“…For example, it appears continued alcohol or drug intake results in a hypergluatmatergic state within mesocorticolimbic and extended amygdala reward circuits (Gass & Olive, 2008; Kryger & Wilce, 2010; Vengeliene, Bilbao, Molander, & Spanagel, 2008). Pre-clinical evidence supports clinical findings that alcohol acutely inhibits, and chronically sensitizes and upregulates glutamate neurotransmission, in brain reward regions of the mesocorticolimbic and extended amygdala circuits (e.g., Carlezon & Wise, 1996; Chandler, Newsom, Sumners, & Crews, 1993; Cui et al, 2013; Ding, Engleman, Rodd, & McBride, 2012; Floyd, Jung, & McCool, 2003; Gass & Olive, 2008; Kapasova & Szumlinski, 2008; Nevo & Hamon, 1995; Nie, Madamba, & Siggins, 1994; Nie, Yuan, Madamba, & Siggins, 1993; Tabakoff & Hoffman, 2013; Weitlauf & Woodward, 2008), which may be due, in part, to changes in glutamate clearance (Ding et al, 2013; Kapasova & Szumlinski, 2008; Othman, Sinclair, Haughey, Geiger, & Parkinson, 2002; Parks et al, 2002; Rao, Bell, et al, 2015; Sari et al, 2011; Smith, 1997; Smith & Zsigo, 1996; Thoma et al, 2011). Moreover, recent data showed that 10 weeks of operant binge-like self administration of solutions containing both ethanol and nicotine resulted in elevation of extracellular glutamate levels in the PFC (Deehan, et al, 2015).…”