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Evaluating Behavioral Economic Models of Heavy Drinking Among College Students. 大学生酗酒行为经济模型评价。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2018-07-01 Epub Date: 2018-06-04 DOI: 10.1111/acer.13774
Samuel F Acuff, Kathryn E Soltis, Ashley A Dennhardt, Kristoffer S Berlin, James G Murphy

Background: Heavy drinking among college students is a significant public health concern that can lead to profound social and health consequences, including alcohol use disorder. Behavioral economics posits that low future orientation and high valuation of alcohol (alcohol demand) combined with deficits in alternative reinforcement increase the likelihood of alcohol misuse. Despite this, no study has examined the incremental utility of all 3 variables simultaneously in a comprehensive model.

Methods: This study uses structural equation modeling to test the associations between behavioral economic variables-alcohol demand (latent), future orientation (measured with a delay discounting task and the Consideration of Future Consequences [CFC] scale), and proportionate substance-related reinforcement-and alcohol consumption and problems among 393 heavy drinking college students. Two models are tested as follows: (i) an iteration of the reinforcer pathology model that includes an interaction between future orientation and alcohol demand; and (ii) an alternative model evaluating the interconnectedness of behavioral economic variables in predicting problematic alcohol use.

Results: The interaction effects in Model 1 were nonsignificant. Model 2 suggests that greater alcohol demand and proportionate substance-related reinforcement are associated with greater alcohol consumption and problems. Furthermore, CFC was associated with alcohol-related problems and lower proportionate substance-related reinforcement but was not significantly associated with alcohol consumption or alcohol demand. Finally, greater proportionate substance-related reinforcement was associated with greater alcohol demand.

Conclusions: Our results support the validity of the behavioral economic reinforcer pathology model as applied to young adult heavy drinking.

背景:大学生酗酒是一个重大的公共卫生问题,可能导致深刻的社会和健康后果,包括酒精使用障碍。行为经济学认为,低未来导向和高酒精估值(酒精需求)结合替代强化的缺陷增加了酒精滥用的可能性。尽管如此,还没有研究在一个综合模型中同时检验所有3个变量的增量效用。方法:采用结构方程模型对393名重度饮酒大学生的行为经济变量——酒精需求(潜在)、未来取向(用延迟折现任务和未来后果考虑量表测量)和比例物质相关强化——与酒精消费和酒精问题之间的关系进行检验。对以下两个模型进行了测试:(i)强化物病理学模型的迭代,其中包括未来取向和酒精需求之间的相互作用;(ii)评估行为经济变量在预测问题酒精使用中的相互联系的替代模型。结果:模型1相互作用效应不显著。模型2表明,更大的酒精需求和比例物质相关强化与更大的酒精消费和问题相关。此外,CFC与酒精相关问题和较低比例的物质相关强化有关,但与酒精消耗或酒精需求无关。最后,更大比例的物质相关强化与更大的酒精需求相关。结论:本研究结果支持行为经济强化物病理模型在青少年酗酒问题上的有效性。
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引用次数: 22
Long-Lasting Effects of Chronic Intermittent Alcohol Exposure in Adolescent Mice on Object Recognition and Hippocampal Neuronal Activity. 青少年小鼠慢性间歇酒精暴露对物体识别和海马神经元活动的长期影响。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13256
G. Beaudet, S. Valable, J. Bourgine, V. Lelong-Boulouard, L. Lanfumey, T. Freret, M. Boulouard, E. Paizanis
BACKGROUNDBinge drinking is popular and highly prevalent in teenagers. However, the long-term cognitive and neurobiological consequences of such practices are not yet fully understood. In this context, we therefore assessed in mice whether a chronic intermittent alcohol (CIA) exposure in adolescence had long-term consequences on object discrimination and memory performances, emotional behaviors, brain activity, and morphology.METHODSC57BL/6JRj mice were treated with either saline or ethanol (EtOH) (2 g/kg/d, i.p., from postnatal days [PND] 30 to PND 44 every other day). The day following the last administration or later in adulthood (PND 71) mice were tested for different behavioral tests (novel object recognition, spontaneous alternation, light-dark box, elevated plus-maze, actimeter test), to assess object recognition, working memory performances, anxiety-like behavior, and locomotor activity. We also investigated neuronal activation of hippocampus, prefrontal and perirhinal cortices, and anatomical changes using immediate-early gene expression and longitudinal brain magnetic resonance imaging.RESULTSOur results showed that adolescent mice exposed to CIA present a critical and persistent impairment of short-term object recognition performances. By contrast, spatial working memory was not impaired, nor was anxiety-like behavior. This altered object discrimination was associated with a biphasic change in neuronal activity in the hippocampus but without morphological changes. Indeed, c-Fos expression was specifically increased in the dorsal dentate gyrus (DG) of the hippocampus after the binge exposure, but then became significantly lower in adulthood both in the DG and the CA1 part of the hippocampus compared with adult saline pretreated mice.CONCLUSIONSThese findings provide evidence for adolescent vulnerability to the effects of intermittent binge EtOH exposure on object discrimination and hippocampal activity with long-lasting consequences.
