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Low level alcohol consumption is associated with lower regional brain volume and thickness and lower choline-containing compounds and myo-inositol levels in healthy adults 在健康成人中,少量饮酒与较低的局部脑容量和厚度以及较低的含胆碱化合物和肌醇水平有关
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-30 DOI: 10.1016/j.alcohol.2025.10.007
Timothy C. Durazzo , Brian D.P. Joseff , Dieter J. Meyerhoff
Low levels of alcohol consumption (e.g., up to two standard drink equivalents/day for males and one drink/day for females) have been viewed as benign or even beneficial, particularly for cardiovascular function. A limited number of studies investigated associations of alcohol consumption with brain volumes and metabolite levels in “healthy” cohorts without alcohol use disorder (AUD) and yielded mixed results. To date, no study has concurrently assessed brain morphometrics and metabolites in regions that previously showed associations with alcohol consumption in healthy adults. The current study examined the associations between alcohol consumption and magnetic resonance measures of brain volume and cortical thickness (n = 44), and brain metabolite levels (n = 27–29) in healthy non-smoking adults (22–70 years of age) with no history of AUD; average number of drinks/month prior to study was 19 ± 17. Volumes and thickness were quantitated for the bilateral anterior cingulate cortex (ACC) and dorsolateral prefrontal cortex (DLPFC), and metabolites in the ACC and right DLPFC. All participants consumed ≤60 standard drink equivalents per month, over the year preceding study. Lower left caudal ACC volume and thickness and lower right superior frontal gyrus volume were related to higher 1-year average drinks/month. Lower ACC creatine-containing compounds and myo-inositol levels were associated with higher 1-year average drinks/month; lower ACC myo-inositol concentration was related to higher lifetime average drinks/month. Results indicate potential neurobiological consequences for levels of alcohol consumption currently considered “low risk” for adverse biomedical effects. These findings may have implications for current harm reduction strategies and alcohol consumption public health guidelines.
低水平的饮酒(例如,男性每天不超过两个标准饮酒量,女性每天不超过一个标准饮酒量)被认为是良性的,甚至是有益的,特别是对心血管功能。在没有酒精使用障碍(AUD)的“健康”队列中,有限数量的研究调查了饮酒与脑容量和代谢物水平的关系,结果好坏参半。迄今为止,还没有研究同时评估健康成人中先前显示与饮酒有关的脑区域的形态计量学和代谢物。目前的研究在健康的非吸烟成年人(22-70岁)中检查了酒精消费与脑容量和皮质厚度的磁共振测量(n = 44)以及脑代谢物水平(n = 27-29)之间的关系,这些成年人没有AUD病史;研究前平均饮酒次数/月为19±17。测量双侧前扣带皮层(ACC)和背外侧前额叶皮层(DLPFC)的体积和厚度,以及ACC和右侧DLPFC的代谢物。在前一年的研究中,所有参与者每月消耗≤60个标准当量的饮料。左下尾侧ACC体积和厚度以及右下额上回体积与较高的1年平均月饮酒量有关。较低的ACC含肌酸化合物和肌醇水平与较高的1年平均饮酒量/月相关;较低的ACC肌醇浓度与较高的终生平均饮酒/月有关。研究结果表明,目前被认为“低风险”的酒精消费水平可能对生物医学产生不利影响。这些发现可能对当前的减少危害战略和酒精消费公共卫生指南产生影响。
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引用次数: 0
The impact of alcohol addiction on the quality of life, mental condition, clinical condition and nutritional status of patients with head and neck cancer 酒精成瘾对头颈癌患者生活质量、精神状况、临床状况及营养状况的影响
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-22 DOI: 10.1016/j.alcohol.2025.10.005
Karolina Dorobisz , Tadeusz Dorobisz , Katarzyna Pazdro-Zastawny , Marzena Janczak , Katarzyna Czyż
