Läck Anna K, Diaz Marvin R, Chappell Ann, DuBois Dustin W, McCool Brian A
Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Neurophysiol. 2007 Dec;98(6):3185-96. doi: 10.1152/jn.00189.2007. Epub 2007 Sep 26.
Withdrawal anxiety is a significant factor contributing to continued alcohol abuse in alcoholics. This anxiety is long-lasting, can manifest well after the overt physical symptoms of withdrawal, and is frequently associated with relapse in recovering alcoholics. The neurobiological mechanisms governing these withdrawal-associated increases in anxiety are currently unknown. The basolateral amygdala (BLA) is a major emotional center in the brain and regulates the expression of both learned fear and anxiety. Neurotransmitter system alterations within this brain region may therefore contribute to withdrawal-associated anxiety. Because evidence suggests that glutamate-gated neurotransmitter receptors are sensitive to acute ethanol exposure, we examined the effect of chronic intermittent ethanol (CIE) and withdrawal (WD) on glutamatergic synaptic transmission in the BLA. We found that slices prepared from CIE and WD animals had significantly increased contributions by synaptic NMDA receptors. In addition, CIE increased the amplitude of AMPA-receptor-mediated spontaneous excitatory postsynaptic currents (sEPSCs), whereas only WD altered the amplitude and kinetics of tetrodotoxin-resistant spontaneous events (mEPSCs). Similarly, the frequency of sEPSCs was increased in both CIE and WD neurons, although only WD increased the frequency of mEPSCs. These data suggest that CIE and WD differentially alter both pre- and postsynaptic properties of BLA glutamatergic synapses. Finally, we show that microinjection of the AMPA-receptor antagonist, DNQX, can attenuate withdrawal-related anxiety-like behavior. Together, our results suggest that increased glutamatergic function may contribute to anxiety expressed during withdrawal from chronic ethanol.
戒断焦虑是导致酗酒者持续酗酒的一个重要因素。这种焦虑持续时间长,在明显的戒断身体症状出现后仍可能表现出来,并且经常与戒酒者的复发相关。目前尚不清楚控制这些与戒断相关的焦虑增加的神经生物学机制。基底外侧杏仁核(BLA)是大脑中的一个主要情绪中心,调节习得性恐惧和焦虑的表达。因此,该脑区内的神经递质系统改变可能导致与戒断相关的焦虑。由于有证据表明谷氨酸门控神经递质受体对急性乙醇暴露敏感,我们研究了慢性间歇性乙醇(CIE)和戒断(WD)对BLA中谷氨酸能突触传递的影响。我们发现,从CIE和WD动物制备的脑片显示,突触NMDA受体的贡献显著增加。此外,CIE增加了AMPA受体介导的自发性兴奋性突触后电流(sEPSCs)的幅度,而只有WD改变了河豚毒素抗性自发性事件(mEPSCs)的幅度和动力学。同样,CIE和WD神经元中的sEPSCs频率均增加,尽管只有WD增加了mEPSCs的频率。这些数据表明,CIE和WD对BLA谷氨酸能突触的突触前和突触后特性有不同的影响。最后,我们表明,微量注射AMPA受体拮抗剂DNQX可以减轻与戒断相关的焦虑样行为。总之,我们的结果表明,谷氨酸能功能增强可能导致慢性乙醇戒断期间出现的焦虑。