背景:酗酒在青少年中非常普遍。然而,这种做法的长期认知和神经生物学后果尚未完全了解。在这种背景下,我们因此在小鼠中评估了青春期慢性间歇性酒精(CIA)暴露是否对物体识别和记忆表现、情绪行为、大脑活动和形态有长期影响。方法sc57bl /6JRj小鼠分别给予生理盐水或乙醇(EtOH) (2 g/kg/d, ig / p,从出生后30天至44天,每隔一天)。在最后一次给药后的第二天或成年后(PND 71),对小鼠进行不同的行为测试(新物体识别、自发交替、光-暗盒、升高+迷宫、活动仪测试),以评估物体识别、工作记忆表现、焦虑样行为和运动活动。我们还利用即时早期基因表达和纵向脑磁共振成像研究了海马、前额叶和嗅周皮层的神经元激活以及解剖变化。结果:暴露于CIA的青春期小鼠在短期目标识别能力方面表现出严重和持续的损伤。相比之下,空间工作记忆没有受损,类似焦虑的行为也没有受损。这种改变的物体辨别与海马神经元活动的双相变化有关,但没有形态变化。事实上,在暴食后,c-Fos在海马背齿状回(DG)中的表达特异性增加,但在成年期,与成年盐水预处理小鼠相比,DG和海马CA1部分的c-Fos表达均显著降低。结论:这些发现为青少年易受间歇性暴食EtOH暴露对物体识别和海马活动的影响提供了证据,并具有持久的影响。
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引用次数: 23
Effects of Age and Acute Moderate Alcohol Administration on Neurophysiology During Simulated Driving. 年龄和急性中度酒精摄入对模拟驾驶神经生理的影响
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13243
B. Lewis, J. Boissoneault, I. Frazier, S. Nixon
BACKGROUNDDriver age and blood alcohol concentration are both important factors in predicting driving risk; however, little is known regarding the joint import of these factors on neural activity following socially relevant alcohol doses. We examined age and alcohol effects on brain oscillations during simulated driving, focusing on 2 region-specific frequency bands implicated in task performance and attention: parietal alpha power (PAP; 8 to 12 Hz) and frontal theta power (FTP; 4 to 7 Hz).METHODSParticipants included 80 younger (aged 25 to 35 years) and 40 older (aged 55 to 70 years) community-dwelling, moderate drinkers. Participants consumed placebo, low, or moderate doses of alcohol designed to achieve target peak breath alcohol concentrations of 0, 0.04, or 0.065 g/dl, respectively. Electrophysiological measures were recorded during engagement in a simulated driving task involving 4 scenarios of varied environmental complexity.RESULTSA main effect of age was detected in FTP, but neither an alcohol effect nor interactions were observed. For PAP, an age-by-alcohol interaction was detected. Relative to placebo controls, older and younger participants receiving low-dose (0.04 g/dl) alcohol evinced divergent PAP alterations, with a pattern of higher power among older participants and lower power among younger participants. This interaction was noted across the varied environmental contexts.CONCLUSIONSThese findings are consistent with the hypothesis that compared with younger individuals, older drivers may be differentially susceptible to alcohol effects. While these age-by-alcohol interactions in neural activity are provocative, further investigation exploring the mechanisms and behavioral correlates of these effects will be crucial in determining their behavioral impact.
