Olive M Foster, Becker Howard C
Center for Drug and Alcohol Programs, Department of Psychiatry and Behavioral Sciences Medical University of South Carolina, Charleston, SC 29425 USA.
Alcohol. 2008 May;42(3):191-7. doi: 10.1016/j.alcohol.2008.01.007.
In alcoholic patients, ethanol is often consumed in a repeated cyclic pattern of intoxication followed by abstinence and the emergence of withdrawal symptoms. Repeated cycles of ethanol intoxication and withdrawal lead to a sensitization of central nervous system hyperexcitability as a result of an imbalance between inhibitory GABAergic transmission and excitatory glutamatergic transmission. Symptoms of alcohol withdrawal are usually treated pharmacologically with either benzodiazepines or anticonvulsant medications. However, recent evidence suggests that inhibition of glutamate transmission by stimulation of presynaptic inhibitory metabotropic glutamate receptors (i.e., mGluR2/3 receptors) or inhibition of mGluR5 receptors produces anticonvulsant effects. Therefore, the present study was designed to determine the effects the mGluR2/3 agonist LY379268 and the mGluR5 antagonist 2-methyl-6-(phenylethynyl)-pyridine (MPEP) on ethanol withdrawal-induced seizure activity. Adult male C3H/He mice received chronic 16 h of ethanol vapor exposure in inhalation chambers followed by 8 h of withdrawal daily for 4 consecutive days. During the final (fourth) withdrawal cycle, mice were evaluated hourly for handling-induced convulsions (HIC), and were treated with vehicle, LY379268 (0.3, 1, and 3mg/kg) or MPEP (1, 3, and 10mg/kg) treatment at 4 and 8h into withdrawal. Significant reductions in overall HIC activity were not observed following administration of either compound. These results suggest that inhibition of glutamate transmission by mGluR2/3 agonists or mGluR5 antagonists does not alter HIC activity during withdrawal from repeated ethanol exposure, and as such these compounds may have limited usefulness in the treatment of central nervous system hyperexcitability during alcohol withdrawal.
在酗酒者中,乙醇的摄入往往呈现出反复循环的模式,即先醉酒,然后戒酒,接着出现戒断症状。乙醇反复的醉酒和戒断循环会导致中枢神经系统兴奋性增强,这是由于抑制性γ-氨基丁酸(GABA)能传递和兴奋性谷氨酸能传递之间失衡所致。酒精戒断症状通常通过使用苯二氮䓬类药物或抗惊厥药物进行药物治疗。然而,最近的证据表明,通过刺激突触前抑制性代谢型谷氨酸受体(即mGluR2/3受体)或抑制mGluR5受体来抑制谷氨酸传递可产生抗惊厥作用。因此,本研究旨在确定mGluR2/3激动剂LY379268和mGluR5拮抗剂2-甲基-6-(苯乙炔基)吡啶(MPEP)对乙醇戒断诱导的癫痫活动的影响。成年雄性C3H/He小鼠在吸入箱中接受16小时的慢性乙醇蒸汽暴露,随后每天戒断8小时,连续4天。在最后(第四天)的戒断周期中,每小时评估小鼠的处理诱导惊厥(HIC)情况,并在戒断4小时和8小时时分别用溶剂、LY379268(0.3、1和3mg/kg)或MPEP(1、3和10mg/kg)进行处理。给予这两种化合物后,均未观察到总体HIC活动有显著降低。这些结果表明,mGluR2/3激动剂或mGluR5拮抗剂抑制谷氨酸传递并不能改变反复乙醇暴露戒断期间的HIC活动,因此这些化合物在治疗酒精戒断期间的中枢神经系统兴奋性增强方面可能作用有限。