Drug seeking is associated with activation of reward neural circuitry. Here we argue that drug addiction also involves a 'dark side'—a decrease in the function of normal reward-related neurocircuitry and persistent recruitment of anti-reward systems. Understanding the neuroplasticity of the dark side of this circuitry is the key to understanding vulnerability to addiction.
References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 4th edn. (American Psychiatric Press, Washington, D.C., 1994).
Koob, G.F. & Le Moal, M. Science 278, 52–58 (1997).
Martin, W.R. in The Addictive States (ed. Wikler, A.) 206–225 (Williams and Wilkins, Baltimore, 1968).
Shippenberg, T.S. & Koob, G.F. in Neuropsychopharmacology: The Fifth Generation of Progress (eds. Davis, K.L., Charney, D., Coyle, J.T. & Nemeroff, C.) 1381–1397 (Lippincott Williams and Wilkins, Philadelphia, 2002).
Koob, G.F. & Le Moal, M. Neuropsychopharmacology 24, 97–129 (2001).
Ahmed, S.H., Kenny, P.J., Koob, G.F. & Markou, A. Nat. Neurosci. 5, 625–626 (2002).
Volkow, N.D., Fowler, J.S. & Wang, G.J. J. Clin. Invest. 111, 1444–1451 (2003).
Koob, G.F. Alcohol. Clin. Exp. Res. 27, 232–243 (2003).
Koob, G.F. & Bloom, F.E. Science 242, 715–723 (1988).
Nestler, E.J. Nat. Rev. Neurosci. 2, 119–128 (2001).
Aston-Jones, G., Delfs, J.M., Druhan, J. & Zhu, Y. Ann. NY Acad. Sci. 877, 486–498 (1999).
Piazza, P.V. & Le Moal, M. Annu. Rev. Pharmacol. Toxicol. 36, 359–378 (1996).
Shaham, Y., Erb, S. & Stewart, J. Brain Res. Brain Res. Rev. 33, 13–33 (2000).
See, R.E., Fuchs, R.A., Ledford, C.C. & McLaughlin, J. Ann. NY Acad. Sci. 985, 294–307 (2003).
Le Moal, M. in Psychopharmacology: The Fourth Generation of Progress (eds. Bloom, F.E. & Kupfer, D.J.) 283–294 (Raven, New York, 1995).
Rasmussen, D.D. et al. Alcohol. Clin. Exp. Res. 24, 1836–1849 (2000).
Valdez, G.R. et al. Alcohol. Clin. Exp. Res. 26, 1494–1501 (2002).
Kreek, M.J. & Koob, G.F. Drug Alcohol Depend. 51, 23–47 (1998).
Deroche-Gamonet, V., Belin, D. & Piazza, P.V. Science 305, 1014–1017 (2004).
Vanderschuren, L.J. & Everitt, B.J. Science 305, 1017–1019 (2004).
World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 10th revision (World Health Organization, Geneva, 1992).
Solomon, R.L. & Corbit, J.D. Psychol. Rev. 81, 119–145 (1974).
Acknowledgements
We thank M. Arends for his assistance with the preparation of this manuscript.
Author information
Authors and Affiliations
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Koob, G., Le Moal, M. Plasticity of reward neurocircuitry and the 'dark side' of drug addiction. Nat Neurosci 8, 1442–1444 (2005). https://doi.org/10.1038/nn1105-1442
Issue Date:
DOI: https://doi.org/10.1038/nn1105-1442
- Springer Nature America, Inc.