Zhao-Shea Rubing, Liu Liwang, Pang Xueyan, Gardner Paul D, Tapper Andrew R
Brudnick Neuropsychiatric Research Institute, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01604, USA.
Curr Biol. 2013 Dec 2;23(23):2327-35. doi: 10.1016/j.cub.2013.09.041. Epub 2013 Nov 14.
Chronic exposure to nicotine elicits physical dependence in smokers, yet the mechanism and neuroanatomical bases for withdrawal symptoms are unclear. As in humans, rodents undergo physical withdrawal symptoms after cessation from chronic nicotine characterized by increased scratching, head nods, and body shakes.
Here we show that induction of physical nicotine withdrawal symptoms activates GABAergic neurons within the interpeduncular nucleus (IPN). Optical activation of IPN GABAergic neurons via light stimulation of channelrhodopsin elicited physical withdrawal symptoms in both nicotine-naive and chronic-nicotine-exposed mice. Dampening excitability of GABAergic neurons during nicotine withdrawal through IPN-selective infusion of an NMDA receptor antagonist or through blockade of IPN neurotransmission from the medial habenula reduced IPN neuronal activation and alleviated withdrawal symptoms. During chronic nicotine exposure, nicotinic acetylcholine receptors containing the β4 subunit were upregulated in somatostatin interneurons clustered in the dorsal region of the IPN. Blockade of these receptors induced withdrawal signs more dramatically in nicotine-dependent compared to nicotine-naive mice and activated nonsomatostatin neurons in the IPN.
Together, our data indicate that therapeutic strategies to reduce IPN GABAergic neuron excitability during nicotine withdrawal, for example, by activating nicotinic receptors on somatostatin interneurons, may be beneficial for alleviating withdrawal symptoms and facilitating smoking cessation.
长期接触尼古丁会使吸烟者产生身体依赖性,但戒断症状的机制和神经解剖学基础尚不清楚。与人类一样,啮齿动物在慢性尼古丁戒断后会出现身体戒断症状,表现为抓挠增加、点头和身体颤抖。
我们在此表明,身体尼古丁戒断症状的诱发会激活脚间核(IPN)内的γ-氨基丁酸能(GABAergic)神经元。通过对通道视紫红质的光刺激对IPN GABAergic神经元进行光激活,在未接触过尼古丁和长期接触尼古丁的小鼠中均引发了身体戒断症状。在尼古丁戒断期间,通过IPN选择性注入N-甲基-D-天冬氨酸(NMDA)受体拮抗剂或通过阻断来自内侧缰核的IPN神经传递来抑制GABAergic神经元的兴奋性,可减少IPN神经元的激活并减轻戒断症状。在慢性尼古丁暴露期间,含有β4亚基的烟碱型乙酰胆碱受体在聚集于IPN背侧区域的生长抑素中间神经元中上调。与未接触过尼古丁的小鼠相比,阻断这些受体在尼古丁依赖小鼠中更显著地诱发戒断体征,并激活了IPN中的非生长抑素神经元。
总之,我们的数据表明,在尼古丁戒断期间降低IPN GABAergic神经元兴奋性的治疗策略,例如通过激活生长抑素中间神经元上的烟碱型受体,可能有助于减轻戒断症状并促进戒烟。