Abstract

Several psychoactive drugs can evoke substance use disorders (SUD) in humans and animals, and these include psychostimulants, opioids, cannabinoids (CB), nicotine, and alcohol. The etiology, mechanistic processes, and the therapeutic options to deal with SUD are not well understood. The common feature of all abused drugs is that they increase dopamine (DA) neurotransmission within the mesocorticolimbic circuitry of the brain followed by the activation of DA receptors. D2 receptors were proposed as important molecular targets for SUD. The findings showed that D2 receptors formed heteromeric complexes with other GPCRs, which forced the addiction research area in new directions. In this review, we updated the view on the brain D2 receptor complexes with adenosine (A)2A receptors (A2AR) and discussed the role of A2AR in different aspects of addiction phenotypes in laboratory animal procedures that permit the highly complex syndrome of human drug addiction. We presented the current knowledge on the neurochemical in vivo and ex vivo mechanisms related to cocaine use disorder (CUD) and discussed future research directions for A2AR heteromeric complexes in SUD.

Highlights

  • From the perspective of public health, substance use disorders (SUD; commonly called drug addictions) are unsolved issues [1]

  • We present the current knowledge on the neurochemical in vivo and the ex vivo mechanisms related to cocaine use disorder (CUD) and discuss future research directions for A2A R heteromeric complexes in SUD

  • Postsynaptically-expressed striatal A2A Rs were mainly localized to the gamma-aminobutric acid (GABA)ergic medium-sized spiny neurons (MSN) of the indirect pathway projecting to the external segmentofthe globus pallidus

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Summary

A Focus on Cocaine

Karolina Wydra 1 , Dawid Gawliński 1 , Kinga Gawlińska 1 , Małgorzata Frankowska 1 , Dasiel O. Borroto-Escuela 2,3,4 , Kjell Fuxe 2 and Małgorzata Filip 1, *. Section of Physiology, Department of Biomolecular Science, University of Urbino, Campus Scientifico Enrico Mattei, Via Ca’ Le Suore 2, 61029 Urbino, Italy. Observatorio Cubano de Neurociencias, Grupo Bohío-Estudio, Zayas 50, Yaguajay 62100, Cuba

Introduction
A2A Rs and Their Localization in the Brain
Locomotor Responses to Drugs of Abuse
Discrimination
Reward
Seeking Behavior
Withdrawal
New Mechanisms of Acute Cocaine
Cocaine Self-Administration
Cocaine-Seeking
Final Conclusions
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