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Pain predicts past-month co-use of alcohol and cannabis among emerging adults: Results from the Population Assessment of Tobacco and Health (PATH) Study 疼痛预测过去一个月初成人酒精和大麻的共同使用:烟草和健康人口评估(PATH)研究的结果。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-25 DOI: 10.1016/j.alcohol.2025.02.003
Callon M. Williams , Nadine R. Mastroleo , Mark F. Lenzenweger , Emily L. Zale
Alcohol use, cannabis use, and pain are public health concerns among emerging adults (18–24 years old). Co-use of alcohol and cannabis is of particular concern since individuals who co-use alcohol and cannabis use more of each substance and experience greater substance-related harm. Pain and substance use frequently co-occur, and a growing body of literature indicates pain is unique risk factor for substance use. The goal of the current study was to examine moderate/severe pain (vs. no/low pain) as a prospective predictor of engaging in co-use of alcohol and cannabis among emerging adults, and to test sex as a moderator of this hypothesized relationship. Data were drawn from Waves 1–5 of the Population Assessment of Tobacco and Health Study (n = 3544). Unadjusted logistic regression revealed that those with moderate/severe pain at baseline were 1.4 times more likely to engage in past-month co-use of alcohol and cannabis over the next four years (p = .046). The effects of pain on co-use were no longer significant after inclusion of covariates and a pain∗sex interaction term, which was also nonsignificant (ps > .05). These findings provide initial support for pain as a risk factor for engaging in co-use of alcohol and cannabis during emerging adulthood. Future research should continue investigating how pain may motivate co-use of alcohol and cannabis, exploring how pain is associated with other measures of co-use, and determining how providers can incorporate pain-substance use psychoeducation for emerging adults in clinical settings.
酒精使用、大麻使用和疼痛是新兴成人(18-24岁)的公共卫生问题。同时使用酒精和大麻是一个特别令人关切的问题,因为同时使用酒精和大麻的个人使用的每种物质更多,受到的与物质有关的伤害也更大。疼痛和药物使用经常同时发生,越来越多的文献表明疼痛是药物使用的独特风险因素。当前研究的目的是检查中度/重度疼痛(与无/轻度疼痛相比)作为新兴成年人共同使用酒精和大麻的前瞻性预测因素,并测试性别作为这种假设关系的调节因素。数据来自烟草与健康研究人口评估的第1-5波(n = 3,544)。未经调整的逻辑回归显示,那些在基线时有中度/重度疼痛的人在过去一个月里同时使用酒精和大麻的可能性是未来四年的1.4倍(p = 0.046)。在纳入协变量和疼痛*性别相互作用项后,疼痛对共同使用的影响不再显著,也不显著(ps >.05)。这些发现初步支持了疼痛是初成年期酒精和大麻共同使用的风险因素。未来的研究应该继续调查疼痛如何激励酒精和大麻的共同使用,探索疼痛如何与其他共同使用的措施相关联,并确定提供者如何在临床环境中为新成年患者提供疼痛物质使用心理教育。
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引用次数: 0
Impact of plastic sipper devices on alcohol self-administration in rodents: Limitations for long-term access paradigms 塑料吸管装置对啮齿动物酒精自我管理的影响:长期获取范式的局限性。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-11 DOI: 10.1016/j.alcohol.2025.02.002
David L. Haggerty , Sara E.M.M.F. Badaro , Eva Nadpara , Carly B. Fabian , Karina P. Abrahao , David M. Lovinger , Max E. Joffe
Open source devices are becoming widely used in behavioral neuroscience. Despite their advantages in cost effectiveness, modularity, and customization, measurements obtained using newly developed devices may not always recapitulate measurements from existing and validated equipment, potentially due to the materials used in manufacture. In this study, we evaluated a commonly used open-source optical lickometer that delivers fluid via a Hydropac® plastic valve in a multi-site intermittent access two-bottle choice (IA2BC) paradigm for alcohol consumption. Mice were tested with both traditional metal sippers and plastic sippers equipped with Hydropac® valves to assess differences in alcohol intake, preference, and total fluid consumption. Our