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Wen ZHANG, Huawei WANG, Mei ZHU. Memory Reconsolidation and Intervention in Drug Addiction[J]. Journal of Kunming Medical University. doi: 10.12259/j.issn.2095-610X.S20261001
Citation: Wen ZHANG, Huawei WANG, Mei ZHU. Memory Reconsolidation and Intervention in Drug Addiction[J]. Journal of Kunming Medical University. doi: 10.12259/j.issn.2095-610X.S20261001

Memory Reconsolidation and Intervention in Drug Addiction

doi: 10.12259/j.issn.2095-610X.S20261001
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  • Corresponding author: 朱梅,医学博士,主任医师,博士生导师,《超声医学》国家一流课程负责人。昆明医科大学第一附属医院副院长。入选云南省万人计划产业技术领军人才,云南省中青年学术与技术带头人,云南省医学领军人才,享受云南省政府特殊津贴,全国巾帼建功标兵。担任中华医学会超声分会全国委员,《中华超声影像学杂志》编委,国家超声质控中心专家,云南省新医科教育联盟临床医学实践专委会主委,全国高校附属医院临床实践教育联盟常务理事、云南省超声影像研究中心主任,云南省超声医学会副主任委员。主持国家级及省部级科研课题10余项,其中国家自然科学基金项目2项,云南省应用基础研究重点课题3项。获中国医院协会医院科技创新奖二等奖,中国研究型医院学会医学研究创新奖一等奖,云南省自然科学三等奖。
  • Received Date: 2026-05-22
    Available Online: 2026-10-02
  • Drug-associated cues can evoke cravings and lead to relapse by reactivating persistent reward memories. Targeting memory reconsolidation is considered an important strategy for weakening these pathological memories. This article reviews the temporal boundaries, brain networks, and molecular mechanisms drug addiction memory reconsolidation, and compares the evidence for clinical translation of pharmacological, retrieval-extinction, and neuromodulatory interventions. Current research suggests that the transient state of vulnerability following memory retrieval is constrained by boundary conditions, including prediction error, retrieval duration, and memory age and strength. During this time window, the amygdala, hippocampus, prefrontal cortex, and nucleus accumbens form a dynamic network, while NMDAR, mTORC1, BDNF-TrkB, the ubiquitin-proteasome system, and monoaminergic neurotransmission jointly regulate destabilization and restabilization. Evidence from animal studies is relatively robust, whereas human research has focused primarily on propranolol, ketamine, and retrieval-extinction procedures. Small sample sizes, heterogeneous outcomes, and insufficient long-term follow-up limit the certainty of the evidence. This article further proposes a multilevel regulatory framework—“boundary conditions–neural circuits–molecular plasticity–intervention strategies–clinical outcomes”—to inform precision interventions for addiction-related memories and the design of clinical trials.
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  • [1]
    Huang S, Liu X, Li Z, et al. Memory reconsolidation updating in substance addiction: Applications, mechanisms, and future prospects for clinical therapeutics[J]. Neurosci Bull, 2025, 41(2): 289-304. doi: 10.1007/s12264-024-01294-z
    [2]
    de Almeida-Antunes N A, Sampaio A C S, Crego M A B, et al. Tackling addictive behaviors through memory suppression: A scoping review and perspective[J]. Alcohol Clin Exp Res, 2024, 48(8): 1421-1442. doi: 10.1111/acer.15381
    [3]
    Walsh K H, Das R K, Saladin M E, et al. Modulation of naturalistic maladaptive memories using behavioural and pharmacological reconsolidation-interfering strategies: A systematic review and meta-analysis of clinical and ‘sub-clinical’ studies[J]. Psychopharmacology, 2018, 235(9): 2507-2527. doi: 10.1007/s00213-018-4983-8
    [4]
    Das R K, Freeman T P, Kamboj S K. The effects of N-methyl d-aspartate and B-adrenergic receptor antagonists on the reconsolidation of reward memory: A meta-analysis[J]. Neurosci Biobehav Rev, 2013, 37(3): 240-255. doi: 10.1016/j.neubiorev.2012.11.018
    [5]
    Milton A L. Drug memory reconsolidation: From molecular mechanisms to the clinical context[J]. Transl Psychiatry, 2023, 13: 370. doi: 10.1038/s41398-023-02666-1
    [6]
    Xu R, Shi D, Wang K, et al. Progress in spatiotemporal regulation of fear memory: Neural circuit mechanisms and implications for PTSD[J]. Gen Psychiatry, 2025, 38(4): e102224. doi: 10.1136/gpsych-2025-102224
    [7]
    Conde-Dusman, María J et al. Control of protein synthesis and memory by GluN3A-NMDA receptors through inhibition of GIT1/mTORC1 assembly[J]. Elife, 2021, 10: e71575.
