scholarly journals PPAR-gamma agonist pioglitazone modifies craving intensity and brain white matter integrity in patients with primary cocaine use disorder: a double-blind randomized controlled pilot trial

Addiction ◽  
2017 ◽  
Vol 112 (10) ◽  
pp. 1861-1868 ◽  
Author(s):  
Joy M. Schmitz ◽  
Charles E. Green ◽  
Khader M. Hasan ◽  
Jessica Vincent ◽  
Robert Suchting ◽  
...  
2017 ◽  
Vol 171 ◽  
pp. e113-e114
Author(s):  
Scott D. Lane ◽  
Khader M. Hasan ◽  
Benson Mwangi ◽  
P.A. Narayana ◽  
Jessica Vincent ◽  
...  

2018 ◽  
Author(s):  
Jonika Tannous ◽  
Benson Mwangi ◽  
Khader M. Hasan ◽  
Ponnada A. Narayana ◽  
Joel L. Steinberg ◽  
...  

AbstractChronic cocaine and alcohol use impart significant stress on biological and cognitive systems, resulting in changes consistent with an allostatic load model of neurocognitive impairment. The present study measured potential markers of allostatic load in individuals with comorbid cocaine/alcohol use disorders (CUD/AUD) and control subjects. Measures of brain white matter (WM) integrity, telomere length, and impulsivity/attentional bias were obtained. WM integrity (CUD/AUD only) was indexed by diffusion tensor imaging metrics, including radial diffusivity (RD) and fractional anisotropy (FA). Telomere length was indexed by T/S ratio. Impulsivity and attentional bias to drug cues were measured via eye-tracking, and were also modeled using the Hierarchical Diffusion Drift Model (HDDM). Average whole-brain RD and FA were associated with years of cocaine use (R2 = 0.56 and 0.51, both p < .005) but not years of alcohol use. CUD/AUD subjects showed more anti-saccade errors (p < .01), greater attentional bias scores (p < .001), and higher HDDM drift rates on cocaine-cue trials (Bayesian probability CUD/AUD > control = p > 0.99). Telomere length was shorter in CUD/AUD, but the difference was not statistically significant. Within the CUD/AUD group, exploratory regression using an elastic-net model determined that more years of cocaine use, older age, larger HDDM drift rate differences and shorter telomere length were all predictive of white matter integrity as measured by RD (model R2 = 0.79). Collectively, the results provide modest support linking CUD/AUD to putative markers of allostatic load.


2016 ◽  
Vol 32 ◽  
pp. 250
Author(s):  
Charalambos Yiannakkaras ◽  
Nikos Konstantinou ◽  
Eva Pettemeridou ◽  
Fofi Constantinidou ◽  
Eleni Eracleous ◽  
...  

2017 ◽  
Vol 127 (5) ◽  
pp. 788-799 ◽  
Author(s):  
Robert I. Block ◽  
Vincent A. Magnotta ◽  
Emine O. Bayman ◽  
James Y. Choi ◽  
Joss J. Thomas ◽  
...  

AbstractBackgroundAnesthetics have neurotoxic effects in neonatal animals. Relevant human evidence is limited. We sought such evidence in a structural neuroimaging study.MethodsTwo groups of children underwent structural magnetic resonance imaging: patients who, during infancy, had one of four operations commonly performed in otherwise healthy children and comparable, nonexposed control subjects. Total and regional brain tissue composition and volume, as well as regional indicators of white matter integrity (fractional anisotropy and mean diffusivity), were analyzed.ResultsAnalyses included 17 patients, without potential confounding central nervous system problems or risk factors, who had general anesthesia and surgery during infancy and 17 control subjects (age ranges, 12.3 to 15.2 yr and 12.6 to 15.1 yr, respectively). Whole brain white matter volume, as a percentage of total intracranial volume, was lower for the exposed than the nonexposed group, 37.3 ± 0.4% and 38.9 ± 0.4% (least squares mean ± SE), respectively, a difference of 1.5 percentage points (95% CI, 0.3 to 2.8; P = 0.016). Corresponding decreases were statistically significant for parietal and occipital lobes, infratentorium, and brainstem separately. White matter integrity was lower for the exposed than the nonexposed group in superior cerebellar peduncle, cerebral peduncle, external capsule, cingulum (cingulate gyrus), and fornix (cres) and/or stria terminalis. The groups did not differ in total intracranial, gray matter, and cerebrospinal fluid volumes.ConclusionsChildren who had anesthesia and surgery during infancy showed broadly distributed, decreased white matter integrity and volume. Although the findings may be related to anesthesia and surgery during infancy, other explanations are possible.


2010 ◽  
Vol 67 (9) ◽  
pp. 965 ◽  
Author(s):  
Samuel R. Chamberlain ◽  
Adam Hampshire ◽  
Lara A. Menzies ◽  
Eleftherios Garyfallidis ◽  
Jon E. Grant ◽  
...  

2014 ◽  
Vol 75 (11) ◽  
pp. e1284-e1290 ◽  
Author(s):  
Puay San Woon ◽  
Min Yi Sum ◽  
Carissa Nadia Kuswanto ◽  
Guo Liang Yang ◽  
Yih Yian Sitoh ◽  
...  

2019 ◽  
Vol 10 (3) ◽  
pp. 204380871986071 ◽  
Author(s):  
Camille Goetz ◽  
Tim Meynen ◽  
Luke Mitcheson ◽  
Nick Grey ◽  
Brian Eastwood ◽  
...  

Cocaine use disorder (CUD) is a debilitating psychopathology, with no recommended medication therapy or specific psychological intervention. Memory-focused cognitive therapy (MFCT) is a novel psychotherapy for CUD, theorized to modify and reconsolidate cocaine craving-related memories for cognitive and behavioral control. A pilot randomized controlled trial indicated that this therapy is associated with reduced craving and cocaine use. With an 80% confidence interval (CI) set for null hypothesis testing, we conducted an exploratory causal mediation analysis with confounder adjustment to determine whether increased cocaine abstinence following MFCT is mediated by reduced craving experience and increased emotion regulation. Participant data on the Difficulties in Emotion Regulation Scale did not meet screening evaluation as a potential mediator. Cocaine craving (assessed by the frequency version of the Craving Experiences Questionnaire) was associated with a total treatment effect of MFCT on cocaine abstinence at follow-up (1.499; 80% CI 1.114 to 1.970; p = .012). A significant natural indirect effect indicated that reductions in cocaine use were strongly mediated by reduced frequency of craving experience (1.753; 80% CI: 1.334 to 2.936; p < .0001). This study provides exploratory evidence in support of the theoretical action for MFCT and underscores the importance of craving as a therapeutic target.


2020 ◽  
Vol 174 (1) ◽  
pp. e193869 ◽  
Author(s):  
John S. Hutton ◽  
Jonathan Dudley ◽  
Tzipi Horowitz-Kraus ◽  
Tom DeWitt ◽  
Scott K. Holland

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