PMID- 22084102 OWN - NLM STAT- MEDLINE DCOM- 20120123 LR - 20211021 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 108 IP - 48 DP - 2011 Nov 29 TI - Heroin relapse requires long-term potentiation-like plasticity mediated by NMDA2b-containing receptors. PG - 19407-12 LID - 10.1073/pnas.1112052108 [doi] AB - Persistent relapse to addictive drugs constitutes the most challenging problem in addiction therapy, and is linked to impaired prefrontal cortex regulation of motivated behaviors involving the nucleus accumbens. Using a rat model of heroin addiction, we show that relapse requires long-term potentiation (LTP)-like increases in synaptic strength in the prefrontal cortex projection to the nucleus accumbens. The increased synaptic strength was paralleled by dendritic spine enlargement in accumbens spiny neurons and required up-regulated surface expression of NMDA2b-containing receptors (NR2B). Accordingly, blocking NR2B before reinstating heroin-seeking prevented the induction of LTP-like changes in spine remodeling and synaptic strength, and inhibited heroin relapse. These data show that LTP-like neuroplasticity in prefrontal-accumbens synapses is initiated by NR2B stimulation and strongly contributes to heroin relapse. Moreover, the data reveal NR2B-containing NMDA receptors as a previously unexplored therapeutic target for treating heroin addiction. FAU - Shen, Haowei AU - Shen H AD - Department of Neurosciences, Medical University of South Carolina, Charleston, SC 29425, USA. shenhw@musc.edu FAU - Moussawi, Khaled AU - Moussawi K FAU - Zhou, Wenhua AU - Zhou W FAU - Toda, Shigenobu AU - Toda S FAU - Kalivas, Peter W AU - Kalivas PW LA - eng GR - P50 DA015369/DA/NIDA NIH HHS/United States GR - R01 DA003906/DA/NIDA NIH HHS/United States GR - R37 DA003906/DA/NIDA NIH HHS/United States GR - DA015369/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20111114 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (NR2B NMDA receptor) RN - 0 (Piperidines) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - R8OE3P6O5S (ifenprodil) SB - IM MH - Analysis of Variance MH - Animals MH - Biotinylation MH - Dendrites/ultrastructure MH - Electrophysiology MH - Extinction, Psychological/physiology MH - Heroin Dependence/*physiopathology MH - Long-Term Potentiation/*physiology MH - Microscopy, Confocal MH - Piperidines MH - Prefrontal Cortex/*physiology MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, N-Methyl-D-Aspartate/*metabolism MH - Recurrence MH - Self Administration MH - Synaptic Transmission/*physiology PMC - PMC3228456 COIS- The authors declare no conflict of interest. EDAT- 2011/11/16 06:00 MHDA- 2012/01/24 06:00 PMCR- 2012/05/29 CRDT- 2011/11/16 06:00 PHST- 2011/11/16 06:00 [entrez] PHST- 2011/11/16 06:00 [pubmed] PHST- 2012/01/24 06:00 [medline] PHST- 2012/05/29 00:00 [pmc-release] AID - 1112052108 [pii] AID - 201112052 [pii] AID - 10.1073/pnas.1112052108 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2011 Nov 29;108(48):19407-12. doi: 10.1073/pnas.1112052108. Epub 2011 Nov 14.