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Emerging Roles for Glial Pathology in Addiction

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Pathological Potential of Neuroglia

Abstract

Addiction to drugs of abuse is a debilitating chronic disease, for which long-term treatment success rates are low. Because of the human and financial cost of addiction, considerable effort is dedicated toward understanding the processes that initiate and sustain substance abuse disorders. Among these processes, growing evidence indicates an integral contribution of glial cells, including astrocytes, oligodendrocytes, and microglia. For example, decreased white matter content and integrity in the prefrontal cortex is correlated with impaired prefrontal cognitive control, a cardinal feature of addiction pathology. In addition, decreased astroglial plasma membrane glutamate transport in the nucleus accumbens is a critical mediator of seeking for multiple classes of drugs of abuse. The following chapter introduces addiction neurocircuitry, and goes on to describe drug-dependent changes in glial cells that have been identified within this circuitry. Special emphasis is given to drug-induced impairments in the physiological relationships between neurons and glia. Lastly, evidence for the therapeutic potential of glial-specific targets is discussed.

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Reissner, K., Kalivas, P. (2014). Emerging Roles for Glial Pathology in Addiction. In: Parpura, V., Verkhratsky, A. (eds) Pathological Potential of Neuroglia. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0974-2_17

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