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Glial dysfunction in substance use disorders. New insights from PET and MR imaging 物质使用障碍中的神经胶质功能障碍。PET和MR成像的新见解
Pub Date : 2023-11-07 DOI: 10.1016/j.addicn.2023.100135
Wadad SABA

Alcohol and other drug pharmacology, including acute effects and mechanisms leading to drug seeking and addiction, has been extensively studied. Glial cells are critical for the proper development and function of the brain, and their reactivity is often an early signature of neurodegenerative and psychiatric disorders. Alcohol and other drugs have an impact on glial cells and promote a reactive glial state with cross-talk between neurons and glia. In this review, we summarize the major findings on the involvement of glial cells, particularly astrocytes, microglia and oligodendrocytes, in the effects of alcohol and other drugs on the brain. We focus on the contribution of imaging modalities, particularly Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI), to understanding these mechanisms in the living brain. We analyze the role of glia in the cerebral effects of alcohol and other drugs through various ways including glutamate homeostasis, neuroinflammatory process, myelin and white matter integrity and blood-brain barrier permeability. A review of targets, radioligands, and methods used or needed in PET and MRI is presented and discussed. The analyze of PET and MRI studies confirms the need for more selective radioligands and more appropriate methods that selectively target different glial cell types.

酒精和其他药物药理学,包括导致寻求药物和成瘾的急性效应和机制,已得到广泛研究。神经胶质细胞对大脑的正常发育和功能至关重要,它们的反应性通常是神经退行性和精神疾病的早期标志。酒精和其他药物对神经胶质细胞有影响,促进神经胶质反应状态,神经元和神经胶质之间产生串扰。在这篇综述中,我们总结了关于胶质细胞,特别是星形胶质细胞、小胶质细胞和少突胶质细胞参与酒精和其他药物对大脑的影响的主要发现。我们专注于成像方式的贡献,特别是正电子发射断层扫描(PET)和磁共振成像(MRI),以了解这些机制在活的大脑。我们从谷氨酸稳态、神经炎症过程、髓磷脂和白质完整性以及血脑屏障通透性等方面分析了胶质细胞在酒精和其他药物对大脑的影响中的作用。回顾目标,放射配体,和方法使用或需要的PET和MRI提出和讨论。PET和MRI研究的分析证实需要更多的选择性放射配体和更合适的方法来选择性地靶向不同的胶质细胞类型。
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引用次数: 0
Sexually dimorphic effects of a modified adolescent social isolation paradigm on behavioral risk factors of alcohol use disorder in Long Evans Rats 一种改良的青春期社会隔离范式对朗埃文斯大鼠酒精使用障碍行为危险因素的两性二态效应
Pub Date : 2023-11-04 DOI: 10.1016/j.addicn.2023.100134
Olivia A. Ortelli, Stacy R. Pitcairn, Christina H. Dyson, Jeffrey L. Weiner

Early life stress (ELS) is a major risk factor for alcohol use disorder (AUD) and comorbid neuropsychiatric conditions. We previously demonstrated that an adolescent social isolation (aSI) model of ELS significantly increased behavioral risk factors for these disorders (e.g. anxiety-like behaviors, alcohol drinking) in male, but not female rats. Since many neurodevelopmental milestones are accelerated in females, we investigated whether an earlier/shorter isolation window (PND 21-38) would yield comparable phenotypes in both sexes. In two experiments, Long Evans rats were socially isolated (SI) or group-housed (GH) on postnatal day (PND) 21 and locomotion was assessed in the open field test (OFT; PND 30). Experiment 1 also assessed behavior on the elevated plus-maze (EPM) (PND 32). In Experiment 2, all rats were single housed on PND 38 to assess home cage alcohol drinking. Experiment 1 revealed that SI females had increased locomotor activity in the OFT but did not differ from GH subjects on the EPM. The OFT results were replicated in both sexes in Experiment 2 and both male and female SI rats had significantly greater ethanol consumption during an eight day continuous access paradigm. In contrast, during subsequent intermittent two-bottle choice drinking, only SI females displayed greater ethanol intake and preference and increased consumption of a quinine-adulterated alcohol solution. These findings demonstrate that early life social isolation can promote AUD vulnerability-related phenotypes in female rats but that there are profound sex differences in the vulnerability window to this early life stressor. Uncovering the neural mechanisms responsible for these sexually dimorphic differences in sensitivity to ELS may shed light on the biological substrates associated with vulnerability to AUD and comorbid disorders of negative emotion in men and women.

