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药物成瘾的易感性生物标记:从神经认知到分子遗传的证据

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药物成瘾作为一种慢性复发性的脑疾病,具有从偶然性用药、规律性用药到强迫性用药的渐进式发展特征.研究提示,药物成瘾存在潜在的个体易感性机制,即在成瘾发生过程中不同个体接触药物后的成瘾风险并不相同,探索药物成瘾的神经生物标记是揭示成瘾易感性机制的重要途径.近十多年来,关于成瘾易感性标记的研究不断积聚.文章从神经认知、神经影像及脑电生理、分子遗传等层面梳理与药物成瘾生物标记有关的证据,试图在基因-大脑-心理-行为的理论框架下,对成瘾的发生发展机制进行综合阐释,期望为未来研究在探索药物成瘾的候选神经生物标记、寻找临床干预试验的精准靶点等方面提供更多理论参考.
Susceptibility Biomarkers in Drug Addiction:Emerging Evidence From Neurocognitive,Neuroimaging,and Molecular Genetic Studies
Drug addiction as a chronic relapsing disease of brain represents a progressive model from occasional drug use to regular or habitual use and finally to compulsive drug use.It has been suggested that drug addiction could be associated with potential vulnerabilities in different individuals,which might occur during the developmental stages of addiction.From recent decades,emerging studies that focused on neurobiological biomarkers of addiction have largely promoted the identification of candidate susceptibility biomarkers in this field.In this review paper,we summarized the research related to investigations on the neurocognitive,neuroimaging(e.g.,functional magnetic resonance imaging,event-related potentials)as well as molecular genetic aspects of probable susceptibility biomarkers implicated in drug addiction.It aimed to provide a more comprehensive sight of view for better understanding the mechanisms of addiction,based on an integral"genes-brain-mind-behavior"theoretical framework.The review would also expect to support further exploration on possible targets for clinical intervention trials with an in-depth retrospect of current evidence on neurobiological biomarkers in drug addiction.

drug addictionneurocognitiveneuroimagingmolecular geneticsbiomarkers

严万森、刘苏姣、王露娇子

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贵州医科大学医学人文学院,贵州省卫生发展研究院,贵阳 550025

药物成瘾 神经认知 神经影像 分子遗传 生物标记

国家自然科学基金

32060195

2024

心理技术与应用

心理技术与应用

影响因子:0.208
ISSN:
年,卷(期):2024.12(3)
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