<div><h3>Introduction</h3><div>Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide, with over 880,000 new cases reported worldwide each year. Tobacco smoking and alcohol drinking are the main risk factors for HNSCC, accounting for 30 % of HNSCC cases worldwide. Alcohol is a particularly important risk factor not only for HNSCC and was recognized in 1988 by the International Agency for Research on Cancer (IARC) as a very important risk factor for the incidence of oral cavity, oropharyngeal, hypopharyngeal and laryngeal cancers, and was classified as group 1 cancer risk factors. The aim of the study was to assess the impact of alcohol on the quality of life, mental state, clinical state and nutritional status in patients with HNSCC.</div></div><div><h3>Material and method</h3><div>The single-center, prospective study included a group of 123 patients aged 42 to 89, treated for laryngeal cancer, pharyngeal cancer and cancer of unknown primary site HNSCC. Socio-demographic data and the presence of risk factors were assessed in each patient. The performance status of the patients was assessed using the Eastern Cooperative Oncology Group (ECOG) scale. The nutritional status of patients was assessed via a Body Mass Index (BMI) assessment and Mini Nutritional Assessment Short FORM (MNA-SF). Each patient was also assessed using the Nutrition Risk Screening 2002 (NRS2002). The level of depression and anxiety was assessed using the Hospital Anxiety and Depression Scale (HADS). Patients were also assessed for sleep problems using the Insomnia Severity Index. Quality of life was assessed using the Polish version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Head and Neck Cancer 35 (EORTC QLQ-H&N35). In each patient, the results of laboratory tests were also analyzed - morphology, nutritional parameters - total protein, total cholesterol and CRP protein level.</div></div><div><h3>Results</h3><div>Patients who regularly drank alcohol more often suffered from throat cancer (91.2 %) and larynx cancer (59.2 %), while CUP was more often diagnosed in patients without a history of regular alcohol consumption. Patients who drank alcohol were diagnosed at a significantly higher stage compared to the group of non-drinkers. In the study group of patients regularly drinking alcohol with diagnosed HSCC, a significantly worse clinical condition, risk of malnutrition or malnutrition was demonstrated compared to patients with diagnosed HNSCC who did not drink alcohol. In laboratory tests, patients drinking alcohol had a lower hemoglobin level before treatment (11.7 vs 12.8 g/dl, p < 0.001), a higher leukocyte level (10.3 vs 7.5 × 10 <sup>9</sup>/l, p < 0.001), a lower total protein level (6.3 vs 6.8 g/dl, p < 0.001), a higher mean CRP level (8.0 vs 5.0 mg/l) and a lower total cholesterol level (134 vs 187 mg/dl, p < 0.001). Those who drank alcohol more often had significan
头颈部鳞状细胞癌(HNSCC)是全球第六大常见癌症,每年全球报告的新病例超过88万例。吸烟和饮酒是HNSCC的主要危险因素,占全球HNSCC病例的30%。酒精不仅是HNSCC的一个特别重要的危险因素,而且在1988年被国际癌症研究机构(IARC)确认为口腔癌、口咽癌、下咽癌和喉癌发病率的一个非常重要的危险因素,并被列为第1组癌症危险因素。本研究的目的是评估酒精对HNSCC患者生活质量、精神状态、临床状态和营养状况的影响。材料与方法本研究为单中心前瞻性研究,纳入123例42 - 89岁的喉癌、咽癌和原发部位未知的HNSCC患者。评估每位患者的社会人口统计数据和危险因素的存在。采用东部肿瘤合作组(ECOG)量表评估患者的表现状态。通过身体质量指数(BMI)评估和迷你营养评估简表(MNA-SF)评估患者的营养状况。每位患者还使用2002年营养风险筛查(NRS2002)进行评估。采用医院焦虑抑郁量表(HADS)评估抑郁和焦虑水平。研究人员还使用失眠症严重程度指数来评估患者的睡眠问题。生活质量采用波兰版欧洲癌症研究和治疗组织头颈癌生活质量问卷35 (EORTC QLQ-H&N35)进行评估。对每位患者的实验室检查结果也进行了分析——形态学、营养参数——总蛋白、总胆固醇和CRP蛋白水平。结果经常饮酒的患者患咽喉癌(91.2%)和喉癌(59.2%)较多,而无经常饮酒史的患者多患CUP。与不饮酒的患者相比,饮酒患者的诊断阶段明显更高。在诊断为hsc的定期饮酒患者的研究组中,与未饮酒的诊断为HNSCC的患者相比,临床状况、营养不良或营养不良的风险明显更差。在实验室测试中,饮酒患者治疗前血红蛋白水平较低(11.7 vs 12.8 g/dl, p < 0.001),白细胞水平较高(10.3 vs 7.5 × 109 /l, p < 0.001),总蛋白水平较低(6.3 vs 6.8 g/dl, p < 0.001),平均CRP水平较高(8.0 vs 5.0 mg/l),总胆固醇水平较低(134 vs 187 mg/dl, p < 0.001)。在HADS和ISI的调查中,与不喝酒的人相比,经常喝酒的人有更严重的精神状态和睡眠问题。在EORT qq - h&;N35调查的结果中,饮酒的患者在疼痛感、吞咽、唾液粘稠、感觉不适、语言、社交饮食和社交接触等问题上的表现更差。结论酒精是HNSCC的重要危险因素,通常与吸烟相关。显著影响患者临床状况和营养状况的恶化。是降低HNSCC患者生活质量、恶化患者精神状态的重要因素。有必要对酗酒患者实施综合护理,同时进行戒烟和戒酒的教育和宣传。必须从最年轻的年龄开始提高社会意识,并在政治支持下实施环境和教育预防措施。加强对酒精致癌性的认识可以显著降低HNSCC患者的发病率,改善治疗效果。
