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Alcohol Use Disorders and Their Harmful Effects on the Contractility of Skeletal, Cardiac and Smooth Muscles. 酒精使用障碍及其对骨骼肌、心肌和平滑肌收缩力的有害影响。
Pub Date : 2021-10-01 Epub Date: 2021-10-14 DOI: 10.3389/ADAR.2021.10011
Jerusalem Alleyne, Alex M Dopico

Alcohol misuse has deleterious effects on personal health, family, societal units, and global economies. Moreover, alcohol misuse usually leads to several diseases and conditions, including alcoholism, which is a chronic condition and a form of addiction. Alcohol misuse, whether as acute intoxication or alcoholism, adversely affects skeletal, cardiac and/or smooth muscle contraction. Ethanol (ethyl alcohol) is the main effector of alcohol-induced dysregulation of muscle contractility, regardless of alcoholic beverage type or the ethanol metabolite (with acetaldehyde being a notable exception). Ethanol, however, is a simple and "promiscuous" ligand that affects many targets to mediate a single biological effect. In this review, we firstly summarize the processes of excitation-contraction coupling and calcium homeostasis which are critical for the regulation of contractility in all muscle types. Secondly, we present the effects of acute and chronic alcohol exposure on the contractility of skeletal, cardiac, and vascular/ nonvascular smooth muscles. Distinctions are made between in vivo and in vitro experiments, intoxicating vs. sub-intoxicating ethanol levels, and human subjects vs. animal models. The differential effects of alcohol on biological sexes are also examined. Lastly, we show that alcohol-mediated disruption of muscle contractility, involves a wide variety of molecular players, including contractile proteins, their regulatory factors, membrane ion channels and pumps, and several signaling molecules. Clear identification of these molecular players constitutes a first step for a rationale design of pharmacotherapeutics to prevent, ameliorate and/or reverse the negative effects of alcohol on muscle contractility.

滥用酒精会对个人健康、家庭、社会单位和全球经济造成有害影响。此外,滥用酒精通常会导致多种疾病和病症,包括酗酒,这是一种慢性疾病,也是一种成瘾形式。无论是急性中毒还是酗酒,滥用酒精都会对骨骼肌、心肌和/或平滑肌的收缩产生不利影响。乙醇(乙醇)是酒精引起肌肉收缩失调的主要效应物,无论酒精饮料的类型或乙醇代谢物(乙醛是一个明显的例外)如何。然而,乙醇是一种简单而 "滥交 "的配体,可影响许多靶点,从而介导单一的生物效应。在这篇综述中,我们首先总结了兴奋-收缩耦合和钙稳态的过程,它们对于调节所有类型肌肉的收缩力至关重要。其次,我们介绍了急性和慢性酒精暴露对骨骼肌、心肌和血管/非血管平滑肌收缩力的影响。我们对体内和体外实验、醉酒和亚醉酒乙醇水平以及人体和动物模型进行了区分。我们还研究了酒精对生物性别的不同影响。最后,我们表明,酒精介导的肌肉收缩性破坏涉及多种分子角色,包括收缩蛋白、其调节因子、膜离子通道和泵以及一些信号分子。明确这些分子角色是合理设计药物疗法以预防、改善和/或逆转酒精对肌肉收缩力的负面影响的第一步。
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引用次数: 0
Mechanisms Underlying the Anti-Suicidal Treatment Potential of Buprenorphine 丁丙诺啡抗自杀治疗潜力的潜在机制
Pub Date : 2021-08-03 DOI: 10.3389/adar.2021.10009
Courtney M. Cameron, Steven J. Nieto, Lucienne Bosler, M. Wong, Isabel Bishop, Larissa J. Mooney, C. Cahill
Death by suicide is a global epidemic with over 800 K suicidal deaths worlwide in 2012. Suicide is the 10th leading cause of death among Americans and more than 44 K people died by suicide in 2019 in the United States. Patients with chronic pain, including, but not limited to, those with substance use disorders, are particularly vulnerable. Chronic pain patients have twice the risk of death by suicide compared to those without pain, and 50% of chronic pain patients report that they have considered suicide at some point due to their pain. The kappa opioid system is implicated in negative mood states including dysphoria, depression, and anxiety, and recent evidence shows that chronic pain increases the function of this system in limbic brain regions important for affect and motivation. Additionally, dynorphin, the endogenous ligand that activates the kappa opioid receptor is increased in the caudate putamen of human suicide victims. A potential treatment for reducing suicidal ideation and suicidal attempts is buprenorphine. Buprenorphine, a partial mu opioid agonist with kappa opioid antagonist properties, reduced suicidal ideation in chronic pain patients with and without an opioid use disorder. This review will highlight the clinical and preclinical evidence to support the use of buprenorphine in mitigating pain-induced negative affective states and suicidal thoughts, where these effects are at least partially mediated via its kappa antagonist properties.
自杀死亡是一种全球流行病,2012年全球有超过80万例自杀死亡。自杀是美国人死亡的第十大原因,2019年美国有超过4.4万人死于自杀。慢性疼痛患者,包括但不限于物质使用障碍患者,尤其容易受到伤害。慢性疼痛患者自杀死亡的风险是无疼痛患者的两倍,50%的慢性疼痛患者报告说,由于疼痛,他们曾在某个时候考虑过自杀。kappa阿片系统与包括烦躁不安、抑郁和焦虑在内的消极情绪状态有关,最近的证据表明,慢性疼痛增加了该系统在大脑边缘区域的功能,该区域对情感和动机很重要。此外,激活kappa阿片受体的内源性配体dynorphin在人类自杀受害者的尾状壳核中增加。丁丙诺啡是一种减少自杀意念和自杀企图的潜在治疗方法。丁丙诺啡是一种具有kappa阿片类拮抗剂特性的部分mu阿片类激动剂,可减少有或无阿片类药物使用障碍的慢性疼痛患者的自杀念头。这篇综述将强调临床和临床前证据,以支持丁丙诺啡在缓解疼痛引起的消极情感状态和自杀念头方面的使用,其中这些效果至少部分是通过其kappa拮抗剂特性介导的。
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引用次数: 8
A Genetically Modified Skin Graft for Treating Alcohol Use Disorder and/or Polysubstance Abuse With Cocaine. 一种用于治疗可卡因酒精使用障碍和/或多物质滥用的转基因皮肤移植物
Pub Date : 2021-06-18 eCollection Date: 2021-01-01 DOI: 10.3389/adar.2021.10007
Qingyao Kong, Xiaoyang Wu, Ming Xu

