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Impact of adolescent ethanol binge on serotonin signaling and pain sensitivity post-withdrawal 青少年酒精暴饮对戒断后血清素信号传导和疼痛敏感性的影响。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-10 DOI: 10.1016/j.alcohol.2025.09.001
Alexander James Feller , Louis John Kolling , Tien Tran , Shafa Ismail , Jessica Marie Hunter Alberhasky , Samuel Cole Luciano , Catherine Anne Marcinkiewcz
Adolescence is a critical neurodevelopmental period characterized by heightened neuroplasticity. While the acute effects of binge ethanol (EtOH) consumption are documented, its long-term impact on both pain sensitivity and microglial activation during adolescence remains unclear. Given serotonin's (5-HT) known involvement in pain processing and sensitivity to EtOH, this study examined the effects of adolescent EtOH binge on microglia-induced neuroinflammation in serotonergic nuclei, downstream 5-HT signaling, and pain sensitivity at different time points after EtOH withdrawal. Adolescent male C57BL/6J mice received triweekly oral gavage of 20 % EtOH or water for 4 weeks and were assessed after 24 h and 3 weeks post-withdrawal. We used immunohistochemistry to assess neuroinflammation in the dorsal raphe, median raphe, and raphe magnus by labeling 5-HT, CD68, and P2Y12. Further analyses examined downstream signaling via 5-HT and serotonin transporter (SERT) expression in the nucleus accumbens, anterior cingulate cortex, thalamus, amygdala, hypothalamus, and raphe magnus. Pain sensitivity was then assessed using the Hargreaves test. EtOH exposure led to widespread serotonergic and neuroinflammatory changes. Significant increases in microglia-induced neuroinflammation were observed in the dorsal raphe nucleus, median raphe nucleus, and raphe magnus nucleus after both 24 h and 3 weeks post-withdrawal, along with significant deficits in 5-HT. Similar 5-HT deficits were observed in downstream regions—notably in the anterior cingulate cortex, thalamus, amygdala, and hypothalamus—at varying time points post-withdrawal. EtOH-exposed mice also showed lasting hyperalgesia at both 24 h and 3 weeks post-withdrawal that persisted for up to 9 weeks. These results suggest that persistent hyperalgesia following adolescent EtOH binge may be driven by changes in serotonergic function and microglial activation.
青春期是神经发育的关键时期,其特点是神经可塑性增强。虽然暴饮乙醇(EtOH)的急性效应有文献记载,但其对青春期疼痛敏感性和小胶质细胞激活的长期影响尚不清楚。鉴于已知5-羟色胺(5-HT)参与疼痛加工和对EtOH的敏感性,本研究在EtOH戒断后的不同时间点检测了青少年EtOH暴饮对小胶质细胞诱导的5-羟色胺能核神经炎症、下游5-HT信号传导和疼痛敏感性的影响。青春期雄性C57BL/6J小鼠每3周灌胃20% EtOH或水,连续灌胃4周,停药后24小时和停药后3周进行评估。通过标记5-HT、CD68和P2Y12,我们使用免疫组织化学来评估中缝背、中缝和大缝的神经炎症。进一步的分析检测了伏隔核、前扣带皮层、丘脑、杏仁核、下丘脑和大中脑中通过5-羟色胺和血清素转运体(SERT)表达的下游信号。然后用哈格里夫斯试验评估疼痛敏感性。EtOH暴露导致广泛的血清素能和神经炎症改变。戒断后24小时和3周,中缝背核、中缝中核和中缝大核的小胶质细胞诱导的神经炎症显著增加,同时5-羟色胺明显不足。在戒断后的不同时间点,在下游区域——尤其是前扣带皮层、丘脑、杏仁核和下丘脑——也观察到类似的5-羟色胺缺陷。暴露于etoh的小鼠在停药后24小时和3周也表现出持续的痛觉过敏,持续时间长达9周。这些结果表明,青春期EtOH暴食后的持续性痛觉过敏可能是由血清素能功能和小胶质细胞激活的变化驱动的。
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引用次数: 0
Bidirectional relationships between daily sleep and alcohol use 每日睡眠与饮酒之间的双向关系
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-04 DOI: 10.1016/j.alcohol.2025.09.002
Emma J. Tussey, Maria M. Wong

Background

Prior longitudinal studies demonstrate that sleep disturbance is a risk factor for alcohol misuse. Experimental research also shows that alcohol intake negatively impacts sleep. The present study evaluated temporal bidirectional relationships between sleep and alcohol intake using intensive longitudinal methods.