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引用次数: 0
Ibudilast attenuates the association between pain intensity and heavy drinking in alcohol use disorder: A secondary analysis of a randomized clinical trial 伊布司特减轻酒精使用障碍患者疼痛强度与大量饮酒之间的关联:一项随机临床试验的二次分析
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-12 DOI: 10.1016/j.alcohol.2025.10.004
Steven J. Nieto , Erica N. Grodin , Lara A. Ray

Background

Pain frequently co-occurs with alcohol use disorder (AUD) and may influence treatment response. In this secondary analysis of a completed randomized clinical trial, we examined whether baseline pain intensity and pain-related disability moderate the effects of ibudilast, a neuroimmune-modulating agent, on drinking outcomes over 12 weeks.

Method

Participants (N = 102; 60 % male; M age = 44.26, SD = 10.81) with moderate-to-severe AUD were randomized to ibudilast (50 mg twice daily) or placebo for 12 weeks. Pain intensity and disability were assessed at baseline using the Graded Chronic Pain Scale. Piecewise linear mixed-effects models tested the moderating effect of pain on percent heavy drinking days (PHDD), percent days abstinent, drinks per day, and drinks per drinking day, adjusting for early (baseline–Week 2) and late (Weeks 4–12) trial phases.

Results

Pain variables were not significantly correlated with any drinking outcome at baseline (all |r| ≤ .08, p > .45). Significant three-way interactions (Medication × Pain Intensity × Time) emerged for PHDD in both early and late phases (ps < 0.05), indicating that higher pain intensity predicted greater PHDD in the placebo arm (b = 0.10, p = .04) but not in the ibudilast arm (b = 0.007, p ≥ .89). Similar interactions were observed for pain intensity and pain-related disability on drinks per day, though simple slopes were nonsignificant. No significant moderation effects were found for percent days abstinent or drinks per drinking day.

Conclusions

Ibudilast attenuated the positive association between baseline pain intensity and heavy drinking, suggesting that pain intensity may identify an AUD subgroup more likely to benefit from neuroimmune-targeted pharmacotherapy. These findings support incorporating pain phenotyping into AUD treatment research and point toward a precision medicine approach to enhance treatment efficacy.
背景:疼痛经常与酒精使用障碍(AUD)同时发生,并可能影响治疗效果。在一项已完成的随机临床试验的二级分析中,我们检查了基线疼痛强度和疼痛相关残疾是否能缓解布司特(一种神经免疫调节剂)在12周内对饮酒结果的影响。方法:患有中重度AUD的参与者(N = 102, 60%为男性,M年龄= 44.26,SD = 10.81)被随机分配到布替司特组(50mg,每日两次)或安慰剂组,为期12周。疼痛强度和残疾在基线时使用分级慢性疼痛量表进行评估。分段线性混合效应模型测试了疼痛对重度饮酒天数百分比(PHDD)、戒酒天数百分比、每天饮酒量和每天饮酒量的调节作用,并对试验早期(基线-第2周)和后期(第4-12周)进行了调整。结果:疼痛变量与任何基线饮酒结局均无显著相关(所有|r|≤0.08,p >.45)。PHDD在早期和晚期均出现了显著的三方相互作用(药物×疼痛强度×时间)(ps < 0.05),表明疼痛强度越高,安慰剂组的PHDD越严重(b = 0.10, p = 0.04),而布司特组则不然(b = 0.007, p≥0.89)。类似的相互作用观察到疼痛强度和疼痛相关的残疾每天饮酒,虽然简单的斜坡不显著。对于戒酒天数百分比或每个饮酒日的饮酒量,没有发现显著的调节作用。结论:伊布司特减弱了基线疼痛强度与大量饮酒之间的正相关,表明疼痛强度可能确定AUD亚组更有可能从神经免疫靶向药物治疗中获益。这些发现支持将疼痛表型纳入AUD治疗研究,并指出了一种精确医学方法来提高治疗效果。
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引用次数: 0
N-acetylcysteine prevents ethanol-induced neuropathic pain by downregulating nociceptive activation of supraspinal brain areas n -乙酰半胱氨酸通过下调脊髓上脑区域的伤害性激活来预防乙醇诱导的神经性疼痛。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-08 DOI: 10.1016/j.alcohol.2025.10.003
