Ernest Gallo Clinic and Research Center, University of California-San Francisco, Emeryville, CA, USA.
Alcohol Clin Exp Res. 2013 Apr;37(4):655-62. doi: 10.1111/acer.12009. Epub 2012 Nov 16.
Alcohol use disorders (AUDs) are a major public health problem, and the few treatment options available to those seeking treatment offer only modest success rates. There remains a need to identify novel targets for the treatment of AUDs. The neuronal nicotinic acetylcholine receptors (nAChRs) represent a potential therapeutic target in the brain, as recent human genetic studies have implicated gene variants in the α5 nAChR subunit as high risk factors for developing alcohol dependence.
Here, we evaluate the role of the α5* nAChR for ethanol (EtOH)-mediated behaviors using male α5+/+ and α5-/- transgenic mice. We characterized the effect of hypnotic doses of EtOH and investigated drinking behavior using an adapted drinking-in-the-dark (DID) paradigm that has been shown to induce high EtOH consumption in mice.
We found the α5 subunit to be important in mediating the sedative effects of EtOH. The α5-/- mice showed slower recovery from EtOH-induced sleep, as measured by loss of righting reflex. Additionally, the α5-/- mice showed enhanced impairment to EtOH-induced ataxia. We found the initial sensitivity to EtOH and EtOH metabolism to be similar in both α5+/+ and α5-/- mice. Hence, the enhanced sedation is likely due to a difference in the acute tolerance of EtOH in α5-/- mice. However, the α5 subunit did not play a role in EtOH consumption for EtOH concentrations ranging from 5 to 30% using the DID paradigm. Additionally, varenicline was effective in reducing EtOH intake in α5-/- mice.
Together, our data suggest that the α5 nAChR subunit is important for the sedative effects of EtOH but does not play a role in EtOH consumption in male mice. Varenicline can be a treatment option even when there is loss of function of the α5 nAChR subunit.
酒精使用障碍(AUDs)是一个主要的公共卫生问题,而那些寻求治疗的人可获得的治疗选择为数不多,成功率也只有中等水平。因此,仍有必要寻找 AUDs 的新治疗靶点。神经元烟碱型乙酰胆碱受体(nAChRs)是大脑中潜在的治疗靶点,因为最近的人类遗传研究表明,α5 nAChR 亚基中的基因变异是导致酒精依赖的高风险因素。
在这里,我们使用雄性α5+/+和α5-/-转基因小鼠评估α5* nAChR 在乙醇(EtOH)介导的行为中的作用。我们描述了催眠剂量 EtOH 的作用,并使用改良的暗室饮酒(DID)范式研究了饮酒行为,该范式已被证明可诱导小鼠大量消耗 EtOH。
我们发现α5 亚基在介导 EtOH 的镇静作用中很重要。α5-/-小鼠的翻正反射丧失表明,它们从 EtOH 诱导的睡眠中恢复较慢。此外,α5-/-小鼠的 EtOH 诱导共济失调受损增强。我们发现,α5+/+和α5-/-小鼠对 EtOH 的初始敏感性和 EtOH 代谢相似。因此,α5-/-小鼠的急性 EtOH 耐受差异可能导致镇静作用增强。然而,在 DID 范式中,α5 亚基在 5%至 30%的 EtOH 浓度下的乙醇消耗中没有作用。此外,伐伦克林可有效减少α5-/-小鼠的 EtOH 摄入量。
总的来说,我们的数据表明,α5 nAChR 亚基对 EtOH 的镇静作用很重要,但在雄性小鼠的 EtOH 消耗中不起作用。即使α5 nAChR 亚基丧失功能,伐伦克林也可以作为一种治疗选择。