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科学家发现一个区分吸毒者和非吸毒者的药物和食物渴望的神经标记物
作者:小柯机器人 发布时间:2022/12/21 20:46:53

法国索邦大学Leonie Koban等研究人员合作发现一个区分吸毒者和非吸毒者的药物和食物渴望的神经标记物。2022年12月19日,国际知名学术期刊《自然—神经科学》在线发表了这一成果。

在三项功能磁共振成像研究中(n=99),研究人员使用机器学习确定了一个交叉验证的神经标志物,它可以预测自我报告的线索诱发的药物和食物渴望的强度(P<0.0002)。这种模式,被称为神经生物学渴望特征(NCS),包括外侧前额叶和扣带回皮层、腹侧纹状体、颞/顶叶关联区、内侧丘脑和小脑。重要的是,NCS对毒品和食物线索的反应可以区分吸毒者和非吸毒者,准确率为82%。NCS也受自我调节策略的调控。毒品和食物渴求的独立神经标志物之间的转移表明有共同的神经生物学机制。未来的研究可以评估NCS的鉴别性和趋同性,并测试它是否对临床干预有反应和预测长期临床结果。
 
据介绍,渴望是物质使用障碍的一个核心特征。它是物质使用和复发的一个强有力的预测因素,并与暴饮暴食、赌博和其他不良行为有关。渴望是通过自我报告来衡量的,而自我报告又受到内省机会和社会文化背景的限制。渴望的神经生物学标志物既需要又缺乏,目前仍不清楚对药物和食物的渴望是否涉及类似的机制。
 
附:英文原文

Title: A neuromarker for drug and food craving distinguishes drug users from non-users

Author: Koban, Leonie, Wager, Tor D., Kober, Hedy

Issue&Volume: 2022-12-19

Abstract: Craving is a core feature of substance use disorders. It is a strong predictor of substance use and relapse and is linked to overeating, gambling, and other maladaptive behaviors. Craving is measured via self-report, which is limited by introspective access and sociocultural contexts. Neurobiological markers of craving are both needed and lacking, and it remains unclear whether craving for drugs and food involve similar mechanisms. Across three functional magnetic resonance imaging studies (n=99), we used machine learning to identify a cross-validated neuromarker that predicts self-reported intensity of cue-induced drug and food craving (P<0.0002). This pattern, which we term the Neurobiological Craving Signature (NCS), includes ventromedial prefrontal and cingulate cortices, ventral striatum, temporal/parietal association areas, mediodorsal thalamus and cerebellum. Importantly, NCS responses to drug versus food cues discriminate drug users versus non-users with 82% accuracy. The NCS is also modulated by a self-regulation strategy. Transfer between separate neuromarkers for drug and food craving suggests shared neurobiological mechanisms. Future studies can assess the discriminant and convergent validity of the NCS and test whether it responds to clinical interventions and predicts long-term clinical outcomes.

DOI: 10.1038/s41593-022-01228-w

Source: https://www.nature.com/articles/s41593-022-01228-w

 

期刊信息

Nature Neuroscience:《自然—神经科学》,创刊于1998年。隶属于施普林格·自然出版集团,最新IF:21.126
官方网址:https://www.nature.com/neuro/
投稿链接:https://mts-nn.nature.com/cgi-bin/main.plex