Natália Gabriele Hösch , Raíssa A.F. Reis , Rômulo Dias Novaes , Carlos Giovani O. Nascimento , Renato Rizo Ventura , Silvia Graciela Ruginsk , Jalile Amin-Naves
Considering the important clinical applications of N-acetylcysteine (NAC), the present study investigated the effects of NAC treatment on ethanol-induced neuropathic alterations. For this purpose, a total number of eighty-one male adult Wistar rats were used. Alcoholic neuropathy was induced by administration of 38 % (v/v) ethanol (10 g/kg/day, oral gavage) for 10 weeks. NAC solution (1.4 g/kg/day, oral gavage) was administered immediately after ethanol treatment, also for 10 weeks. The electronic von Frey, Randall Selitto and tail flick tests were used to characterize the nociceptive thresholds to mechanical and thermal stimulations. The Rota-rod test was used to evaluate motor coordination, whereas the open field test was employed to assess general locomotor activity. The present study also determined the integrity of the sciatic nerve and the number of c-Fos immunoreactive neurons in key brain structures. As expected, long-term exposure to ethanol reduced the thickness of myelin sheath in the peripheral nerve, as well as induced allodynia, mechanical and thermal hypernociception, as well as motor incoordination. Although ethanol treatment did not alter general locomotor activity, it increased the number of rearing events, indicating enhanced exploratory behavior. In the brain, chronic ethanol consumption was associated with higher levels of c-Fos expression in the dorsal raphe nucleus, parvocellular and magnocellular groups of the hypothalamic paraventricular nucleus, and also in the periaqueductal gray. Consistent with its protective effects, NAC treatment prevented the development of all ethanol-induced alterations, including at central level. Taken together, these results suggest that NAC consistently prevents ethanol-induced neuropathy.
考虑到n -乙酰半胱氨酸(NAC)的重要临床应用,本研究探讨了NAC治疗对乙醇诱导的神经病变的影响。为此,共使用81只雄性成年Wistar大鼠。采用38% (v/v)乙醇(10 g/kg/天,灌胃)诱导酒精性神经病变,持续10周。乙醇处理后立即给予NAC溶液(1.4 g/kg/天,口服灌胃),同样持续10周。采用电子von Frey, Randall Selitto和甩尾实验来表征机械和热刺激的伤害阈值。Rota-rod测试用于评估运动协调性,而open - field测试用于评估一般运动活动。本研究还确定了坐骨神经的完整性和关键脑结构中c-Fos免疫反应神经元的数量。正如预期的那样,长期暴露于乙醇中降低了周围神经髓鞘的厚度,并诱发了异常性疼痛、机械和热性高痛觉以及运动不协调。虽然乙醇处理没有改变一般的运动活动,但它增加了饲养事件的数量,表明增强了探索行为。在大脑中,慢性乙醇消耗与中隔背核、下丘脑室旁核的旁细胞群和大细胞群以及导水管周围灰质中c-Fos表达水平升高有关。与其保护作用一致,NAC处理阻止了所有乙醇诱导的改变的发展,包括在中央水平。综上所述,这些结果表明NAC可以持续预防乙醇诱导的神经病变。
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引用次数: 0
Chronic alcohol drinking delays recovery from capsaicin- and nerve injury-induced hypersensitivity in mice 慢性饮酒延迟从辣椒素和神经损伤引起的小鼠过敏的恢复。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-04 DOI: 10.1016/j.alcohol.2025.10.001
Rachel Schorn , Maureen Riedl , Laura S. Stone , Anna M. Lee , Lucy Vulchanova
Chronic pain and alcohol use disorder (AUD) are major health concerns that significantly impair quality of life. Persistent pain is common in individuals with alcohol dependence, and alcohol is commonly used by chronic pain patients for self-medication. The neural mechanisms linking these conditions remain unclear. We hypothesized that chronic alcohol exposure induces hypersensitivity in multiple modalities and increases the duration of recovery in acute and persistent pain models. Using the two-bottle free-choice alcohol consumption paradigm in adult mice, alcohol-induced hypersensitivity (AIH), indicated by reduced mechanical withdrawal thresholds, developed after 4–6 weeks of alcohol consumption compared to age- and sex-matched water-consuming controls. Alcohol-consuming