De Ross J, Castilho V M, Brandão M L, Nobre M J
Instituto de Neurociências & Comportamento-INeC, Campus USP, 14040-901, Ribeirão Preto, SP, Brazil.
Prog Neuropsychopharmacol Biol Psychiatry. 2008 Apr 1;32(3):794-802. doi: 10.1016/j.pnpbp.2007.12.013. Epub 2007 Dec 23.
It has been demonstrated that, on abrupt withdrawal, patients with chronic exposure can experience a number of symptoms indicative of a dependent state. In clinical patients, the earliest to arise and most persistent signal of withdrawal from chronic benzodiazepine (Bzp) treatment is anxiety. In laboratory animals, anxiety-like effects following abrupt interruption of chronic Bzp treatment can also be reproduced. In fact, signs that oscillate from irritability to extreme fear behaviours and seizures have been described already. As anxiety remains one of the most important symptoms of Bzp withdrawal, in this study we evaluated the anxiety levels of rats withdrawn from diazepam. Also studied were the effects on the motor performance and preattentive sensory gating process of rats under diazepam chronic treatment and upon 48-h withdrawal on three animal models of anxiety, the elevated plus-maze (EPM), ultrasonic vocalizations (USV) and startle+prepulse inhibition tests. Data obtained showed an anxiolytic- and anxiogenic-like profile of the chronic intake of and withdrawal from diazepam regimen in the EPM test, 22-KHz USV and startle reflex. Diazepam chronic effects or its withdrawal were ineffective in promoting any alteration in the prepulse inhibition (PPI). However, an increase of PPI was achieved in both sucrose and diazepam pretreated rats on 48-h withdrawal, suggesting a procedural rather than a specific effect of withdrawal on sensory gating processes. It is also possible that the prepulse can function as a conditioned stimulus to informing the delivery of an aversive event, as the auditory startling-eliciting stimulus. All these findings are indicative of a sensitization of the neural substrates of aversion in diazepam-withdrawn animals without concomitant changes on the processing of sensory information.
业已证明,长期接触某种物质的患者在突然停药时会出现一系列表明依赖状态的症状。在临床患者中,长期使用苯二氮䓬(Bzp)治疗后停药最早出现且最为持续的信号是焦虑。在实验动物中,长期Bzp治疗突然中断后的焦虑样效应也能够再现。事实上,已经描述了从易怒到极度恐惧行为和癫痫发作等症状。由于焦虑仍然是Bzp戒断最重要的症状之一,在本研究中,我们评估了从地西泮戒断的大鼠的焦虑水平。同时还研究了地西泮长期治疗以及停药48小时后,对三种焦虑动物模型(高架十字迷宫(EPM)、超声波发声(USV)和惊吓+前脉冲抑制试验)中大鼠运动性能和前注意感觉门控过程的影响。在EPM试验、22kHz USV和惊吓反射中,所获得的数据显示了地西泮给药方案长期摄入和停药后的抗焦虑和促焦虑样特征。地西泮的长期作用或其停药对促进前脉冲抑制(PPI)的任何改变均无效。然而,在蔗糖和地西泮预处理的大鼠停药48小时后,PPI均有所增加,这表明停药对感觉门控过程的影响是程序性的而非特异性的。前脉冲也有可能作为一种条件刺激,告知厌恶事件的发生,就像听觉惊吓诱发刺激一样。所有这些发现都表明,在撤用地西泮的动物中,厌恶神经底物出现了敏化,而感觉信息处理过程没有伴随变化。