    [8]
    Balshem H, Helfand M, Schünemann H J, et al. GRADE guidelines: 3. Rating the quality of evidence[J]. J Clin Epidemiol, 2011, 64(4): 401-406.
    [9]
    Li J, Dong Y, Chen W, et al. Exploring post-retrieval strategies to reduce drug craving in methamphetamine use disorders[J]. Addict Biol, 2025, 30(6): e70049. doi: 10.1111/adb.70049
    [10]
    Tronson N C, Taylor J R. Addiction: A drug-induced disorder of memory reconsolidation[J]. Curr Opin Neurobiol, 2013, 23(4): 573-580. doi: 10.1016/j.conb.2013.01.022
    [11]
    Sorg B A. Reconsolidation of drug memories[J]. Neurosci Biobehav Rev, 2012, 36(5): 1400-1417. doi: 10.1016/j.neubiorev.2012.02.004
    [12]
    Nader K, Schafe G E, Le Doux J E. Fear memories require protein synthesis in the amygdala for reconsolidation after retrieval[J]. Nature, 2000, 406(6797): 722-726. doi: 10.1038/35021052
    [13]
    Nader K, Schafe G E, LeDoux J E. The labile nature of consolidation theory[J]. Nat Rev Neurosci, 2000, 1(3): 216-219. doi: 10.1038/35044580
    [14]
    Misanin J R, Miller R R, Lewis D J. Retrograde Amnesia produced by electroconvulsive shock after reactivation of a consolidated memory trace[J]. Science, 1968, 160(3827): 554-555. doi: 10.1126/science.160.3827.554
    [15]
    Barak S, Liu F, Ben Hamida S, et al. Disruption of alcohol-related memories by mTORC1 inhibition prevents relapse[J]. Nat Neurosci, 2013, 16(8): 1111-1117. doi: 10.1038/nn.3439
    [16]
    Tang Q, Li Z, Zhang F, et al. Disruption of relapse to cocaine and morphine seeking by LiCl-induced aversive counterconditioning following memory retrieval[J]. Prog Neuro Psychopharmacol Biol Psychiatry, 2024, 135: 111094. doi: 10.1016/j.pnpbp.2024.111094
    [17]
    Sevenster D, Beckers T, Kindt M. Prediction error demarcates the transition from retrieval, to reconsolidation, to new learning[J]. Learn Mem, 2014, 21(11): 580-584. doi: 10.1101/lm.035493.114
    [18]
    Kindt M, Soeter M, Vervliet B. Beyond extinction: Erasing human fear responses and preventing the return of fear[J]. Nat Neurosci, 2009, 12(3): 256-258. doi: 10.1038/nn.2271
    [19]
    Lee J L C, Nader K, Schiller D. An update on memory reconsolidation updating[J]. Trends Cogn Sci, 2017, 21(7): 531-545. doi: 10.1016/j.tics.2017.04.006
    [20]
    Monfils M H, Holmes E A. Memory boundaries: Opening a window inspired by reconsolidation to treat anxiety, trauma-related, and addiction disorders[J]. Lancet Psychiatry, 2018, 5(12): 1032-1042. doi: 10.1016/S2215-0366(18)30270-0
    [21]
    Merlo E, Milton A L, Goozée Z Y, et al. Reconsolidation and extinction are dissociable and mutually exclusive processes: Behavioral and molecular evidence[J]. J Neurosci, 2014, 34(7): 2422-2431. doi: 10.1523/JNEUROSCI.4001-13.2014
    [22]
    Lee J L C, Milton A L, Everitt B J. Cue-induced cocaine seeking and relapse are reduced by disruption of drug memory reconsolidation[J]. J Neurosci, 2006, 26(22): 5881-5887. doi: 10.1523/JNEUROSCI.0323-06.2006
    [23]
    Milton A L, Everitt B J. The psychological and neurochemical mechanisms of drug memory reconsolidation: Implications for the treatment of addiction[J]. Eur J Neurosci, 2010, 31(12): 2308-2319. doi: 10.1111/j.1460-9568.2010.07249.x
    [24]
    Lintas A, Chi N, Lauzon N M, et al. Identification of a dopamine receptor-mediated opiate reward memory switch in the basolateral amygdala-nucleus accumbens circuit[J]. J Neurosci, 2011, 31(31): 11172-11183. doi: 10.1523/JNEUROSCI.1781-11.2011
    [25]
    Lee S H, Choi J H, Lee N, et al. Synaptic protein degradation underlies destabilization of retrieved fear memory[J]. Science, 2008, 319(5867): 1253-1256. doi: 10.1126/science.1150541
    [26]
    Sun Y, Giocomo L M. Neural circuit dynamics of drug-context associative learning in the mouse hippocampus[J]. Nat Commun, 2022, 13: 6721. doi: 10.1038/s41467-022-34114-x
    [27]
