Female Narrator: Deep within the brain is a set of structures called the limbic system. The limbic system contains the brain’s reward circuit or pathway. The reward circuit links together a number of brain structures that control and regulate our ability to feel pleasure. Feeling pleasure motivates us to repeat behaviors. When the reward circuit is activated, each individual cell in the circuit relays electrical and chemical signals. The small gap between the sending and receiving cells is called the synapse. In the reward circuit, dopamine neurons release the neurotransmitter dopamine. The released dopamine molecules travel across the synapse and link up with proteins called dopamine receptors on the surface of the receiving cell. When dopamine binds to the exterior of the dopamine receptor this causes proteins attached to the interior part of the receptors to carry the signal onward within the cell. Some dopamine molecules re-enter the sending cell via dopamine transporters and can be re-released. When a reward is encountered, the pre-synaptic cell releases a larger amount of dopamine in a sudden burst. Dopamine transporters will then quickly remove the excess. Dopamine surges in response to natural rewards help the brain learn and adapt to a complex world. However, drugs are able to hijack this process contributing to unhealthy behaviors and consequences.
When someone first uses cocaine, the drug quickly enters the brain where it blocks the transporters on the pre-synaptic cell. Since dopamine cannot re-enter the pre-synaptic cell, it begins to accumulate in the synapse where it can reach abnormally high levels and remain there much longer than usual. The post-synaptic cell becomes hyperactivated which produces a feeling of euphoria. This creates an incredibly powerful association between cocaine and pleasure making a person want to repeat the experience of taking the drug.