models of addiction: role of dopamine and other neurobiological substrates

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Models of addiction: role of dopamine and other neurobiological substrates Paul E. M. Phillips, Ph.D. Department of Psychiatry and Behavioral Sciences Department of Pharmacology

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Models of addiction: role of dopamine and other neurobiological substrates. Paul E. M. Phillips, Ph.D. Department of Psychiatry and Behavioral Sciences Department of Pharmacology. Mesostriatal, mesolimbic and mesocortical dopamine pathways. Dopamine is reward?. Hedonia. Motivation. - PowerPoint PPT Presentation

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Page 1: Models of addiction: role of dopamine and other neurobiological substrates

Models of addiction:role of dopamine and other neurobiological substrates

Paul E. M. Phillips, Ph.D.Department of Psychiatry and Behavioral Sciences

Department of Pharmacology

Page 2: Models of addiction: role of dopamine and other neurobiological substrates

Mesostriatal, mesolimbic and mesocortical dopamine pathways

Page 3: Models of addiction: role of dopamine and other neurobiological substrates

Dopamine is reward?

Hedonia

ReinforcementMotivation

Page 4: Models of addiction: role of dopamine and other neurobiological substrates

Direct action of psychostimulants on dopamine transmission

Page 5: Models of addiction: role of dopamine and other neurobiological substrates

Drugs of abuse increase extracellular dopamine

Di Chiara & Imperato, 1988

Page 6: Models of addiction: role of dopamine and other neurobiological substrates

Effects of cocaine on dopamine transmission measured with high temporal resolution

Cocaine

Page 7: Models of addiction: role of dopamine and other neurobiological substrates

Cocaine self administration

Start(0 min)

White noise

Cue light

Audiovisual cues

Cocaine delivery

Stop(120 min)

20 s

Lever-pressresponse

each operant response

Page 8: Models of addiction: role of dopamine and other neurobiological substrates

0 120 240 360 480 600Inter-lever-press interval (s)

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

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0 60 120Time (min)

Lever-press responding for cocaine

Page 9: Models of addiction: role of dopamine and other neurobiological substrates

Dopamine increases during drug taking

0 120 240 360 480

100 nM

Time (s)

Page 10: Models of addiction: role of dopamine and other neurobiological substrates

Dopamine increases to cocaine-related cues

50 nM

2 s

Page 11: Models of addiction: role of dopamine and other neurobiological substrates

25 nM50 nM

Learned associations are required

*

-5 0 5 10

Time (s)

Page 12: Models of addiction: role of dopamine and other neurobiological substrates

Post-response encodes reward expectation

Mainten

ance

Reinsta

temen

t

ns

*

Extinc

tion

*

0

50

100

150

[DA

] (nM

)

Page 13: Models of addiction: role of dopamine and other neurobiological substrates

Dopamine increases during drug taking

2 s

50 nM

Page 14: Models of addiction: role of dopamine and other neurobiological substrates

Dopamine increases during drug taking

2 s

50 nM

Phillips et al (2003) Nature 422, 614-8

Leverapproach

Page 15: Models of addiction: role of dopamine and other neurobiological substrates

Dopamine triggers cocaine seeking

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Control

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Stimulated

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Page 16: Models of addiction: role of dopamine and other neurobiological substrates

“Ectopic” dopamine triggers behavioral switching

100 nM

60 s

Page 17: Models of addiction: role of dopamine and other neurobiological substrates

Subsecond dopamine release promotesreward seeking…

Phillips et al (2003) Nature 422, 614-8

-60 -30 0 30 60Time (s)

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…but what does thistell us about addiction?

…but how is cost-benefit decision making being altered?• Cocaine feels better?

• Cocaine costs less?

Page 18: Models of addiction: role of dopamine and other neurobiological substrates

Decision making

costs

“desirability”

benefits

benefitsminuscosts

Page 19: Models of addiction: role of dopamine and other neurobiological substrates

Would you buy a hotdog for a dollar?

$1

2 1

+1

Page 20: Models of addiction: role of dopamine and other neurobiological substrates

Would you buy a hotdog for three dollars?

$3

2 3

-1

Page 21: Models of addiction: role of dopamine and other neurobiological substrates

$3

4 3

+1

Would you buy a steak for three dollars?

Page 22: Models of addiction: role of dopamine and other neurobiological substrates

What’s the alternative?

$3

2 3 0 0

-1 0

Page 23: Models of addiction: role of dopamine and other neurobiological substrates

Have I eaten today?

$3

2 3 0 2

-1 -2

Page 24: Models of addiction: role of dopamine and other neurobiological substrates

What about drugs?

1 0 0 0

+1 0

Page 25: Models of addiction: role of dopamine and other neurobiological substrates

Drugs feel really good but I get a hangover afterwards.

2 1 0 0

+1 0

Page 26: Models of addiction: role of dopamine and other neurobiological substrates

My friend got busted for drug possession

2 2 0 0

0 0

Page 27: Models of addiction: role of dopamine and other neurobiological substrates

I heard on the news that drugs are bad for me

2 3 0 0

-1 0

Page 28: Models of addiction: role of dopamine and other neurobiological substrates

My partner threatened to leave me if I used drugs

2 4 0 0

-2 0

Page 29: Models of addiction: role of dopamine and other neurobiological substrates

What happens to decision making during addiction?