    Otis J M, Dashew K B, Mueller D. Neurobiological dissociation of retrieval and reconsolidation of cocaine-associated memory[J]. J Neurosci, 2013, 33(3): 1271-81a. doi: 10.1523/JNEUROSCI.3463-12.2013
    [28]
    Hu Y B, Deng X, Liu L, et al. Distinct roles of excitatory and inhibitory neurons in the medial prefrontal cortex in the expression and reconsolidation of methamphetamine-associated memory in male mice[J]. Neuropsychopharmacology, 2024, 49(12): 1827-1838. doi: 10.1038/s41386-024-01879-2
    [29]
    Zhao H, Li H, Meng L, et al. Disrupting heroin-associated memory reconsolidation through actin polymerization inhibition in the nucleus accumbens core[J]. Int J Neuropsychopharmacol, 2024, 28(1): pyae065. doi: 10.1093/ijnp/pyae065
    [30]
    Hoeffer C A, Klann E. mTOR signaling: At the crossroads of plasticity, memory and disease[J]. Trends Neurosci, 2010, 33(2): 67-75. doi: 10.1016/j.tins.2009.11.003
    [31]
    Khamsing D, Lebrun S, Fanget I, et al. A role for BDNF- and NMDAR-induced lysosomal recruitment of mTORC1 in the regulation of neuronal mTORC1 activity[J]. Mol Brain, 2021, 14(1): 112. doi: 10.1186/s13041-021-00820-8
    [32]
    Chang R, Zhu S, Peng J, et al. The hippocampal FTO-BDNF-TrkB pathway is required for novel object recognition memory reconsolidation in mice[J]. Transl Psychiatry, 2023, 13(1): 349. doi: 10.1038/s41398-023-02647-4
    [33]
    Estrada-Medina R, Briones-Llamoctanta B E, Turpo-Chaparro J E. Neuroplasticity and recovery of the brain affected by substance use disorder: Multilevel mechanisms and new therapeutic strategies (2020-2025)[J]. Front Mol Neurosci, 2026, 19: 1760387. doi: 10.3389/fnmol.2026.1760387
    [34]
    Alaghband Y, Marshall J F. Common influences of non-competitive NMDA receptor antagonists on the consolidation and reconsolidation of cocaine-cue memory[J]. Psychopharmacology, 2013, 226(4): 707-719. doi: 10.1007/s00213-012-2793-y
    [35]
    Yan Y, Newman A H, Xu M. Dopamine D1 and D3 receptors mediate reconsolidation of cocaine memories in mouse models of drug self-administration[J]. Neuroscience, 2014, 278: 154-164. doi: 10.1016/j.neuroscience.2014.08.008
    [36]
    Guo X, Yuan Y, Su X, et al. Different projection neurons of basolateral amygdala participate in the retrieval of morphine withdrawal memory with diverse molecular pathways[J]. Mol Psychiatry, 2024, 29(3): 793-808. doi: 10.1038/s41380-023-02371-x
    [37]
    Lin X, Deng J, Yuan K, et al. Neural substrates of propranolol-induced impairments in the reconsolidation of nicotine-associated memories in smokers[J]. Transl Psychiatry, 2021, 11: 441. doi: 10.1038/s41398-021-01566-6
    [38]
    Saladin M E, Gray K M, McRae-Clark A L, et al. A double blind, placebo-controlled study of the effects of post-retrieval propranolol on reconsolidation of memory for craving and cue reactivity in cocaine dependent humans[J]. Psychopharmacology, 2013, 226(4): 721-737. doi: 10.1007/s00213-013-3039-3
    [39]
    Pachas G N, Gilman J, Orr S P, et al. Single dose propranolol does not affect physiologic or emotional reactivity to smoking cues[J]. Psychopharmacology, 2015, 232(9): 1619-1628. doi: 10.1007/s00213-014-3797-6
    [40]
    Jobes M L, Aharonovich E, Epstein D H, et al. Effects of prereactivation propranolol on cocaine craving elicited by imagery script/cue sets in opioid-dependent polydrug users: A randomized study[J]. J Addict Med, 2015, 9(6): 491-498. doi: 10.1097/ADM.0000000000000169
    [41]
    Lonergan M, Saumier D, Tremblay J, et al. Reactivating addiction-related memories under propranolol to reduce craving: A pilot randomized controlled trial[J]. J Behav Ther Exp Psychiatry, 2016, 50: 245-249. doi: 10.1016/j.jbtep.2015.09.012
    [42]
    Xue Y X, Deng J H, Chen Y Y, et al. Effect of selective inhibition of reactivated nicotine-associated memories with propranolol on nicotine craving[J]. JAMA Psychiatry, 2017, 74(3): 224-232.
