NEUROSCIENCE RESEARCH ON DRUG ADDICTION NIH GUIDE, Volume 22, Number 39, October 29, 1993 PA NUMBER: PA-94-005 P.T. 34 Keywords: Drugs/Drug Abuse Neuroscience Addiction National Institute on Drug Abuse PURPOSE The purpose of this program announcement is to encourage investigator interest in the wide range of neuroscience research relevant to drug addiction supported by several programmatic areas within the National Institute on Drug Abuse (NIDA). In light of quantum advances in neuroscience technology, it is now possible to vastly increase our knowledge of the relationships among neuroanatomy, neurophysiology, neurochemistry, neuropsychopharmacology, addictive behavior, and addictive disease. The 12 initiatives in this program announcement are designed to exploit this enormous potential in the service of substantially improving our understanding of the brain mechanisms that underlie addictive disease, an objective that is essential to the improvement of preventive and therapeutic interventions. HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2000," a PHS-led national activity for setting priority areas. This PA, Neuroscience Research on Drug Addiction, is related to the priority areas of tobacco, alcohol and other drugs, and maternal and infant health. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0, or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (telephone (202) 783-3238). ELIGIBILITY REQUIREMENTS Applications may be submitted by foreign and domestic, for-profit and non-profit, public and private organizations, e.g., colleges, universities, hospitals, laboratories, units of State or local governments, and eligible agencies of the Federal government. Applications from minority individuals and women are encouraged. Foreign institutions are not eligible for First Independent Research Support and Transition (FIRST) (R29) awards. MECHANISMS Support mechanisms include research project grants (R01), FIRST Awards (R29), small grants (R03), program projects (P01), and conference grants (R13). Because the nature and scope of the research proposed in response to this program announcement may vary, it is anticipated that the size of an award will vary also. RESEARCH OBJECTIVES To progress in dealing with problems of drug abuse and dependence, expansion of research to understand the neural bases of this disease is necessary. The research tools available, e.g., histochemistry, autoradiography, molecular biology, microscopy, imaging techniques applicable to living brain (e.g., positron emission tomography (PET)), and neurophysiology and neuropharmacology techniques (e.g., neural tissue transplantation, neuron cultures), especially those monitoring neural processes during behavior (e.g., single-cell electrophysiology, electroencephalography, microdialysis, voltammetry) facilitate significant advances in understanding the neurobiology mediating drug abuse, dependence, addiction, and recovery. These methods and the following examples of topics are not exhaustive; applicants are invited to submit applications in a discipline of neuroscience that will contribute to the understanding of drug addiction. 1. Reward Mechanisms in Drug Abuse The brain-reward model begins to explain euphoria produced by a variety of drug classes. According to the model, the "high" results from activation of a brain system that mediates the experience of pleasure. Identification of a neuroanatomical substrate for drug-induced euphoria opened the door for research on the biological basis of psychological dependence. The various mechanisms by which drugs affect this system is an important area of research. The model also provides a rationale for developing interventions to alleviate addiction. Studies are needed to expand the model. Mesocorticolimbic dopamine pathways are a major component of the brain-reward system, but other neurochemical systems should be studied for involvement in brain-reward. Studies of drug effects on components of the brain-reward system and on neural events underlying tolerance, sensitization, craving, and relapse to excessive drug intake are also needed. Studies that relate drugs to other reinforcers are encouraged. 2. Drug Abuse Neuropsychopharmacology The neuroscience program seeks improved explanations of mechanisms of drugs of abuse and of potential treatment drugs, especially mechanisms underlying drug effects on behavior of the whole organism. Examples include studies of (1) behavioral roles of specific receptors and natural ligands; (2) roles of specific neurons and neuronal systems (e.g., opioidergic); (3) preclinical models for new treatment approaches; (4) neural mechanisms underlying drug-induced disruption of complex behaviors, including changes in complex behaviors during drug withdrawal and the effects on complex behavior induced by potential treatment drugs; and (5) drug combinations, e.g., cocaine plus ethanol, abused drug plus treatment drug. 3. Vulnerability to Drug Addiction The goal of this part of the program is to determine the neurobiological bases for the predisposition to compulsively abuse drugs, i.e., to identify and evaluate the factors that influence the decision to continue self-administration. An area of interest is the genetic analyses of individual differences in response to drugs, including differences in susceptibility to drug-seeking behavior, and to neurotoxicity and other drug effects. Genetic studies may include recombinant inbred strains, determination of the genotype linked to high or low self-administration, or the relationships of differences in drug effects to differences in drug metabolism or receptor subtypes. Other studies of interest are those that determine the influence of historical (e.g., previous drug exposure of the organism) and environmental (e.g., social interaction) factors. 4. Neurotoxicology of Drug Abuse Research is encouraged to examine the neurobiological bases of the neurotoxicology and behavioral toxicology of drugs of abuse. Also needed are investigations on residual effects of drug exposure that may result in a compromised nervous system, more susceptible, later in life, to the onset or progression of diseases not usually linked to drug abuse, especially neurodegenerative diseases (e.g. Parkinson's, Alzheimer's). 