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Why Can't the Brain Shake Cocaine?

While celebrities and U.S. entanglement in the Colombian drug war keep cocaine in the headlines, a larger tragedy hides in the unseen lives of both addicts and former addicts. In 1999, 1.5 million Americans took cocaine at least once a month, according to the federal government's National Household Survey on Drug Abuse. The problem's vast size is aggravated by two stubborn realities: many addicts just can't quit, and those who do might relapse when stressed or tempted. Both groups suffer because

Written byDouglas Steinberg
| 7 min read

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Biologists began investigating the neuronal changes underlying cocaine addiction many years ago. Some studies focused on what was happening on cell membranes; others tackled the less accessible molecular and genetic developments inside neurons. About five years ago, this intracellular approach largely petered out in the face of dauntingly complex biochemical pathways and proteins with unfathomable functions. A few labs persisted, however, and their explorations are starting to hit pay dirt. In March, for example, a team of 12 neuroscientists published a Nature paper detailing, for the first time, how chronic cocaine exposure affects several proteins along a critical signal transduction pathway in neurons.1

The ultimate goal of all this research is to tease out how short-term changes in intracellular proteins lead to the lifelong bodily changes that maintain addiction and cause relapse. One key protein identified in the Nature paper, cyclin-dependent kinase 5 (Cdk5), is "a very good candidate for ...

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