findings revealed that mice displayed reduced intake and preference for alcohol (10–20% v/v) delivered via the Hydropac® containing plastic sippers. Notably, the effect was observed at both testing sites, suggesting a generalizable phenomenon. The decreased intake was also specific to alcohol, as water, quinine, and sucrose consumption were unaffected by sipper type. To investigate the underlying cause of the reduced alcohol consumption, we pre-incubated Hydropac® valves in 20% alcohol and found that the pre-treated alcohol reduced intake even when delivered via metal sippers. This suggests that prolonged interaction between alcohol and the components of the Hydropac® valves alter the fluid, likely by generating unpalatable contaminants. These results highlight a limitation of using plastic sippers in long-term alcohol self-administration studies. While these devices may remain suitable for limited access paradigms their use in extended access protocols may compromise data integrity. Our study underscores the need for rigorous validation of open-source hardware in each research project.
开源设备在行为神经科学领域的应用越来越广泛。尽管它们在成本效益、模块化和定制方面具有优势,但使用新开发的设备获得的测量结果可能并不总是概括现有和经过验证的设备的测量结果,这可能是由于制造过程中使用的材料。在这项研究中,我们评估了一种常用的开源光学液滴计,该液滴计通过Hydropac®塑料阀在多站点间歇访问双瓶选择(IA2BC)范式中提供液体。小鼠分别用传统的金属吸管和装有Hydropac®阀门的塑料吸管进行测试,以评估酒精摄入量、偏好和总液体消耗量的差异。我们的研究结果显示,小鼠对通过含有塑料吸管的Hydropac®提供的酒精(10-20% v/v)的摄入量减少和偏好。值得注意的是,在两个测试地点都观察到这种影响,这表明了一种可推广的现象。饮酒量的减少也与酒精有关,而水、奎宁和蔗糖的摄入量不受饮酒者类型的影响。为了调查酒精消耗量减少的根本原因,我们将Hydropac®阀门在20%的酒精中预孵化,发现即使通过金属吸管输送,预处理后的酒精也会减少摄入量。这表明,酒精与Hydropac®阀门成分之间的长期相互作用可能会产生令人难以接受的污染物,从而改变流体。这些结果强调了在长期酒精自我管理研究中使用塑料吸管的局限性。虽然这些设备可能仍然适用于有限的访问范例,但在扩展访问协议中使用它们可能会损害数据完整性。我们的研究强调了在每个研究项目中对开源硬件进行严格验证的必要性。
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引用次数: 0
Hippocampal overexpression of tissue-type plasminogen activator “tPA” attenuates social defeat-induced depression and ethanol related behavior in mice 海马组织型纤溶酶原激活物“tPA”的过度表达减轻了小鼠社交失败诱导的抑郁和乙醇相关行为。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-10 DOI: 10.1016/j.alcohol.2025.02.001
Amine Bahi
Depression and anxiety disorders are often exacerbated by social stress, necessitating the exploration of molecular mechanisms underlying stress resilience. Tissue plasminogen activator (tPA), a serine protease with pleiotropic effects in the brain, plays a critical role in modulating neuroplasticity and stress responses. This study investigates the behavioral and molecular effects of tPA gain-of-function in a social stress paradigm in male C57BL/6 mice using lentiviral vectors. Behaviorally, hippocampal tPA gain-of-function mitigated depression-like responses in the novelty-suppressed feeding, sucrose splash, tail suspension, and forced swim tests following exposure to chronic social stress. Additionally, in a two-bottle choice drinking paradigm, tPA overexpression reduced social stress-induced ethanol intake and preference, suggesting a role in dampening maladaptive coping behaviors. However, analysis of tastants’ intake and preference revealed no significant effects of tPA overexpression, indicating that it does not influence hedonic responses under stress conditions. Molecularly, tPA overexpression preserved hippocampal tPA mRNA expression and maintained levels of mature brain-derived neurotrophic factor in the hippocampus despite chronic stress exposure. These findings highlight the potential neuroprotective effects of tPA in maintaining hippocampal plasticity and mitigating stress-induced dysregulation of critical neurotrophic pathways. Collectively, this study underscores the potential of tPA as a therapeutic target for stress-induced mood and substance use disorders by modulating behavioral and neurobiological responses to chronic social stress.
