Department of Behavioral Neuroscience and Portland Alcohol Research Center, Oregon Health & Science University, Portland, OR 97239, USA.
Biol Psychiatry. 2013 Feb 1;73(3):249-55. doi: 10.1016/j.biopsych.2012.07.034. Epub 2012 Sep 18.
Drinking to alleviate the symptoms of acute withdrawal is included in diagnostic criteria for alcoholism, but the contribution of acute withdrawal relief to high alcohol intake has been difficult to model in animals.
Ethanol dependence was induced by passive intragastric ethanol infusions in C57BL/6J (B6) and DBA/2J (D2) mice; nondependent control animals received water infusions. Mice were then allowed to self-administer ethanol or water intragastrically.
The time course of acute withdrawal was similar to that produced by chronic ethanol vapor exposure in mice, reaching a peak at 7 to 9 hours and returning to baseline within 24 hours; withdrawal severity was greater in D2 than in B6 mice (experiment 1). Postwithdrawal delays in initial ethanol access (1, 3, or 5 days) reduced the enhancement in later ethanol intake normally seen in D2 (but not B6) mice allowed to self-infuse ethanol during acute withdrawal (experiment 2). The postwithdrawal enhancement of ethanol intake persisted over a 5-day abstinence period in D2 mice (experiment 3). D2 mice allowed to drink ethanol during acute withdrawal drank more ethanol and self-infused more ethanol than nondependent mice (experiment 4).
Alcohol access during acute withdrawal increased later alcohol intake in a time-dependent manner, an effect that may be related to a genetic difference in sensitivity to acute withdrawal. This promising model of negative reinforcement encourages additional research on the mechanisms underlying acute withdrawal relief and its role in determining risk for alcoholism.
缓解急性戒断症状的饮酒行为被纳入了酗酒的诊断标准,但在动物模型中,急性戒断缓解对高酒精摄入的贡献一直难以模拟。
通过在 C57BL/6J(B6)和 DBA/2J(D2)小鼠中进行被动胃内乙醇输注来诱导乙醇依赖;非依赖对照动物接受水输注。然后,允许小鼠进行胃内乙醇或水的自我给药。
急性戒断的时间过程与在小鼠中通过慢性乙醇蒸气暴露产生的时间过程相似,在 7 到 9 小时达到峰值,并在 24 小时内恢复到基线;D2 小鼠的戒断严重程度高于 B6 小鼠(实验 1)。在急性戒断期间允许自我输注乙醇的 D2(但不是 B6)小鼠中,在初始乙醇接触(1、3 或 5 天)后的戒断延迟减少了通常在 D2 小鼠中看到的后期乙醇摄入的增强(实验 2)。在 D2 小鼠中,在 5 天的禁欲期内,戒断后增强的乙醇摄入持续存在(实验 3)。在急性戒断期间允许饮用乙醇的 D2 小鼠比非依赖小鼠饮用更多的乙醇和自我输注更多的乙醇(实验 4)。
在急性戒断期间获得酒精会以时间依赖的方式增加后期的酒精摄入,这种效应可能与急性戒断敏感性的遗传差异有关。这种有前景的负强化模型鼓励对急性戒断缓解的机制及其在决定酗酒风险中的作用进行更多的研究。