PMID- 17556847 OWN - NLM STAT- MEDLINE DCOM- 20071002 LR - 20131121 IS - 0302-282X (Print) IS - 0302-282X (Linking) VI - 55 IP - 1 DP - 2007 TI - Brain-derived neurotrophic factor and its intracellular signaling pathways in cocaine addiction. PG - 2-13 AB - Cocaine addiction is one of the severest health problems faced by western countries, where there is an increasing prevalence of lifelong abuse. The most challenging aspects in the treatment of cocaine addiction are craving and relapse, especially in view of the fact that, at present, there is a lack of effective pharmacological treatment for the disorder. What is required are new pharmacological approaches based on our current understanding of the neurobiological bases of drug addiction. Within the context of the behavioral and neurochemical actions of cocaine, this paper considers the contribution of brain-derived neurotrophic factor (BDNF) and its main intracellular signaling mechanisms, including mitogen-activated protein kinase/extracellular signal-regulated protein kinase (MAPK/ERK) and phosphatidylinositol 3-kinase (PI3K), in psychostimulant addiction. Repeated cocaine administration leads to an increase in BDNF levels and enhanced activity in the intracellular pathways (PI3K and MAPK/ERK) in the reward-related brain areas, which applies especially several days following withdrawal. It has been hypothesized that these neurochemical changes contribute to the enduring synaptic plasticity that underlies sensitized responses to psychostimulants and drug-conditioned memories leading to compulsive drug use and frequent relapse after withdrawal. Nevertheless, increased BDNF levels could also have a role as a protection factor in addiction. The inhibition of the intracellular pathways, ERK and PI3K, leads to a disruption in sensitized responses and conditioned memories associated with cocaine addiction and suggests new, potential therapeutic strategies to explore in the dependence on psychostimulants. FAU - Corominas, M AU - Corominas M AD - Psychiatry Service, Vall d'Hebron Hospital, Psychiatry Department of the Universitat Autonoma de Barcelona, Barcelona, Spain. mcoromin@vhebron.net FAU - Roncero, C AU - Roncero C FAU - Ribases, M AU - Ribases M FAU - Castells, X AU - Castells X FAU - Casas, M AU - Casas M LA - eng PT - Journal Article PT - Review DEP - 20070608 PL - Switzerland TA - Neuropsychobiology JT - Neuropsychobiology JID - 7512895 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Dopamine Uptake Inhibitors) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - I5Y540LHVR (Cocaine) SB - IM MH - Animals MH - Brain/*metabolism MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Cocaine/administration & dosage MH - Cocaine-Related Disorders/*metabolism MH - Dopamine Uptake Inhibitors/administration & dosage MH - Humans MH - Mitogen-Activated Protein Kinases/metabolism MH - Models, Biological MH - Phosphatidylinositol 3-Kinases/metabolism MH - Signal Transduction/drug effects/*physiology RF - 106 EDAT- 2007/06/09 09:00 MHDA- 2007/10/03 09:00 CRDT- 2007/06/09 09:00 PHST- 2006/05/29 00:00 [received] PHST- 2006/12/17 00:00 [accepted] PHST- 2007/06/09 09:00 [pubmed] PHST- 2007/10/03 09:00 [medline] PHST- 2007/06/09 09:00 [entrez] AID - 000103570 [pii] AID - 10.1159/000103570 [doi] PST - ppublish SO - Neuropsychobiology. 2007;55(1):2-13. doi: 10.1159/000103570. Epub 2007 Jun 8.