早期生活压力(ELS)是酒精使用障碍(AUD)和共病神经精神疾病的主要危险因素。我们之前已经证明,青少年社会隔离(aSI)模型在雄性大鼠中显著增加了这些障碍的行为风险因素(如焦虑样行为、饮酒),而雌性大鼠则没有。由于许多神经发育里程碑在女性中加速,我们研究了更早/更短的隔离窗口(PND 21-38)是否会在两性中产生相似的表型。在两个实验中,Long Evans大鼠在出生后第21天(PND)被社会隔离(SI)或群体饲养(GH),并在开放场测试(OFT)中评估运动;患产后抑郁症30)。实验1还评估了升高+迷宫(EPM)的行为(PND 32)。实验2:采用PND 38单笼饲养大鼠,评价其家庭笼内饮酒情况。实验1显示,SI女性在OFT的运动活动增加,但在EPM上与GH受试者没有差异。在实验2中,OFT的结果在两性中都得到了重复,在8天的连续接触范式中,雄性和雌性SI大鼠的乙醇消耗量都显著增加。相比之下,在随后的间歇性两瓶选择饮酒期间,只有SI女性表现出更大的乙醇摄入量和偏好,并增加了奎宁掺假酒精溶液的消耗。这些发现表明,早期生活中的社会隔离可以促进雌性大鼠的AUD易感性相关表型,但对这种早期生活压力源的易感性窗口存在深刻的性别差异。揭示这些两性对ELS敏感性差异的神经机制,可能有助于揭示与男性和女性对AUD易感性和负面情绪共病相关的生物学基础。
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引用次数: 0
Low frequency deep brain stimulation of nucleus accumbens shell neuronal subpopulations attenuates cocaine seeking selectively in male rats 低频脑深部刺激伏隔核壳神经元亚群选择性地减弱雄性大鼠的可卡因寻求
Pub Date : 2023-10-20 DOI: 10.1016/j.addicn.2023.100133
Sarah E. Swinford-Jackson , Matthew T. Rich , Phillip J. Huffman , Melissa C. Knouse , Arthur S. Thomas , Sharvari Mankame , Samantha J. Worobey , R. Christopher Pierce

The present study examined the effect of deep brain stimulation (DBS) in the nucleus accumbens shell on cocaine seeking and neuronal plasticity in rats. Electrical DBS of the accumbens shell attenuated cocaine primed reinstatement across a range of frequencies as low as 12 Hz in male rats. Nucleus accumbens medium spiny neurons (MSNs) can be differentiated by expression of dopamine D1 receptors (D1DRs) or D2DRs. Low-frequency optogenetic-DBS in D1DR- or D2DR-containing neurons attenuated cocaine seeking in male but not female rats. In slice electrophysiology experiments, 12 Hz electrical stimulation evoked long term potentiation (LTP) in D1DR-MSNs and D2DR-MSNs from cocaine naive male and female rats. However, in cocaine-experienced rats, electrical and optical DBS only elicited LTP in D2DR-MSNs from male rats. These results suggest that low frequency DBS in the nucleus accumbens shell effectively, but sex-specifically, suppresses cocaine seeking, which may be associated with the reversal of synaptic plasticity deficits in D2DR-MSNs.

本研究检测了伏隔核壳脑深部刺激(DBS)对大鼠可卡因寻求和神经元可塑性的影响。伏隔壳的电DBS在低至12赫兹的频率范围内减弱了雄性大鼠可卡因引发的恢复。伏隔核中棘神经元(MSNs)可以通过多巴胺D1受体(D1DRs)或D2DRs的表达来分化。含有D1DR或D2DR的神经元中的低频光遗传学DBS减弱了雄性大鼠而非雌性大鼠的可卡因寻求。在切片电生理学实验中,12Hz电刺激在未摄入可卡因的雄性和雌性大鼠的D1DR MSN和D2DR MSN中诱发长时程增强(LTP)。然而,在经历可卡因的大鼠中,电和光DBS仅在雄性大鼠的D2DR MSNs中引发LTP。这些结果表明,伏隔核外壳中的低频DBS有效地抑制了可卡因寻求,但性别特异性抑制,这可能与D2DR MSNs突触可塑性缺陷的逆转有关。
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引用次数: 0
Adolescent alcohol disrupts development of noradrenergic neurons in the nucleus of the tractus solitarius and enhances stress behaviors in adulthood in mice in a sex specific manner 青少年酒精会破坏孤束核中去甲肾上腺素能神经元的发育,并以性别特异性的方式增强成年小鼠的应激行为
Pub Date : 2023-10-11 DOI: 10.1016/j.addicn.2023.100132
Liz A. Aguilar , Caitlin R. Coker , Zari McCullers , Alexandra Evans , Opeyemi Showemimo , Mariam Melkumyan , Bailey N. Keller , Angela E. Snyder , Sarah S. Bingaman , Patrick A. Randall , Andras Hajnal , Kirsteen N. Browning , Amy C. Arnold , Yuval Silberman