社会压力往往会加剧抑郁和焦虑障碍,因此有必要探索压力恢复能力的分子机制。组织纤溶酶原激活物(Tissue plasminogen activator, tPA)是一种在大脑中具有多效作用的丝氨酸蛋白酶,在调节神经可塑性和应激反应中起着重要作用。本研究利用慢病毒载体研究了雄性C57BL/6小鼠在社会应激模式下tPA功能获得的行为和分子效应。行为上,海马tPA功能获得在暴露于慢性社会压力后的新奇抑制进食、蔗糖飞溅、悬尾和强迫游泳测试中减轻了抑郁样反应。此外,在两瓶选择饮酒范式中,tPA过表达降低了社会压力诱导的乙醇摄入和偏好,表明其在抑制适应不良应对行为中起作用。然而,对味觉剂摄入量和偏好的分析显示,tPA过表达没有显著影响,表明它不影响应激条件下的享乐反应。从分子上讲,尽管慢性应激暴露,但tPA过表达保留了海马tPA mRNA的表达,并维持了海马成熟脑源性神经营养因子的水平。这些发现强调了tPA在维持海马可塑性和减轻应激诱导的关键神经营养通路失调方面的潜在神经保护作用。总的来说,本研究强调了tPA通过调节对慢性社会压力的行为和神经生物学反应,作为应激性情绪和物质使用障碍的治疗靶点的潜力。
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引用次数: 0
Impact of parental ethanol exposure on offspring memory: Sex differences in spatial and passive avoidance tasks 父母酒精暴露对后代记忆的影响:空间和被动回避任务的性别差异。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-02 DOI: 10.1016/j.alcohol.2025.01.009
Amirhossein Heidari , Arman Hajikarim-Hamedani , MohammadBasir Asefi , Haniyeh Soltani , Mohammad Saber Zamani , Yekta Ghane , Setareh Rassa , Mitra Sadat-Shirazi , Mohammad-Reza Zarrindast
The impact of parental alcohol exposure on subsequent generations recently gained significant attention. Ethanol, widely consumed by humans, is known for its anxiolytic effects upon initial use. However, repeated ethanol consumption leads to cognitive dysfunction, dependence, and other physical abnormalities. In line with recent publications from our group, this study investigated the role of parental ethanol exposure—10 days prior to gestation—on learning and memory, which are critical cognitive abilities, in male and female offspring.
Adult male and female Wistar rats (n = 12) were exposed to ethanol (in drinking water) for 30 days, followed by a 10-day ethanol-free period. Each rat was then paired to mate with either an ethanol-naïve (control, n = 12) or ethanol-exposed rat, resulting in four distinct groups: (1) control male and female, (2) ethanol-exposed male and control female (P.EE), (3) ethanol-exposed female and control male (M.EE), and (4) ethanol-exposed male and female (P + M.EE). Adult male and female offspring were tested for spatial learning and memory (Morris Water Maze) and passive avoidance memory. Additionally, brain-derived neurotrophic factor (BDNF) levels in the cerebrospinal fluid were evaluated.
Results showed that spatial memory was negatively affected by parental ethanol consumption in both male and female offspring, while spatial learning was impaired only in female offspring of ethanol-exposed dams. In the passive avoidance paradigm, memory retrieval was impaired in ethanol-exposed male offspring, whereas in females, only the P + M.EE group showed a deficit in memory retention. While BDNF levels decreased in male offspring, an enhancement in BDNF was observed in female offspring of the P. EE group.
In conclusion, our findings suggest that parental ethanol exposure before conception has differential impacts on learning and memory, depending on the offspring's sex and the type of memory tested. Spatial memory was affected in both sexes (except for females in the P. EE group), while memory retrieval in the passive avoidance task remained unaffected in female offspring of the P. EE and M. EE groups. Conversely, male offspring of ethanol-exposed sires and dams exhibited deficits in passive avoidance memory. This may suggest that in memory tasks involving inhibitory cues, such as passive avoidance, female offspring of ethanol-exposed dams or sires are more resilient to memory deficits compared to male offspring. This resilience could possibly be attributed to their higher anxiety levels relative to males.