驾驶员年龄和血液酒精浓度都是预测驾驶危险的重要因素;然而,关于这些因素在社交相关酒精剂量后对神经活动的共同影响,我们知之甚少。我们研究了年龄和酒精对模拟驾驶过程中大脑振荡的影响,重点关注与任务表现和注意力有关的两个特定区域频段:顶叶α功率(PAP);8到12赫兹)和额波功率(FTP;4 ~ 7hz)。方法参与者包括80名年轻人(25 - 35岁)和40名老年人(55 - 70岁),他们居住在社区,适度饮酒。参与者分别饮用安慰剂、低剂量或中等剂量的酒精,以达到呼气酒精浓度的目标峰值,分别为0、0.04或0.065 g/dl。在模拟驾驶任务中记录了电生理测量,模拟驾驶任务涉及4种不同环境复杂性的场景。结果在FTP中检测到年龄对sa的主要影响,但未观察到酒精的影响和相互作用。对于PAP,检测到年龄与酒精的相互作用。相对于安慰剂对照组,接受低剂量(0.04 g/dl)酒精的老年和年轻参与者表现出不同的PAP改变,老年参与者的强度较高,而年轻参与者的强度较低。这种相互作用在不同的环境背景下都得到了注意。这些发现与假设一致,即与年轻人相比,老年司机可能对酒精影响有不同的敏感性。虽然这些年龄酒精对神经活动的相互作用具有挑衅性,但进一步研究这些影响的机制和行为相关性将是确定其行为影响的关键。
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引用次数: 12
Phosphatidylethanol in Postmortem Brain and Serum Ethanol at Time of Death. 死后脑中的磷脂酰乙醇和死亡时的血清乙醇。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13254
P. Thompson, N. Hill-Kapturczak, M. Lopez-Cruzan, L. Alvarado, A. Dwivedi, M. Javors
BACKGROUNDPhosphatidylethanol (PEth) is a metabolite of ethanol (EtOH), and its concentration in whole blood samples is a direct biomarker of alcohol consumption. Because PEth is also present in the brain and incorporated in lipid membranes, it can be used to classify deceased individuals on alcohol consumption status at the time of death. The purpose of this study was to detect PEth homologs in postmortem brains of individuals known to have had alcohol use disorder (AUD) and to determine the relationship between serum alcohol at the time of death and PEth in the cerebellum (CE) and orbital frontal cortex (OFC).METHODSPostmortem brain was collected and stored according to standard protocol. Psychiatric symptoms experienced prior to death were obtained by next of kin psychological autopsy to categorize subjects. Thirty male subjects were chosen for analyses: 10 with AUD with positive serum EtOH levels present at time of autopsy (AUD-W), 10 with AUD without positive serum EtOH levels (AUD-WO), and 10 controls. PEth 16:0/18:1 and 16:0/18:2 were quantified in 50 mg of CE and OFC of human postmortem brain using HPLC and mass spectrometric detection (triple quadrupole).RESULTSResults of this study were as follows: (i) PEth 16:0/18:1 and 16:0/18:2 were detected in the CE and OFC of all subjects diagnosed with AUD, (ii) PEth 16:0/18:1 levels were about 10-fold higher than PEth 16:0/18:2 in all subjects and both areas of brain, (iii) AUD-W subjects had higher PEth homolog levels in CE and OFC than controls and AUD-WO subjects, (iv) PEth 16:0/18:1, but not PEth 16:0/18:2, levels in CE and OFC of AUD-W subjects correlated significantly with serum EtOH levels at the time of death.CONCLUSIONSQuantification of combined PEth homolog levels in postmortem human brain is a good candidate as a diagnostic factor to classify drinking status, especially for those with AUD at the time of death. For alcohol research studies with postmortem brain, verification of drinking status is essential.