Alcohol use disorders (AUDs) are common mental health issues worldwide and can lead to other chronic diseases. Stress is a major factor in the development and continuation of AUDs, and adolescent alcohol exposure can lead to enhanced stress-responsivity and increased risk for AUD development in adulthood. The exact mechanisms behind the interaction between adolescence, stress, and alcohol are not fully understood and require further research. In this regard, the nucleus of the tractus solitarius (NTS) provides dense norepinephrine projections to the extended amygdala, providing a key pathway for stress-related alcohol behaviors. While NTS norepinephrine neurons are known to be alcohol sensitive, whether adolescent alcohol disrupts NTS-norepinephrine neuron development and if this is related to altered stress-sensitivity and alcohol preference in adulthood has not previously been examined. Here, we exposed male and female C57Bl/6J mice to the commonly used adolescent intermittent ethanol (AIE) vapor model during postnatal day 28-42 and examined AIE effects on: 1) tyrosine hydroxylase (TH) mRNA expression in the NTS across various ages (postnatal day 21-90), 2) behavioral responses to acute stress in the light/dark box test in adulthood, 3) NTS TH neuron responses to acute stress and ethanol challenges in adulthood, and 4) ethanol conditioned place preference behavior in adulthood. Overall the findings indicate that AIE alters NTS TH mRNA expression and increases anxiety-like behaviors following acute stress exposure in a sex-dependent manner. These mRNA expression and behavioral changes occur in the absence of AIE-induced changes in NTS TH neuron sensitivity to either acute stress or acute alcohol exposure or changes to ethanol conditioned place preference.

酒精使用障碍(AUD)是世界范围内常见的心理健康问题,并可能导致其他慢性疾病。压力是AUD发展和持续的主要因素,青少年饮酒会导致压力反应增强,并增加成年后AUD发展的风险。青春期、压力和酒精之间相互作用的确切机制尚不完全清楚,需要进一步研究。在这方面,孤束核(NTS)向延伸的杏仁核提供密集的去甲肾上腺素投射,为压力相关的酒精行为提供了关键途径。虽然已知NTS去甲肾上腺素神经元对酒精敏感,但青少年酒精是否会破坏NTS去乙肾上腺素神经元的发育,以及这是否与成年后压力敏感性和酒精偏好的改变有关,以前尚未进行过研究。在这里,我们在出生后第28-42天将雄性和雌性C57Bl/6J小鼠暴露于常用的青少年间歇性乙醇(AIE)蒸汽模型中,并检测AIE对以下方面的影响:1)不同年龄(出生后第21-90天)NTS中酪氨酸羟化酶(TH)mRNA的表达,2)成年期对急性应激的行为反应,3)成年期NTS TH神经元对急性应激和乙醇挑战的反应,以及4)成年期乙醇条件下的位置偏好行为。总的来说,研究结果表明,AIE以性别依赖的方式改变了NTS TH mRNA的表达,并增加了急性应激暴露后的焦虑样行为。这些mRNA表达和行为变化发生在没有AIE诱导的NTS TH神经元对急性应激或急性酒精暴露的敏感性变化或乙醇条件下的位置偏好变化的情况下。
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引用次数: 0
Fluoxetine potentiates methylphenidate-induced behavioral responses: Enhanced locomotion or stereotypies and facilitated acquisition of cocaine self-administration 氟西汀增强哌甲酯诱导的行为反应:增强运动或刻板印象,促进可卡因自我给药的获得
Pub Date : 2023-09-26 DOI: 10.1016/j.addicn.2023.100131
Lorissa Lamoureux , Joel A. Beverley , Michela Marinelli , Heinz Steiner