Methods

57 college students (71 % female, Mage 24.1) participated in a two-week study assessing their daily sleep and alcohol use. Participants wore an actiwatch and completed daily diaries about their sleep and alcohol intake. Multi-level zero-inflated negative binomial models assessed whether prior sleep predicted next-day alcohol use. Linear multi-level models assessed whether alcohol use predicted daily sleep. All models assessed both within- (daily) and between-subject (average) effects because daily variations in sleep could influence alcohol use separately from average patterns and vice versa. Race, age, and sex were controlled in the analyses.

Results

Greater average wake after sleep onset (WASO) and sleep onset latency (SOL) and shorter daily total sleep time (TST) predicted greater next-day alcohol intake (WASO IR: 1.009; SOL IR: 1.011; TST IR: 0.998; p < .05). Higher average alcohol intake predicted increased daily WASO (B = 8.944, SE = 4.551, p < .05), TST (B = 12.717, SE = 5.877, p < .05), and decreased daily restedness (B = −0.158, SE = 0.064, p < .05).

Conclusions

These results highlight a dynamic bidirectional relationship between sleep and alcohol use. Findings suggest that average sleep and alcohol use patterns may be more meaningful to target than a single instance of poor sleep or excessive alcohol use.
背景:先前的纵向研究表明,睡眠障碍是酒精滥用的一个危险因素。实验研究还表明,饮酒对睡眠有负面影响。本研究使用密集的纵向方法评估了睡眠和酒精摄入之间的时间双向关系。方法:57名大学生(71%为女性,年龄24.1岁)参加了一项为期两周的研究,评估他们的日常睡眠和酒精使用情况。参与者佩戴活动手表,并完成关于睡眠和酒精摄入量的每日日记。多级零膨胀负二项模型评估了睡眠是否能预测第二天的饮酒情况。线性多级模型评估了饮酒是否能预测日常睡眠。所有模型都评估了受试者内部(每日)和受试者之间(平均)的影响,因为每天睡眠的变化可能会影响酒精的使用,而不是平均模式,反之亦然。在分析中控制了种族、年龄和性别。结果:更大的平均醒后睡眠(WASO)和睡眠发作潜伏期(SOL)和更短的每日总睡眠时间(TST)预示着更大的第二天酒精摄入量(WASO IR: 1.009; SOL IR: 1.011; TST IR: 0.998; p < 0.05)。较高的平均酒精摄入量预测每日WASO (B = 8.944, SE = 4.551, p < 0.05)、TST (B = 12.717, SE = 5.877, p < 0.05)和每日静息度降低(B = -0.158, SE = 0.064, p < 0.05)。结论:这些结果强调了睡眠和饮酒之间的动态双向关系。研究结果表明,平均睡眠和酒精使用模式可能比单个睡眠不良或过度饮酒的实例更有意义。
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引用次数: 0
Alcohol use disorder-associated pain: clinical and preclinical evidence 酒精使用障碍相关疼痛:临床和临床前证据
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-02 DOI: 10.1016/j.alcohol.2025.08.005
Yuyang Dong, Matthew W. Buczynski, Ann M. Gregus
Alcohol Use Disorder (AUD) affects millions of people globally and is characterized by cycles of intoxication, withdrawal, and relapse. Convergent clinical and preclinical evidence strongly support the conclusion that AUD precipitates chronic pain marked by mechanical and thermal hypersensitivity, yet currently available FDA-approved therapeutics do not effectively manage AUD-associated pain. This review synthesizes clinical and preclinical evidence on AUD-associated pain, highlighting known phenomena of allodynia and hyperalgesia as well as small and/or large fiber neuropathy in patient subpopulations along with preclinical acute and chronic alcohol exposure paradigm-specific nociceptive phenotypes in rodents. Herein, we provide detailed descriptions and interpretations of outcome measures for different sensory modalities typically utilized in clinical and/or preclinical studies of nociception. We examine how these endpoints vary in rodent models according to the type of alcohol exposure paradigm with regard to route of administration, chronicity, and contingency (forced, voluntary, or