Progress in Neuro-Psychopharmacology and Biological Psychiatry
Review articleModeling the role of environment in addiction
Introduction
For more than three decades now, research on drug addiction has mostly focused on the cascade of molecular changes stemming from the actions of drugs at specific binding sites in the brain. This approach has been enormously successful in advancing the field, showing, among other things, that virtually all addictive drugs modulate the activity of the mesotelencephalic dopaminergic system, particularly at the level of the nucleus accumbens (NAc). Any attempt to reduce the behavioral and psychological effects of drugs to the straightforward consequences of ligand–receptor binding, however, risks overlooking the complexity of drug–environment interaction. Indeed, both clinical and preclinical evidence indicate that drug addiction is a multifactorial disorder in which genetic and environmental variables interact in modulating individual responsiveness to addictive drugs (see Anthony and Chen, 2004).
The environment can impinge on the propensity to the abuse drugs in at least three major ways. First, certain life experiences can make an individual more vulnerable to develop drug addiction or to relapse into drug seeking. (Conversely, other types of experience may protect an individual from the risk of becoming drug dependent or to relapse after becoming abstinent.) Second, neutral environmental cues can acquire, through their association with drugs, the ability to trigger drug seeking even after long periods of abstinence. Third, the environment immediately surrounding drug taking can alter the behavioral, subjective, and rewarding effects of a given drug, thus influencing the propensity to use the same drug again.
The aim of this review is to provide a concise overview of the animal models used to investigate these three types of drug–environment interactions, focusing in particular on recent data from the authors' laboratory. In contrast, not even a cursory attempt will be made to review here the formidable literature concerning the behavioral economics of drug seeking (for a review, see Campbell and Carroll, 2000) or the role played by environmental cues in the expression of drug sensitization (Anagnostaras and Robinson, 1996) or in the acquisition of instrumental learning (for a critical appraisal of the neurobiology of instrumental learning, see Cardinal and Everitt, 2004). Furthermore, it is beyond the scope of this review to discuss the role of xenobiotics, including environmental toxins and drugs, in modulating individual vulnerability to drug addiction.
Section snippets
Adverse life experiences
There is a sizeable literature on the association between a history of adverse life experiences and drug addiction. Events as different as sexual abuse/harassment, combat-stress, occupational stress, marriage dissatisfaction, and physical traumas have been linked to the abuse of psychostimulants, opioids, and alcohol (Aro, 1981, Triffleman et al., 1995, Richman et al., 1996, Brown et al., 2006, Jose et al., 2000, Brady et al., 2001, Clark et al., 2001, Price et al., 2004, Ompad et al., 2005,
Conditioning
Research done in the last two decades has shown that environmental stimuli paired with drug taking (or with life events capable of affecting drug taking) can acquire, through associative learning, the ability to elicit responses related to the drug experience or even motivate the behavior directly serving as secondary reinforcers.3
Circumstances of drug taking
Not all environmental factors capable of affecting the effects of addictive drugs can be conceptualized as adverse life experiences. Since the 1960s, albeit sporadically, a number of authors have emphasized the importance of the setting in which drugs are experienced as an important determinant of their behavioral and subjective effects (for example, see Kelleher and Morse, 1968, Zinberg, 1984, Barrett, 1987, Falk and Feingold, 1987). A dramatic example of the role of setting is represented by
Conclusion
Drugs such as heroin, cocaine, and amphetamine have been available on the global market for more than one hundred years. Yet, the geographical distribution of their use has never been homogeneous, each of them being the drug of choice of some individuals in some countries, cities, communities, and neighborhoods, but not in others (Anthony and Chen, 2004, Westermeyer, 2004). Furthermore, their use changes over time, with popularity changing with lifestyle changes. Yet very little is known about
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