磷脂酰乙醇(PEth)是乙醇(EtOH)的代谢物,其在全血样本中的浓度是酒精消耗的直接生物标志物。由于白垩白也存在于大脑中并与脂质膜结合,因此它可用于根据死亡时的饮酒状况对死者进行分类。本研究的目的是检测已知有酒精使用障碍(AUD)的个体死后大脑中的PEth同源物,并确定死亡时血清酒精与小脑(CE)和眶额皮质(OFC)中的PEth之间的关系。方法采集死后脑组织,按标准方法保存。通过近亲心理解剖获得死亡前的精神症状,以对受试者进行分类。选择30名男性受试者进行分析:10名AUD患者在尸检时血清EtOH水平呈阳性(AUD- w), 10名AUD患者无血清EtOH水平呈阳性(AUD- wo), 10名对照组。采用高效液相色谱(HPLC)和质谱(三重四极杆)法测定50 mg人死后脑组织CE和OFC中PEth 16:0/18:1和16:0/18:2的含量。结果本研究结果如下:(i)在所有诊断为AUD的受试者的CE和OFC中都检测到PEth 16:0/18:1和16:0/18:2,(ii)所有受试者和大脑两个区域的PEth 16:0/18:1水平比PEth 16:0/18:2高约10倍,(iii) AUD- w受试者的CE和OFC中PEth同源物水平高于对照组和AUD- wo受试者,(iv) PEth 16:0/18:1,但不包括PEth 16:0/18:2, AUD- w受试者的CE和OFC水平与死亡时血清EtOH水平显著相关。结论将死后人脑中PEth同源物的组合水平作为诊断饮酒状况的一个很好的候选因素,特别是对于死亡时患有AUD的人。对于用死后大脑进行的酒精研究,验证饮酒状态是必不可少的。
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引用次数: 10
Tigecycline Reduces Ethanol Intake in Dependent and Nondependent Male and Female C57BL/6J Mice. 替加环素减少依赖和非依赖雄性和雌性C57BL/6J小鼠的乙醇摄入量。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13251
S. Bergeson, Michelle A. Nipper, Jeremiah P. Jensen, M. Helms, D. Finn
BACKGROUNDThe chronic intermittent ethanol (CIE) paradigm is valuable for screening compounds for efficacy to reduce drinking traits related to alcohol use disorder (AUD), as it measures alcohol consumption and preference under physical dependence conditions. Air control-treated animals allow simultaneous testing of similarly treated, nondependent animals. As a consequence, we used CIE to test the hypothesis that tigecycline, a semisynthetic tetracycline similar to minocycline and doxycycline, would reduce alcohol consumption regardless of dependence status.METHODSAdult C57BL/6J female and male mice were tested for tigecycline efficacy to reduce ethanol (EtOH) consumption using a standard CIE paradigm. The ability of tigecycline to decrease 2-bottle choice of 15% EtOH (15E) versus water intake in dependent (CIE vapor) and nondependent (air-treated) male and female mice was tested after 4 cycles of CIE vapor or air exposure using a within-subjects design and a dose-response. Drug doses of 0, 40, 60, 80, and 100 mg/kg in saline were administered intraperitoneally (0.01 ml/g body weight) and in random order, with a 1-hour pretreatment time. Baseline 15E intake was re-established prior to administration of subsequent injections, with a maximum of 2 drug injections tested per week.RESULTSTigecycline was found to effectively reduce high alcohol consumption in both dependent and nondependent female and male mice.CONCLUSIONSOur data suggest that tigecycline may be a promising drug with novel pharmacotherapeutic characteristics for the treatment of mild-to-severe AUD in both sexes.
背景:慢性间歇乙醇(CIE)范式在筛选化合物以减少与酒精使用障碍(AUD)相关的饮酒特征方面是有价值的,因为它测量了身体依赖条件下的酒精消耗和偏好。空气控制处理的动物可以同时测试同样处理的非依赖性动物。因此,我们使用CIE检验了替加环素(一种类似米诺环素和强力霉素的半合成四环素)可以减少酒精消耗的假设,而不管酒精依赖状态如何。方法采用标准CIE模式对成年C57BL/6J雌性和雄性小鼠进行替加环素降低乙醇(EtOH)消耗的效果测试。在4个周期的CIE蒸汽或空气暴露后,使用受试者内设计和剂量反应测试了替加环素对依赖(CIE蒸汽)和非依赖(空气处理)雄性和雌性小鼠减少2瓶15% EtOH (15E)相对于水摄入量的能力。以生理盐水0、40、60、80、100 mg/kg的剂量(0.01 ml/g体重),随机给药,预处理时间1小时。在后续注射前重新确定基线15E摄入量,每周最多测试2次药物注射。结果斯蒂环素可有效降低依赖和非依赖雌性和雄性小鼠的高酒精摄入量。结论替加环素可能是一种有前景的药物,具有新的药物治疗特点,可用于治疗男女轻重度AUD。
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引用次数: 16
Effective Reduction of Acute Ethanol Withdrawal by the Tetracycline Derivative, Tigecycline, in Female and Male DBA/2J Mice. 四环素衍生物替加环素对雌雄DBA/2J小鼠急性乙醇戒断的有效减少
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13259
Joseph M. Martinez, J. A. Groot, D. Curtis, C. L. Allison, P. Marquardt, Ashley N Holmes, David S. Edwards, David R. M. Trotter, P. Syapin, D. Finn, S. Bergeson
