Gililland Katherine R, Finn Deborah A
Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, Oregon, USA.
Alcohol Clin Exp Res. 2007 Nov;31(11):1846-57. doi: 10.1111/j.1530-0277.2007.00509.x. Epub 2007 Sep 11.
Steroid hormones can influence neuronal excitability and subsequent seizure susceptibility through genomic and nongenomic mechanisms. For example, there are proconvulsant steroids such as estradiol and corticosterone and anticonvulsant steroids such as testosterone, progesterone, and their GABAergic metabolites. Recent findings indicated that a single, acute administration of ethanol increased levels of GABAergic steroids and that the source of this increase was peripheral organs such as the adrenals and gonads. Thus, the purpose of the present study was to determine the impact of removal of the adrenals and/or gonads on withdrawal severity following a single high dose of ethanol in 2 genotypes that differ in ethanol withdrawal severity.
Male and female C57BL/6J (B6) and DBA/2J (D2) mice were either left intact (SHAM), adrenalectomized (ADX), gonadectomized (GDX), or underwent ADX/GDX surgery. Seven days following surgery, baseline handling-induced convulsions (HICs) were measured prior to administration of a 4 g/kg dose of ethanol. HICs were assessed following the ethanol injection, then hourly for 12 hours and at 24 hours. A separate group of mice were used to measure the impact of surgical status on ethanol metabolism at 30, 60, 120, and 240 minutes after a single 4 g/kg dose of ethanol.
ADX and ADX/GDX treatments in male B6 and D2 mice increased ethanol withdrawal severity following a single dose of ethanol, measured by area under the withdrawal curve and peak HIC scores. Acute ethanol withdrawal also was increased in female D2 mice that had undergone ADX/GDX. In contrast, surgical status did not alter ethanol withdrawal severity in female B6 mice. Surgical status had only minor effects on ethanol metabolism.
Removal of peripherally derived steroids with anticonvulsant properties significantly increased HIC scores during acute ethanol withdrawal following a single dose of ethanol in male and female D2 mice and in male B6 mice. These increases were not due to changes in ethanol metabolism.
类固醇激素可通过基因组和非基因组机制影响神经元兴奋性及随后的癫痫易感性。例如,存在促惊厥类固醇,如雌二醇和皮质酮,以及抗惊厥类固醇,如睾酮、孕酮及其γ-氨基丁酸能代谢产物。最近的研究结果表明,单次急性给予乙醇会增加γ-氨基丁酸能类固醇的水平,且这种增加的来源是肾上腺和性腺等外周器官。因此,本研究的目的是确定在两种乙醇戒断严重程度不同的基因型小鼠中,切除肾上腺和/或性腺对单次高剂量乙醇戒断严重程度的影响。
将雄性和雌性C57BL/6J(B6)和DBA/2J(D2)小鼠分为假手术组(SHAM)、肾上腺切除组(ADX)性腺切除组(GDX)或同时进行肾上腺切除和性腺切除手术组(ADX/GDX)。手术后7天,在给予4 g/kg剂量乙醇之前测量基线处理诱导惊厥(HICs)。在注射乙醇后评估HICs,然后每小时评估一次,持续12小时,并在24小时时评估。另一组小鼠用于测量单次4 g/kg剂量乙醇后30、60、120和240分钟时手术状态对乙醇代谢的影响。
雄性B6和D2小鼠的ADX和ADX/GDX处理增加了单次剂量乙醇后的乙醇戒断严重程度,通过戒断曲线下面积和HIC峰值评分来衡量。接受ADX/GDX的雌性D2小鼠急性乙醇戒断也增加。相比之下,手术状态并未改变雌性B6小鼠的乙醇戒断严重程度。手术状态对乙醇代谢仅有轻微影响。
在雄性和雌性D2小鼠以及雄性B6小鼠中,切除具有抗惊厥特性的外周来源类固醇显著增加了单次剂量乙醇急性戒断期间的HIC评分。这些增加并非由于乙醇代谢的变化。