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Glutamate Important in Drug Impact on Brain

In a recent study published in Proceedings of the National Academy of Sciences, researchers found an unexpected effect of the neurotransmitter (or signal substance) in the midbrain known as glutamate.

“We have found that a certain part of the brain’s reward system requires not only the signal substance dopamine, as was previously thought, but also glutamate,” said the director of the study at Uppsala University, Department of Neuroscience. Among many things, dopamine is important for the brain’s control of willed movements and the “reward system,” which provides humans with feelings of pleasure and happiness. The feeling is mediated by dopamine being released from nerve cells in the midbrain to the brain’s limbic system. The reward system is also affected by addictive drugs. Previous studies have shown nerve cells to “co-transmit” glutamate and dopamine, but science was unsure what this entailed for the the function of the brain.

To address this question, the researchers in the current study developed a special mouse model whose dopamine nerve cells lack the ability to both use and release glutamate. When they were treated with the dopamine-releasing substance amphetamine, a clear effect was observed. Normal mice responded, as expected, with increased activity and more stereotypical movements. On the other hand, the reaction in the model mice was significantly reduced, showing that a certain part of the reward system needs not only the signal substance dopamine, as was previously believed, but also glutamate. (PhysOrg.com)

“When we take away the glutamate,” the director said, “the brain’s reward system is numbed, which is extremely interesting.” Especially, in understanding how the reward system is formed and functions, as well as better understanding the diseases that affect it. “We hope our studies will ultimately provide relevant knowledge for an understanding of addiction mechanisms in humans.” The researchers will continue their study of the nerve cells involved to gain further insight into how important this system is for addiction.

Intoxicated Fruit Flies Offer Addiction Clues

Researches at the University of California at San Francisco recently studied the behavior of intoxicated fruit flies (Drosophila melanogaster) that were given the option of drinking alcohol. The study, published Dec. 10, 2009 in the journal Current Biology, found that fruit flies consumed food spiked with alcohol faster than plain food and with preference for alcohol increasing over time. These findings could help researchers better understand the genetic groundwork of addiction.

Fruit flyEarlier studies have found that alcohol has profound physiological effects on fruit flies, but this new study was the first to offer flies a choice to drink. The researchers devised fly-sized drinking devices similar to water bottles in hamster cages. Flies were then kept inside vials and could drink from with liquid food spiked with alcohol or plain liquid food. The flies drank the former much quicker. The alcohol preference also became stronger over five days as the flies adjusted to the drinking, and flies that had been drinking longer preferred the higher proof mix (15% to 25%) while shorter-term drinkers did not (similar to tolerance).

The study also found that fruit flies who became accustomed to the alcohol continued to drink despite potential harm. The researchers laced the food containing alcohol with small amounts of the toxic chemical quinine, and the flies continued to drink, even though they normally avoid the chemical. In another test, the flies were allowed to drink freely for five days, then they were deprived of alcohol for either one or three days. After the “dry period,” the flies immediately returned to peak levels of drinking, demonstrating a hallmark of relapse.

“It’s known that there’s a strong genetic component to alcoholism,” one of the researches said, “and flies are one of the best model systems for genetics.” Researchers hope that the fruit fly model of alcoholism will provide future researchers with new experimental options for understanding the disease.

Panel Discussion: How NTR Impacted the Lives and Recovery of Four People

Doctor and Nurse Behavioral Health Center (BHC) Journal recently hosted an interview panel with four patients who successfully underwent ExecuCare ARC’s Neurotransmitter Restoration (NTR) to fight addiction.

“Proponents of NTR say it detoxifies as it restores the brain’s receptors and balances the brain’s chemistry. The idea is that because the body is getting what it needs naturally, NTR safely detoxifies the body, while minimizing post acute withdrawal symptoms, significantly reducing cravings, anxiety and depression; normalizing stress levels; and restoring a sense of well-being and clarity of mind. This natural treatment involves 10 days of outpatient therapy and is administered intravenously by a licensed, registered nurse under a doctor’s supervision. Dr. Hitt [Inventor of NTR] says studies have shown that by addressing the physical form of the disease first with NTR, a person is better prepared to make the behavioral, social and psychological changes necessary to progress toward the next phases of recovery.” (BHC Journal)

“Does it work? BHC spoke to a panel of four people who experienced the NTR program at ExecuCare and asked them that very question. In the Q&A that follows, you’ll meet four very unique people with a variety of situations who tell their stories of recovery. Maureen is an RN who specializes in nutrition. She’ll tell you about her college-age son who was dependent on alcohol and oxycodone and sought care at ExecuCare. You’ll meet Steve, a corporate executive from Wall Street who was addicted to alcohol and found that it was disrupting his life. Next, you’ll hear from Keeley. She has a masters degree in psychology works at a large hospital in Atlanta in the behavioral health field. She saw firsthand the anguish patients went through in detox. And when she became addiction to pain medicine that treated her rheumatoid arthritis, she sought treatment at ExecuCare to minimize the impact of detox. Finally, you’ll get to know Brian. Brian lost his job at a major recruiting firm because of his addiction to opiates. He was prescribed Suboxone to get off the opiates and became addicted to that medication.” (BHC Journal)