父母饮酒对后代的影响最近引起了极大的关注。乙醇被人类广泛消费,在初次使用时因其抗焦虑作用而闻名。然而,反复饮用乙醇会导致认知功能障碍、依赖和其他身体异常。根据我们小组最近发表的文章,本研究调查了父母在妊娠前10天乙醇暴露对雄性和雌性后代学习和记忆的作用,这是至关重要的认知能力。将成年雄性和雌性Wistar大鼠(n=12)暴露于乙醇(饮用水)中30天,然后是10天的无乙醇期。然后将每只大鼠与ethanol-naïve(对照组,n=12)或乙醇暴露大鼠配对交配,形成四个不同的组:(1)对照雄性和雌性,(2)乙醇暴露雄性和对照雌性(P.EE),(3)乙醇暴露雌性和对照雄性(M.EE),(4)乙醇暴露雄性和雌性(P+M.EE)。对成年雄性和雌性后代进行空间学习记忆(Morris水迷宫)和被动回避记忆测试。此外,脑源性神经营养因子(BDNF)水平在脑脊液进行评估。结果表明,乙醇摄取量对雄性和雌性后代的空间记忆均有负面影响,而酒精摄取量对雌性后代的空间学习均有影响。在被动回避范式中,酒精暴露的雄性后代的记忆检索受到损害,而雌性后代只有P+M受到损害。情感表达组表现出记忆保留的缺陷。当雄性后代的BDNF水平下降时,在P.EE组的雌性后代中观察到BDNF水平的增强。总之,我们的研究结果表明,怀孕前父母酒精暴露对学习和记忆的影响是不同的,这取决于后代的性别和记忆测试的类型。空间记忆在两性中均受到影响(p.e.组的雌性除外),而在被动回避任务中的记忆提取在p.e.组和m.e.组的雌性后代中未受影响。相反,酒精暴露的雄性后代表现出被动回避记忆的缺陷。这可能表明,在涉及抑制线索的记忆任务中,如被动回避,酒精暴露的雌性后代比雄性后代更能适应记忆缺陷。这种适应力可能归因于女性相对于男性的焦虑水平更高。
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引用次数: 0
FGF21 responses to alcohol, an insight from a comparative study in individuals with alcohol use disorder FGF21对酒精的反应--一项针对酒精使用障碍患者的比较研究的启示。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.12.001
Suthat Liangpunsakul , Lorenzo Leggio
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引用次数: 0
Alcohol drinking is attenuated by PDE4 inhibition but partial microglia depletion is not sufficient to block stress-induced escalation of alcohol intake in female mice 在雌性小鼠中,PDE4抑制可减少饮酒,但部分小胶质细胞耗竭不足以阻止应激诱导的酒精摄入量增加。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.12.004
Vernon Garcia-Rivas , Alexa R. Soares , Merrilee A. Thomas , Jessica J. Na , Asia Smith , Marina R. Picciotto , Yann S. Mineur
Stress is a major contributing factor to binge drinking and development of alcohol use disorders (AUD), particularly in women. Both stress and chronic ethanol can enhance neuroinflammatory processes, which may dysregulate limbic circuits involved in ethanol reinforcement. Clinical and preclinical studies have identified sex differences in alcohol intake in response to neuroinflammatory triggers. Since both cyclic AMP (cAMP) signaling and microglial activation contribute to neuroinflammation, we explored their contribution to stress-induced ethanol drinking in mice. To this end, we first trained C57BL/6J male and female mice to volitionally drink ethanol through a modified version of the “Drinking-in-the-Dark” paradigm. We then assessed whether exposure to foot shock stress followed by repeated exposure to the previously stress-paired context might alter volitional ethanol drinking. We observed that stress exposure resulted in a delayed increase in ethanol intake, but only in female mice. The anti-inflammatory drug Apremilast, an inhibitor of phosphodiesterase type 4 (PDE4; the primary enzyme for cAMP degradation in the brain), reduced ethanol intake and decreased preference for ethanol regardless of stress exposure in females. In contrast, a partial pharmacological depletion of microglia via PLX3397 treatment did not significantly alter baseline ethanol drinking or stress-induced ethanol drinking in female mice. This study shows that female mice are more susceptible to stress-induced ethanol drinking than males, and that this occurs even after partial microglial depletion. In addition, modulation of cAMP signaling by Apremilast administration reduced ethanol drinking regardless of stress exposure, supporting the idea that it might be useful for treatment of AUD.
压力是导致酗酒和酒精使用障碍(AUD)的主要因素,尤其是对女性而言。应激和慢性乙醇都可以增强神经炎症过程,这可能会失调参与乙醇强化的边缘回路。临床和临床前研究已经确定了酒精摄入量在神经炎症触发反应中的性别差异。由于环AMP (cAMP)信号和小胶质细胞激活都有助于神经炎症,我们探索了它们在应激诱导的小鼠乙醇饮用中的作用。为此,我们首先训练C57BL/6J雄性和雌性小鼠通过修改版本的“在黑暗中饮酒”范式自愿饮用乙醇。然后,我们评估了暴露于足部休克应激后,再重复暴露于先前的应激配对环境中,是否会改变自愿性乙醇饮酒。我们观察到,应激暴露导致乙醇摄入量延迟增加,但仅在雌性小鼠中。抗炎药阿普雷米司特是4型磷酸二酯酶(PDE4)的抑制剂;(大脑中cAMP降解的主要酶),减少了乙醇摄入量,并降低了对乙醇的偏好,无论应激暴露如何。相比之下,通过PLX3397治疗的小胶质细胞的部分药理消耗并没有显著改变雌性小鼠的基线乙醇饮用或应激性乙醇饮用。这项研究表明,雌性小鼠比雄性小鼠更容易受到应激诱导的乙醇饮酒的影响,即使在部分小胶质细胞耗竭后也会发生这种情况。此外,不管应激暴露如何,Apremilast给药对cAMP信号的调节减少了乙醇饮酒,这支持了它可能对治疗AUD有用的观点。
