Page 239 - Pagetit
P. 239

NEUROSCIENCE OF PSYCHOACTIVE SUBSTANCE USE AND DEPENDENCE




                     Ethical principles in medicine and human rights both embody injunctions
                   to behave in specific ways but they differ in to whom they apply (Mann, 1999).
                   Ethical principles typically apply to individuals, usually health care workers
                   and researchers, whereas human rights impose obligations on states and
                   governments to promote and protect the rights of their citizens from
                   infringements by the state or by others (Mann, 1999). Human rights are most
                   relevant to the way in which treatments and interventions derived from
                   neuroscience research are used to treat and prevent substance dependence.
                   This is because treatment and prevention may involve the use of the coercive
                   powers of the state to threaten the human rights of persons who are
                   dependent on psychoactive substances (Gostin & Mann, 1999).

                   Ethics of animal experimentation in neuroscience research
                   The use of animals in biomedical research has traditionally been justified
                   by the argument that the harm inflicted upon animals in the course of
                   research is outweighed by the gains in scientific knowledge to humans (and
                   animals) (Resnik, 1998). The scientific community has generally accepted
                   this defence, but it has not received similar support from the public as a
                   result of media reporting of controversial examples of animal experimen-
                   tation (Brody, 1998).
                     Animal research has provided some significant benefits to humans, for
                   example, the identification of mechanisms that cause disease and the
                   improvement of treatments (Naquet, 1993).
                     Although there are alternatives to animal models in some situations, such
                   as tissue cultures and computer simulation (Resnik, 1998), these models
                   cannot replace the use of animals in research because they cannot model
                   the rich behavioural and physiological environment of live animals (American
                   Psychological Association Science Directorate, 2001).
                     A criticism of animal experimentation is that the animals used do not
                   provide good models of human biology, physiology and psychology (Resnik,
                   1998). For example, research has shown that cortical organization in the brain
                   varies between species and that some primates lack characteristics found in
                   humans (Preuss, 2000). It has also been argued that the psychology and
                   neurobiology of substance dependence are not well-modelled in commonly
                   used animals such as mice and rats (Resnik, 1998), and that non-human
                   primate models are more desirable because the cortical anatomy and
                   behavioural repertoire of primates more closely resembles those of humans
                   (National Academy of Science, 1996). However, much of the current
                   knowledge regarding the neuroscience of substance dependence has come
                   from animal experimentation using a number of different species. Genetically
                   engineered mice, for example, have been used to identify initial targets for
                   drugs, such as the CB1 cannabinoid receptor, and biochemical pathways
                   involved in cocaine metabolism have been investigated (Nestler, 2000). Rats
                   and other non-primate species have provided good models for certain aspects


                                                  218




          Chapter_7                218                             19.1.2004, 11:50
   234   235   236   237   238   239   240   241   242   243   244