PMID- 23806439 OWN - NLM STAT- MEDLINE DCOM- 20140508 LR - 20240318 IS - 1873-7528 (Electronic) IS - 0149-7634 (Print) IS - 0149-7634 (Linking) VI - 37 IP - 8 DP - 2013 Sep TI - Exercise as a novel treatment for drug addiction: a neurobiological and stage-dependent hypothesis. PG - 1622-44 LID - S0149-7634(13)00166-8 [pii] LID - 10.1016/j.neubiorev.2013.06.011 [doi] AB - Physical activity, and specifically exercise, has been suggested as a potential treatment for drug addiction. In this review, we discuss clinical and preclinical evidence for the efficacy of exercise at different phases of the addiction process. Potential neurobiological mechanisms are also discussed focusing on interactions with dopaminergic and glutamatergic signaling and chromatin remodeling in the reward pathway. While exercise generally produces an efficacious response, certain exercise conditions may be either ineffective or lead to detrimental effects depending on the level/type/timing of exercise exposure, the stage of addiction, the drug involved, and the subject population. During drug use initiation and withdrawal, its efficacy may be related to its ability to facilitate dopaminergic transmission, and once addiction develops, its efficacy may be related to its ability to normalize glutamatergic and dopaminergic signaling and reverse drug-induced changes in chromatin via epigenetic interactions with brain-derived neurotrophic factor (BDNF) in the reward pathway. We conclude with future directions, including the development of exercise-based interventions alone or as an adjunct to other strategies for treating drug addiction. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Lynch, Wendy J AU - Lynch WJ AD - Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, 1670 Discovery Drive, Charlottesville, VA 22911, USA. Electronic address: wlynch@virginia.edu. FAU - Peterson, Alexis B AU - Peterson AB FAU - Sanchez, Victoria AU - Sanchez V FAU - Abel, Jean AU - Abel J FAU - Smith, Mark A AU - Smith MA LA - eng GR - R01-AA016554/AA/NIAAA NIH HHS/United States GR - R01 DA027485/DA/NIDA NIH HHS/United States GR - R01-DA024716/DA/NIDA NIH HHS/United States GR - R01 DA024716/DA/NIDA NIH HHS/United States GR - R01 DA031725/DA/NIDA NIH HHS/United States GR - R01-DA024716-S1/DA/NIDA NIH HHS/United States GR - R01 AA016554/AA/NIAAA NIH HHS/United States GR - R01-DA027485/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20130624 PL - United States TA - Neurosci Biobehav Rev JT - Neuroscience and biobehavioral reviews JID - 7806090 RN - 0 (Brain-Derived Neurotrophic Factor) RN - VTD58H1Z2X (Dopamine) SB - IM MH - Brain/metabolism MH - Brain-Derived Neurotrophic Factor/metabolism MH - Chromatin Assembly and Disassembly/physiology MH - Dopamine/metabolism MH - Exercise/*physiology MH - Exercise Therapy/*methods MH - Humans MH - Substance-Related Disorders/metabolism/*therapy PMC - PMC3788047 MID - NIHMS499347 OTO - NOTNLM OT - Addiction OT - Animal models OT - Chromatin OT - Clinical OT - Dopamine OT - Epigenetic OT - Exercise OT - Glutamate OT - Neurobiological mechanisms EDAT- 2013/06/29 06:00 MHDA- 2014/05/09 06:00 PMCR- 2014/09/01 CRDT- 2013/06/29 06:00 PHST- 2013/03/11 00:00 [received] PHST- 2013/04/29 00:00 [revised] PHST- 2013/06/13 00:00 [accepted] PHST- 2013/06/29 06:00 [entrez] PHST- 2013/06/29 06:00 [pubmed] PHST- 2014/05/09 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - S0149-7634(13)00166-8 [pii] AID - 10.1016/j.neubiorev.2013.06.011 [doi] PST - ppublish SO - Neurosci Biobehav Rev. 2013 Sep;37(8):1622-44. doi: 10.1016/j.neubiorev.2013.06.011. Epub 2013 Jun 24.