Department of Neuroscience, Medical University of South Carolina, Basic Science Building, 173 Ashley Avenue, Room 403, Charleston, SC, 29425, USA.
Department of Behavioral Sciences, University of Arkansas - Fort Smith, 5210 Grand Ave, Fort Smith, AR, 72904, USA.
Psychopharmacology (Berl). 2020 Nov;237(11):3417-3433. doi: 10.1007/s00213-020-05622-9. Epub 2020 Aug 7.
Alcohol use disorder (AUD) and post-traumatic stress disorder (PTSD) often occur comorbidly. While the incidence of these disorders is increasing, there is little investigation into the interacting neural mechanisms between these disorders. These studies aim to identify cognitive deficits that occur as a consequence of fear and ethanol exposure, implement a novel pharmaceutical intervention, and determine relevant underlying neurocircuitry. Additionally, due to clinical sex differences in PTSD prevalence and alcohol abuse, these studies examine the nature of this relationship in rodent models.
Animals were exposed to a model of PTSD+AUD using auditory fear conditioning followed by chronic intermittent ethanol exposure (CIE). Then, rats received extinction training consisting of multiple conditioned stimulus presentations in absence of the shock. Extinction recall and context-induced freezing were measured in subsequent tests. CDPPB, a metabotropic glutamate receptor 5 (mGlu5) positive allosteric modulator, was used to treat these deficits, and region-specific effects were determined using microinjections.
These studies determined that CIE exposure led to deficits in fear extinction learning and heightened context-induced freezing while sex differences emerged in fear conditioning and extinction cue recall tests. Furthermore, using CDPPB, these studies found that enhancement of infralimbic (IfL) mGlu5 activity was able to recover CIE-induced deficits in both males and females.
These studies show that CIE induces deficits in fear-related behaviors and that enhancement of IfL glutamatergic activity can facilitate learning during extinction. Additionally, we identify novel pharmacological targets for the treatment of individuals who suffer from PTSD and AUD.
酒精使用障碍(AUD)和创伤后应激障碍(PTSD)常合并发生。尽管这些疾病的发病率正在上升,但对于这些疾病之间相互作用的神经机制的研究却很少。这些研究旨在确定恐惧和乙醇暴露后出现的认知缺陷,实施新的药物干预,并确定相关的潜在神经回路。此外,由于 PTSD 和酒精滥用的临床性别差异,这些研究在啮齿动物模型中检查了这种关系的性质。
动物通过听觉恐惧条件反射后接受 PTSD+AUD 模型暴露,然后进行慢性间歇性乙醇暴露(CIE)。然后,老鼠接受了包括多个条件刺激呈现而没有电击的消退训练。在随后的测试中测量了消退回忆和情境诱导的冻结。CDPPB,一种代谢型谷氨酸受体 5(mGlu5)正变构调节剂,用于治疗这些缺陷,并通过微注射确定了区域特异性效应。
这些研究表明,CIE 暴露导致恐惧消退学习缺陷和情境诱导的冻结增加,而在恐惧条件反射和消退线索回忆测试中出现了性别差异。此外,使用 CDPPB,这些研究发现,增强扣带回下皮质(IfL)mGlu5 活性能够恢复雄性和雌性 CIE 诱导的缺陷。
这些研究表明,CIE 会导致与恐惧相关的行为缺陷,并且增强 IfL 谷氨酸能活动可以促进消退过程中的学习。此外,我们确定了针对 PTSD 和 AUD 患者的新的药物治疗靶点。