Alcohol use disorder (AUD) is one of the foremost public health problems. Alcohol is also frequently co-abused with cocaine. There is a huge unmet need for the treatment of AUD and/or cocaine co-abuse. We have developed and used a skin stem cell-based gene delivery platform and found that production of the glucagon-like peptide-1 (GLP1) from the grafted genetically modified skin reduced development and reinstatement of alcohol-induced drug-taking and seeking, voluntary oral alcohol consumption and alcohol-induced increase in dopamine (DA) levels in the nucleus accumbens (NAc). Moreover, we have developed a novel co-grafting procedure for both modified human butyrylcholinesterase (hBChE)- and GLP1-expressing cells. Skin grafts-derived hBChE and GLP1 reduced acquisition of drug-taking and toxicity induced by concurrent alcohol and cocaine injections. These results imply that gene delivery through skin transplants may add a new option to treat drug abuse and co-abuse.

酒精使用障碍(AUD)是最重要的公共卫生问题之一。酒精也经常与可卡因一起被滥用。对澳元和/或可卡因共同滥用的治疗存在巨大的未满足需求。我们开发并使用了一种基于皮肤干细胞的基因传递平台,发现从移植的转基因皮肤中产生胰高血糖素样肽-1 (GLP1)减少了酒精诱导的药物摄入和寻求的发展和恢复,自愿口服酒精摄入和酒精诱导的伏隔核(NAc)多巴胺(DA)水平的增加。此外,我们已经开发了一种新的共嫁接方法,用于修饰的人丁基胆碱酯酶(hBChE)-和表达glp1的细胞。皮肤移植物衍生的hBChE和GLP1减少了酒精和可卡因同时注射引起的药物摄取和毒性。这些结果表明,通过皮肤移植的基因传递可能为治疗药物滥用和共同滥用提供了一种新的选择。
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引用次数: 0
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Advances in drug and alcohol research
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