female mice, but not male mice, developed cold hypersensitivity after AIH emerged. To assess the impact of chronic alcohol consumption on acute and persistent pain, we used intraplantar capsaicin and sciatic nerve crush models, respectively. In the capsaicin model, water-treated, but not alcohol-treated, mice recovered from hypersensitivity by 24 h post-injection. In the sciatic nerve crush model, alcohol-consuming mice exhibited slower recovery of mechanical withdrawal thresholds compared to water-consuming controls. While mechanical hypersensitivity in water-consuming mice returned to pre-surgical thresholds by 3–4 weeks post-surgery, recovery in alcohol-consuming mice was both delayed and partial. Surgical intervention did not impact alcohol intake. Overall, our results suggest that chronic voluntary alcohol consumption facilitates the transition to chronic pain by prolonging hypersensitivity and delaying recovery from injuries.
慢性疼痛和酒精使用障碍(AUD)是严重影响生活质量的主要健康问题。持续性疼痛在酒精依赖者中很常见,慢性疼痛患者通常使用酒精进行自我治疗。与这些疾病相关的神经机制尚不清楚。我们假设慢性酒精暴露诱导多种形式的超敏反应,并增加急性和持续性疼痛模型的恢复时间。在成年小鼠中使用两瓶自由选择的酒精消费模式,与年龄和性别匹配的饮水对照组相比,酒精诱导的超敏反应(AIH)在饮酒4-6周后发生,其机械戒断阈值降低。在AIH出现后,饮酒的雌性小鼠而不是雄性小鼠出现了冷过敏。为了评估慢性酒精摄入对急性和持续性疼痛的影响,我们分别使用了足底辣椒素和坐骨神经挤压模型。在辣椒素模型中,水处理而不是酒精处理的小鼠在注射后24小时从过敏中恢复过来。在坐骨神经挤压模型中,与饮水对照组相比,饮酒小鼠的机械戒断阈值恢复较慢。虽然饮水小鼠的机械超敏反应在术后3-4周恢复到术前阈值,但饮酒小鼠的恢复是延迟的和部分的。手术干预对酒精摄入量没有影响。总的来说,我们的研究结果表明,长期自愿饮酒通过延长过敏反应和延迟损伤恢复,促进了向慢性疼痛的过渡。
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引用次数: 0
Intermittent short- and long-term alcohol exposures influence alcohol consumption, anxiety-like behaviors, and seizure onset in genetically epilepsy-prone rats 间歇性短期和长期酒精暴露会影响遗传性癫痫易感大鼠的酒精消耗、焦虑样行为和癫痫发作。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-03 DOI: 10.1016/j.alcohol.2025.10.002
Gleice Kelli Silva-Cardoso, Prosper N'Gouemo
The genetically epilepsy-prone rats (GEPR-3s) are known for their hereditary susceptibility to seizures and anxiety. This study investigates the impact of short-term (1 week) and long-term (4 weeks) intermittent alcohol exposure through a two-bottle choice paradigm on voluntary alcohol intake, anxiety-like behaviors, and acoustically evoked seizure susceptibility in the GEPR-3s. Anxiety behaviors were assessed 24 h post alcohol exposure using the light-dark box (LDB), open field (OFT), and elevated plus maze (EPM), alongside evaluations of seizure susceptibility. The results indicated that after 1 week of alcohol exposure, female GEPR-3s had higher alcohol intake and preference than males, while males increased their intake and preference after 4 weeks. Furthermore, females GEPR-3s exhibited anxiolytic effects in all anxiety tests after short-term alcohol exposure. In contrast, males displayed mixed responses, exhibiting anxiogenic effects in both LDB and OFT tests, and increased time in open arms but decreased exploration in the EPM test. Further, short-term alcohol exposure delayed seizure onset across both sexes, suggesting potential anticonvulsant effects. After 4 weeks of alcohol exposure, male GEPR-3s exhibited anxiogenic effects in both LDB and OFT tests, and reduced locomotion in the EPM test. In contrast, female GEPR-3ss showed anxiogenic effects in the LDB test, but anxiolytic effects in the OFT test, with decreased locomotion in the EPM test. Additionally, long-term alcohol exposure decreased seizure latency, indicating proconvulsant effects. These findings highlight the complex, bidirectional, and temporal dynamics between alcohol consumption, anxiety, and inherited predisposition to epilepsy.
