McLean Hospital, Harvard Medical School, Belmont, MA.
Int J Neuropsychopharmacol. 2020 Jul 29;23(7):469-479. doi: 10.1093/ijnp/pyaa024.
Tobacco use is prevalent in individuals who are routinely exposed to stress. However, little is known about how nicotine affects responses to trauma. We examined in rats how nicotine exposure affects fear conditioning, a procedure often used to study stress-related psychiatric illness.
We examined 2 methods of nicotine exposure: self-administration, modeling voluntary use, and experimenter-programmed subcutaneous administration, modeling medicinal administration (nicotine patch). For self-administered nicotine, rats trained to self-administer nicotine i.v. were fear conditioned (via light cue preceding foot-shock) either immediately after a 12-hour self-administration session or 12 hours later during a period with somatic signs of nicotine withdrawal. For experimenter-delivered nicotine, rats were conditioned after 1-21 days of nicotine delivered by programmable (12 hours on) subcutaneous mini-pumps. Tests to evaluate acoustic startle responses to the conditioning environment (context-potentiated startle) and in the presence or absence of the light cue (fear-potentiated startle) occurred after a 10-day period.
Rats fear conditioned immediately after nicotine self-administration showed reduced responses to the shock-associated context, whereas those trained during nicotine withdrawal showed exaggerated responses. Experimenter-programmed nicotine produced effects qualitatively similar to those seen with self-administered nicotine.
Self-administration or experimenter-programmed delivery of nicotine immediately before exposure to aversive events can reduce conditioned fear responses. In contrast, exposure to aversive events during nicotine withdrawal exacerbates fear responses. These studies raise the possibility of developing safe and effective methods to deliver nicotine or related drugs to mitigate the effects of stress while also highlighting the importance of preventing withdrawal in nicotine-dependent individuals.
经常接触压力的个体中,吸烟行为很普遍。然而,尼古丁如何影响创伤反应知之甚少。我们在大鼠中研究了尼古丁暴露如何影响恐惧条件反射,这是一种常用于研究与应激相关的精神疾病的程序。
我们检查了两种尼古丁暴露方法:自我给药,模拟自愿使用,以及实验者编程的皮下给药,模拟药物治疗(尼古丁贴片)。对于自我给予的尼古丁,训练大鼠进行静脉内自我给予尼古丁的大鼠在 12 小时自我给予期后或在出现尼古丁戒断躯体症状的 12 小时后立即进行恐惧条件反射(通过光提示先于足部电击)。对于实验者给予的尼古丁,在可编程(12 小时)皮下微型泵给予尼古丁 1-21 天后,大鼠进行条件反射。在 10 天的时间后,进行评估对条件环境的听觉惊跳反应(情境增强惊跳)和存在或不存在光提示的情况下的听觉惊跳反应(恐惧增强惊跳)的测试。
在尼古丁自我给药后立即进行恐惧条件反射的大鼠对与电击相关的环境的反应减少,而在尼古丁戒断期间进行训练的大鼠对环境的反应增强。实验者编程的尼古丁产生的效果与自我给予的尼古丁相似。
在暴露于厌恶事件之前,自我给予或实验者编程给予尼古丁可以减少条件恐惧反应。相比之下,在尼古丁戒断期间暴露于厌恶事件会加剧恐惧反应。这些研究提出了开发安全有效的方法来给予尼古丁或相关药物以减轻应激影响的可能性,同时强调了在尼古丁依赖个体中预防戒断的重要性。