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本文引用的文献

1
Disrupted thalamic T-type Ca2+ channel expression and function during ethanol exposure and withdrawal.在乙醇暴露和戒断期间,丘脑 T 型钙通道表达和功能被打乱。
J Neurophysiol. 2011 Feb;105(2):528-40. doi: 10.1152/jn.00424.2010. Epub 2010 Dec 8.
2
Sleep disturbance as a universal risk factor for relapse in addictions to psychoactive substances.睡眠障碍作为精神活性物质成瘾复发的普遍危险因素。
Med Hypotheses. 2010 May;74(5):928-33. doi: 10.1016/j.mehy.2009.10.020. Epub 2009 Nov 11.
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Absence seizures: a review of recent reports with new concepts.失神发作:近期报道及新概念综述
Epilepsy Behav. 2009 Aug;15(4):404-12. doi: 10.1016/j.yebeh.2009.06.007. Epub 2009 Jul 24.
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Depression- and anxiety-like behaviors of a rat model with absence epileptic discharges.伴有失神癫痫放电的大鼠模型的抑郁样和焦虑样行为
Neuroscience. 2009 May 5;160(2):382-93. doi: 10.1016/j.neuroscience.2009.02.053. Epub 2009 Mar 6.
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A blocker of N- and T-type voltage-gated calcium channels attenuates ethanol-induced intoxication, place preference, self-administration, and reinstatement.一种N型和T型电压门控钙通道阻滞剂可减轻乙醇诱导的中毒、位置偏爱、自我给药及复吸。
J Neurosci. 2008 Nov 5;28(45):11712-9. doi: 10.1523/JNEUROSCI.3621-08.2008.
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Inhibitory effects of the antiepileptic drug ethosuximide on G protein-activated inwardly rectifying K+ channels.抗癫痫药物乙琥胺对G蛋白激活的内向整流钾通道的抑制作用。
Neuropharmacology. 2009 Feb;56(2):499-506. doi: 10.1016/j.neuropharm.2008.10.003. Epub 2008 Oct 17.
7
Trazodone for sleep disturbance after alcohol detoxification: a double-blind, placebo-controlled trial.曲唑酮治疗酒精戒断后睡眠障碍:一项双盲、安慰剂对照试验。
Alcohol Clin Exp Res. 2008 Sep;32(9):1652-60. doi: 10.1111/j.1530-0277.2008.00742.x. Epub 2008 Jul 8.
8
High thalamocortical theta coherence in patients with neurogenic pain.神经源性疼痛患者丘脑皮质θ波连贯性增高。
Neuroimage. 2008 Feb 15;39(4):1910-7. doi: 10.1016/j.neuroimage.2007.10.019. Epub 2007 Oct 25.
9
Neurophysiological endophenotypes, CNS disinhibition, and risk for alcohol dependence and related disorders.神经生理内表型、中枢神经系统去抑制作用与酒精依赖及相关障碍的风险
ScientificWorldJournal. 2007 Nov 2;7:131-41. doi: 10.1100/tsw.2007.203.
10
Ethanol interactions with calcium-dependent potassium channels.乙醇与钙依赖性钾通道的相互作用。
Alcohol Clin Exp Res. 2007 Oct;31(10):1625-32. doi: 10.1111/j.1530-0277.2007.00469.x.

依托咪酯可减少乙醇戒断引起的睡眠相关脑电图模式紊乱。

Ethosuximide reduces ethanol withdrawal-mediated disruptions in sleep-related EEG patterns.

机构信息

The Neuroscience Program, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA.

出版信息

Alcohol Clin Exp Res. 2013 Mar;37(3):372-82. doi: 10.1111/j.1530-0277.2012.01938.x. Epub 2012 Oct 18.

DOI:10.1111/j.1530-0277.2012.01938.x
PMID:23078554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4385518/
Abstract

BACKGROUND

Chronic ethanol (EtOH) leads to disruptions in resting electroencephalogram (EEG) activity and in sleep patterns that can persist into the withdrawal period. These disruptions have been suggested to be predictors of relapse. The thalamus is a key structure involved in both normal brain oscillations, such as sleep-related oscillations, and abnormal rhythms found in disorders such as epilepsy and Parkinson's disease. Previously, we have shown progressive changes in mouse thalamic T-type Ca channels during chronic intermittent EtOH exposures that occurred in parallel with alterations in theta (4 to 8 Hz) EEG patterns.

METHODS

Two groups of 8-week-old male C57BL/6 mice were implanted with wireless EEG/electromyogram (EMG) telemetry and subjected to 4 weeks of chronic, intermittent EtOH vapor exposure and withdrawal. During the week after the final withdrawal, mice were administered ethosuximide (ETX; 200 mg/kg) or saline. EEG data were analyzed via discrete Fourier transform, and sleep-scored for further analysis.

RESULTS

Chronic intermittent EtOH exposure produced changes in the diurnal rhythms of the delta (0.5 to 4 Hz) and theta bands that persisted into a subsequent week of sustained withdrawal. These disruptions were restored with the T-channel blocker ETX. Repeated EtOH exposures preferentially increased the relative proportion of lower frequency power (delta and theta), whereas higher frequencies (8 to 24 Hz) were decreased. The EtOH-induced decreases in relative power for the higher frequencies continued into the sustained withdrawal week for both groups. Increases in absolute delta and theta power were observed in averaged nonrapid eye movement and rapid eye movement sleep spectral data during withdrawal in ETX-treated animals, suggesting increased sleep intensity.

CONCLUSIONS

These results suggest that persistent alterations in delta and theta EEG rhythms during withdrawal from chronic intermittent EtOH exposure can be ameliorated with ETX and that this treatment might also increase sleep intensity during withdrawal.

摘要

背景

慢性乙醇(EtOH)会导致静息脑电图(EEG)活动和睡眠模式的中断,这些中断在戒断期仍会持续。这些中断被认为是复发的预测因素。丘脑是一个关键的结构,涉及到正常的大脑振荡,如与睡眠相关的振荡,以及在癫痫和帕金森病等疾病中发现的异常节律。以前,我们已经显示出在慢性间歇性 EtOH 暴露期间,小鼠丘脑 T 型钙通道发生了渐进性变化,这些变化与θ(4 到 8 Hz)EEG 模式的改变平行。

方法

两组 8 周龄雄性 C57BL/6 小鼠植入无线 EEG/肌电图(EMG)遥测仪,并接受 4 周的慢性间歇性 EtOH 蒸气暴露和戒断。在最后一次戒断后的一周内,小鼠给予乙琥胺(ETX;200mg/kg)或生理盐水。通过离散傅立叶变换分析 EEG 数据,并对睡眠进行评分以进行进一步分析。

结果

慢性间歇性 EtOH 暴露导致 delta(0.5 到 4 Hz)和 theta 波段的昼夜节律发生变化,这些变化持续到随后的一周持续戒断期。这些中断在 T 型通道阻滞剂 ETX 的作用下得到恢复。重复的 EtOH 暴露优先增加低频功率(delta 和 theta)的相对比例,而高频(8 到 24 Hz)则降低。在两组中,EtOH 诱导的高频相对功率下降持续到持续戒断周。在 ETX 治疗的动物中,在戒断期间非快速眼动和快速眼动睡眠光谱数据的平均 delta 和 theta 功率增加,表明睡眠强度增加。

结论

这些结果表明,慢性间歇性 EtOH 戒断期间 delta 和 theta EEG 节律的持续改变可以通过 ETX 得到改善,并且这种治疗方法也可能在戒断期间增加睡眠强度。