Biology of addiction risk looks like addiction

Research suggests that people at increased risk for developing addiction share many of the same neurobiological signatures of people who have already developed addiction. This similarity is to be expected, as individuals with family members who have struggled with addiction are over-represented in the population of addicted people.

However, a generation of animal research supports the hypothesis that the addiction process changes the brain in ways that converge with the distinctive neurobiology of the heritable risk for addiction. In other words, the more one uses addictive substances, the more one's brain acquires the profile of someone who has inherited a risk for addiction.

One such change is a reduction in striatal dopamine release. Dopamine is a key brain chemical messenger involved in reward-related behaviors. Disturbances in dopamine signaling appear to contribute to reward processing that biases people to seek drug-like rewards and to develop drug-taking habits.

In the current issue of Biological Psychiatry, researchers at McGill University report that individuals at high risk for addiction show the same reduced dopamine response often observed in addicted individuals, identifying a new link between addiction risk and addiction in humans.

Dr. Marco Leyton and his colleagues recruited young adults, aged 18 to 25, who were classified into three groups:

1) a high-risk group of occasional stimulant users with an extensive family history of substance abuse;

2) a comparison group of occasional stimulant users with no family history; and

3) a second comparison group of individuals with no history of stimulant use and no known risk factors for addiction.

Volunteers underwent a positron emission tomography (PET) scan involving the administration of amphetamine, which enabled the researchers to measure their dopamine response.

The authors found that the high-risk group of non-dependent young adults with extensive family histories of addiction displayed markedly reduced dopamine responses in comparison with both stimulant-nave subjects and non-dependent users with no family history.

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Biology of addiction risk looks like addiction