5. Ontogenetic (Developmental) Neurobiology Exposure to drugs gestationally, perinatally, or neonatally due to drug use by the parent(s) may induce long-term cognitive, behavioral, neurological, and neuroendocrine deficits resulting from alterations in neuronal growth, neuronal function, or development of synapses and neural networks. There is need for information on the existence, persistence, and functional significance of drug-induced changes in the CNS due to the offspring's exposure to drugs. Investigators are encouraged to examine the ontogenetic consequences of exposure to drugs of abuse by means of various neuroanatomical, neurophysiological, neurochemical, or neurobehavioral methodologies. 6. Long-Term Neuroplastic Changes in the CNS Due to Drug Abuse Research is solicited on relationships of persistent neurobiological changes due to drugs to behaviors such as tolerance, dependence, and craving. Evaluation of changes in reinforcement efficacy as a function of alterations in brain-reward circuitry are of particular interest. Research may take advantage of the discovery that many classes of drugs of abuse are potent inducers of immediate-early genes (IEGs) in cells of the CNS. Such research may explore the use of IEG induction as a screening method to identify neuron populations that are targets of drugs of abuse. Such studies may also explore the role of transcription factors in the neuroadaptive responses of the CNS to drugs. Investigators are encouraged to identify the target genes that are regulated by IEGs in response to drugs. Use of transgenic animals to study the molecular basis of drug-seeking behaviors should be considered to explore the effects of gene products on specific aspects of drug-seeking behavior. 7. Anabolic Steroid Abuse An area of research interest to several PHS agencies is anabolic steroid abuse. Program announcement PA-92-80, "Research on Anabolic Steroid Abuse," (issued May 1992) details this priority area. As discussed therein, research including the neurobehavioral actions of anabolic steroids is encouraged. Such research includes determination of whether or not anabolic steroids can affect the brain-reward system, assessment of dependence, elucidation of neurobiological mechanisms and sites of action of anabolic steroid effects on behavior, investigation of neurobiological side effects of anabolic steroid abuse (including long-term consequences), neuroscientific investigation of the postulated link between anabolic steroid abuse and aggressive behavior, and interactions with other drugs of abuse. 8. Pain and Analgesia This program centers on the neural bases of pain and its alleviation and CNS mechanisms underlying opiate abuse. Goals are to improve understanding of (1) how transmitter systems interact with endogenous opioid systems, and how the latter can be stimulated more effectively to decrease pain perception; (2) mechanisms and consequences of opioid actions in acute versus chronic pain; (3) whether the analgesic action of opiates can be dissociated from dependence liability; (4) other treatments for pain (e.g., efficacy and mechanism of acupuncture, transplantation of opioid-releasing cells); (5) the role of cognitive processes in the modulation of pain; (6) changes in gene expression in CNS neurons in response to pain and the relations between changes in gene expression and the behavioral aspects of pain; (7) animal models of chronic pain; and (8) differences between pain patients and drug-abusers in respect to opiate use. 9. Drug Effects on Sensory Processes Little is known about effects of drugs on sensory systems other than those mediating pain; i.e., the mechanisms of hallucinogen-induced alterations in perception need study. Studies are encouraged to investigate effects of chronic drug exposure on sensory system structure and function to determine changes leading to possible neurotoxic damage and permanent sensory impairments and mental disorders. For example, neural damage has been described in somatosensory cortex following certain designer drugs; the functional consequences have not been determined. 10. Drug Effects on Learning, Memory, and Cognition The role of learning and memory in tolerance, dependence, and relapse is a neglected area of neuropsychopharmacology. Stimuli that become associated with the drug experience elicit drug craving, yet little information is available concerning the neural mediators of the associative processes. Studies of roles of, and substrates for, learning and memory in addictive processes are encouraged. Drugs of abuse also impair cognitive processes and performance. Work is needed to characterize the chronic and residual effects of abused drugs on learning, memory, awareness, judgment, performance, and the variables that modify cognition, e.g., attention and motivation. 11. Blood-Brain Barrier (BBB) and Drugs of Abuse The goals are to determine (1) changes in BBB ultrastructure, macromolecules, development, and function caused by drug abuse; (2) reinforcing properties of drugs in terms of their fate at the BBB and entry into the brain; (3) roles of the specialized BBB structures, enzyme systems, and subcellular organelles in regard to the neurotoxicity of abused substances; and (4) strategies for targeting treatment drugs to the brain and for limiting the bioavailability of drugs of abuse. 