2 3 0 0

-1 0

? ?

“Rational” decision maker Addict

Page 30: Models of addiction: role of dopamine and other neurobiological substrates

1. Drugs are really good

2 3 0 0

-1 0

+1 0

“Rational” decision maker Addict

4 3 0 0

Page 31: Models of addiction: role of dopamine and other neurobiological substrates

2. I don’t care about the consequences

2 3 0 0

-1 0

+1 0

“Rational” decision maker Addict

2 1 0 0

Page 32: Models of addiction: role of dopamine and other neurobiological substrates

3. It feels really bad if I don’t take drugs

2 3 0 0

-1 0

-1 -2

“Rational” decision maker Addict

2 3 0 2

Page 33: Models of addiction: role of dopamine and other neurobiological substrates

Opponency model of addiction

Page 34: Models of addiction: role of dopamine and other neurobiological substrates

Opponency (negative reinforcement) model of addiction

2 3 0 0

-1 0

-2 -4

“Rational” decision maker Addict

1 3 0 4

Page 35: Models of addiction: role of dopamine and other neurobiological substrates

Opponency model of addiction

Page 36: Models of addiction: role of dopamine and other neurobiological substrates

Incentive sensitization model of addiction

Page 37: Models of addiction: role of dopamine and other neurobiological substrates

Incentive sensitization model of addiction

2 3 0 0

-1 0

+1 0

“Rational” decision maker Addict

4 3 0 0

Page 38: Models of addiction: role of dopamine and other neurobiological substrates

Taste reactivity as a measure of hedonia/aversion

Berridge, 2000

Page 39: Models of addiction: role of dopamine and other neurobiological substrates

Taste reactivity as a measure of hedonia/aversion

Berridge, 2000

Page 40: Models of addiction: role of dopamine and other neurobiological substrates

Taste reactivity as a measure of hedonia/aversion

Berridge, 2000

Page 41: Models of addiction: role of dopamine and other neurobiological substrates

Taste reactivity is not altered after dopamine depletion

Berridge et al, 1989

Page 42: Models of addiction: role of dopamine and other neurobiological substrates

Cannon & Palmiter, 2003

Reward preference in the absence of dopamine

Page 43: Models of addiction: role of dopamine and other neurobiological substrates

Cannon & Palmiter, 2003

Reward preference in the absence of dopamine

Page 44: Models of addiction: role of dopamine and other neurobiological substrates

Nucleus accumbens dopamine lesions suppress responding for higher efforts

Salamone et al, 2003

Page 45: Models of addiction: role of dopamine and other neurobiological substrates

Zhang et al, 2003Salamone et al, 2003

Dopamine modulates cost-benefit analysis to acquire rewards

Page 46: Models of addiction: role of dopamine and other neurobiological substrates

How does dopamine effect the decision-making process?

D = desirabilityB = benefitsC = costsD = B - C

D = B - αCwhere 0 < α < 1and α is a function of dopamine(high DA → low α)

Page 47: Models of addiction: role of dopamine and other neurobiological substrates

Incentive sensitization model of addiction

2 3 0 0

-1 0

2 – (⅓ x 3) = +1 0

“Rational” decision maker Addict

2 1 0 0

Page 48: Models of addiction: role of dopamine and other neurobiological substrates

Loss of inhibitory control model of addiction

2 3 0 0

-1 0

+1 0

“Rational” decision maker Addict

2 1 0 0

Page 49: Models of addiction: role of dopamine and other neurobiological substrates

Baker et al, 2003

Glutamate levels are reduced in the nucleus accumbens following repeated cocaine exposure

Page 50: Models of addiction: role of dopamine and other neurobiological substrates

Baker et al, 2003

Restoration of glutamate levels in the nucleus accumbens prevents reinstatement of drug seeking

Page 51: Models of addiction: role of dopamine and other neurobiological substrates

Aberrant learning models of addiction

2 3 0 0

-1 0

+1 0

“Rational” decision maker Addict

4 3 0 0

Page 52: Models of addiction: role of dopamine and other neurobiological substrates

Habit model of addiction

Page 53: Models of addiction: role of dopamine and other neurobiological substrates

Habit model of addiction

Ito et al, 2002

Page 54: Models of addiction: role of dopamine and other neurobiological substrates

Rescorla-Wagner model for Pavlovian learning

Dayan & Abbott, 2001

Page 55: Models of addiction: role of dopamine and other neurobiological substrates

Dayan & Abbott, 2001

Temporal Difference (TD) learning

Page 56: Models of addiction: role of dopamine and other neurobiological substrates

Schultz et al, 1997

Dopamine neurons carry a reward prediction error signal

Page 58: Models of addiction: role of dopamine and other neurobiological substrates

McClure et al, 2003

Page 59: Models of addiction: role of dopamine and other neurobiological substrates

McClure et al, 2003

Page 60: Models of addiction: role of dopamine and other neurobiological substrates

McClure et al, 2003

Page 61: Models of addiction: role of dopamine and other neurobiological substrates

Temporal Difference (TD) learning in addiction

50 nM

2 s

Page 62: Models of addiction: role of dopamine and other neurobiological substrates

Aberrant learning models of addiction

2 3 0 0

-1 0

+1 0

“Rational” decision maker Addict

4 3 0 0