Hwa Lara S, Nathanson Anna J, Shimamoto Akiko, Tayeh Jillian K, Wilens Allison R, Holly Elizabeth N, Newman Emily L, DeBold Joseph F, Miczek Klaus A
Department of Psychology, Tufts University, 530 Boston Avenue, Medford, MA, 02155, USA.
Psychopharmacology (Berl). 2015 Aug;232(16):2889-902. doi: 10.1007/s00213-015-3925-y. Epub 2015 Apr 22.
Disrupted social behavior, including occasional aggressive outbursts, is characteristic of withdrawal from long-term alcohol (EtOH) use. Heavy EtOH use and exaggerated responses during withdrawal may be treated using glutamatergic N-methyl-D-aspartate receptor (NMDAR) antagonists.
The current experiments explore aggression and medial prefrontal cortex (mPFC) glutamate as consequences of withdrawal from intermittent access to EtOH and changes in aggression and mPFC glutamate caused by NMDAR antagonists memantine and ketamine.
Swiss male mice underwent withdrawal following 1-8 weeks of intermittent access to 20 % EtOH. Aggressive and nonaggressive behaviors with a conspecific were measured 6-8 h into EtOH withdrawal after memantine or ketamine (0-30 mg/kg, i.p.) administration. In separate mice, extracellular mPFC glutamate after memantine was measured during withdrawal using in vivo microdialysis.
At 6-8 h withdrawal from EtOH, mice exhibited more convulsions and aggression and decreased social contact compared to age-matched water controls. Memantine, but not ketamine, increased withdrawal aggression at the 5-mg/kg dose in mice with a history of 8 weeks of EtOH but not 1 or 4 weeks of EtOH or in water drinkers. Tonic mPFC glutamate was higher during withdrawal after 8 weeks of EtOH compared to 1 week of EtOH or 8 weeks of water. Five milligrams per kilogram of memantine increased glutamate in 8-week EtOH mice, but also in 1-week EtOH and water drinkers.
These studies reveal aggressive behavior as a novel symptom of EtOH withdrawal in outbred mice and confirm a role of NMDARs during withdrawal aggression and for disrupted social behavior.
社会行为紊乱,包括偶尔的攻击性行为爆发,是长期饮酒后戒断的特征。大量饮酒以及戒断期间的过度反应可用谷氨酸能N-甲基-D-天冬氨酸受体(NMDAR)拮抗剂进行治疗。
当前实验探讨间歇性接触乙醇后戒断所导致的攻击行为和内侧前额叶皮质(mPFC)谷氨酸水平,以及NMDAR拮抗剂美金刚和氯胺酮引起的攻击行为和mPFC谷氨酸水平变化。
瑞士雄性小鼠在间歇性接触20%乙醇1 - 8周后进行戒断。在给予美金刚或氯胺酮(0 - 30毫克/千克,腹腔注射)后,于乙醇戒断6 - 8小时测量与同种个体的攻击和非攻击行为。在另一组小鼠中,使用体内微透析在戒断期间测量美金刚给药后的细胞外mPFC谷氨酸水平。
与年龄匹配的饮水对照相比,在乙醇戒断6 - 8小时时,小鼠表现出更多惊厥和攻击行为,社交接触减少。美金刚而非氯胺酮,在有8周乙醇接触史的小鼠中,5毫克/千克剂量可增加戒断攻击行为,但在有1周或4周乙醇接触史的小鼠或饮水小鼠中则无此作用。与1周乙醇接触或8周饮水相比,8周乙醇接触后戒断期间紧张性mPFC谷氨酸水平更高。每千克5毫克的美金刚可增加8周乙醇接触小鼠的谷氨酸水平,但在1周乙醇接触小鼠和饮水小鼠中也有此作用。
这些研究揭示攻击行为是远交系小鼠乙醇戒断的一种新症状,并证实了NMDAR在戒断攻击行为和社会行为紊乱中的作用。