Department of Psychiatry, Bowles Center for Alcohol Studies, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7178, USA.
Alcohol Clin Exp Res. 2009 Aug;33(8):1460-8. doi: 10.1111/j.1530-0277.2009.00976.x.
Many of the neurobehavioral effects of ethanol are mediated by inhibition of excitatory N-methyl-D-aspartate (NMDA) and enhancement of inhibitory gamma-amino-butyric-acid (GABA) receptor systems. There is growing interest in drugs that alter these systems as potential medications for problems associated with alcoholism. The drug riluzole, approved for treatment of amyotrophic lateral sclerosis (ALS), inhibits NMDA and enhances GABA(A) receptor system activity. This study was designed to determine the preclinical efficacy of riluzole to modulate ethanol self-administration and withdrawal.
Male C57BL/6J mice were trained to lever press on a concurrent fixed-ratio 1 schedule of ethanol (10% v/v) versus water reinforcement during daily 16-hour sessions. Riluzole (1 to 40 mg/kg, IP) was evaluated on ethanol self-administration after acute and chronic (2 week) treatment. To determine if riluzole influences ethanol withdrawal-associated seizures, mice were fed an ethanol-containing or control liquid diet for 18 days. The effects of a single injection of riluzole (30 mg/kg) were examined on handling-induced convulsions after ethanol withdrawal.
Acute riluzole (30 and 40 mg/kg) reduced ethanol self-administration during the first 4 hours of the session, which corresponds to the known pharmacokinetics of this drug. Ethanol self-administration was also reduced by riluzole after chronic treatment. Riluzole (30 mg/kg) significantly decreased the severity of ethanol-induced convulsions 2 hours after ethanol withdrawal.
These results demonstrate that riluzole decreases ethanol self-administration and may reduce ethanol withdrawal severity in mice. Thus, riluzole may have utility in the treatment of problems associated with alcoholism.
乙醇的许多神经行为效应是通过抑制兴奋性 N-甲基-D-天冬氨酸(NMDA)和增强抑制性γ-氨基丁酸(GABA)受体系统来介导的。人们对改变这些系统的药物越来越感兴趣,因为它们可能是治疗与酗酒相关问题的潜在药物。利鲁唑是一种被批准用于治疗肌萎缩侧索硬化症(ALS)的药物,它可以抑制 NMDA 并增强 GABA(A)受体系统的活性。本研究旨在确定利鲁唑调节乙醇自我给药和戒断的临床前疗效。
雄性 C57BL/6J 小鼠接受训练,在每日 16 小时的实验中,通过按压杠杆来获得 10%乙醇(v/v)与水的强化物。在急性和慢性(2 周)治疗后,评估利鲁唑对乙醇自我给药的影响。为了确定利鲁唑是否影响乙醇戒断相关的癫痫发作,小鼠连续 18 天喂食含乙醇或对照的液体饮食。在乙醇戒断后,单次注射利鲁唑(30mg/kg)对处理诱导的癫痫发作的影响也进行了研究。
急性利鲁唑(30 和 40mg/kg)在实验的前 4 小时减少了乙醇的自我给药,这与该药物的已知药代动力学相符。慢性治疗后,乙醇自我给药也被利鲁唑所减少。利鲁唑(30mg/kg)显著降低了乙醇戒断后 2 小时乙醇诱导的癫痫发作的严重程度。
这些结果表明,利鲁唑减少了乙醇的自我给药,并且可能减轻了小鼠的乙醇戒断严重程度。因此,利鲁唑可能对治疗与酗酒相关的问题有一定的作用。