Spadoni Andrea D, Norman Andria L, Schweinsburg Alecia D, Tapert Susan F
San Diego State University, San Diego, California, USA.
Alcohol Clin Exp Res. 2008 Jul;32(7):1135-45. doi: 10.1111/j.1530-0277.2008.00694.x.
A positive family history (FH) of alcohol use disorders (AUD) has been linked to increased risk for the development of AUD, and neurocognitive factors have been postulated as important underlying mechanisms of familial alcoholism transmission.
We used functional magnetic resonance imaging (fMRI) during a spatial working memory (SWM) and vigilance paradigm to investigate potential neurodevelopmental differences linked to familial density of AUD in 72 adolescents aged 12 to 14 years.
Youth with denser family histories of AUD showed less activation during a simple vigilance condition relative to SWM in cingulate and medial frontal gyri (beta = 0.28, p = 0.03), and a trend for more relative activity during rest (beta = -0.25, p = 0.07) in this cluster.
Youth with greater familial densities of AUD may be less successful at modulating activity of the default network, potentially indicating a greater propensity for task-independent thought or reduced inhibition of task-irrelevant processing. Failure to moderate activation of the default network may have implications for cognitive efficiency and goal directed behavior in youth with dense FH. Further, aberrant activation in cingulate regions may be linked to genetic variation in GABA receptor units, suggesting a useful endophenotype for risk associated with alcohol dependence.
酒精使用障碍(AUD)的阳性家族史与AUD发生风险增加有关,神经认知因素被认为是家族性酒精中毒传递的重要潜在机制。
我们在空间工作记忆(SWM)和警觉范式期间使用功能磁共振成像(fMRI),以研究72名12至14岁青少年中与AUD家族密度相关的潜在神经发育差异。
与SWM相比,AUD家族史更密集的青少年在简单警觉状态下扣带回和内侧额回的激活较少(β = 0.28,p = 0.03),并且在该区域休息期间相对活动有增加的趋势(β = -0.25,p = 0.07)。
AUD家族密度较高的青少年在调节默认网络活动方面可能不太成功,这可能表明其与任务无关的思维倾向更大或对任务无关处理的抑制作用降低。无法调节默认网络的激活可能会影响FH密集的青少年的认知效率和目标导向行为。此外,扣带回区域的异常激活可能与GABA受体单位的基因变异有关,这表明它是与酒精依赖相关风险的一种有用的内表型。