12. Human Neuroscience Due primarily to the rapid advances in noninvasive brain imaging methodology, it is now feasible to scientifically study the consequences of drug abuse on the human brain. Since most neuroscience research on drug abuse uses animal models, research using human subjects is needed to test the hypotheses generated from animal data and to fill in other gaps in our understanding of drug abuse and addiction and their consequences. Investigations utilizing human subjects, including autopsy material, to study the consequences and prerequisites of drug abuse and dependence are therefore encouraged. STUDY POPULATIONS SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDY POPULATIONS NIH policy is that applicants for NIH clinical research grants and cooperative agreements will be required to include minorities and women in study populations so that research findings can be of benefit to all persons at risk of the disease, disorder or condition under study; special emphasis should be placed on the need for inclusion of minorities and women in studies of diseases, disorders and conditions which disproportionately affect them. This policy is intended to apply to males and females of all ages. If women or minorities are excluded or inadequately represented in clinical research, particularly in proposed population-based studies, a clear compelling rationale should be provided. The composition of the proposed study population must be described in terms of gender and racial/ethnic group. In addition, gender and racial/ethnic issues should be addressed in developing a research design and sample size appropriate for the scientific objectives of the study. This information should be included in the form PHS 398 in Sections 1-4 of the Research Plan AND summarized in Section 5, Human Subjects. Applicants are urged to assess carefully the feasibility of including the broadest possible representation of minority groups. However, NIH recognizes that it may not be feasible or appropriate in all research projects to include representation of the full array of United States racial/ethnic minority populations (i.e., Native Americans (including American Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks, Hispanics). The rationale for studies on single minority population groups should be provided. For the purpose of this policy, clinical research includes human biomedical and behavioral studies of etiology, epidemiology, prevention (and preventive strategies), diagnosis, or treatment of diseases, disorders or conditions, including but not limited to clinical trials. The usual NIH policies concerning research on human subjects also apply. Basic research or clinical studies in which human tissues cannot be identified or linked to individuals are excluded. However, every effort should be made to include human tissues from women and racial/ethnic minorities when it is important to apply the results of the study broadly, and this should be addressed by applicants. For foreign awards, the policy on inclusion of women applies fully; since the definition of minority differs in other countries, the applicant must discuss the relevance of research involving foreign population groups to the United States' populations, including minorities. If the required information is not contained within the application, the application will be returned. Peer reviewers will address specifically whether the research plan in the application conforms to these policies. If the representation of women or minorities in a study design is inadequate to answer the scientific question(s) addressed AND the justification for the selected study population is inadequate, it will be considered a scientific weakness or deficiency in the study design and will be reflected in assigning the priority score to the application. All applications for clinical research submitted to NIH are required to address these policies. NIH funding components will not award grants or cooperative agreements that do not comply with these policies. APPLICATION PROCEDURES Grant applications are to be submitted on form PHS 398 (rev. 9/91), and will be accepted at the standard deadlines as indicated in the application kit. Receipt dates for applications for AIDS-related research are found in the PHS 398 (rev. 9/91) instructions. Application kits are available at most institutional offices of sponsored research, and may be obtained from the Office of Grants Information, Division of Research Grants, National Institutes of Health, Westwood Building, Room 449, Bethesda, MD 20892 (telephone 301-710-0267). The title and number of this announcement must be typed in Item 2a on the face page of the application. FIRST applications must include at least three sealed letters of reference attached to the face page of the original application. FIRST applications submitted without the required number of reference letters will be considered incomplete and will be returned without review. The completed original application and five legible copies must be sent or delivered to: Division of Research Grant National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** REVIEW CONSIDERATIONS Applications will be assigned on the basis of established PHS referral guideline. Applications will be reviewed for scientific and technical merit by review groups of the relevant Institute in accordance with the standard NIH peer review procedures. Following scientific-technical review, the applications will receive a second level review by the appropriate national advisory council. Small Grant (R03) applications do not receive a second level review. AWARD CRITERIA Applications compete for available funds with all other approved applications recommended for further consideration assigned to that Institute. The following will be considered in making funding decisions: quality of the proposed projects as determined by peer review, program balance among research areas of the announcement, and availability of funds. INQUIRIES Written and telephone inquiries are encouraged. The opportunity to clarify any issues or answer questions from potential applicants is welcome. The areas of research described in this announcement reflect the several programmatic interests with NIDA. Direct inquiries regarding programmatic issues to: Roger Brown, Ph.D. Division of Basic Research National Institute on Drug Abuse Parklawn Building, Room 10A-19 Rockville, MD 20857 Telephone: (301) 443-6975 Direct inquiries regarding fiscal or grants management issues to: Gary Fleming, J.D., M.A. Grants Management Branch National Institute on Drug Abuse Parklawn Building, Room 8A-54 Rockville, MD 20857 Telephone: (301) 443-6710 AUTHORITY AND REGULATIONS This program is described in the Catalogue of Federal Domestic Assistance No. 93.279. Awards are made under authorization of the Public Health Service Act, Section 301, and administered under PHS grants policies and Federal regulations 42 CFR 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or the Health Systems Agency review. .
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