combined). Finally, we summarize the prominent molecular mechanisms that have been proposed to mediate alcohol withdrawal-induced pain-like behaviors. While major advances have been made in treatment of AUD, critical gaps in understanding of human pain phenotypes due to lack of quantitative endpoints in clinical trials impede further advancement in refining preclinical models to recapitulate these features. Patient phenotype-driven preclinical models will increase cross-species translational potential for interrogating mechanistic underpinnings and thereby inform future drug discovery campaigns for treatment of AUD-associated pain.
酒精使用障碍(AUD)影响着全球数百万人,其特点是中毒、戒断和复发的循环。越来越多的临床和临床前证据强烈支持AUD沉淀慢性疼痛的结论,其特征是机械和热超敏反应,但目前fda批准的治疗方法并不能有效地控制AUD相关的疼痛。本综述综合了aud相关疼痛的临床和临床前证据,强调了患者亚群中已知的异位性疼痛和痛觉过敏现象,以及小纤维和/或大纤维神经病变,以及啮齿动物临床前急性和慢性酒精暴露范式特异性伤害感受表型。在此,我们提供了对临床和/或临床前研究中通常使用的不同感觉模式的结果测量的详细描述和解释。我们研究了这些终点在啮齿动物模型中如何根据酒精暴露范式的类型与给药途径、慢性性和偶然性(强制、自愿或联合)有关。最后,我们总结了已经提出的介导酒精戒断诱导的疼痛样行为的主要分子机制。虽然在治疗AUD方面取得了重大进展,但由于缺乏临床试验的定量终点,对人类疼痛表型的理解存在重大差距,这阻碍了进一步完善临床前模型以概括这些特征。患者表型驱动的临床前模型将增加询问机制基础的跨物种转化潜力,从而为未来治疗aud相关疼痛的药物发现活动提供信息。
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引用次数: 0
Retraction notice to “Liver transplantation for end-stage alcoholic liver disease: a single-center experience from mainland China” [Alcohol 44 (2010) 217–221] 《终末期酒精性肝病肝移植:来自中国大陆的单中心经验》撤回通知[Alcohol 44 (2010) 217-221]
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-29 DOI: 10.1016/j.alcohol.2025.08.001
Gui-hua Chen, Yang Yang, Min-qiang Lu, Chang-jie Cai, Qi Zhang, Ying-cai Zhang, Chi Xu, Hua Li, Gen-shu Wang, Shu-hong Yi, Jian Zhang, Jun-feng Zhang, Hui-min Yi
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引用次数: 0
A conceptual framework for the intersection of hyperalgesia and hyperkatifeia in alcohol addiction 酒精成瘾中痛觉过敏和过度兴奋交叉的概念框架
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-27 DOI: 10.1016/j.alcohol.2025.08.004
George F. Koob , Leandro F. Vendruscolo
Alcohol use disorder is a chronically relapsing disorder that is characterized by compulsive drug seeking and is hypothesized to result from multiple sources of motivational dysregulation in a three-stage cycle of addiction (incentive salience/pathological habits, withdrawal/negative affect, and preoccupation/anticipation). One major source of motivation in the withdrawal/negative affect stage is the physical pain and emotional pain of withdrawal and protracted withdrawal that drive pronounced drug-seeking behavior via the process of negative reinforcement. The construct of negative reinforcement is defined as alcohol taking to alleviate both physical pain and emotional pain (hyperkatifeia) that are created by alcohol abstinence following excessive alcohol consumption. Hyperkatifeia (derived from the Greek “katifeia” for dejection or negative emotional state) is defined as an increase in intensity of the constellation of negative emotional or motivational signs and symptoms of withdrawal from drugs of addiction. In humans and animal models, the repeated misuse of alcohol results in hyperalgesia and hyperkatifeia and is reflected by elevations of reward thresholds, lower pain thresholds, and anxiety- and dysphoric-like responses during alcohol withdrawal. Such symptoms are hypothesized to derive from molecular and neurocircuitry neuroadaptations within the reward system and brain stress systems (e.g., corticotropin-releasing factor, dynorphin, norepinephrine, hypocretin, vasopressin, glucocorticoids, and neuroimmune factors) and brain anti-stress systems (e.g., neuropeptide Y, endocannabinoids, and oxytocin) in the extended amygdala. Thus, our hypothesis is that alcohol withdrawal-induced hyperalgesia and hyperkatifeia persist into protracted withdrawal and contribute to the development and persistence of compulsive alcohol seeking. A conceptual framework for the intersection of physical and emotional pain in addiction is elaborated in the Catastrophizing, Anxiety, Negative Urgency, and Expectancy (CANUE) model, and a significant overlap of brain circuits that mediate emotional pain and physical pain involves the extended amygdala. The intersection of emotional and physical pain reinforces even more dramatically the role of negative reinforcement in alcohol addiction and fits a framework of allostasis (defined as stability with change) where other allostatic loads (defined as the cost of breaks with homeostasis on the body), such as genetics/epigenetics, childhood trauma, and other stressors, exacerbate hyperalgesia/hyperkatifeia in driving alcohol use disorder. The focus on treating hyperalgesia/hyperkatifeia that is associated with acute and protracted withdrawal opens new and exciting avenues for understanding the etiology of alcohol use disorder.
酒精使用障碍是一种慢性复发性障碍,以强迫性药物寻求为特征,被认为是在成瘾的三个阶段循环(激励突出/病理习惯、戒断/负面影响和专注/预期)中由多种动机失调来源造成的。戒断/消极影响阶段的一个主要动机来源是戒断和长期戒断带来的身体痛苦和情感痛苦,它们通过负强化过程驱动明显的药物寻求行为。负强化的概念被定义为通过饮酒来减轻过度饮酒后戒酒所造成的身体和情感上的痛苦(过度饮酒)。过度抑郁(源自希腊语“katifeia”,意为沮丧或消极情绪状态)被定义为消极情绪或动机体征和戒断药物或成瘾症状的强度增加。在人类和动物模型中,反复滥用酒精会导致痛觉过敏和过度兴奋,并在酒精戒断期间表现为奖励阈值升高、疼痛阈值降低以及焦虑和烦躁样反应。据推测,这些症状源于奖赏系统和大脑应激系统(如促肾上腺皮质激素释放因子、促啡肽、去甲肾上腺素、下丘脑泌素、加压素、糖皮质激素和神经免疫因子)以及大脑抗应激系统(如神经肽Y、内源性大麻素和催产素)内的分子和神经回路神经适应。因此,我们的假设是,酒精戒断引起的痛觉过敏和亢进持续到长期戒断,并有助于强迫性酒精寻求的发展和持续。在灾难化、焦虑、消极紧迫性和期望(CANUE)模型中,阐述了成瘾中身体和情感疼痛交叉的概念框架,并且介导情绪疼痛和身体疼痛的大脑回路的显著重叠涉及扩展的杏仁核。情绪和身体疼痛的交叉甚至更显著地强化了负强化在酒精成瘾中的作用,并符合适应负荷(定义为随变化的稳定性)的框架,而其他适应负荷(定义为打破身体内稳态的代价),如遗传学/表观遗传学,童年创伤和其他压力源,加剧了导致酒精使用障碍的痛觉过敏/过度兴奋。关注治疗与急性和长期戒断相关的痛觉过敏/过度兴奋,为理解酒精使用障碍的病因开辟了新的和令人兴奋的途径。
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引用次数: 0
Assessing orbitofrontal cortex volume as a predictor of subjective response to alcohol during early adolescence 评估眼窝额叶皮质体积作为青少年早期对酒精主观反应的预测因子
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-20 DOI: 10.1016/j.alcohol.2025.08.002
L.S. Aguilar, A.L. Wallace, K.E. Courtney, N.E. Wade
Adolescence marks a critical window wherein individual differences in brain structure may influence the emergence of alcohol use behaviors. The orbitofrontal cortex (OFC), a region involved in reward processing and behavioral regulation, may play a key role in shaping early responses to alcohol. This study examined whether smaller OFC volume at ages 9–10 predicted likelihood of experiencing subjective effects of alcohol by ages 13–14. Participants (N = 206; 57 % female) were drawn from the Adolescent Brain Cognitive Development Study. Baseline medial and lateral OFC volumes were used. Subjective response to alcohol was measured during follow-up using a binary outcome (1 = any effect, 0 = no effects). Mixed-effects logistic regression models tested the association between OFC and alcohol response, adjusting for sex, parental education, race/ethnicity, intracranial volume, and site. Smaller left medial OFC at