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A critical review of effects on ethanol intake of the dynorphin/kappa opioid receptor system in the extended amygdala: From inhibition to stimulation
Journal article   Open access   Peer reviewed

A critical review of effects on ethanol intake of the dynorphin/kappa opioid receptor system in the extended amygdala: From inhibition to stimulation

Breanne E Pirino, Abigail M Kelley, Anushree N Karkhanis and Jessica R Barson
Alcoholism, clinical and experimental research
11 Apr 2023
PMID: 37042026
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289127View
Accepted (AM)Open Access (License Unspecified) Open
url
https://doi.org/10.1111/acer.15078View
Published, Version of Record (VoR) Open

Abstract

dependence binge central nucleus of the amygdala nucleus accumbens bed nucleus of the stria terminalis
The dynorphin (DYN) / kappa opioid receptor (KOR) system has increasingly been investigated as a possible pharmacotherapeutic target for the treatment of alcohol use disorder, but findings on the direction of its effects have been mixed. Activation of KORs by DYN has been shown to be able to elicit dysphoric effects, and while the DYN/KOR system has canonically been considered particularly important in driving intake though negative reinforcement in dependent states, this review highlights that its activity may also oppose the positive reinforcement that drives intake in earlier stages. Both DYN and KORs are concentrated in the extended amygdala, a set of interconnected regions that includes the bed nucleus of the stria terminalis, central nucleus of the amygdala, and nucleus accumbens shell. This review will focus on the role of the DYN/KOR system in the extended amygdala in ethanol use. It will begin by examining the effects of ethanol on expression of DYN/KOR in the extended amygdala, expression of DYN/KOR in alcohol-preferring and -avoiding animals, and effects of knockout of DYN/KOR on ethanol intake. Then, it will examine the effects on ethanol use in both dependent and non-dependent states from systemic pharmacological manipulations of DYN/KOR and from specific manipulation of this system in regions of the extended amygdala. The hypothesis proposed is that greater expression and binding of DYN/KOR, by reducing the positive reinforcement that drives early stages of intake, initially acts to prevent the escalation of ethanol drinking; however, prolonged, binge-like or intermittent ethanol intake enhances levels of DYN/KOR in the extended amygdala such that the system ultimately facilitates the negative reinforcement that drives later stages of ethanol drinking. This information highlights the potential of the DYN/KOR system to be targeted for different outcomes across different stages of ethanol drinking and the development of alcohol use disorder.

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7 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Substance Abuse
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