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INJURY SHUTS OFF URGE TO SMOKE


Subtitle: Stroke damage to site deep in brain eliminates desire, researchers find

Source: Baltimore (MD) Sun Date: 2007-01-26 Author: Michael Stroh Sun Reporter URL: http://www.baltimoresun.com/news/nationworld/bal-te.smoke26jan26,0,2586035.story?coll=bal-nationworld-headlines ID: 240972

In a finding that could lead to powerful new treatments for smokers unable to quit, scientists have discovered that people who experienced stroke damage to a prune-sized spot deep within the brain suddenly lost the urge to light up.

The research, published today in the journal Science, underscores nicotine's far-reaching grip on a smoker's neural circuitry -- and how much there remains to learn about it. Until now, addiction researchers have largely ignored the brain structure implicated in the study -- a region called the insula.

"It's a really tremendous paper, one that points us in a whole new direction," says Steven Grant, who is chief of the clinical neuroscience branch of the government's National Institute on Drug Abuse and was not involved in the study. "It says: This is a brain area the addiction field needs to focus a lot of attention on." . . .

In the study, researchers at the University of Southern California and University of Iowa looked at 69 smokers with various brain injuries, mostly as the result of a stroke. All the participants had smoked at least five cigarettes a day for two years or more. . . .

Drug companies seeking new anti-smoking therapies are racing to exploit the emerging understanding of how nicotine behaves in the brain.

Last May, the Food and Drug Administration approved Pfizer's varenicline, sold under the trade name Chantix. It stimulates the production of dopamine, the feel-good hormone that surges through brain tissue in response to behaviors such as eating, sex and smoking tobacco.

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