BACKGROUNDAlcohol use disorder (AUD) is a spectrum disorder characterized by mild to severe symptoms, including potential withdrawal signs upon cessation of consumption. Approximately five hundred thousand patients with AUD undergo clinically relevant episodes of withdrawal annually (New Engl J Med, 2003, 348, 1786). Recent evidence indicates potential for drugs that alter neuroimmune pathways as new AUD therapies. We have previously shown the immunomodulatory drugs, minocycline and tigecycline, were effective in reducing ethanol (EtOH) consumption in both the 2-bottle choice and drinking-in-the-dark paradigms. Here, we test the hypothesis that tigecycline, a tetracycline derivative, will reduce the severity of EtOH withdrawal symptoms in a common acute model of alcohol withdrawal (AWD) using a single anesthetic dose of EtOH in seizure sensitive DBA/2J (DBA) mice.METHODSNaïve adult female and male DBA mice were given separate injections of 4 g/kg i.p. EtOH with vehicle or tigecycline (0, 20, 40, or 80 mg/kg i.p.). The 80 mg/kg dose was tested at 3 time points (0, 4, and 7 hours) post EtOH treatment. Handling-induced convulsions (HICs) were measured before and then over 12 hours following EtOH injection. HIC scores and areas under the curve were tabulated. In separate mice, blood EtOH concentrations (BECs) were measured at 2, 4, and 7 hours postinjection of 4 g/kg i.p. EtOH in mice treated with 0 and 80 mg/kg i.p. tigecycline.RESULTSAWD symptom onset, peak magnitude, and overall HIC severity were reduced by tigecycline drug treatment compared to controls. Tigecycline treatment was effective regardless of timing throughout AWD, with earlier treatment showing greater efficacy. Tigecycline showed a dose-responsive reduction in acute AWD convulsions, with no sex differences in efficacy. Importantly, tigecycline did not affect BECs over a time course of elimination.CONCLUSIONSTigecycline effectively reduced AWD symptoms in DBA mice at all times and dosages tested, making it a promising lead compound for development of a novel pharmacotherapy for AWD. Further studies are needed to determine the mechanism of tigecycline action.
背景:酒精使用障碍(AUD)是一种以轻度至重度症状为特征的谱系障碍,包括停止饮酒后潜在的戒断症状。每年大约有50万AUD患者经历临床相关的停药发作(New Engl J Med, 2003,348,1786)。最近的证据表明,改变神经免疫通路的药物有可能成为新的AUD治疗方法。我们之前的研究表明,免疫调节药物二甲胺四环素和替加环素在两瓶选择和黑暗饮用模式下都能有效减少乙醇(EtOH)的消耗。在此,我们验证了替加环素(四环素衍生物)在癫痫发作敏感的DBA/2J (DBA)小鼠中使用单一麻醉剂量的EtOH,可以减轻普通急性酒精戒断(AWD)模型中EtOH戒断症状的严重程度的假设。METHODSNaïve成年雌性和雄性DBA小鼠分别注射4 g/kg / p的EtOH和载药或替加环素(0、20、40、80 mg/kg / p)。在EtOH治疗后的3个时间点(0、4和7小时)检测80 mg/kg剂量。注射EtOH前后12小时测量处理性惊厥(HICs)。HIC分数和曲线下面积被制成表格。分别在小鼠注射4 g/kg剂量后2、4和7小时测定其血EtOH浓度(BECs)。替加环素0和80 mg/kg剂量小鼠的EtOH。结果:与对照组相比,替加环素治疗降低了swd症状发作、峰值强度和总体HIC严重程度。在整个AWD中,替加环素治疗无论何时都是有效的,越早治疗效果越好。替加环素在急性AWD惊厥中表现出剂量反应性降低,在疗效上没有性别差异。重要的是,替加环素在消除过程中不会影响BECs。结论斯蒂环素在所有时间和剂量下均能有效减轻DBA小鼠的AWD症状,是开发新型AWD药物治疗的先导化合物。需要进一步的研究来确定替加环素的作用机制。
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引用次数: 12
Effective Reduction in High Ethanol Drinking by Semisynthetic Tetracycline Derivatives. 半合成四环素衍生物对高乙醇饮用的有效还原。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13253
P. Syapin, Joseph M. Martinez, D. Curtis, P. Marquardt, C. L. Allison, J. A. Groot, Carol Baby, Yazan M. Al-Hasan, Ismael Segura, Matthew J Scheible, Katy T Nicholson, J. Redondo, David R. M. Trotter, David S. Edwards, S. Bergeson
BACKGROUNDNew pharmacotherapies to treat alcohol use disorders (AUD) are needed. Given the complex nature of AUD, there likely exist multiple novel drug targets. We, and others, have shown that the tetracycline drugs, minocycline and doxycycline, reduced ethanol (EtOH) drinking in mice. To test the hypothesis that suppression of high EtOH consumption is a general property of tetracyclines, we screened several derivatives for antidrinking activity using the Drinking-In-the-Dark (DID) paradigm. Active drugs were studied further using the dose-response relationship.METHODSAdult female and male C57BL/6J mice were singly housed and the DID paradigm was performed using 20% EtOH over a 4-day period. Mice were administered a tetracycline or its vehicle 20 hours prior to drinking. Water and EtOH consumption was measured daily. Body weight was measured at the start of drug injections and after the final day of the experiment. Blood was collected for EtOH content measurement immediately following the final bout of drinking.RESULTSSeven