Bjork James M, Gilman Jodi M
Division of Clinical Neuroscience and Behavioral Research, National Institute on Drug Abuse, National Institutes of Health, 6001 Executive Blvd, Room 3163, Bethesda, MD 20892, USA.
Laboratory of Neuroimaging and Genetics, MGH Division of Psychiatric Neuroscience, Martinos Center for Biomedical Imaging, Massachusetts General Hospital, USA.
Neuropharmacology. 2014 Sep;84:101-10. doi: 10.1016/j.neuropharm.2013.07.039. Epub 2013 Aug 23.
Over the last quarter century, researchers have peered into the living human brain to develop and refine mechanistic accounts of alcohol-induced behavior, as well as neurobiological mechanisms for development and maintenance of addiction. These in vivo neuroimaging studies generally show that acute alcohol administration affects brain structures implicated in motivation and behavior control, and that chronic intoxication is correlated with structural and functional abnormalities in these same structures, where some elements of these decrements normalize with extended sobriety. In this review, we will summarize recent findings about acute human brain responses to alcohol using neuroimaging techniques, and how they might explain behavioral effects of alcohol intoxication. We then briefly address how chronic alcohol intoxication (as inferred from cross-sectional differences between various drinking populations and controls) may yield individual brain differences between drinking subjects that may confound interpretation of acute alcohol administration effects. This article is part of the Special Issue Section entitled 'Neuroimaging in Neuropharmacology'.
在过去的四分之一世纪里,研究人员深入观察活人脑部,以发展和完善对酒精诱发行为的机制解释,以及成瘾发展和维持的神经生物学机制。这些活体神经影像学研究通常表明,急性酒精摄入会影响与动机和行为控制相关的脑结构,而慢性中毒与这些相同结构的结构和功能异常相关,其中一些功能减退的因素会随着长期戒酒而恢复正常。在这篇综述中,我们将总结使用神经影像学技术对急性酒精摄入后人脑反应的最新发现,以及它们如何解释酒精中毒的行为影响。然后,我们简要探讨慢性酒精中毒(从不同饮酒人群与对照组的横断面差异推断)如何在饮酒者个体之间产生大脑差异,这可能会混淆对急性酒精摄入影响的解释。本文是名为“神经药理学中的神经影像学”特刊的一部分。