Ghitza Udi E, Gray Sarah M, Epstein David H, Rice Kenner C, Shaham Yavin
Behavioral Neuroscience Branch, NIDA/IRP/NIH/DHHS, Baltimore, MD 21224, USA.
Neuropsychopharmacology. 2006 Oct;31(10):2188-96. doi: 10.1038/sj.npp.1300964. Epub 2005 Dec 7.
The major problem in treating excessive eating is high rates of relapse to maladaptive eating habits during diet treatments; this relapse is often induced by stress or anxiety states. Preclinical studies have not explored this clinical problem. Here, we adapted a reinstatement model (commonly used to study relapse to abused drugs) to examine the role of stress and anxiety in relapse to palatable food seeking during dieting. Rats were placed on restricted diet (75-80% of daily standard food) and for 12 intermittent training days (9 h/day, every other day) lever-pressed for palatable food pellets (25% fat, 48% carbohydrate) under a fixed ratio 1 (20-s timeout) reinforcement schedule. Subsequently, the rats were given 10 daily extinction sessions during which lever presses were not reinforced, and were then injected with yohimbine (an alpha-2 adrenoceptor antagonist that induces stress and anxiety in humans and non-humans) or given a single food pellet to assess reinstatement of food seeking. The rats rapidly learned to lever press for the palatable pellets and across the training days the ratio of timeout nonreinforced lever presses to reinforced lever presses progressively increased more than three-fold, suggesting the development of compulsive eating behavior. After extinction, yohimbine injections and pellet priming reliably reinstated food seeking. The corticotropin-releasing factor1 (CRF1) receptor antagonist antalarmin attenuated the reinstatement induced by yohimbine, but not pellet priming. Antalarmin also reversed yohimbine's anxiogenic effects in the social interaction test. These data suggest that CRF is involved in stress-induced relapse to palatable food seeking, and that CRF1 antagonists should be considered for the treatment of maladaptive eating habits.
治疗暴饮暴食的主要问题在于,在节食治疗期间,不良饮食习惯的复发率很高;这种复发通常由压力或焦虑状态引发。临床前研究尚未探究这一临床问题。在此,我们采用了一种复吸模型(常用于研究滥用药物的复吸情况),以检验压力和焦虑在节食期间对美味食物寻求行为复吸中的作用。将大鼠置于限制饮食状态(每日标准食物量的75 - 80%),并在12个间歇性训练日(每天9小时,隔天进行)中,按照固定比率1(20秒超时)强化程序,通过杠杆按压获取美味食物颗粒(25%脂肪,48%碳水化合物)。随后,给予大鼠10个每日消退训练期,在此期间杠杆按压不给予强化,然后给大鼠注射育亨宾(一种α-2肾上腺素能受体拮抗剂,可在人类和非人类中诱发压力和焦虑)或给予一粒食物颗粒,以评估食物寻求行为的恢复情况。大鼠迅速学会通过杠杆按压获取美味颗粒,在整个训练期间,超时未强化杠杆按压与强化杠杆按压的比率逐渐增加了三倍多,这表明强迫性进食行为的形成。消退训练后,注射育亨宾和给予食物颗粒引发了可靠的食物寻求行为恢复。促肾上腺皮质激素释放因子1(CRF1)受体拮抗剂安他拉美减弱了育亨宾诱发的行为恢复,但对食物颗粒引发的行为恢复没有影响。在社交互动测试中,安他拉美还逆转了育亨宾的致焦虑作用。这些数据表明,CRF参与了压力诱导的对美味食物寻求行为的复吸,并且CRF1拮抗剂应被考虑用于治疗不良饮食习惯。