Baseline was significantly associated with greater odds of reporting subjective effects (OR = 1.70, p = .026). Youth who reported subjective effects also consumed more alcohol in the past year (p < .001), but did not differ in their alcohol expectancies. Among those reporting subjective effects, OFC volume was not significantly associated with the amount or frequency of alcohol use. These findings suggest that smaller OFC volume may not reflect pharmacological sensitivity per se, but instead relate to early drinking behavior sufficient to elicit noticeable effects. This may reflect underlying impulsivity-related traits or altered neurodevelopmental trajectories that predispose youth to early and potentially riskier patterns of alcohol use. Results underscore the potential value of identifying structural brain markers that contribute to individual vulnerability for alcohol use during adolescence.
青春期是大脑结构个体差异可能影响酒精使用行为出现的关键时期。眶额皮质(OFC),一个涉及奖励处理和行为调节的区域,可能在形成对酒精的早期反应中起关键作用。这项研究调查了9-10岁时OFC体积较小是否预示着13-14岁时经历酒精主观影响的可能性。参与者(N = 206, 57%为女性)来自青少年大脑认知发展研究。使用基线内侧和外侧OFC体积。在随访期间使用二元结果(1 =有影响,0 =无影响)测量对酒精的主观反应。混合效应logistic回归模型检验了OFC和酒精反应之间的关系,调整了性别、父母教育程度、种族/民族、颅内容量和部位。基线时左侧内侧OFC较小与报告主观影响的几率较大显著相关(OR = 1.70, p = 0.026)。报告主观影响的年轻人在过去一年中也消耗了更多的酒精(p < .001),但他们的酒精期望值没有差异。在报告主观影响的人群中,OFC量与饮酒的数量或频率无显著相关性。这些发现表明,较小的OFC体积可能并不反映药物敏感性本身,而是与早期饮酒行为有关,足以引起明显的影响。这可能反映了潜在的冲动相关特征或改变的神经发育轨迹,这些特征使年轻人更容易出现早期和潜在的高风险饮酒模式。研究结果强调了识别导致青少年饮酒个体脆弱性的大脑结构标记的潜在价值。
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引用次数: 0
The Majchrowicz binge model of alcohol dependence: A valid model for comparing male and female rats 酒精依赖的Majchrowicz暴饮模型:一个比较雄性和雌性大鼠的有效模型。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-19 DOI: 10.1016/j.alcohol.2025.08.003
S.A. Collins, S.P. Guerin, N.N. Nawarawong, E.R. Carlson, K.R. Thompson, K. Nixon
Alcohol use disorders (AUD) among women have steadily risen over the past decade. This increase is due in part to increased rates of drinking among some populations of women, yet relatively little is known about alcohol in women. Until recently, the majority of clinical and preclinical studies investigating AUD have focused on these effects in males, including in the Majchrowicz binge model of alcohol dependence. Therefore, the objective of this study was to perform a retrospective analysis of intoxication behavior and withdrawal severity in adult male and female Sprague Dawley rats using the Majchrowicz model. Rats were gavaged intragastrically with ethanol diet every 8 h for 4 days with doses titrated based on the rat's intoxication behavior. Ten hours after the final dose of alcohol, withdrawal behavior was assessed for 17 h. Males were slightly more intoxicated behaviorally than females, which resulted in females receiving a slightly larger dose of ethanol per day. Despite these differences in intoxication behavior, similar blood ethanol concentrations (BECs) and withdrawal behaviors were observed for males and females. Altogether, these data suggest that while slight differences in intoxication and therefore dosing occur in the Majchrowicz model of alcohol dependence, the model reliably produces similar BECs and minimizes differences in withdrawal severity. This is further supported by a principal component analysis, which confirmed moderate overlap between sexes based on these parameters. Thus, this model is useful for making direct comparisons between groups, and here between sexes, where slight differences in ethanol pharmacokinetics are known to occur.
