: 5 McConnell Brain Imaging Centre Montreal Neurological Institute Montreal Quebec Canada
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  givenname: Sylvia M. L.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/38221806$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords substance use
mGlu5 receptors
PET
Language English
License Attribution-NonCommercial
2023 The Authors. Addiction Biology published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.
This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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Snippet Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of...
Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug-related cues. The development and persistence of...
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SourceType Open Access Repository
Aggregation Database
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Publisher
StartPage e13358
SubjectTerms Addictions
Brain
Brain mapping
Cocaine
Cocaine - adverse effects
Cocaine - metabolism
Cocaine-Related Disorders
Cognition
Cognitive ability
Cues
Drug abuse
Functional magnetic resonance imaging
Glutamic acid receptors (metabotropic)
Humans
Magnetic resonance imaging
Mesencephalon
mGlu5 receptors
Neuroimaging
Original
Oximes
PET
Positron emission tomography
Pyridines
substance use
Title Mesocorticolimbic function in cocaine polydrug users: A multimodal study of drug cue reactivity and cognitive regulation
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fadb.13358
https://www.ncbi.nlm.nih.gov/pubmed/38221806
https://www.proquest.com/docview/2914368953
https://www.proquest.com/docview/2914256555
https://pubmed.ncbi.nlm.nih.gov/PMC10898841
Volume 29
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