The medical psychostimulant methylphenidate (MP) is used to treat attention-deficit hyperactivity disorder and recreationally as a “cognitive enhancer”. MP is a dopamine reuptake inhibitor, but does not affect serotonin. Serotonin contributes to addiction-related gene regulation and behavior. Previously, we showed that enhancing serotonin action by adding a selective serotonin reuptake inhibitor, fluoxetine (FLX), to MP potentiates MP-induced gene regulation in striatum and nucleus accumbens, mimicking cocaine effects. Here, we investigated the behavioral consequences of MP+FLX treatment. Young adult male rats received MP (5 mg/kg, i.p.) or MP+FLX (5 mg/kg each) daily for 6-8 days. Behavioral effects were assessed in an open-field test during the repeated treatment. Two weeks later the motor response to a cocaine challenge (25 mg/kg) and the rate of acquisition of cocaine self-administration behavior were determined. Our results demonstrate that FLX potentiates effects of MP on open-field behavior. However, we found differential behavioral responses to MP+FLX treatment, as approximately half of the rats developed high rates of focal stereotypies (termed “MP+FLX/high reactivity” group), whereas the other half did not, and only showed increased locomotion (“MP+FLX/low reactivity” group). Two weeks later, cocaine-induced locomotion and stereotypies were positively correlated with MP+FLX-induced behavior seen at the end of the repeated MP+FLX treatment. Moreover, the MP+FLX/high reactivity group, but not the low reactivity group, showed facilitated acquisition of cocaine self-administration. These results demonstrate that repeated MP+FLX treatment can facilitate subsequent cocaine taking behavior in a subpopulation of rats. These findings suggest that MP+FLX exposure in some individuals may increase the risk for psychostimulant use later in life.

药物精神刺激剂哌甲酯(MP)用于治疗注意力缺陷多动障碍,并作为“认知增强剂”用于娱乐。MP是一种多巴胺再摄取抑制剂,但不影响血清素。血清素有助于成瘾相关的基因调节和行为。此前,我们发现,通过在MP中添加选择性血清素再摄取抑制剂氟西汀(FLX)来增强血清素的作用,可以增强MP诱导的纹状体和伏隔核的基因调节,模仿可卡因的作用。在这里,我们调查了MP+FLX治疗的行为后果。年轻成年雄性大鼠每天接受MP(5mg/kg,i.p.)或MP+FLX(各5mg/kg),持续6-8天。在重复治疗过程中,通过开放场地测试评估行为影响。两周后,测定了对可卡因激发(25mg/kg)的运动反应和可卡因自我给药行为的获得率。我们的研究结果表明,FLX增强了MP对开放场行为的影响。然而,我们发现对MP+FLX治疗有不同的行为反应,因为大约一半的大鼠出现了高比例的局灶性刻板印象(称为“MP+FLX/高反应性”组),而另一半则没有,只表现出运动增加(“MP+FLEX/低反应性”小组)。两周后,可卡因诱导的运动和刻板印象与重复MP+FLX治疗结束时观察到的MP+FLX诱导的行为呈正相关。此外,MP+FLX/高反应性组(而非低反应性组)显示出可卡因自给药的获取便利。这些结果表明,重复MP+FLX治疗可以促进大鼠亚群随后的可卡因吸食行为。这些发现表明,一些人暴露于MP+FLX可能会增加日后使用精神刺激剂的风险。
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引用次数: 1
Spermidine prevents the reinstatement of alcohol conditioned place preference 亚精胺可防止酒精条件下位置偏好的恢复
Pub Date : 2023-09-16 DOI: 10.1016/j.addicn.2023.100130
Avner Almeida Silva , Gabrielle de Morais Henriques , Victor Nascimento-Rocha , Behaim Correia Dias-Júnior , Alexia dos Anjos Santos , Alexandre Justo Oliveira Lima , Eduardo Ary Villela Marinho , Maribel Antonello Rubin , Carlos Fernando Mello