女性酒精使用障碍(AUD)在过去十年中稳步上升。这一增长的部分原因是某些女性群体的饮酒率上升,但对女性饮酒的了解相对较少。直到最近,大多数调查AUD的临床和临床前研究都集中在男性的这些影响上,包括酒精依赖的Majchrowicz狂欢模型。因此,本研究的目的是使用Majchrowicz模型对成年雄性和雌性Sprague Dawley大鼠的中毒行为和戒断严重程度进行回顾性分析。大鼠每8小时灌胃一次乙醇饲料,连续灌胃4天,剂量根据大鼠的中毒行为而定。在最后一剂酒精10小时后,对戒断行为进行了17小时的评估。雄性在行为上比雌性更陶醉,这导致雌性每天接受的乙醇剂量略大。尽管在中毒行为上存在这些差异,但在男性和女性中观察到相似的血乙醇浓度(BECs)和戒断行为。总之,这些数据表明,尽管Majchrowicz酒精依赖模型中出现了轻微的中毒和剂量差异,但该模型可靠地产生了相似的BECs,并将戒断严重程度的差异降至最低。主成分分析进一步支持了这一点,根据这些参数证实了两性之间的适度重叠。因此,这个模型对于在不同组之间进行直接比较是有用的,在性别之间,乙醇药代动力学的细微差异是已知的。
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引用次数: 0
Voluntary wheel-running reduces harmful drinking in a genetic risk model for drinking to intoxication 自愿跑轮减少有害饮酒在饮酒中毒的遗传风险模型。
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-06 DOI: 10.1016/j.alcohol.2025.07.004
Kolter Grigsby , Zaynah Usmani , Amy E. Chan , Luis Tzab , Justin Anderson , Angela R. Ozburn
Physical activity (PA) may provide an effective and equitable treatment option for addressing the harm associated with Alcohol Use Disorders (AUDs). Wheel-running (WR) – a well characterized rodent model of PA – reduces intake and craving for many drugs of abuse; however, its effects on models of harmful ethanol intake are mixed. This may in part be due to critical differences in drinking paradigm, genetics background, chronicity of ethanol, and the modality and duration of PA being tested. To compliment and extend prior work, we evaluated whether key stages of PA development would differentially reduce binge-like ethanol drinking in inbred High Drinking in the Dark (iHDID-1) mice, a unique genetic risk model for drinking to intoxication. AUD is a chronic, relapsing disorder. To better reflect this condition, adult female and male iHDID-1 mice underwent a chronic (4-weeks) “Drinking in the Dark” (DID) protocol – a model of binge-like ethanol drinking - along with a locked running (to control for the effect of novelty). Early stages of PA evoke much higher signs of physiological and neurological stress than more chronic, habitual stages of PA. Therefore, we tested whether acute WR (1-week) altered ethanol intake differently than chronic WR (4-weeks). Here, we found that both acute and chronic WR reduced ethanol intake in female and male iHDID-1 mice. To evaluate whether the effect of PA was specific to ethanol, we further tested whether acute WR reduced water intake in the DID protocol. Analysis revealed that male WR iHDID-1 mice had greater water intake than wheel-locked controls. Moreover, WR during the time of DID was positively correlated with water intake, but not ethanol intake, suggesting WR and DID are not competing behaviors. Taken together, these findings offer support for the role of PA as a meaningful intervention strategy for reducing harmful drinking and emphasize the need to explore the underlying neurobiological mechanisms as a means of guiding PA as an adjunctive therapy for AUD.
体育活动(PA)可能为解决与酒精使用障碍(AUDs)相关的危害提供一种有效和公平的治疗选择。轮跑(WR) -一种典型的PA啮齿动物模型-减少了对许多滥用药物的摄入和渴望;然而,它对有害乙醇摄入模型的影响是混合的。这可能部分是由于饮酒模式、遗传背景、乙醇的慢性性以及PA测试的方式和持续时间的关键差异。为了补充和扩展先前的工作,我们评估了PA发育的关键阶段是否会在近交系的夜间高饮酒量小鼠(iHDID-1)中不同程度地减少酗酒样乙醇饮酒,这是一种独特的饮酒中毒遗传风险模型。AUD是一种慢性、复发性疾病。为了更好地反映这种情况,成年雌性和雄性iHDID-1小鼠进行了慢性(4周)“在黑暗中饮酒”(DID)协议——一种类似酒精狂饮的模式——以及锁定跑步(以控制新奇的效果)。早期的PA比慢性的、习惯性的PA更容易引起生理和神经方面的压力。因此,我们测试了急性WR(1周)对乙醇摄入的改变是否与慢性WR(4周)不同。在这里,我们发现急性和慢性WR都减少了雌性和雄性iHDID-1小鼠的乙醇摄入量。为了评估PA的作用是否对乙醇有特异性,我们进一步测试了急性WR是否减少了DID方案中的水摄入量。分析显示,雄性WR iHDID-1小鼠的饮水量比车轮锁定对照组大。此外,在DID期间的WR与水摄入量呈正相关,而与乙醇摄入量无关,表明WR和DID不是竞争行为。综上所述,这些发现为PA作为减少有害饮酒的有意义的干预策略的作用提供了支持,并强调了探索潜在的神经生物学机制作为指导PA作为AUD辅助治疗手段的必要性。
