A protein called ΔFosB, currently under study by the author, provides an example-we suspect an important one-of how changes in gene activity can promote structural changes during the progression from abuse to addiction. It begins with a brief review of cocaine’s immediate effects on brain function, then focuses on two more recently discovered types of effects: alterations in genetic activity that last for weeks, and alterations of nerve cell structure that last for months and possibly much longer. This article presents in broad outline the emerging picture of the neurobiology of cocaine addiction. With repeated exposure to cocaine, these short- and intermediate-term effects cumulatively give rise to further effects that last for months or years and may be irreversible. Others persist for weeks after the drug leaves the brain. Some of its effects revert quickly to normal.

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