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Chronic Alcohol, Intrinsic Excitability, and Potassium Channels: Neuroadaptations and Drinking Behavior.

作者信息

Cannady Reginald, Rinker Jennifer A, Nimitvilai Sudarat, Woodward John J, Mulholland Patrick J

机构信息

Departments of Neuroscience and Psychiatry and Behavioral Sciences, Charleston Alcohol Research Center, Addiction Sciences Division, Medical University of South Carolina, Charleston, SC, USA.

出版信息

Handb Exp Pharmacol. 2018;248:311-343. doi: 10.1007/164_2017_90.


DOI:10.1007/164_2017_90
PMID:29374839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8252120/
Abstract

Neural mechanisms underlying alcohol use disorder remain elusive, and this lack of understanding has slowed the development of efficacious treatment strategies for reducing relapse rates and prolonging abstinence. While synaptic adaptations produced by chronic alcohol exposure have been extensively characterized in a variety of brain regions, changes in intrinsic excitability of critical projection neurons are understudied. Accumulating evidence suggests that prolonged alcohol drinking and alcohol dependence produce plasticity of intrinsic excitability as measured by changes in evoked action potential firing and after-hyperpolarization amplitude. In this chapter, we describe functional changes in cell firing of projection neurons after long-term alcohol exposure that occur across species and in multiple brain regions. Adaptations in calcium-activated (K2), voltage-dependent (K7), and G protein-coupled inwardly rectifying (K3 or GIRK) potassium channels that regulate the evoked firing and after-hyperpolarization parallel functional changes in intrinsic excitability induced by chronic alcohol. Moreover, there are strong genetic links between alcohol-related behaviors and genes encoding K2, K7, and GIRK channels, and pharmacologically targeting these channels reduces alcohol consumption and alcohol-related behaviors. Together, these studies demonstrate that chronic alcohol drinking produces adaptations in K2, K7, and GIRK channels leading to impaired regulation of the after-hyperpolarization and aberrant cell firing. Correcting the deficit in the after-hyperpolarization with positive modulators of K2 and K7 channels and altering the GIRK channel binding pocket to block the access of alcohol represent a potentially highly effective pharmacological approach that can restore changes in intrinsic excitability and reduce alcohol consumption in affected individuals.

摘要

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本文引用的文献

[1]
Voltage-Sensitive Potassium Channels of the BK Type and Their Coding Genes Are Alcohol Targets in Neurons.

Handb Exp Pharmacol. 2018

[2]
Long-term subregion-specific encoding of enhanced ethanol intake by D1DR medium spiny neurons of the nucleus accumbens.

Addict Biol. 2017-6-28

[3]
The lateral habenula and alcohol: Role of glutamate and M-type potassium channels.

Pharmacol Biochem Behav. 2017-6-15

[4]
Effects of acute alcohol on excitability in the CNS.

Neuropharmacology. 2017-8-1

[5]
Precision medicine and pharmacogenetics: what does oncology have that addiction medicine does not?

Addiction. 2017-4-21

[6]
Ethanol Withdrawal Drives Anxiety-Related Behaviors by Reducing M-type Potassium Channel Activity in the Lateral Habenula.

Neuropsychopharmacology. 2017-4-7

[7]
Promising pharmacogenetic targets for treating alcohol use disorder: evidence from preclinical models.

Pharmacogenomics. 2017-4

[8]
Prefrontal Cortex K2 Channels Regulate mGlu-Dependent Plasticity and Extinction of Alcohol-Seeking Behavior.

J Neurosci. 2017-4-19

[9]
Orbitofrontal Neuroadaptations and Cross-Species Synaptic Biomarkers in Heavy-Drinking Macaques.

J Neurosci. 2017-3-29

[10]
Prefrontal cortex output circuits guide reward seeking through divergent cue encoding.

Nature. 2017-3-2

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