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引用次数: 0
Alcohol consumption during binge-eating episodes and associations with drinking patterns and alcohol problems among adults with binge-spectrum eating disorders 暴饮暴食发作期间的酒精摄入量及其与暴饮暴食谱系障碍成年人饮酒模式和酒精问题的关系
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-05 DOI: 10.1016/j.alcohol.2025.07.005
Megan L. Wilkinson , Emily K. Presseller , Claire Trainor , Elizabeth W. Lampe , Laura E. Boyajian , Adrienne S. Juarascio
Individuals with binge-spectrum eating disorders (BSEDs) clinically report drinking alcohol during binge-eating episodes, but no empirical research has yet been conducted. Drinking alcohol during binge-eating episodes may exacerbate overconsumption of food and feelings of guilt or sadness in response to binge eating. Characterizing this co-occurring behavior is therefore an important first step and contribution to knowledge about a potential contributor to binge eating. The current study aimed to characterize alcohol use during binge-eating episodes among adults with BSEDs and determine the relationship between this co-occurrence and demographic characteristics or clinical symptoms. Participants (N = 203) reported the frequency and average number of drinks consumed during binge-eating episodes, demographic measures, eating disorder symptomology, general alcohol use and alcohol problems, and depression symptoms. One-third of participants endorsed drinking alcohol during binge-eating episodes in the past three months, with the most common frequency being “rarely” and the typical number of drinks ranging from 1 to 4 drinks. Higher frequency of alcohol consumption during binge-eating episodes was associated with more frequent drinking generally, greater number of drinks during typical drinking episodes, and greater number of alcohol problems. The study's findings indicate potential associations between alcohol use patterns and binge eating, which could be clinically relevant for providers treating patients who consume alcohol. More research is needed with validated measures of co-occurring alcohol and binge eating episodes and in samples with greater variability of clinical severity and demographics.
暴食谱系障碍(BSEDs)患者临床报告在暴食发作期间饮酒,但尚未进行实证研究。在暴饮暴食期间饮酒可能会加剧食物的过度消费,以及对暴饮暴食的内疚或悲伤感。因此,描述这种共同发生的行为是重要的第一步,有助于了解暴饮暴食的潜在因素。目前的研究旨在描述成年bsed患者暴食发作期间的酒精使用情况,并确定这种共存与人口统计学特征或临床症状之间的关系。参与者(N = 203)报告了暴食发作期间饮酒的频率和平均数量、人口统计指标、饮食失调症状、一般酒精使用和酒精问题以及抑郁症状。三分之一的参与者承认在过去三个月的暴食期间饮酒,最常见的频率是“很少”,典型的饮酒数量在1到4杯之间。暴饮暴食期间饮酒频率越高,通常饮酒频率越高,典型饮酒期间饮酒次数越多,酒精问题也越多。这项研究的发现表明,饮酒模式和暴饮暴食之间存在潜在的联系,这对治疗酗酒患者的提供者来说可能具有临床意义。需要在临床严重程度和人口统计学差异较大的样本中,对酒精和暴饮暴食同时发生的有效措施进行更多的研究。
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引用次数: 0
Persistent inflammation does not promote aversion-resistant binge-like alcohol drinking in rats 在大鼠中,持续的炎症不会促进抗厌恶性的狂饮
IF 2.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-29 DOI: 10.1016/j.alcohol.2025.07.003
Jessica A. Cucinello-Ragland , Yolanda Campos-Jurado , Lila Hershfelt , Mateo Pujol , Youssef Saad , Bilal Zahoor , Alexandre Neptune , Jose A. Morón