This study investigates whether spermidine (SPD), an endogenous polyamine, alters extinction and reinstatement of alcohol-induced conditioned place preference (CPP) in adult female Swiss mice. CPP was induced by injecting alcohol (1.8 g/kg, i.p.) and placing the animals in the drug-associated compartment for 10 min in four alternate days. During extinction, animals received vehicle or SPD (3, 10 or 30 mg/kg), and were placed in the drug-associated compartment for 10 min in 4 alternate days. Alcohol re-exposure was performed in the alcohol-paired compartment. In a second experiment, after conditioning, animals received vehicle, the N-methyl-d-aspartate (NMDA) receptor polyamine binding site antagonist arcaine (ARC, 0.1 mg/kg), SPD (10 mg/kg) or the association of both (ARC+SDP) in the drug-associated compartment. Animals were then sequentially subjected to alcohol re-exposure and a post-reexposure test. Spermidine did not alter CPP extinction, but prevented the reinstatement of CPP induced by alcohol reexposure. Arcaine prevented the effect of spermidine on alcohol-induced CPP reinstatement. The results suggest that SPD may facilitate the reconsolidation of conditioning memory, disrupting CPP. This effect seems to involve the polyamine binding site at the NMDA receptor, because it is prevented by ARC.

本研究调查了亚精胺(SPD),一种内源性多胺,是否改变成年雌性瑞士小鼠酒精诱导的条件性位置偏好(CPP)的消退和恢复。通过注射酒精(1.8g/kg,i.p.)并在四天内将动物置于药物相关隔室中10分钟来诱导CPP。在灭绝期间,动物接受载体或SPD(3、10或30 mg/kg),并在4天内置于药物相关隔室中10分钟。在酒精配对室中进行酒精再暴露。在第二个实验中,在条件处理后,动物在药物相关室中接受载体、N-甲基-d-天冬氨酸(NMDA)受体多胺结合位点拮抗剂阿卡因(ARC,0.1mg/kg)、SPD(10mg/kg)或两者的结合(ARC+SDP)。然后依次对动物进行酒精再暴露和再暴露后测试。亚精胺不改变CPP的消退,但阻止了酒精再暴露诱导的CPP的恢复。Arcaine阻止亚精胺对酒精诱导的CPP恢复的影响。结果表明,SPD可能促进条件记忆的再巩固,破坏CPP。这种作用似乎涉及NMDA受体上的多胺结合位点,因为它被ARC阻止。
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引用次数: 0
Chronic alcohol exposure differentially alters calcium activity of striatal cell populations during actions. 慢性酒精暴露会在动作过程中不同程度地改变纹状体细胞群的钙活性。
Pub Date : 2023-09-04 DOI: 10.1016/j.addicn.2023.100128
Emily T. Baltz , Rafael Renteria , Christina M. Gremel

Alcohol Use Disorder (AUD) can induce long lasting alterations to executive function. This includes altered action control, which can manifest as dysfunctional goal-directed control. Cortical and striatal circuits mediate goal-directed control over behavior, and prior research has found chronic alcohol disrupts these circuits. In particular, prior in vivo and ex vivo work have identified alterations to function and activity of dorsal medial striatum (DMS), which is necessary for goal-directed control. However, unknown is whether these alterations manifest as altered activity of select DMS populations during behavior. Here we examine effects of prior chronic alcohol exposure on calcium activity modulation during action-related behaviors via fiber photometry of genetically-identified DMS populations including the direct and indirect output pathways, and fast-spiking interneurons. We find that prior chronic alcohol exposure leads to increased calcium modulation of the direct pathway during action related behavior. In contrast, prior chronic alcohol exposure led to decreased calcium activity modulation of the indirect pathway and the fast-spiking interneuron population around action-related events. Together, our findings suggest an imbalance in striatal activity during action control. This disruption may contribute to the altered goal-directed control previously reported.

