Addiction is a chronic, recurring and complex disorder. It is characterized by anomalous behaviors that are linked to permanent or long-lasting neurobiological alterations. Furthermore, the endocannabinoid system has a crucial role in mediating neurotransmitter release as one of the main neuromodulators of the mammalian central nervous system. The purpose of the present review is to instruct readers about the functional and structural interactions between the endocannabinoid system and the main neurotransmitter systems of the central nervous system in the context of drug addiction. With this aim, we have systematically reviewed the main findings of most of the existing literature that explores cross-talk in the five brain areas that are most traditionally implicated in addiction: amygdala, prefrontal cortex, nucleus accumbens, hippocampus and ventral tegmental area (VTA). The neurotransmission systems influenced by the pharmacology of the endocannabinoid system in these brain areas, which are reviewed here, are gamma-aminobutyric acid (GABA), glutamate, the main biogenic amines (dopamine, noradrenaline and serotonin), acetylcholine and opioids. We show that all of these neurotransmitter systems can be modulated differentially in each brain area by the activation or deactivation of cannabinoid CB1 brain receptors. Specifically, most of the studies relate to the hippocampus and nucleus accumbens. Moreover, the neurotransmitter with the fewest number of related studies is acetylcholine (excepting in the hippocampus), whereas there is a large number that evaluates GABA, glutamate and dopamine. Finally, we propose a possible interpretation of the role of the endocannabinoid system in the phenomenon of addiction.

译文

:成瘾是一种慢性,复发性和复杂性疾病。它的特征是异常行为,这些行为与永久或持久的神经生物学改变有关。此外,内源性大麻素系统在介导神经递质释放中起着至关重要的作用,它是哺乳动物中枢神经系统的主要神经调节剂之一。本文的目的是指导读者在成瘾的背景下,内源性大麻素系统与中枢神经系统主要神经递质系统之间的功能和结构相互作用。为此,我们系统地回顾了大多数现有文献的主要发现,这些文献探讨了最传统地与成瘾有关的五个大脑区域的串扰:杏仁核,前额叶皮层,伏隔核,海马和腹侧被盖区域(VTA) )。在这些大脑区域中,受内源性大麻素系统的药理学影响的神经传递系统如下:γ-氨基丁酸(GABA),谷氨酸,主要的生物胺(多巴胺,去甲肾上腺素和5-羟色胺),乙酰胆碱和阿片类药物。我们显示,所有这些神经递质系统都可以通过大麻素CB1脑受体的激活或失活在每个大脑区域中被不同地调节。具体而言,大多数研究与海马和伏隔核有关。此外,相关研究最少的神经递质是乙酰胆碱(海马除外),而大量评估GABA,谷氨酸和多巴胺的神经递质。最后,我们提出了对内源性大麻素系统在成瘾现象中作用的可能解释。

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