遗传性癫痫易感性大鼠(GEPR-3s)因其对癫痫发作和焦虑的遗传易感性而闻名。本研究通过两瓶选择范式探讨了短期(1周)和长期(4周)间歇性酒精暴露对GEPR-3s患者自愿饮酒、焦虑样行为和声诱发癫痫易感性的影响。使用光暗箱(LDB)、开放场地(OFT)和升高迷宫(EPM)评估酒精暴露后24小时的焦虑行为,同时评估癫痫易感性。结果表明,酒精暴露1周后,女性GEPR-3s的酒精摄入量和偏好高于男性,而男性的酒精摄入量和偏好在4周后增加。此外,短期酒精暴露后,女性GEPR-3s在所有焦虑测试中均表现出抗焦虑作用。相比之下,男性表现出不同的反应,在LDB和OFT测试中都表现出焦虑效应,在张开双臂的时间增加,但在EPM测试中探索的时间减少。此外,短期酒精暴露延迟了两性癫痫发作,提示潜在的抗惊厥作用。酒精暴露4周后,男性GEPR-3s在LDB和OFT测试中都表现出焦虑效应,在EPM测试中表现出运动能力下降。相比之下,女性GEPR-3ss在LDB测试中表现出焦虑作用,但在OFT测试中表现出焦虑作用,在EPM测试中表现出运动减少。此外,长期酒精暴露减少了癫痫发作潜伏期,表明有前惊厥作用。这些发现强调了饮酒、焦虑和癫痫遗传易感性之间复杂的、双向的和时间的动态关系。
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引用次数: 0
Sex differences in the impact of trauma on alcohol self-administration 创伤对酒精自我管理影响的性别差异
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-25 DOI: 10.1016/j.alcohol.2025.09.006
Nabiha Mahmood , Marian L. Logrip
Challenging encounters can lead to escalated alcohol consumption, as evidenced by individuals grappling with posttraumatic stress disorder (PTSD). However, the precise influence of prior stress experiences, as opposed to acute stressors, on alcohol intake remains incompletely understood. This study sought to simulate the enduring repercussions of trauma using a stress paradigm involving foot shocks presented in an odor-enriched environment. The presence of a scent throughout contextual fear conditioning is more likely to cause stress effects to generalize across various environments, and this paradigm previously reduced working memory performance, one hallmark of PTSD. Male and female Wistar rats were exposed to the stress or control condition (no foot shock), then trained to perform lever presses to obtain alcohol reinforcement. The findings revealed intriguing disparities between the sexes in past stress effects on the acquisition of alcohol self-administration. Specifically, female rats exhibited divergent patterns of alcohol acquisition across days, with the control group showing a swifter acquisition compared to their previously stressed counterparts. This pattern was not observed in males, nor did either sex show differences in relapse-like self-administration after a 5-week abstinence period. Unexpectedly, presentation of the stress session odor cue did not alter alcohol self-administration behavior. Together, these data support heightened sensitivity of females to a trauma-like stressor, although in rats this decreased self-administration, contrary to human data.
