PMID- 25770818 OWN - NLM STAT- MEDLINE DCOM- 20160927 LR - 20220318 IS - 1872-6240 (Electronic) IS - 0006-8993 (Print) IS - 0006-8993 (Linking) VI - 1628 IP - Pt A DP - 2015 Dec 2 TI - What goes up, can come down: Novel brain stimulation paradigms may attenuate craving and craving-related neural circuitry in substance dependent individuals. PG - 199-209 LID - S0006-8993(15)00188-2 [pii] LID - 10.1016/j.brainres.2015.02.053 [doi] AB - Vulnerability to drug related cues is one of the leading causes for continued use and relapse among substance dependent individuals. Using drugs in the face of cues may be associated with dysfunction in at least two frontal-striatal neural circuits: (1) elevated activity in medial and ventral areas that govern limbic arousal (including the medial prefrontal cortex (MPFC) and ventral striatum) or (2) depressed activity in dorsal and lateral areas that govern cognitive control (including the dorsolateral prefrontal cortex (DLPFC) and dorsal striatum). Transcranial magnetic stimulation (TMS) is emerging as a promising new tool for the attenuation of craving among multiple substance dependent populations. To date however, nearly all repetitive TMS studies in addiction have focused on amplifying activity in frontal-striatal circuits that govern cognitive control. This manuscript reviews recent work using TMS as a tool to decrease craving for multiple substances and provides a theoretical model for how clinical researchers might approach target and frequency selection for TMS of addiction. To buttress this model, preliminary data from a single-blind, sham-controlled, crossover study of 11 cocaine-dependent individuals is also presented. These results suggest that attenuating MPFC activity through theta burst stimulation decreases activity in the striatum and anterior insula. It is also more likely to attenuate craving than sham TMS. Hence, while many TMS studies are focused on applying LTP-like stimulation to the DLPFC, the MPFC might be a new, efficacious, and treatable target for craving in cocaine dependent individuals. CI - Copyright (c) 2015. Published by Elsevier B.V. FAU - Hanlon, Colleen A AU - Hanlon CA AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Department of Neurosciences, Medical University of South Carolina, USA; Center for Biomedical Imaging, Medical University of South Carolina, USA. Electronic address: hanlon@musc.edu. FAU - Dowdle, Logan T AU - Dowdle LT AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Department of Neurosciences, Medical University of South Carolina, USA. FAU - Austelle, Christopher W AU - Austelle CW AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA. FAU - DeVries, William AU - DeVries W AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA. FAU - Mithoefer, Oliver AU - Mithoefer O AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA. FAU - Badran, Bashar W AU - Badran BW AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Department of Neurosciences, Medical University of South Carolina, USA. FAU - George, Mark S AU - George MS AD - Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, USA; Department of Neurosciences, Medical University of South Carolina, USA; Center for Biomedical Imaging, Medical University of South Carolina, USA; Ralph H Johnson Veterans Affairs Medical Center, USA. LA - eng GR - K01DA027756/DA/NIDA NIH HHS/United States GR - P50 DA015369/DA/NIDA NIH HHS/United States GR - UL1 TR000062/TR/NCATS NIH HHS/United States GR - R01DA036617/DA/NIDA NIH HHS/United States GR - P50 AA010761/AA/NIAAA NIH HHS/United States GR - K01 DA027756/DA/NIDA NIH HHS/United States GR - R25 DA033680/DA/NIDA NIH HHS/United States GR - R01 DA036617/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20150311 PL - Netherlands TA - Brain Res JT - Brain research JID - 0045503 SB - IM MH - Brain/*physiopathology MH - Craving/*physiology MH - Humans MH - Neural Pathways/physiopathology MH - Substance-Related Disorders/*physiopathology/psychology/*therapy MH - Transcranial Magnetic Stimulation/*methods PMC - PMC4899830 MID - NIHMS785545 OTO - NOTNLM OT - BA 10 OT - Brain stimulation OT - Caudate OT - Functional MRI OT - Orbitofrontal cortex EDAT- 2015/03/17 06:00 MHDA- 2016/09/28 06:00 PMCR- 2016/06/09 CRDT- 2015/03/16 06:00 PHST- 2014/08/10 00:00 [received] PHST- 2015/01/29 00:00 [revised] PHST- 2015/02/10 00:00 [accepted] PHST- 2015/03/16 06:00 [entrez] PHST- 2015/03/17 06:00 [pubmed] PHST- 2016/09/28 06:00 [medline] PHST- 2016/06/09 00:00 [pmc-release] AID - S0006-8993(15)00188-2 [pii] AID - 10.1016/j.brainres.2015.02.053 [doi] PST - ppublish SO - Brain Res. 2015 Dec 2;1628(Pt A):199-209. doi: 10.1016/j.brainres.2015.02.053. Epub 2015 Mar 11.