酒精使用障碍(AUD)会导致执行功能的长期改变。这包括改变的动作控制,可以表现为功能失调的目标导向控制。皮层和纹状体回路介导对行为的目标导向控制,先前的研究发现慢性酒精会破坏这些回路。特别是,先前的体内和离体工作已经确定了背内侧纹状体(DMS)的功能和活性的改变,这对于目标导向的控制是必要的。然而,未知的是,这些改变是否表现为选择的DMS群体在行为过程中的活动改变。在这里,我们通过基因鉴定的DMS群体的纤维光度法,包括直接和间接输出途径,以及快速尖峰中间神经元,研究了先前慢性酒精暴露对动作相关行为中钙活性调节的影响。我们发现,先前的慢性酒精暴露会导致行动相关行为中直接途径的钙调节增加。相反,先前的慢性酒精暴露导致间接途径的钙活性调节降低,并导致动作相关事件周围的中间神经元群体快速增加。总之,我们的研究结果表明,在动作控制过程中,纹状体活动不平衡。这种干扰可能会导致先前报告的目标导向控制发生改变。
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引用次数: 0
Erratum to “Circuit dysfunctions of associative and sensorimotor basal ganglia loops in alcohol use disorder: insights from animal models” (Addiction Neuroscience 5 (2023) 100056) “酒精使用障碍中联想和感觉运动基底神经节回路的回路功能障碍:来自动物模型的见解”勘误表(成瘾神经科学5(2023)100056)
Pub Date : 2023-09-01 DOI: 10.1016/j.addicn.2023.100094
Giacomo Sitzia , David M. Lovinger
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引用次数: 0
No evidence of accelerated epigenetic aging among black heroin users: A case vs control analysis 在黑人海洛因使用者中没有加速表观遗传衰老的证据:病例与对照分析
Pub Date : 2023-09-01 DOI: 10.1016/j.addicn.2023.100096
Jermaine D. Jones , Suky Martinez , Ingrid Gonzalez , Gabriel J. Odom , Sandra D. Comer

This study sought to assess the association between illicit opioid use and accelerated epigenetic aging (A.K.A. DNAm Age) among people of African ancestry who use heroin. DNA was obtained from participants with opioid use disorder (OUD) who confirmed heroin as their primary drug of choice. Clinical inventories of drug use included: the Addiction Severity Index (ASI) Drug-Composite Score (range: 0–1), and Drug Abuse Screening Test (DAST-10; range: 0–10). A control group of participants of African ancestry who did not use heroin was recruited and matched to heroin users on sex, age, socioeconomic level, and smoking status. Methylation data were assessed in an epigenetic clock to determined and compare Epigenetic Age to Chronological Age (i.e., age acceleration or deceleration). Data were obtained from 32 controls [mean age 36.3 (±7.5) years] and 64 heroin users [mean age 48.1 (±6.6) years]. The experimental group used heroin for an average of 18.1 (±10.6) years, reported use of 6.4 (±6.1) bags of heroin/day, with a mean DAST-10 score of 7.0 (±2.6) and ASI Score of 0.33 (±0.19). Mean age acceleration for heroin users [+0.56 (± 9.5) years] was significantly (p< 0.05) lower than controls [+5.19 (± 9.1) years]. This study did not find evidence that heroin use causes epigenetic age acceleration.

这项研究试图评估使用海洛因的非洲血统人群中非法使用阿片类药物与加速表观遗传衰老(A.K.A.DNAm Age)之间的关系。DNA是从阿片类药物使用障碍(OUD)的参与者身上获得的,这些参与者确认海洛因是他们的首选药物。药物使用的临床清单包括:成瘾严重程度指数(ASI)药物综合评分(范围:0-1)和药物滥用筛查测试(DAST-10;范围:0-10)。招募了一组未使用海洛因的非洲血统参与者,并在性别、年龄、社会经济水平和吸烟状况方面与海洛因使用者进行匹配。在表观遗传学时钟中评估甲基化数据,以确定表观遗传学年龄与时间年龄(即年龄加速或减速)并进行比较。数据来自32名对照组[平均年龄36.3(±7.5)岁]和64名海洛因使用者[平均年龄48.1(±6.6)岁]。实验组平均使用海洛因18.1(±10.6)年,报告每天使用6.4(±6.1)袋海洛因,平均DAST-10评分为7.0(±2.6),ASI评分为0.33(±0.19)。海洛因使用者的平均年龄加速[+0.56(±9.5)岁]显著(p<0.05)低于对照组[+5.19(±9.1)岁]。这项研究没有发现海洛因使用会导致表观遗传学年龄加速的证据。
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引用次数: 1
Erratum regarding missing statement in previously published article 关于先前发表的文章中缺失声明的勘误
Pub Date : 2023-09-01 DOI: 10.1016/j.addicn.2023.100088
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引用次数: 0
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Addiction neuroscience
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