具有挑战性的遭遇会导致酒精消费量增加,这一点从与创伤后应激障碍(PTSD)作斗争的个人身上就可以看出。然而,与急性压力源相反,先前的压力经历对酒精摄入量的确切影响仍不完全清楚。本研究试图通过在充满气味的环境中进行足部冲击的应激模式来模拟创伤的持久影响。在情境恐惧条件反射中,气味的存在更有可能导致压力效应在各种环境中普遍存在,而这种模式先前会降低工作记忆的表现,这是创伤后应激障碍的一个标志。将雄性和雌性Wistar大鼠暴露在应激或控制条件下(无足部电击),然后训练它们执行杠杆按压以获得酒精强化。研究结果揭示了在过去的压力对获得酒精自我管理的影响方面,两性之间存在有趣的差异。具体来说,雌性大鼠在几天内表现出不同的酒精获取模式,与之前有压力的对照组相比,对照组的获得速度更快。在男性中没有观察到这种模式,在5周的戒断期后,两种性别在复发性自我给药方面也没有表现出差异。出乎意料的是,压力会话气味提示并没有改变酒精自我管理行为。总之,这些数据支持了雌性对创伤性压力源的高度敏感性,尽管与人类的数据相反,在大鼠中这种自我管理减少了。
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引用次数: 0
Contributions of testosterone to excessive alcohol drinking in males: Potential role for interactions with the HPA axis 睾酮对男性过度饮酒的影响:与下丘脑轴相互作用的潜在作用
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-20 DOI: 10.1016/j.alcohol.2025.09.005
Roman A. Zegarelli, Anna K. Radke
Excessive alcohol drinking and alcohol use disorders (AUDs) are a significant and increasing public health concern in the United States and worldwide, with men historically having higher rates of alcohol consumption and AUD diagnoses. Despite this, the biological mechanisms underlying sex differences in these outcomes are not fully understood. Endocrine systems are critical regulators of behavior and testosterone has a bidirectional relationship with alcohol in males. Baseline levels of testosterone (T) may bias males toward approach behaviors that increase the tendency to engage in risky drinking behaviors in adolescent and adult men. At the same time, T appears to protect males (particularly rodents) against elevated levels of initial alcohol consumption. T levels also change with alcohol exposure, decreasing with acute and chronic use. This review synthesizes findings from both human and animal studies, highlighting how interactions between the hypothalamic-pituitary-gonadal (HPG) and hypothalamic-pituitary-adrenal (HPA) axes may underlie male-specific patterns of alcohol use and risk for AUD. Understanding these mechanisms is essential for preclinical and clinical researchers conducting research in males and for the development of more effective interventions for AUD in men.
在美国和世界范围内,过度饮酒和酒精使用障碍(AUDs)是一个重要且日益严重的公共卫生问题,男性历史上饮酒和AUD诊断的比例更高。尽管如此,这些结果的性别差异背后的生物学机制还没有被完全理解。在男性中,内分泌系统是行为的关键调节者,睾酮与酒精有双向关系。睾酮(T)的基线水平可能使男性倾向于接近行为,增加青少年和成年男性从事危险饮酒行为的倾向。与此同时,T似乎可以保护雄性(尤其是啮齿动物)免受初始饮酒水平升高的影响。T水平也随酒精暴露而改变,随急性和慢性饮酒而降低。本综述综合了人类和动物研究的结果,强调了下丘脑-垂体-性腺(HPG)和下丘脑-垂体-肾上腺(HPA)轴之间的相互作用可能是男性特定饮酒模式和AUD风险的基础。了解这些机制对于临床前和临床研究人员进行男性研究以及开发更有效的男性AUD干预措施至关重要。
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引用次数: 0
Molecular mechanism underlying alcohol's residual effects: The role of acetaldehyde in mitochondrial dysfunction at synapses in mouse brain cortex 酒精残留效应的分子机制:乙醛在小鼠脑皮质突触线粒体功能障碍中的作用
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-17 DOI: 10.1016/j.alcohol.2025.09.004
Analía G. Karadayian , Lautaro Carrere , Analia Czerniczyniec , Silvia Lores-Arnaiz
Alcohol residual effects impose significant physiological and cognitive burdens due to acute ethanol exposure; however, its underlying mechanisms remain poorly understood. This study investigates the role of acetaldehyde, the main ethanol metabolite, in driving mitochondrial dysfunction and synaptic impairment during hangover onset. Using a mice model, we evaluated the effects of ethanol (3.8 g/kg) and the alcohol dehydrogenase inhibitor 4-methylpyrazole (4-MP) on brain cortex synaptosomes.
Ethanol exposure significantly elevated serum acetaldehyde compared with control (p < 0.05), and induced mitochondrial dysfunction, as evidenced by impaired respiration (30 % decrease in basal O2 uptake vs. control), mitochondrial membrane depolarization and reduced ATP production (50 % decrease vs. control). These effects were mitigated by pre-treatment with 4-MP, which normalized acetaldehyde levels and partially restored mitochondrial function. Notably, ethanol downregulated synaptic proteins (nNOS, GluN2B, PSD-95; p < 0.05), but 4-MP failed to prevent this reduction, suggesting that acetaldehyde would not be involved in synaptic proteins alterations. Further, ethanol disrupted calcium homeostasis and nitric oxide (NO) content. Interestingly, 4-MP alone also reduced calcium uptake and NO content (p < 0.05), indicating potential off-target effects on neuronal signaling.