The Epidemic of Prescription Drugs

The Epidemic of Prescription DrugsExperts say it’s easy to see why so many Americans are abusing prescription drugs. As Americans age and carry extra pounds, more are asking for pain relief to cope with joint problems, back pain and other ailments. And because they’re typically used legally, the stigma of being a junkie is often eliminated. Addiction to prescription drugs, which kill thousands of Americans a year, has become a largely unrecognized epidemic.

According to recently released statistics from the Centers for Disease Control and Prevention, the number of overdose deaths from opioid painkillers that included morphine and codeine, more than tripled from since 1999 to 13,800 deaths a year. USA Today reports that about 120,000 Americans end up in the emergency room after overdosing on opioid painkillers each year, and prescription drugs in general cause most of the more than 26,000 fatal overdoses annually.

In the past, most overdoses were due to illegal narcotics, such as heroin. The former director of the National Institute on Drug Abuse said, “The biggest and fastest-growing part of America’s drug problem is prescription drug abuse.” And prescription painkillers have now surpassed heroin and cocaine as the leading cause of fatal overdoses.

One contributing factor may be the fact that conventional doctors have bought into the drug paradigm hook line and sinker. For example, as described in USA Today, a long-term treatment plan for pain will typically include a drug-combination approach, using anti-inflammatory drugs, anti-convulsants, and muscle relaxants. And although, aggressive drug marketing is often blamed for increased and inappropriate use of painkillers, another factor may be the cultural acceptance of prescription drugs (a pill for every symptom!) that may have replaced the need for excessive marketing of these dangerous drugs. People can simply get painkillers by asking their doctor and filling a prescription at the drugstore without anyone looking at them twice.

Family Dinners: Anti-Drug?

Family Enjoying meal,mealtime TogetherCan family dinners act as an anti-drug? According to “The Importance of Family Dinners,” a new report by The National Center on Addiction and Substance Abuse (CASA) at Columbia University, teens who have frequent family dinners (five or more per week) are less likely to use alcohol or drugs. In fact, those who have infrequent family dinners (fewer than three per week) are twice as likely to use tobacco or marijuana; more than one and a half times likelier to use alcohol; and twice as likely to try drugs in the future than those teens who had frequent family dinners.

The report also found that compared to teens who have five to seven family dinners per week, those who have fewer than three family dinners per week are:

  • Twice as likely to have friends who use marijuana and ecstasy.
  • More than one and a half times likelier to have friends who drink, abuse prescription drugs, and use methamphetamine.
  • Almost one and a half times likelier to have friends who use illegal drugs like cocaine, acid and heroin.

So what can you do? Try to schedule at least one night a week that your family can sit down to dinner. Be sure to make it a time that you talk with each other, so turning off the television and disconnecting from other electronics might be beneficial. Some experts recommend planning meals ahead of time and even making them earlier in the wee and then freezing them. This will allow parents with a busy schedule to still allow time to sit down and eat together. Another suggestion is to have the kids help with preparing the meal, which might take less time and leave more time for eating it. Remember it isn’t so much the food you prepare as the time you spend around the table together. So even if it is take-out, turn off the electronics, sit down at the table, and start talking and listening! Enjoy your family meal. Happy Thanksgiving!

Dopamine: Enhancing the Expectation of Human Pleasure

According to new research from UCL Institute of Neurology, the release of the brain chemical dopamine influences how people make choices by affecting expectations of pleasure.

Girl about to eat strawberry. Dopamine can enhance the expectation of a pleasurable human behavior.The study, which was recently published in Current Biology, confirms that dopamine not only plays an important role in how people make more complex decisions, but also how human expectations are formed. The study offers new insight into how pleasure expectation can go awry, such as with drug and alcohol addiction.

“Humans make much more complex decisions than other animals, such as which job to take or whether to start a family,” said the lead author of the study.  “We wanted to understand the role of dopamine in making these types of decisions.”

The role of the neurotransmitter dopamine in reward-seeking behavior is well understood through animal studies; however, its role in human behavior is much less understood. The results from the study indicate that when faced with having to consider options when making real-life decisions, dopamine did play a role in “signaling the expected pleasure from those possible future events.” (Science Daily). This signal is what humans use to make decisions. It makes sense that this is why the brain can get stuck in the pleasure-seeking cycle when drugs are involved.

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