Citation

Tunstall BJ, Carmack SA, Koob GF, Vendruscolo LF. Curr. Opin. Behav. Sci. 2017; 13: 85-90.

Affiliation

National Institute on Drug Abuse, National Institutes of Health, Baltimore, MD 21224, USA.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.cobeha.2016.10.006

PMID

28603755

PMCID

PMC5461929

Abstract

The transition from moderate to compulsive alcohol drinking is driven by increasingly dysfunctional reward and stress systems. We review behavioral and pharmacological studies of alcohol self-administration in rats that were mainly conducted within the framework of the alcohol vapor model of dependence. We discuss neurotransmitter systems that are implicated in alcohol drinking, with a focus on contrasting those neurotransmitter systems that drive behavior in the dependent vs. nondependent states. We hypothesize that the identification of systems that become increasingly dysfunctional in alcohol dependence will reveal possible targets for successful interventions to reduce the motivation that drives compulsive alcohol drinking. In our opinion, drugs that (1) normalize, rather than block, a hypofunctional reward system via restoration of the function of hypothalamic stress systems, and (2) desensitize extrahypothalamic stress systems have the potential to selectively and effectively curb compulsive alcohol drinking.

Language: en