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The Motivational Impact of Nicotine and its Role in Tobacco Use
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The Motivational Impact of Nicotine and its Role in Tobacco Use
von: Rick A. Bevins, Anthony R. Caggiula
Springer-Verlag, 2008
ISBN: 9780387787497
213 Seiten, Download: 3389 KB
 
Format:  PDF
geeignet für: Apple iPad, Android Tablet PC's Online-Lesen PC, MAC, Laptop

Typ: B (paralleler Zugriff)

 

 
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Inhaltsverzeichnis

  Preface 6  
  Contributors 7  
  Contents 10  
  to 1 Nicotine, Tobacco Use, and the 55th Nebraska Symposium on Motivation 12  
  to 2 Synaptic Plasticity Within Midbrain Dopamine Centers Contributes to Nicotine Addiction 15  
      Introduction to the Health Problem 15  
      Midbrain Dopaminergic Systems 16  
      Action of Nicotine at Nicotinic Receptors in the Midbrain 17  
      Nicotine Influences Over Midbrain Synaptic Function 19  
  to 3 Molecular Mechanisms Underlying the Motivational Effects of Nicotine 26  
      Introduction 26  
         Cues and Nicotine Dependence 26  
         Prior Chronic Nicotine Exposure Enhances Conditioned Reinforcement 27  
         Desensitization of nAChRs May Underlie the Ability of Nicotine to Enhance Cue Salience 28  
      Brain Areas Important for Nicotine's Effects on Cue Responding 29  
         Role of DA in Nicotine-Mediated Behaviors 30  
         nAChR Subtypes Involved in Modulating the DA System 31  
      Intracellular Signaling Downstream of nAChRs 32  
      Conclusions 33  
  to 4 Targeting Reward-Relevant Nicotinic Receptors in the Discovery of Novel Pharmacotherapeutic Agents to Treat Tobacco Dependence 40  
      Introduction 40  
         Tobacco Alkaloids and Tobacco Use 40  
         Nicotinic Receptor-Mediated Dopamine Release in Nicotine Reward 40  
         Nicotinic Receptor Subtypes 42  
         nAChR Antagonists 44  
         Approved Smoking Cessation Pharmacotherapies 44  
         Novel nAChR Antagonists 45  
      Methods 47  
         Animals 47  
         Synthesis of Analogs 47  
         [ 3 H]DA Release Assay 48  
         Nicotine-Induced Reinstatement of Nicotine Self-Administration 49  
      Results and Discussion 50  
         [ 3 H]DA Release Assay 50  
         Nicotine-Induced Reinstatement of Nicotine Self-Administration 58  
  to 5 Multiple Motivational Forces Contribute to Nicotine Dependence 73  
      Introduction 73  
      Rewarding Effects of Nicotine 74  
         Primary Rewarding Effects of Nicotine 74  
         Conditioned Rewarding Effects of Stimuli Associated with Nicotine Administration 76  
      Reward-Enhancing Effects of Nicotine 78  
         Primary Reward-Enhancing Effects of Nicotine 78  
         Conditioned Reward-Enhancing Effects of Psychomotor Stimulants 79  
      Nicotine Withdrawal 81  
         Decreased Brain Reward Function during Nicotine Withdrawal 81  
         The Somatic Aspects of Nicotine Withdrawal 83  
         Motivational Significance of Anhedonic Versus Somatic Components of Drug Withdrawal 83  
         Conditioned Nicotine Withdrawal 85  
      Cognitive-Enhancing Effects of Nicotine 90  
      Conclusions 91  
  to 6 The Role of Nicotine in Smoking: A Dual-Reinforcement Model 98  
      Introduction 98  
      Role of Non-Nicotine Stimuli in Self-Administration and Smoking 99  
      Dual Reinforcing Effects of Nicotine 102  
      Predictions of the Dual-Reinforcement Model: Reinforcing Strength of the Nonpharmacological Stimulus 103  
      Predictions of the Dual-Reinforcement Model: Behavioral Dissociation 104  
      Predictions of the Dual-Reinforcement Model: Pharmacological Dissociation 107  
      Predictions of the Dual-Reinforcement Model: Role of Conditioning 108  
      Nature and Temporal Dynamics of Nicotine's Reinforcement-Enhancing Effects 110  
      Significance of the Dual-Reinforcement Model 111  
      Summary and Conclusions 112  
  to 7 Altering the Motivational Function of Nicotine through Conditioning Processes 117  
      Introduction 117  
      Nicotine as a Reinforcer 118  
      Nicotine as a Discriminative Stimulus 121  
