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Health

Ex-smokers' brains show rebound in pleasure chemical

The brain makes less dopamine, a chemical involved in both pleasure and addiction, when people smoke but this temporary deficit may be reversed after quitting, small study suggests.

Nicotine addiction known to be associated with abnormalities in the dopamine system

The brain makes less dopamine, a chemicalinvolved in both pleasure and addiction, when people smoke butthis temporary deficit may be reversed when smokers kick thehabit, a small experiment suggests.

"It is assumed that the brain adapts to the repeatednicotine-induced release of dopamine by producing lessdopamine," said lead study author Dr. Lena Rademacher of LubeckUniversity in Germany.

It's still not clear if dopamine production reduced bylong-term smoking bounces back in ex-smokers, so the researchers
did brain scans of 15 never-smokers and 30 smokers.

Then, they offered cessation treatment to the smokers anddid another set of brain scans three months later on the subsetof 15 people in this group who had quit.

On the first set of scans, smokers had a 15 per cent to 20per cent lower capacity for dopamine production than thenonsmokers, researchers report in the journal BiologicalPsychiatry.

But in the second set of scans, there was no longer adifference between nonsmokers and the smokers who successfullyquit during the study.

This is important because some researchers think certainpeople could possess naturally low dopamine production that
predisposes them to addiction.

Nicotine addiction is known to be associated withabnormalities in the dopamine system. But scientists areuncertain if smoking induces those abnormalities or if theyalready exist in some people and make them more vulnerable togetting hooked on nicotine.

Because the study found that most nicotine abnormalitieswent away after smokers quit, it suggests they are a byproductof smoking, Rademacher said.

"In case of a predisposing trait, abnormalities are expectedto persist with abstinence," Rademacher said. "Conversely, ifdopamine function normalizes with abstinence this ratherindicates that alterations were induced by substanceconsumption."

One limitation of the study is its small size, which makesit difficult to draw statistically meaningful conclusions, the
authors note. The study also only included men, making it hardto say whether the findings would apply to women.

Overly preoccupied with drug use

Even so, the results are encouraging because they suggestthat brain function is plastic, or modifiable, and that anex-smoker's brain can return to more normal functioning overtime, said Joseph McClernon, a psychiatry researcher at DukeUniversity School of Medicine in Durham, North Carolina, whowasn't involved in the study.

The findings also may have implications beyond justaddiction to cigarettes because the dopamine system is involved
in a broad range of functions including learning, motivation andbehavior control, McClernon added by email.

"To the extent that smoking or other drug use alters howthis system functions normally can have impacts on behaviour thatincrease the likelihood that one continues to use drugs or hasdifficulty in quitting drug use," McClernon said.

"Dopamine regulation of motivation for instance, is likelyinvolved in the tendency of drug users to be overly preoccupied
with drug use" to the exclusion of other forces in their liveslike work and relationships, McClernon added.