tetracyclines were tested at a 50 mg/kg dose. Only minocycline and tigecycline significantly reduced EtOH drinking, and doxycycline showed a strong effect size trend toward reduced drinking. Subsequent studies with these 3 drugs revealed a dose-dependent decrease in EtOH consumption for both female and male mice, with sex differences in efficacy. Minocycline and doxycycline reduced water intake at higher doses, although to a lesser degree than their effects on EtOH drinking. Tigecycline did not negatively affect water intake. The rank order of potency for reduction in EtOH consumption was minocycline > doxycycline > tigecycline, indicating efficacy was not strictly related to their partition coefficients or distribution constants.CONCLUSIONSDue to its effectiveness in reducing high EtOH consumption coupled without an effect on water intake, tigecycline was found to be the most promising lead tetracycline compound for further study toward the development of a new pharmacotherapy for the treatment of AUD.
背景:需要新的药物疗法来治疗酒精使用障碍(AUD)。鉴于AUD的复杂性,可能存在多种新的药物靶点。我们和其他人已经证明,四环素类药物,二甲胺四环素和多西环素,减少了小鼠的乙醇(EtOH)饮用。为了验证四环素抑制高EtOH消耗是其普遍特性的假设,我们使用在黑暗中饮酒(DID)范式筛选了几种抗饮酒活性的衍生物。利用剂量-反应关系对活性药物进行进一步研究。方法成年雌性和雄性C57BL/6J小鼠单独饲养,采用20% EtOH,为期4 d。小鼠在饮酒前20小时服用四环素或其载体。每天测量水和EtOH的消耗量。在药物注射开始时和实验最后一天后测量体重。在最后一次饮酒后立即采集血液进行EtOH含量测定。结果7种四环素类药物以50mg /kg剂量检测。只有米诺环素和替加环素显著减少EtOH饮酒,多西环素对减少饮酒表现出较强的效应量趋势。随后对这三种药物的研究表明,雌性和雄性小鼠的EtOH消耗量均呈剂量依赖性下降,但在功效上存在性别差异。二甲胺四环素和多西环素在高剂量下减少了水的摄入量,尽管程度低于它们对EtOH饮酒的影响。替加环素对饮水量没有负面影响。降低EtOH消耗的效价顺序为米诺环素>强力环素>替加环素,说明药效与它们的分配系数和分布常数没有严格的关系。结论替加环素具有降低高EtOH消耗且不影响饮水量的作用,是最有希望开发治疗AUD新药物的四环素类先导化合物。
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引用次数: 16
Early Adolescent Trajectories of Impulsiveness and Sensation Seeking in Children of Fathers with Histories of Alcohol and Other Substance Use Disorders. 有酒精和其他物质使用障碍史的父亲的孩子的青春期早期冲动和感觉寻求轨迹。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-12-01 DOI: 10.1111/acer.13235
Ashley Acheson, S. L. Lake, B. Bray, Yuanyuan Liang, C. Mathias, Stacy R. Ryan, N. Charles, D. Dougherty
BACKGROUNDProblem substance use often begins in adolescence. This vulnerability likely stems, at least partially, from relatively rapid increases in sensation seeking occurring in early to mid-adolescence and more gradual improvements in impulse control occurring through later adolescence. Better understanding how these processes develop in high-risk youth may lead to enhanced substance use disorder treatment and prevention strategies.METHODSWe characterized trajectories of self-reported impulsivity and sensation seeking in 305 FH+ youths who at minimum had a father with a history of alcohol or other drug use disorders and 81 youths with no family histories of substance use disorders (FH-). Assessments started at ages 10 to 12 and continued at 6-month intervals for up to 42 months. In addition, a subset of 58 FH+ youths who began alcohol or other drug use before age 15 (FH+ Users) were compared to 58 FH+ propensity-matched adolescents who did not initiate substance use before age 15 (FH+ Non-Users).RESULTSCompared to FH- youths at preadolescence, FH+ youths reported higher general impulsivity and higher impulsivity related to poor planning and attention. Over time, there were no differential effects of FH status on changes in impulsivity or sensation seeking across adolescence. FH+ Users had smaller decreases in general impulsivity and impulsivity related to restlessness and fidgeting across adolescence than FH+ Non-Users. FH+ Users also had greater increases in sensation seeking across adolescence than FH+ Non-Users.CONCLUSIONSIncreased impulsivity in FH+ youths may make them less able to regulate sensation seeking drives that peak in adolescence, which may contribute to their high risk for developing substance use disorders. Additionally, FH+ adolescents who initiate early use may be at increased risk in part due to increased impulsivity coupled with greater increases in sensation seeking.
