Weitlauf Carl, Woodward John J
Department of Neurosciences and Center for Drug and Alcohol Programs, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
Alcohol Clin Exp Res. 2008 Apr;32(4):690-8. doi: 10.1111/j.1530-0277.2008.00625.x. Epub 2008 Mar 13.
Brain imaging studies have revealed abnormal function in the prefrontal cortex (PFC) of alcoholics that may contribute to the impulsive behavior and lack of control over drinking that characterizes this disorder. Understanding how ethanol affects the physiology of PFC neurons may help explain this loss of control and lead to better treatments for alcohol addiction. In a previous study from this laboratory, we showed that ethanol inhibits complex patterns of persistent activity (known as "up-states") in medial PFC (mPFC) neurons in a reversible and concentration-dependent manner.
In the current study, whole-cell patch clamp recordings were used to directly examine the effects of ethanol on the glutamatergic and GABAergic components that underlie persistent activity.
In deep-layer mPFC pyramidal neurons, ethanol reversibly attenuated electrically evoked N-methyl-D-aspartate-type glutamate receptor (NMDAR)-mediated EPSCs. Significant inhibition was observed at concentrations as low as 22 mM, equivalent to a blood ethanol concentration (0.1%) typically associated with legal limits for intoxication. In contrast to NMDA responses, neither evoked nor spontaneous EPSCs mediated by alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid-type glutamate receptor were affected by ethanol at concentrations as high as 88 mM, a concentration that can be fatal to non-tolerant individuals. At similar concentrations, ethanol also had little effect on spontaneous or evoked IPSCs mediated by a-type gamma-aminobutyric acid receptor. Finally, mPFC neurons showed little evidence of GABAR-mediated tonic current and this was unaffected by ethanol.
Together, these results suggest that NMDAR-mediated processes in the mPFC may be particularly susceptible to disruption following the acute ingestion of ethanol.
脑成像研究显示,酗酒者的前额叶皮质(PFC)功能异常,这可能导致冲动行为以及对饮酒缺乏控制,而这正是该疾病的特征。了解乙醇如何影响PFC神经元的生理学特性,可能有助于解释这种控制能力的丧失,并为酒精成瘾带来更好的治疗方法。在本实验室之前的一项研究中,我们表明乙醇以可逆且浓度依赖的方式抑制内侧前额叶皮质(mPFC)神经元中持续活动的复杂模式(称为“兴奋状态”)。
在当前研究中,采用全细胞膜片钳记录直接检测乙醇对构成持续活动基础的谷氨酸能和γ-氨基丁酸能成分的影响。
在深层mPFC锥体神经元中,乙醇可逆地减弱电诱发的N-甲基-D-天冬氨酸型谷氨酸受体(NMDAR)介导的兴奋性突触后电流(EPSCs)。在低至22 mM的浓度下就观察到显著抑制,这相当于通常与法定中毒限度相关的血液乙醇浓度(0.1%)。与NMDA反应不同,由α-氨基-3-羟基-5-甲基异恶唑-4-丙酸型谷氨酸受体介导的诱发或自发EPSCs在高达88 mM的浓度下均不受乙醇影响,该浓度对非耐受性个体可能是致命的。在相似浓度下,乙醇对由α型γ-氨基丁酸受体介导的自发或诱发抑制性突触后电流(IPSCs)也几乎没有影响。最后,mPFC神经元几乎没有γ-氨基丁酸受体介导的强直电流的证据,且这不受乙醇影响。
总之,这些结果表明,急性摄入乙醇后,mPFC中NMDAR介导的过程可能特别容易受到破坏。