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引用次数: 0
Consumption of oxycodone prevents oxytocin from attenuating alcohol intake in rats 服用羟考酮会阻止催产素降低大鼠的酒精摄入量。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.10.002
C.S. Wilkinson , C.G. Modrak , T.D. Thompson , R.C. Conrad , I. Leon , L.A. Knackstedt
Alcohol and opioid polysubstance use (PSU) is common and often accompanied by higher trait anxiety. Oxytocin decreases anxiety, alcohol- and opioid-seeking and -taking but has not been assessed in the context of PSU. Here we developed a rat model of sequential oxycodone and alcohol PSU to examine the relationship between anxiety, alcohol and oxycodone intake, and the efficacy of systemic oxytocin to attenuate alcohol intake. Male and female Sprague–Dawley rats were assessed for baseline anxiety-like behavior using acoustic startle and the elevated plus maze (EPM). Rats were then given 2-bottle choice access to oxycodone and/or water for 6-hr/day for 7 days, followed by 2-bottle choice access to alcohol (20% v/v) and/or water for five 24-hr sessions across 10 days. Next, monosubstance (oxycodone- or alcohol-alone) rats continued to have access to only one substance/day while PSU rats had access to oxycodone and water for 3-hr, followed by alcohol and water for 6-hr. After 12 days, rats were tested in the EPM 20 h after alcohol access to examine withdrawal-related anxiety. Next, oxytocin (0, 0.3 or 1.0 mg/kg IP) was administered following the oxycodone/water session, 30 min prior to alcohol access. Rats received intragastric oxycodone (2 mg/kg) or water followed by intragastric alcohol (2 g/kg) and blood was collected to determine blood alcohol levels. Elevated baseline anxiety-like behavior was accompanied by reduced alcohol intake. Consumption of oxycodone did not alter alcohol intake but resulted in less anxiety-like behavior during withdrawal and prevented oxytocin from attenuating alcohol intake. Oxytocin (1 mg/kg) reduced alcohol intake in the alcohol-only condition, an effect that persisted for days after a single oxytocin administration. Rats that received oxycodone prior to non-contingent alcohol displayed higher blood alcohol levels than those that did not. These results support the necessity for the testing of medications for substance use in rodent models of PSU.
酒精和阿片类药物的多重使用(PSU)很常见,而且往往伴随着较高的特质焦虑。催产素可降低焦虑、酒精和阿片类药物的寻求和摄取,但尚未在 PSU 的背景下进行过评估。在此,我们建立了一个连续服用羟考酮和酒精的 PSU 大鼠模型,以研究焦虑、酒精和羟考酮摄入量之间的关系,以及全身性催产素对减少酒精摄入量的功效。使用声惊吓和高架加迷宫(EPM)对雌雄 Sprague-Dawley 大鼠进行基线焦虑样行为评估。然后让大鼠连续 7 天每天 6 小时两瓶地选择使用羟考酮和/或水,然后再连续 10 天每天 24 小时五瓶地选择使用酒精(20% v/v)和/或水。接下来,单物质(羟考酮或酒精)大鼠继续每天只接触一种物质,而 PSU 大鼠则接触羟考酮和水 3 小时,然后接触酒精和水 6 小时。12 天后,大鼠在接触酒精 20 小时后接受 EPM 测试,以检查戒断相关焦虑。然后,在大鼠服用羟考酮/水后,即饮酒前 30 分钟给大鼠注射催产素(0、0.3 或 1.0 mg/kg IP)。大鼠先胃内注射羟考酮(2 毫克/千克)或水,然后胃内注射酒精(2 克/千克),并采血测定血液中的酒精含量。基线焦虑样行为的增加伴随着酒精摄入量的减少。服用羟考酮不会改变酒精摄入量,但会减少戒断时的焦虑样行为,并阻止催产素减少酒精摄入量。催产素(1 毫克/千克)可减少纯酒精条件下的酒精摄入量,这种效果在注射一次催产素后可持续数天。在无酒精条件下接受催产素治疗的大鼠比未接受治疗的大鼠显示出更高的血液酒精浓度。这些结果支持了在 PSU 啮齿动物模型中测试药物使用的必要性。
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引用次数: 0
Circulating microRNA profiling identifies microRNAs linked to prediabetes associated with alcohol dependence syndrome 循环微RNA分析确定了与酒精依赖综合征相关的糖尿病前期有关的微RNA。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.01.003
Palaniswamy Ramaswamy , Athira S V , Pratibha Misra , V.S. Chauhan , Arka Adhvaryu , Anurodh Gupta , Ankita G , Sibin M K