      Interoceptive Pavlovian Conditioning: A Historical Framework 123  
      Nicotine as an Interoceptive CS 124  
      Nicotine as an Interoceptive Occasion Setter 128  
      Implications for the Motivational Function of Nicotine 130  
  to 8 New Findings on Nicotine Addiction and Treatment 136  
      Introduction 136  
      Pre-cessation Administration of Pharmacologic Agents 136  
         Pre-cessation use of Nicotine Replacement Therapy 136  
         Varenicline 140  
         Pre-cessation Mecamylamine Treatment 141  
         Pre-cessation Bupropion Treatment 141  
      Nicotine Vaccine 141  
      Tailoring Smoking Cessation Treatment Based on Genetics 143  
      Conclusion 143  
      Financial Disclosure 144  
  to 9 Sex Differences in Nicotine Reinforcement and Reward: Influences on the Persistence of Tobacco Smoking 147  
      Introduction 147  
         Clinical Implications of Sex Differences in Factors Promoting Smoking Persistence 148  
         Possible Sources of Sex Differences in Smoking Reinforcement 149  
            Pharmacokinetic 149  
            Pharmacodynamic 150  
            Non-pharmacological 150  
            Gender 151  
      Reduced Sensitivity to Nicotine Reinforcement and Reward in Women Versus Men 151  
         Direct Effects of Nicotine on Self-administration Behavior and Reward Ratings 152  
            Ad Lib Self-administration of Nicotine Nasal Spray 152  
            Nicotine Versus Placebo Spray Choice 153  
            Reinforcing and Rewarding Effects of Nicotine Dose via Cigarettes 154  
         Influence of Nicotine Pre-treatment on Subsequent Nicotine or Smoking Reinforcement 154  
            Ad lib Smoking Following Nicotine Spray Pre-treatment 156  
            Nicotines Spray Choice Following Nicotine Patch Pre-treatment 156  
         Other Relevant Findings 157  
      Sex Differences in Non-Pharmacological Influences of Smoking 157  
         Sex Differences in Sensitivity to Nonverbal Drug Information (Cues) 158  
            Smoking Reinforcement due to Lit Cigarette Cue 158  
            Smoking Reward and Reinforcement after Blocking Smoking Cues 159  
         Sex Differences in Sensitivity to Verbal Drug Information (Expectancies) 159  
         Sex Differences in the Reinforcing Effects of Control over Smoking 162  
         Other Relevant Findings 164  
      Clinical Implications 165  
         Sex Differences in NRT Efficacy 165  
         Sex Differences in Response to Other Medications 167  
         Sex Differences in Treatments Aimed at Non-Nicotine Influences on Smoking 167  
      Conclusions and Future Directions 168  
  to 10 The Functional Significance of Craving in Nicotine Dependence 174  
      Introduction 174  
      Conventional Craving Assumptions 175  
      How Do We Study Craving? 176  
      Craving Assessment 176  
      Factors that Affect Cigarette Craving 177  
         Cigarette Abstinence 177  
         Time of Day 178  
         Alcohol Intoxication 179  
         Stress and Negative Affect 179  
         Smoking-Related Cues 179  
         Cigarette Availability and Craving 181  
      Tonic -- Phasic Distinction in Cigarette Craving 183  
      Craving and Drug Use 183  
         Addressing the Craving-- Drug Use Conundrum 184  
      If Craving and Smoking Are Not Tightly Coupled, Why Study Craving? 188  
         Ubiquity of Craving Among Smokers 188  
         Prominence of Craving Among Abstinent Smokers 188  
         Aversive Nature of Craving 189  
         Craving as a Predictor of Relapse 190  
         Craving as a Core Attribute of Nicotine Dependence 190  
      Future of Craving Research 192  
      Final Note 194  
  to 11 The Motivational Impact of Nicotine and Its Role in Tobacco Use: Final Comments and Priorities 201  
      Some Final Comments 201  
      Future Priorities: The NIH Perspective 203  
         Long-Term Surveys of Tobacco Use 203  
         Genetics/Epigenetics 204  
         Nicotine Vaccine 204  
         Drug Exposure and Development 204  
         Co-morbidity 205  
         Neurobiological Substrates of Behavior 205  
         National Cooperative Drug Discovery Group (NCDDG) 205  
  Index 1  


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