问题物质的使用通常始于青春期。这种脆弱性可能至少部分源于青春期早期到中期感觉寻求的相对快速增长,以及青春期后期冲动控制的逐渐改善。更好地了解这些过程如何在高危青年中发展可能会导致加强物质使用障碍的治疗和预防策略。方法研究了305名至少有父亲有酒精或其他药物使用障碍史的FH+青年和81名没有物质使用障碍(FH-)家族史的FH+青年自我报告的冲动和感觉寻求轨迹。从10岁到12岁开始评估,每隔6个月持续一次,最长可达42个月。此外,58名在15岁之前开始使用酒精或其他药物的FH+青少年(FH+使用者)与58名在15岁之前没有开始使用药物的FH+倾向匹配的青少年(FH+非使用者)进行了比较。结果与青春期前的FH-青少年相比,FH+青少年的总体冲动性更高,与计划和注意力不佳相关的冲动性更高。随着时间的推移,FH状态对整个青春期冲动或寻求感觉的变化没有差异影响。与非FH+使用者相比,FH+使用者在整个青春期的总体冲动性和与躁动和坐立不安相关的冲动性下降幅度较小。在青春期,使用FH+的人比不使用FH+的人更容易寻求刺激。结论FH+青少年的冲动性增加可能导致其对感觉寻求驱动的调节能力下降,而感觉寻求驱动在青春期达到顶峰,这可能是其发生物质使用障碍的高风险因素。此外,早期开始使用FH+的青少年可能会面临更高的风险,部分原因是冲动性增加,同时寻求感觉的增加更大。
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引用次数: 12
Binge Ethanol Consumption Increases Inflammatory Pain Responses and Mechanical and Cold Sensitivity: Tigecycline Treatment Efficacy Shows Sex Differences 狂饮乙醇增加炎症性疼痛反应和机械和冷敏感性:替加环素治疗效果显示性别差异
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-11-14 DOI: 10.1111/acer.13252
S. Bergeson, H. Blanton, Joseph M. Martinez, D. Curtis, C. Sherfey, Brandon L Seegmiller, P. Marquardt, J. A. Groot, C. L. Allison, C. Bezboruah, J. Guindon
Background Physicians have long reported that patients with chronic pain show higher tendencies for alcohol use disorder (AUD), and AUD patients appear to have higher pain sensitivities. The goal of this study was to test 2 hypotheses: (i) binge alcohol consumption increases inflammatory pain and mechanical and cold sensitivities; and (ii) tigecycline is an effective treatment for alcohol‐mediated‐increased pain behaviors and sensitivities. Both female and male mice were used to test the additional hypothesis that important sex differences in the ethanol (EtOH)‐related traits would be seen. Methods “Drinking in the Dark” (DID) alcohol consuming and nondrinking control, female and male, adult C57BL/6J mice were evaluated for inflammatory pain behaviors and for the presence of mechanical and cold sensitivities. Inflammatory pain was produced by intraplantar injection of formalin (10 μl, 2.5% in saline). For cold sensation, a 20 μl acetone drop was used. Mechanical withdrawal threshold was measured by an electronic von Frey anesthesiometer. Efficacy of tigecycline (80 mg/kg i.p.) to reduce DID‐related pain responses and sensitivity was tested. Results DID EtOH consumption increased inflammatory pain behavior, while it also produced sustained mechanical and cold sensitivities in both females and males. Tigecycline produced antinociceptive effects in males; a pro‐nociceptive effect was seen in females in the formalin test. Likewise, the drug reduced both mechanical and cold sensitivities in males, but females showed an increase in sensitivity in both tests. Conclusions Our results demonstrated that binge drinking increases pain, touch, and thermal sensations in both sexes. In addition, we have identified sex‐specific effects of tigecycline on inflammatory pain, as well as mechanical and cold sensitivities. The development of tigecycline as an AUD pharmacotherapy may need consideration of its pro‐nociceptive action in females. Further studies are needed to investigate the mechanism underlying the sex‐specific differences in nociception.