Background

Chronic pain is a leading cause of disability, significantly decreases quality of life, and is highly co-morbid with substance use disorders, including alcohol use disorder (AUD). This is due, in part, to the pain-relieving effects of alcohol acting as a potential driving force for the progression and maintenance of AUD. Despite a substantial body of historic, anecdotal, clinical, and epidemiological evidence supporting the analgesic efficacy of alcohol, few preclinical studies have investigated the effects of pain on volitional alcohol drinking. Further, no studies to date have investigated aversion-resistant drinking in the context of persistent pain.

Methods

To address this gap in the literature, the current study combined quinine adulteration with the drinking in the dark (DID) model of binge-like alcohol drinking to assess the effects of complete Freund's adjuvant (CFA)-induced persistent inflammation on aversion-resistant binge-like alcohol drinking in female and male Long Evans rats.

Results

Consistent with previous findings from our laboratory, CFA did not affect binge-like alcohol drinking in either sex, although female rats did consume greater levels of alcohol during baseline and post-CFA DID sessions. Similarly, CFA did not affect quinine adulterated binge-like alcohol drinking in either sex.

Conclusions

This study is the first to investigate the impact of persistent inflammation on aversion-resistant alcohol drinking. Although we found no effects of CFA on quinine adulterated binge-like alcohol drinking, these findings provide the groundwork for future investigations into this otherwise unstudied aspect of the pain-alcohol relationship.
慢性疼痛是致残的主要原因,显著降低生活质量,并与物质使用障碍(包括酒精使用障碍)高度共病。这在一定程度上是由于酒精的缓解疼痛作用是AUD进展和维持的潜在驱动力。尽管有大量的历史、轶事、临床和流行病学证据支持酒精的镇痛功效,但很少有临床前研究调查疼痛对自愿饮酒的影响。此外,迄今为止还没有研究在持续疼痛的情况下调查厌恶抵抗性饮酒。方法为了弥补这一文献空白,本研究将奎宁掺杂与狂饮样饮酒(DID)模型相结合,评估完全弗氏佐剂(CFA)诱导的持续性炎症对雌性和雄性Long Evans大鼠厌恶抵抗性狂饮样饮酒的影响。结果:与我们实验室之前的研究结果一致,尽管雌性大鼠在基线和CFA did后确实消耗了更高水平的酒精,但CFA并未影响两性的狂饮性饮酒。同样,CFA也不影响奎宁掺杂的狂饮性饮酒。结论:本研究首次探讨了持续性炎症对厌恶性饮酒的影响。虽然我们没有发现CFA对奎宁掺假的狂饮样饮酒的影响,但这些发现为未来研究疼痛-酒精关系的这一未被研究的方面提供了基础。
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引用次数: 0
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Alcohol
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