Background

MicroRNAs are abundant in serum and have emerged as important regulators of gene expression, implicating them in a wide range of diseases. The purpose of this study was to discover and validate serum miRNAs in prediabetes associated with alcohol dependence syndrome (ADS).

Method

Serum samples from ADS patients with or without prediabetes and normoglycemic controls were subjected to microarray. Validation of identified candidate miRNAs was performed by RT-qPCR. Additionally, GO and KEGG pathway analyses were carried out to uncover target genes anticipated to be controlled by the candidate miRNAs.

Results

Notably, 198, and 172 miRNAs were differentially expressed in ADS-patients with or without prediabetes compared to healthy controls, and 7 miRNAs in ADS-patients with prediabetes compared to ADS-normoglycemic patients, respectively. Furthermore, hsa-miR-320b and hsa-miR-3135b were differentially expressed exclusively in ADS-patients with prediabetes, and this was further validated. Interestingly, GO and KEGG pathway analysis revealed that genes predicted to be modulated by the candidates were considerably enriched in numerous diabetes-related biological processes and pathways.

Conclusion

Our findings revealed that ADS-patients with or without prediabetes have different sets of miRNAs compared to normoglycemic healthy subjects. We propose serum hsa-miR-320b and hsa-miR-3135b as potential biomarkers for the diagnosis of prediabetes in ADS-patients.
背景:微RNA在血清中含量丰富,已成为基因表达的重要调控因子,与多种疾病有关。本研究旨在发现和验证与酒精依赖综合征(ADS)相关的糖尿病前期患者的血清 miRNA:方法:对伴有或不伴有糖尿病前期的 ADS 患者和血糖正常对照组的血清样本进行芯片分析。通过 RT-qPCR 验证已确定的候选 miRNA。此外,还进行了 GO 和 KEGG 通路分析,以发现候选 miRNAs 预期控制的靶基因:值得注意的是,与健康对照组相比,有糖尿病前期或无糖尿病前期的 ADS 患者分别有 198 和 172 个 miRNAs 有差异表达;与 ADS 正常血糖患者相比,有糖尿病前期的 ADS 患者分别有 7 个 miRNAs 有差异表达。此外,hsa-miR-320b和hsa-miR-3135b只在糖尿病前期ADS患者中有差异表达,这一点得到了进一步验证。有趣的是,GO 和 KEGG 通路分析表明,候选基因预测被调节的基因在许多与糖尿病相关的生物过程和通路中都有相当大的富集:我们的研究结果表明,与血糖正常的健康受试者相比,患有或不患有糖尿病前期的 ADS 患者具有不同的 miRNAs 组。我们建议将血清中的 hsa-miR-320b 和 hsa-miR-3135b 作为诊断 ADS 患者糖尿病前期的潜在生物标记物。
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引用次数: 0
Alcohol exacerbates post-traumatic stress psychiatric behavior and its neuropathological sequalae in experimental mice: preventive effects of morin 酒精会加剧实验小鼠的创伤后应激精神病行为及其神经病理学后果:吗啉的预防作用。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.07.009
Benneth Ben-Azu , Pere-Ebi Y. Toloyai , Adaeze Adebesin , Vivian O. Ojiokor , Olusegun G. Adebayo , Aliance Romain Fokoua , Goodes E. Moke , Elo J. Ejukolemu , Ife-Oluwa O. Akpojevughe , Abdulkareem M. Abdulkadir , Ephraim Okwuchi
Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) are very prevalent and co-occurring. It is unclear how alcohol exacerbates PTSD predicaments owing to less characterized pathophysiological mechanisms. Also, studies on pharmacological agents that can effectively reverse PTSD-AUD comorbidity have, to date, been scarce. Hence, we designed a methodological approach to investigate the pathophysiological mechanisms and pharmacological outcomes of morin, a neuroprotective flavonoid in mice. After 7 days of PTSD following single-prolonged stress (SPS) induction in mice, the PTSD mice were exposed to intermittent binge ethanol administration using ethanol (2 g/kg, oral gavage) every other day, alongside daily morin (50 and 100 mg/kg) or fluoxetine (10 mg/kg) from days 8–21. The consequences of PTSD-AUD behavior, hypothalamic-pituitary-adrenal-axis (HPA-axis) dysfunction, neurochemistry, oxidative/nitrergic stress, and inflammation were evaluated in the prefrontal cortex (PFC), striatum, and hippocampus of mice. The exacerbated anxiety-like behavior, and spatial/non-spatial memory deficits, with general depressive phenotypes and social stress susceptibility by SPS-ethanol interaction, were alleviated by morin and fluoxetine, evidenced by reduced corticosterone release and adrenal hypertrophy. SPS-ethanol exacerbates dopamine, serotonin, and glutamic acid decarboxylase alterations, and monoamine oxidase-B and acetylcholinesterase hyperactivities in the striatum, PFC, and hippocampus, respectively, which were prevented by morin. Compared to SPS-ethanol aggravation, morin reduced TNF-α and IL-6 release, malondialdehyde and nitrite levels, with improved antioxidant (glutathione, superoxide-dismutase, catalase) levels in the hippocampus, PFC, and striatum. Overall, these findings suggest that AUD-exacerbated PTSD might be primarily connected, among other mechanisms, with aggravated HPA-axis dysfunction, upregulated neurochemical degradative enzymes, enhancement of oxidative/nitrergic stress and neuroinflammation, and stereo-selectively in the mice brains, which morin abated via the preventive mechanisms.
创伤后应激障碍(PTSD)和酒精使用障碍(AUD)非常普遍,并且同时存在。由于病理生理机制尚不明确,酒精如何加剧创伤后应激障碍的困境尚不清楚。此外,迄今为止,有关能有效逆转 PTSD-AUD 并发症的药理药剂的研究还很少。因此,我们设计了一种方法来研究小鼠神经保护类黄酮 Morin 的病理生理机制和药理结果。小鼠在单次长期应激(SPS)诱导后出现7天的创伤后应激障碍,在第8-21天期间,每隔一天用乙醇(2克/千克,口服)给小鼠间歇性狂饮乙醇,同时每天给小鼠服用吗啉(50和100毫克/千克)或氟西汀(10毫克/千克)。对小鼠前额皮质、纹状体和海马的创伤后应激障碍-AUD行为、下丘脑-垂体-肾上腺轴(HPA轴)功能障碍、神经化学、氧化/硝酸应激和炎症的后果进行了评估。通过减少皮质酮释放和肾上腺肥大,莫林和氟西汀可减轻小鼠因 SPS-乙醇相互作用而加剧的焦虑样行为、空间/非空间记忆缺陷、一般抑郁表型和社会应激易感性。SPS-乙醇会加剧多巴胺、5-羟色胺和谷氨酸脱羧酶的改变,以及纹状体、前足叶和海马中单胺氧化酶-B和乙酰胆碱酯酶的亢进,而吗啉可以防止这些改变。与 SPS-乙醇加重相比,吗啉能防止 TNF-α 和 IL-6 的释放、丙二醛和亚硝酸盐水平的升高,并能改善海马、前脑功能区和纹状体的抗氧化剂(谷胱甘肽、超氧化物歧化酶、过氧化氢酶)水平。总之,这些研究结果表明,AUD 加剧创伤后应激障碍的主要机制可能与 HPA 轴功能障碍加剧、神经化学降解酶上调、氧化/硝能应激和神经炎症增强有关。
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引用次数: 0
Evaluating a 30-day alcohol abstinence challenge in heavy-drinking individuals with and without chronic pain: Feasibility, safety, and perceived benefits 对患有或不患有慢性疼痛的酗酒者进行为期 30 天的戒酒挑战评估:可行性、安全性和可感知的益处。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.alcohol.2024.10.046
Dokyoung S. You , Maisa S. Ziadni , Noel Vest , Nareh Megerdichian , Tara Maronesy , Ralph J. Castro , Beth D. Darnall , Sean C. Mackey , Keith Humphreys

