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Homelessness Crime Violence Neurotoxicity AIDS, Cancer Mental illness Health care Productivity Accidents

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Page 1: Nida

HomelessnessCrimeViolence

HomelessnessCrimeViolence

NeurotoxicityAIDS, CancerMental illness

NeurotoxicityAIDS, CancerMental illness

Health careProductivityAccidents

Health careProductivityAccidents

Page 2: Nida

Photo courtesy of the NIDA Web site. From A Slide Teaching Packet: The Brain and the Actions of Cocaine, Opiates, and Marijuana.

Page 3: Nida

Your Brain on DrugsYour Brain on Drugs

1-2 Min 3-4 5-6

6-7 7-8 8-9

9-10 10-20 20-30

Photo courtesy of Nora Volkow, Ph.D. Mapping cocaine binding sites in human and baboon brain in vivo. Fowler JS, Volkow ND, Wolf AP, Dewey SL, Schlyer DJ, Macgregor RIR, Hitzemann R, Logan J, Bendreim B, Gatley ST. et al. Synapse 1989;4(4):371-377.

Page 4: Nida

Your Brain After Your Brain After DrugsDrugs

Normal

Cocaine Abuser (10 days)

Cocaine Abuser (100 days)

Photo courtesy of Nora Volkow, Ph.D. Volkow ND, Hitzemann R, Wang C-I, Fowler IS, Wolf AP, Dewey SL. Long-term frontal brain metabolic changes in cocaine abusers. Synapse 11:184-190, 1992; Volkow ND, Fowler JS, Wang G-J, Hitzemann R, Logan J, Schlyer D, Dewey 5, Wolf AP. Decreased dopamine D2 receptor availability is associated with reduced frontal metabolism in cocaine abusers. Synapse 14:169-177, 1993.

Page 5: Nida

Drugs HaveDrugs HaveLong-term Long-term ConsequencesConsequences

Photo courtesy of NIDA from research conducted by Melega WP, Raleigh MJ, Stout DB, Lacan C, Huang SC, Phelps ME.

Page 6: Nida

Di Chiara et al., Neuroscience, 1999.,Fiorino and Phillips, J. Neuroscience, 1997.

Natural Rewards Elevate Dopamine Levels

0

50

100

150

200

0 60 120 180

Time (min)

% o

f B

asal

DA

Ou

tpu

t NAc shell

Empty

Food Sex

Box Feeding

100

150

200

DA

Con

cen

trat

ion

(%

Bas

elin

e)

SampleNumber

1 2 3 4 5 6 7 8

Female Present

Page 7: Nida

0100200300400500600700800900

10001100

0 1 2 3 4 5 hr

% o

f B

asal

Rel

ease

DADOPACHVA

Accumbens

Amphetamine

0

100

200

300

400

0 1 2 3 4 5 hr

% o

f B

asal

Rel

ease

DADOPACHVA

AccumbensCocaine

Time After Drug

Morphine

0

100

150

200

250

0 1 2 3 hr

Time After Drug

% o

f B

asal

Rel

ease Accumbens

Caudate

Nicotine

Di Chiara and Imperato, PNAS, 1988

Effects of Drugs on Dopamine Release

% o

f B

asal

Rel

ease

0

100

150

200

250

0 1 2 3 4 5 hr

Accumbens

0.51.02.510

Dose mg/kgmg/kg

mg/kgmg/kg

Page 8: Nida

Control Addicted

Dopamine D2 Receptors are Decreased by Addiction

Functionally…

D

A D

2 R

ecep

tor

Ava

ilab

ility

CocaineCocaine

AlcoholAlcohol

HeroinHeroin

MethMeth

Page 9: Nida

The Memory of DrugsThe Memory of Drugs

Nature VideoNature Video Cocaine VideoCocaine Video

Front of BrainFront of Brain

Back of BrainBack of Brain

AmygdalaAmygdalanot lit upnot lit up

AmygdalaAmygdalaactivatedactivated

Photo courtesy of Anna Rose Childress, Ph.D.

Page 10: Nida

Rats Exposed to Nicotine in AdolescenceSelf-Administer More Nicotine

Than Rats First Exposed as Adults

Collins et al, Neuropharmacology, 2004, Levin et al, Psychopharmacology, 2003