NMDA Receptor Modulators in the Treatment of Drug Addiction

Glutamate plays a pivotal role in drug addiction, and the N-methyl-D-aspartate (NMDA) glutamate receptor subtype serves as a molecular target for several drugs of abuse. In this review, we will provide an overview of NMDA receptor structure and function, followed by a review of the mechanism of acti...

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Main Authors: M. Foster Olive, Natali E. Nemirovsky, Seven E. Tomek, Amber L. Lacrosse
Format: Article
Language:English
Published: MDPI AG 2013-02-01
Series:Pharmaceuticals
Subjects:
Online Access:http://www.mdpi.com/1424-8247/6/2/251
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author M. Foster Olive
Natali E. Nemirovsky
Seven E. Tomek
Amber L. Lacrosse
author_facet M. Foster Olive
Natali E. Nemirovsky
Seven E. Tomek
Amber L. Lacrosse
author_sort M. Foster Olive
collection DOAJ
description Glutamate plays a pivotal role in drug addiction, and the N-methyl-D-aspartate (NMDA) glutamate receptor subtype serves as a molecular target for several drugs of abuse. In this review, we will provide an overview of NMDA receptor structure and function, followed by a review of the mechanism of action, clinical efficacy, and side effect profile of NMDA receptor ligands that are currently in use or being explored for the treatment of drug addiction. These ligands include the NMDA receptor modulators memantine and acamprosate, as well as the partial NMDA agonist D-cycloserine. Data collected to date suggest that direct NMDA receptor modulators have relatively limited efficacy in the treatment of drug addiction, and that partial agonism of NMDA receptors may have some efficacy with regards to extinction learning during cue exposure therapy. However, the lack of consistency in results to date clearly indicates that additional studies are needed, as are studies examining novel ligands with indirect mechanisms for altering NMDA receptor function.
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spelling doaj.art-19fe5b267ae64db28020b467e2c4b45d2022-12-21T23:38:54ZengMDPI AGPharmaceuticals1424-82472013-02-016225126810.3390/ph6020251NMDA Receptor Modulators in the Treatment of Drug AddictionM. Foster OliveNatali E. NemirovskySeven E. TomekAmber L. LacrosseGlutamate plays a pivotal role in drug addiction, and the N-methyl-D-aspartate (NMDA) glutamate receptor subtype serves as a molecular target for several drugs of abuse. In this review, we will provide an overview of NMDA receptor structure and function, followed by a review of the mechanism of action, clinical efficacy, and side effect profile of NMDA receptor ligands that are currently in use or being explored for the treatment of drug addiction. These ligands include the NMDA receptor modulators memantine and acamprosate, as well as the partial NMDA agonist D-cycloserine. Data collected to date suggest that direct NMDA receptor modulators have relatively limited efficacy in the treatment of drug addiction, and that partial agonism of NMDA receptors may have some efficacy with regards to extinction learning during cue exposure therapy. However, the lack of consistency in results to date clearly indicates that additional studies are needed, as are studies examining novel ligands with indirect mechanisms for altering NMDA receptor function.http://www.mdpi.com/1424-8247/6/2/251glutamateN-methyl-D-aspartate receptorglycine binding siteantagonistpartial agonist
spellingShingle M. Foster Olive
Natali E. Nemirovsky
Seven E. Tomek
Amber L. Lacrosse
NMDA Receptor Modulators in the Treatment of Drug Addiction
Pharmaceuticals
glutamate
N-methyl-D-aspartate receptor
glycine binding site
antagonist
partial agonist
title NMDA Receptor Modulators in the Treatment of Drug Addiction
title_full NMDA Receptor Modulators in the Treatment of Drug Addiction
title_fullStr NMDA Receptor Modulators in the Treatment of Drug Addiction
title_full_unstemmed NMDA Receptor Modulators in the Treatment of Drug Addiction
title_short NMDA Receptor Modulators in the Treatment of Drug Addiction
title_sort nmda receptor modulators in the treatment of drug addiction
topic glutamate
N-methyl-D-aspartate receptor
glycine binding site
antagonist
partial agonist
url http://www.mdpi.com/1424-8247/6/2/251
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