Breese George R, Knapp Darin J, Overstreet David H
Department of Psychiatry, School of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA.
Neuropsychopharmacology. 2004 Mar;29(3):470-82. doi: 10.1038/sj.npp.1300282.
Repeated withdrawals from chronic ethanol sensitize the withdrawal-induced reduction in social interaction behaviors. This study determined whether stress might substitute for repeated withdrawals to facilitate withdrawal-induced anxiety-like behavior. When two 1-h periods of restraint stress were applied at 1-week intervals to rats fed control diet, social interaction was reduced upon withdrawal from a subsequent 5-day exposure to ethanol diet. Neither this ethanol exposure alone nor exposure to three restraint stresses alone altered this measure of anxiety. Further, the repeatedly stressed singly withdrawn rats continued to exhibit a reduction in social interaction 16 days later, upon withdrawal from re-exposure to 5 days of chronic ethanol, consistent with a persistent adaptation by the multiple-stress/withdrawal protocol. Weekly administration of corticosterone in place of stress induced no significant change in social interaction upon withdrawal from the single chronic ethanol exposure, indicative that corticoid release is not responsible for the stress-induced reduction in anxiety-like behavior during withdrawal. In the multiple-withdrawal protocol, stress applied during withdrawal from voluntary ethanol drinking by P-rats facilitated ethanol drinking sufficiently, to induce a withdrawal-induced reduction in social interaction. Administration of a CRF-1 receptor antagonist, a benzodiazepine receptor antagonist, or a 5-HT(1A) receptor agonist prior to each stress minimized sensitization of the withdrawal-induced reduction in anxiety-like behavior. Since these pharmacological consequences on the induction of anxiety-like behavior following the stress/withdrawal protocol are like those previously seen when these drug treatments were given prior to multiple withdrawals, evidence is provided that repeated stresses and multiple withdrawals sensitize the withdrawal reduction in social interaction by similar central adaptive mechanisms.
长期乙醇的反复戒断会使戒断诱导的社交互动行为减少变得敏感。本研究确定压力是否可以替代反复戒断以促进戒断诱导的焦虑样行为。当以1周的间隔对喂食对照饮食的大鼠施加两个1小时的束缚应激期时,在随后5天暴露于乙醇饮食后戒断时,社交互动减少。单独的这种乙醇暴露或单独的三次束缚应激暴露均未改变这种焦虑测量指标。此外,经反复应激单独戒断的大鼠在再次暴露于5天慢性乙醇后戒断16天后,仍表现出社交互动减少,这与多重应激/戒断方案导致的持续适应性一致。在单次慢性乙醇暴露戒断时,每周给予皮质酮代替应激并未使社交互动发生显著变化,这表明皮质激素释放并非戒断期间应激诱导的焦虑样行为减少的原因。在多重戒断方案中,P大鼠在自愿饮用乙醇后戒断期间施加的应激足以促进乙醇饮用,从而诱导戒断诱导的社交互动减少。在每次应激前给予促肾上腺皮质激素释放因子-1受体拮抗剂、苯二氮䓬受体拮抗剂或5-羟色胺(1A)受体激动剂可最大程度地减少戒断诱导的焦虑样行为的敏感性。由于这些对应激/戒断方案后焦虑样行为诱导的药理作用与之前在多次戒断前给予这些药物治疗时所见的作用相似,因此有证据表明反复应激和多次戒断通过类似的中枢适应性机制使戒断时社交互动减少变得敏感。