How Opiates affects the Brain
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The gap where an electrical signal jumps from one neuron to another is called the synaptic cleft. This is a closeup of the cleft between one neuron and another. Since the impulse cannot cross a gap as electricity, it crosses as a message by means of chemical "messengers" called neurotransmitters. One important neurotransmitter involved in the experience of pleasure is called dopamine. Here, dopamine, shown in yellow, is produced in the neuron shown at the top and packaged in containers called vesicles. As an electrical impulse arrives at the neuron's terminal, the vesicle moves to the neural membrane and releases its load of dopamine into the synaptic cleft. The dopamine crosses the gap and binds to receiver sites, or receptors, on the membrane of the next neuron. When dopamine occupies a receptor, various actions take place in that neuron so that a new electrical impulse is generated in this neuron, and the "message" continues on. After the dopamine has bound to the receptor, eventually it comes off again and is removed fom the synaptic cleft and back into the first neuron by reuptake pumps. (For normal nerve transmission, it is important that the dopamine not stay in the cleft.) |
Normal Dopamine Function |
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Dopamine Function When Opiates are Added |
This animation shows what happens to dopamine transmission when an The opiate, shown in red, binds to This causes the amount of dopamine in the synaptic clefts in the reward pathway to increase dramatically, as shown in the close-up of the synaptic cleft to the left. Researchers are still not sure exactly how opiate drugs cause this increase in dopamine, but one theory says that when the opiate binds to the receptors on the third neuron shown, that neuron releases less GABA, which is a neurotransmitter that inhibits dopamine. (If there is less GABA, therefore, there is more dopamine.) The increase in dopamine results in feelings of intense pleasure for the person taking the opiate drug. Unfortunately, prolonged opiate use may cause the brain to adapt, so it comes to depend on the presence of the drug just to function normally. Then, if the person stops using the drug, he or she experiences the opposite of pleasure--anxiety, irritability, and low mood. The immediate, worst symptoms are called withdrawal. Opiate withdrawal has physical symptoms as well as psychological ones; these include nausea, chills, cramps, and sweating. Even long after the person has stopped using opiates, brain abnormalities can persist, causing feelings of discomfort and craving for more of the drug to relieve these feelings. |
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