    [43]
    Yu S, Xu P J, Shi L, et al. Effect of inhibition of reactivated alcohol-associated memories with propranolol on alcohol craving[J]. BMC Psychiatry, 2025, 25(1): 453. doi: 10.1186/s12888-025-06904-2
    [44]
    Brown T E, Lee B R, Sorg B A. The NMDA antagonist MK-801 disrupts reconsolidation of a cocaine-associated memory for conditioned place preference but not for self-administration in rats[J]. Learn Mem, 2008, 15(12): 857-865. doi: 10.1101/lm.1152808
    [45]
    Das R K, Gale G, Walsh K, et al. Ketamine can reduce harmful drinking by pharmacologically rewriting drinking memories[J]. Nat Commun, 2019, 10: 5187. doi: 10.1038/s41467-019-13162-w
    [46]
    Lin J, Liu L, Wen Q, et al. Rapamycin prevents drug seeking via disrupting reconsolidation of reward memory in rats[J]. Int J Neuropsychopharmacol, 2014, 17(1): 127-136. doi: 10.1017/S1461145713001156
    [47]
    Xue Y X, Luo Y X, Wu P, et al. A memory retrieval-extinction procedure to prevent drug craving and relapse[J]. Science, 2012, 336(6078): 241-245. doi: 10.1126/science.1215070
    [48]
    Germeroth L J, Carpenter M J, Baker N L, et al. Effect of a brief memory updating intervention on smoking behavior: A randomized clinical trial[J]. JAMA Psychiatry, 2017, 74(3): 214-223. doi: 10.1001/jamapsychiatry.2016.3148
    [49]
    Yue J L, Wang R J, Chen S J, et al. Effect of conditioned stimuli-triggered memory retrieval-extinction in patients with methamphetamine use disorder[J]. Transl Psychiatry, 2025, 15: 249. doi: 10.1038/s41398-025-03474-5
    [50]
    Camprodon J A, Martínez-Raga J, Alonso-Alonso M, et al. One session of high frequency repetitive transcranial magnetic stimulation (rTMS) to the right prefrontal cortex transiently reduces cocaine craving[J]. Drug Alcohol Depend, 2007, 86(1): 91-94. doi: 10.1016/j.drugalcdep.2006.06.002
    [51]
    Hanlon C A, Dowdle L T, Correia B, et al. Left frontal pole Theta burst stimulation decreases orbitofrontal and Insula activity in cocaine users and alcohol users[J]. Drug Alcohol Depend, 2017, 178: 310-317. doi: 10.1016/j.drugalcdep.2017.03.039
    [52]
    Sevenster D, Beckers T, Kindt M. Prediction error governs pharmacologically induced Amnesia for learned fear[J]. Science, 2013, 339(6121): 830-833. doi: 10.1126/science.1231357
    [53]
    Suzuki A, Josselyn S A, Frankland P W, et al. Memory reconsolidation and extinction have distinct temporal and biochemical signatures[J]. J Neurosci, 2004, 24(20): 4787-4795. doi: 10.1523/JNEUROSCI.5491-03.2004
    [54]
    Haubrich J, Bernabo M, Nader K. Noradrenergic projections from the locus coeruleus to the amygdala constrain fear memory reconsolidation[J]. eLife, 2020, 9: e57010. doi: 10.7554/eLife.57010
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