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   Yale University School of Medicine

NIDA Proteomics Center InvestigatorsRajita Sinha

Stress-Related Biomarkers of Relapse Vulnerability in Addictive Disorders.
Rajita Sinha, Department of Psychiatry
Yale University

Stress plays a central role in both the development of addiction and the risk for subsequent relapse to chronic drug taking after addicted individuals have achieved an initial period of sobriety. The focus of our translational neuroscience research program is to understand stress-related mechanisms that influence addictive processes. These research studies involve examining changes in brain and peripheral stress circuits associated with acute and protracted drug and alcohol withdrawal states, modeling drug craving in the laboratory and examining stress-related factors that influence relapse risk in alcohol, cocaine and marijuana abusing subjects. Thus far, our studies have therefore focused primarily on behavioral and neural systems level and molecular (genetic) analysis of stress effects on addictive behavior in humans. The proposed new studies will focus on identifying and validating stress-related biomarkers of relapse vulnerability in addictive disorders. Specific aims for the proposed study include:

1. Identifying candidate biomarkers for stress-related vulnerability to relapse to cocaine and alcohol abuse.

2. Assessing the relationship between candidate biomarkers and psychological, physiological, and biochemical indices of stress during exposure to stress and drug cues in addicted samples (cocaine, alcohol).

3. Validating candidate biomakers of sress-related vulnerability in a new cohort of addicted subjects ((cocaine, alcohol; n=30/group) as compared to healthy non-addicted control volunteers (n=30).

4. Determining whether specific treatment interventions targeting stress-induced vulnerability to relapse affect expression of candidate biomarkers, and if so, whether this correlates with an improvement in clinical outcome.

In these studies we will use Liquid chromatography/Fourier transform ion cyclotron resonance mass spectrometry (LC-FTICR MS) to assess protein expression in addicted and healthy control subjects. Newly developed statistical algorithms including Random Forests classification and regression will be used to identify those alterations in protein expression that show the greatest association with clinical outcome and psychological, physiological, and biochemical indices of stress.


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