While the reduction in acetaldehyde levels preserved mitochondrial integrity, its inability to rescue synaptic protein loss highlights the complexity of hangover pathology, involving both acetaldehyde-dependent and -independent mechanisms. Our findings underscore acetaldehyde's pivotal role in hangover-associated mitochondrial dysfunction but reveal divergent pathways in synaptic impairment. These insights advance the search for targeted hangover therapies by delineating acetaldehyde-dependent toxicity.
由于急性乙醇暴露,酒精残留效应造成显著的生理和认知负担;然而,其潜在机制仍然知之甚少。本研究探讨了主要的乙醇代谢物乙醛在宿醉发作时驱动线粒体功能障碍和突触损伤中的作用。通过小鼠模型,我们评估了乙醇(3.8 g/kg)和乙醇脱氢酶抑制剂4-甲基吡唑(4-MP)对大脑皮层突触体的影响。与对照组相比,乙醇暴露显著升高血清乙醛(p2摄取与对照组相比),线粒体膜去极化和ATP生成减少(与对照组相比减少50%)。4-MP预处理可以减轻这些影响,使乙醛水平正常化,并部分恢复线粒体功能。值得注意的是,乙醇下调突触蛋白(nNOS, GluN2B, PSD-95; p
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引用次数: 0
Chronic pain increases sensitivity to pain-induced reinstatement of ethanol seeking in male mice 慢性疼痛增加雄性小鼠对疼痛诱导的乙醇寻求恢复的敏感性。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-17 DOI: 10.1016/j.alcohol.2025.09.003
Mitchell A. Nothem, Christine M. Side, Simon C. Tran, Anaahat Brar, Lauren A. Buck, Jacqueline M. Barker
Alcohol use disorder (AUD) and chronic pain are complex and debilitating conditions that are highly comorbid. Greater than 50 % of individuals with AUD have chronic pain. Clinical data suggest that people with chronic pain are more likely to report using alcohol to manage chronic pain, and that magnitude of pain is correlated with relapse probability after a period of abstinence. These data led to the hypothesis that pain can drive ethanol seeking and reinstatement in a rodent model of chronic neuropathic pain. A conditioned place preference (CPP) paradigm was used to model ethanol seeking in male C57BL6J mice with a spared nerve injury (SNI). Mice were conditioned with doses of ethanol previously found to reverse pain behavior (0.5 g/kg). Mice with and without SNI showed similar magnitudes of ethanol CPP and rates of extinction. To investigate pain-induced relapse-related behavior, mice underwent reinstatement testing following painful mechanical stimulation which was delivered at either a “moderate” or “high” intensity immediately prior to return to the CPP apparatus. “Moderate” painful hindpaw stimulation reinstated ethanol seeking behavior in SNI-injured, but not sham, mice, while “high” intensity stimulation reinstated ethanol seeking in mice regardless of injury status. These data suggest that males in chronic pain are more susceptible reinstatement of ethanol seeking following a painful experience.
酒精使用障碍(AUD)和慢性疼痛是复杂和衰弱的条件,是高度合并症。超过50%的AUD患者有慢性疼痛。临床数据表明,患有慢性疼痛的人更有可能报告使用酒精来控制慢性疼痛,并且疼痛的程度与戒断一段时间后复发的可能性相关。这些数据导致假设疼痛可以驱动乙醇寻找和恢复慢性神经性疼痛的啮齿动物模型。采用条件位置偏好(CPP)模式对雄性C57BL6J神经损伤(SNI)小鼠的乙醇寻求模型进行了研究。小鼠接受了先前发现的能逆转疼痛行为的乙醇剂量(0.5g/kg)。有SNI和没有SNI的小鼠表现出相似的乙醇CPP大小和灭绝率。为了研究疼痛引起的与复发相关的行为,小鼠在返回CPP装置之前接受了“中等”或“高”强度的疼痛机械刺激后的恢复测试。“中度”疼痛的后爪刺激恢复了sni损伤小鼠的乙醇寻求行为,但假手术小鼠没有,而“高”强度刺激恢复了小鼠的乙醇寻求行为,无论损伤状态如何。这些数据表明,慢性疼痛的男性更容易在疼痛经历后恢复乙醇寻求。
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