Pandey Subhash C, Roy Adip, Zhang Huaibo
Department of Psychiatry, University of Illinois at Chicago, and VA Chicago Health Care System (West Side Division), 820 South Damen Avenue (M/C 151), Chicago, IL 60612, USA.
Alcohol Clin Exp Res. 2003 Mar;27(3):396-409. doi: 10.1097/01.ALC.0000056616.81971.49.
Several lines of evidence indicate a high comorbidity between anxiety and alcohol abuse. This study investigated the molecular mechanisms in the amygdaloid neurocircuitry governing anxiety related to ethanol withdrawal and also the phenomenon of alcohol preference.
Male Sprague Dawley(R) rats were treated with ethanol or control diet for 15 days, and ethanol-fed rats were withdrawn for 0 and 24 hr. Ethanol-withdrawn or control diet-fed rats were bilaterally infused into central or basolateral amygdala with artificial cerebrospinal fluid or protein kinase A (PKA) activator or inhibitor. These rats were used to measure anxiety levels by the elevated plus-maze test. Protein levels of various signaling molecules related to cyclic adenosine monophosphate (cAMP)-response element binding (CREB) protein signaling in amygdaloid structures were determined by gold immunolabeling procedure. The messenger RNA levels of neuropeptide Y were determined by in situ polymerase chain reaction procedure.
Ethanol withdrawal (24 hr) after chronic exposure (15 days) produced anxiety in rats as measured by elevated plus-maze test. Ethanol withdrawal but not treatment significantly decreased the phosphorylation of CREB protein and protein levels of Ca2+/calmodulin-dependent protein kinase IV without modulating the protein levels of total CREB and alpha-catalytic subunit of protein kinase A (PKA-Calpha) in the central and medial amygdala. However, these changes were not observed in the basolateral amygdala. We also investigated the effects of manipulation of the phosphorylation status of CREB in the central amygdala by infusion of the PKA activator (Sp-cAMPS) or inhibitor (Rp-cAMPS) on anxiety levels in rats during ethanol withdrawal. When Sp-cAMPS is specifically infused into the central amygdala, it dose-dependently normalizes the decrease in CREB phosphorylation and prevents the development of anxiety in rats during ethanol withdrawal. On the other hand, Rp-cAMPS infusions into the central or basolateral amygdala decrease CREB phosphorylation, but only infusion into the central amygdala provokes anxiety and increases alcohol preference in normal rats. We also found that alcohol preference provoked by decreased CREB phosphorylation is related to decreased expression of the neuropeptide Y gene in the central amygdala.
These novel results suggest the possibility that decreased CREB phosphorylation in the central amygdala acts as a common molecular correlate for anxiety and alcohol-drinking behaviors and also is correlated with anxiety related to ethanol withdrawal.
多项证据表明焦虑症与酒精滥用之间存在高度共病现象。本研究调查了杏仁核神经回路中调控与乙醇戒断相关焦虑以及酒精偏好现象的分子机制。
将雄性斯普拉格-道利大鼠用乙醇或对照饮食处理15天,给乙醇喂养的大鼠戒断0小时和24小时。给乙醇戒断或对照饮食喂养的大鼠双侧脑室内或基底外侧杏仁核注入人工脑脊液、蛋白激酶A(PKA)激活剂或抑制剂。通过高架十字迷宫试验测量这些大鼠的焦虑水平。采用金免疫标记法测定杏仁核结构中与环磷酸腺苷(cAMP)反应元件结合(CREB)蛋白信号相关的各种信号分子的蛋白水平。采用原位聚合酶链反应法测定神经肽Y的信使核糖核酸水平。
通过高架十字迷宫试验测定,慢性暴露(15天)后乙醇戒断(24小时)使大鼠产生焦虑。乙醇戒断而非处理显著降低了中央杏仁核和内侧杏仁核中CREB蛋白的磷酸化以及Ca2+/钙调蛋白依赖性蛋白激酶IV的蛋白水平,而未调节总CREB和蛋白激酶Aα催化亚基(PKA-Cα)的蛋白水平。然而,在基底外侧杏仁核未观察到这些变化。我们还研究了通过向中央杏仁核注入PKA激活剂(Sp-cAMPS)或抑制剂(Rp-cAMPS)来操纵CREB磷酸化状态对乙醇戒断期间大鼠焦虑水平的影响。当将Sp-cAMPS特异性注入中央杏仁核时,它能剂量依赖性地使CREB磷酸化的降低恢复正常,并防止乙醇戒断期间大鼠出现焦虑。另一方面,向中央或基底外侧杏仁核注入Rp-cAMPS会降低CREB磷酸化,但只有注入中央杏仁核会诱发正常大鼠的焦虑并增加酒精偏好。我们还发现,CREB磷酸化降低所引发的酒精偏好与中央杏仁核中神经肽Y基因表达降低有关。
这些新结果表明,中央杏仁核中CREB磷酸化降低可能是焦虑和饮酒行为的共同分子关联因素,并且也与乙醇戒断相关的焦虑有关。