Preventing incubation of drug craving to treat drug relapse: From bench to bedside

X Liu, K Yuan, T Lu, X Lin, W Zheng, Y Xue, J Shi… - Molecular …, 2023 - nature.com
X Liu, K Yuan, T Lu, X Lin, W Zheng, Y Xue, J Shi, L Lu, Y Han
Molecular psychiatry, 2023nature.com
Abstract In 1986, Gawin and Kleber reported a progressive increase in cue-induced drug
craving in individuals with cocaine use disorders during prolonged abstinence. After years of
controversy, as of 2001, this phenomenon was confirmed in rodent studies using self-
administration model, and defined as the incubation of drug craving. The intensification of
cue-induced drug craving after withdrawal exposes abstinent individuals to a high risk of
relapse, which urged us to develop effective interventions to prevent incubated craving …
Abstract
In 1986, Gawin and Kleber reported a progressive increase in cue-induced drug craving in individuals with cocaine use disorders during prolonged abstinence. After years of controversy, as of 2001, this phenomenon was confirmed in rodent studies using self-administration model, and defined as the incubation of drug craving. The intensification of cue-induced drug craving after withdrawal exposes abstinent individuals to a high risk of relapse, which urged us to develop effective interventions to prevent incubated craving. Substantial achievements have been made in deciphering the neural mechanisms, with potential implications for reducing drug craving and preventing the relapse. The present review discusses promising drug targets that have been well investigated in animal studies, including some neurotransmitters, neuropeptides, neurotrophic factors, and epigenetic markers. We also discuss translational exploitation and challenges in the field of the incubation of drug craving, providing insights into future investigations and highlighting the potential of pharmacological interventions, environment-based interventions, and neuromodulation techniques.
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