Introduction

To combat high-risk alcohol consumption, we introduced a 30-day alcohol abstinence challenge targeted at heavy drinkers with and without chronic pain. Our study aimed to assess the challenge's feasibility and safety and to explore its perceived benefits. Our exploratory aim was to identify participants' coping strategies during the challenge.

Methods

Our single-arm study recruited heavy drinkers from a pain clinic and a university setting (n = 34, 64.7% chronic pain). Participants underwent a modified community-based 30-day challenge, which included motivational interviewing, an individualized start date, and weekly phone check-ins.

Results

We found the 30-day challenge was feasible and safe; 72.3% of eligible heavy drinkers participated in the challenge with no serious adverse events. Most challengers (94.1%) reported some benefit from the challenge, which included improvements in alcohol withdrawal symptoms, sleep, and alcohol abstinence self-efficacy, but not in pain. We identified 25 perceived benefits and 21 coping strategies.

Conclusion

Our study confirms that a 30-day alcohol abstinence challenge is a feasible and safe intervention for heavy drinkers with and without chronic pain, yielding notable health benefits. The challenge also facilitated the development of effective coping strategies. Future studies should explore the long-term benefits of such interventions in broader outpatient settings.
简介为了打击高风险饮酒,我们针对患有或不患有慢性疼痛的酗酒者推出了一项为期 30 天的戒酒挑战。我们的研究旨在评估该挑战的可行性和安全性,并探讨其可感知的益处。我们的探索性目标是确定参与者在挑战过程中的应对策略:我们的单臂研究从疼痛诊所和大学环境中招募了酗酒者(n = 34,64.7% 为慢性疼痛患者)。参与者接受了经过修改的基于社区的 30 天挑战,其中包括动机访谈、个性化的开始日期和每周电话检查:我们发现为期 30 天的挑战是可行和安全的;72.3% 的符合条件的重度饮酒者参加了挑战,没有发生严重不良事件。大多数挑战者(94.1%)表示从挑战中获得了一些益处,其中包括戒酒症状、睡眠和戒酒自我效能的改善,但疼痛没有改善。我们确定了 25 种感知益处和 21 种应对策略:我们的研究证实,对于患有或不患有慢性疼痛的重度饮酒者来说,为期 30 天的戒酒挑战是一种可行且安全的干预措施,可为健康带来显著益处。这项挑战还有助于制定有效的应对策略。未来的研究应探索此类干预措施在更广泛的门诊环境中的长期益处。
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引用次数: 0
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Alcohol
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