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去甲肾上腺素能靶点治疗酒精使用障碍。

Noradrenergic targets for the treatment of alcohol use disorder.

机构信息

Center for Alcohol and Addiction Studies, Department of Psychiatry and Human Behavior, Brown University, Providence, RI, 02912, USA.

Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.

出版信息

Psychopharmacology (Berl). 2018 Jun;235(6):1625-1634. doi: 10.1007/s00213-018-4843-6. Epub 2018 Feb 20.

DOI:10.1007/s00213-018-4843-6
PMID:29460163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5995154/
Abstract

The role of norepinephrine (NE) in the development of alcohol use disorder (AUD) has been studied over the past several decades. However, the NE system has been largely ignored for many years as a potential target for medication development for AUD. More recently, preclinical and clinical studies have demonstrated the potential value of targeting NE signaling for developing new pharmacological treatments for AUD. This review contributes to a special issue of Psychopharmacology focused on promising targets for alcohol addiction. Specifically, this review coalesces preclinical and clinical neuroscience that re-evaluate the noradrenergic system, and in particular the alpha-1 receptor, as a potential target for AUD.

摘要

在过去的几十年里,去甲肾上腺素(NE)在酒精使用障碍(AUD)发展中的作用一直是研究的热点。然而,多年来,NE 系统作为 AUD 药物开发的潜在靶点在很大程度上被忽视了。最近,临床前和临床研究表明,针对 NE 信号的潜在价值,为开发 AUD 的新的药理学治疗方法提供了可能。这篇综述为《精神药理学》杂志的一个特刊做出了贡献,该特刊专注于有前途的酒精成瘾靶点。具体来说,这篇综述汇集了临床前和临床神经科学,重新评估了去甲肾上腺素系统,特别是 alpha-1 受体,作为 AUD 的一个潜在靶点。

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本文引用的文献

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Pharmacotherapy of alcoholism - an update on approved and off-label medications.酒精使用障碍的药物治疗——已批准及超说明书用药的最新情况
Expert Opin Pharmacother. 2017 Aug;18(12):1187-1199. doi: 10.1080/14656566.2017.1349098. Epub 2017 Jul 24.
2
Higher pretreatment blood pressure is associated with greater alcohol drinking reduction in alcohol-dependent individuals treated with doxazosin.在接受多沙唑嗪治疗的酒精依赖个体中,较高的治疗前血压与更大程度的饮酒减少有关。
Drug Alcohol Depend. 2017 Aug 1;177:23-28. doi: 10.1016/j.drugalcdep.2017.03.016. Epub 2017 May 16.
3
Altering ethanol pharmacokinetics to treat alcohol use disorder: Can you teach an old dog new tricks?改变乙醇药代动力学以治疗酒精使用障碍:老狗能学新把戏吗?
J Psychopharmacol. 2017 Jul;31(7):812-818. doi: 10.1177/0269881116684338. Epub 2017 Jan 16.
4
Higher Pretreatment Blood Pressure Is Associated With Greater Posttraumatic Stress Disorder Symptom Reduction in Soldiers Treated With Prazosin.治疗用普萘洛尔可使士兵创伤后应激障碍症状减轻,较高的预处理血压与症状减轻幅度更大相关。
Biol Psychiatry. 2016 Nov 15;80(10):736-742. doi: 10.1016/j.biopsych.2016.03.2108. Epub 2016 Apr 11.
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Effects of prazosin and doxazosin on yohimbine-induced reinstatement of alcohol seeking in rats.哌唑嗪和多沙唑嗪对育亨宾诱导的大鼠觅酒行为恢复的影响。
Psychopharmacology (Berl). 2016 Jun;233(11):2197-2207. doi: 10.1007/s00213-016-4273-2. Epub 2016 Mar 28.
6
The Combination of Marketed Antagonists of α1b-Adrenergic and 5-HT2A Receptors Inhibits Behavioral Sensitization and Preference to Alcohol in Mice: A Promising Approach for the Treatment of Alcohol Dependence. marketed antagonists of α1b-adrenergic and 5-HT2A receptors 联合抑制酒精诱导的行为敏化和偏好:一种治疗酒精依赖的有前景的方法。
PLoS One. 2016 Mar 11;11(3):e0151242. doi: 10.1371/journal.pone.0151242. eCollection 2016.
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Prazosin for Veterans with Posttraumatic Stress Disorder and Comorbid Alcohol Dependence: A Clinical Trial.哌唑嗪用于治疗患有创伤后应激障碍和合并酒精依赖的退伍军人:一项临床试验。
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