Neurobiological intersections of stress and substance use disorders

Substance use has been intertwined with human history for millennia. Throughout the ages, people have consumed various substances for medicinal, spiritual, and recreational reasons, although occasional use differs significantly from substance use disorders (SUDs). Exposure to lifetime stressors cons...

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Main Authors: Vitor Augusto Laurino Juliano, Kairo Alan Albernaz-Mariano, Luiza Helena Halas Covre, Paloma Marinho Jucá, Robbert Mota Pereira, Amadeu Shigeo-de-Almeida, Lucas Luzia Sampaio, Erica de Almeida Duque, Carolina Demarchi Munhoz
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1548372/full
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Summary:Substance use has been intertwined with human history for millennia. Throughout the ages, people have consumed various substances for medicinal, spiritual, and recreational reasons, although occasional use differs significantly from substance use disorders (SUDs). Exposure to lifetime stressors constitutes a significant risk factor for both psychiatric disorders and SUD development and relapse. Indeed, hypothalamic–pituitary–adrenal (HPA) axis modulation, alterations in neuroanatomical and neurotransmitter systems, as well as neuroinflammation are common features of stress-related mood disorders and SUDs. In this mini-review, we will explore how stress exposure influences the SUDs' neurobiological basis on different scales—from large neural circuitries to specific molecular mechanisms—and discuss novel targets for potential treatments.
ISSN:1662-453X