长期以来,医生们报道慢性疼痛患者有更高的酒精使用障碍(AUD)倾向,并且AUD患者似乎有更高的疼痛敏感性。本研究的目的是验证两个假设:(1)狂饮酒精会增加炎症性疼痛、机械和冷敏感性;(ii)替加环素是酒精介导的疼痛行为和敏感性增加的有效治疗方法。雌性和雄性小鼠都被用来验证另一个假设,即在乙醇(EtOH)相关特征中可以看到重要的性别差异。方法对成年C57BL/6J小鼠在“黑暗中饮酒”(DID)和不饮酒对照组(雌性和雄性)的炎症性疼痛行为以及机械和冷敏感性的存在进行评估。足底注射福尔马林(10 μl,生理盐水2.5%)引起炎性疼痛。冷感用20 μl丙酮滴注。采用电子von Frey麻醉仪测量机械戒断阈值。研究了替加环素(80mg /kg i.p)减轻DID相关疼痛反应和敏感性的疗效。结果EtOH消耗增加了炎症性疼痛行为,同时在女性和男性中也产生了持续的机械和冷敏感性。替加环素在男性中产生抗感知作用;在福尔马林试验中,在女性中发现了前伤害效应。同样,该药物降低了男性对机械和寒冷的敏感性,但女性在这两项测试中都表现出了敏感性的增加。结论:我们的研究结果表明,酗酒会增加两性的疼痛、触觉和热感。此外,我们已经确定了替加环素对炎症性疼痛以及机械和冷敏感性的性别特异性作用。替加环素作为AUD药物治疗的发展可能需要考虑其对女性的促伤害作用。需要进一步的研究来探究伤害感觉的性别特异性差异的机制。
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引用次数: 25
Homocysteine, Alcoholism, and Its Potential Epigenetic Mechanism. 同型半胱氨酸、酒精中毒及其潜在的表观遗传机制。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2016-11-02 DOI: 10.1111/acer.13234
P. Kamat, C. J. Mallonee, Akash K. George, S. Tyagi, N. Tyagi
Alcohol is the most socially accepted addictive drug. Alcohol consumption is associated with some health problems such as neurological, cognitive, behavioral deficits, cancer, heart, and liver disease. Mechanisms of alcohol-induced toxicity are presently not yet clear. One of the mechanisms underlying alcohol toxicity has to do with its interaction with amino acid homocysteine (Hcy), which has been linked with brain neurotoxicity. Elevated Hcy impairs with various physiological mechanisms in the body, especially metabolic pathways. Hcy metabolism is predominantly controlled by epigenetic regulation such as DNA methylation, histone modifications, and acetylation. An alteration in these processes leads to epigenetic modification. Therefore, in this review, we summarize the role of Hcy metabolism abnormalities in alcohol-induced toxicity with epigenetic adaptation and their influences on cerebrovascular pathology.
酒精是社会上最容易让人上瘾的药物。饮酒与一些健康问题有关,如神经、认知、行为缺陷、癌症、心脏和肝脏疾病。酒精引起的毒性机制目前尚不清楚。酒精毒性的一个潜在机制与它与氨基酸同型半胱氨酸(Hcy)的相互作用有关,而Hcy与脑神经毒性有关。Hcy升高会损害机体的多种生理机制,尤其是代谢途径。Hcy代谢主要受表观遗传调控控制,如DNA甲基化、组蛋白修饰和乙酰化。这些过程的改变导致表观遗传修饰。因此,本文就Hcy代谢异常在酒精毒性中表观遗传适应的作用及其对脑血管病理的影响进行综述。
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引用次数: 49
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Alcoholism, clinical and experimental research
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