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探讨焦虑酒精依赖个体血清脑源性神经营养因子浓度与行为测量之间的关系。

Investigating the link between serum concentrations of brain-derived neurotrophic factor and behavioral measures in anxious alcohol-dependent individuals.

机构信息

Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore, Bethesda, MD, United States.

Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore, Bethesda, MD, United States; Center on Compulsive Behaviors, National Institutes of Health, Bethesda, MD, United States; Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.

出版信息

Alcohol. 2020 Dec;89:75-83. doi: 10.1016/j.alcohol.2020.07.009. Epub 2020 Aug 13.

Abstract

Brain-derived neurotrophic factor (BDNF) plays a role in different neurophysiological processes, including those involved in alcohol- and anxiety-related behaviors. Preclinical and clinical studies indicate that chronic excessive alcohol use leads to a downregulation of BDNF production in the periphery and in the brain. In addition, a decrease in BDNF concentrations in the blood has been reported to be associated with increased anxiety levels. Non-treatment-seeking alcohol-dependent individuals with high trait anxiety were studied to assess whether serum BDNF concentrations may be linked to self-reported levels of alcohol drinking, anxiety, and other behavioral measures. Participants had a current diagnosis of alcohol dependence, high trait anxiety score, and were not seeking treatment for alcohol dependence or anxiety. A fasting blood sample was collected from each participant and serum BDNF was measured using an enzyme-linked immunosorbent assay (ELISA). Behavioral data were collected on the same day, including measures of alcohol drinking, craving, dependence severity, and anxiety. Bivariate correlations were run between BDNF levels and behavioral measures. Serum BDNF concentrations were negatively correlated with average drinks per drinking days (r = -0.41, p = 0.02) and positively correlated with obsessive-compulsive drinking scale (r = 0.48, p = 0.007) and state-trait anxiety inventory (r = 0.52, p = 0.003) scores. These findings shed light on the possible role of the BDNF system in the neurobiology of alcohol- and anxiety-related behaviors.

摘要

脑源性神经营养因子(BDNF)在不同的神经生理过程中发挥作用,包括与酒精和焦虑相关的行为。临床前和临床研究表明,慢性过量饮酒会导致外周和大脑中 BDNF 产生减少。此外,有报道称血液中 BDNF 浓度的降低与焦虑水平的增加有关。本研究对未寻求治疗的、有高特质焦虑的酒精依赖个体进行研究,以评估血清 BDNF 浓度是否与自我报告的饮酒量、焦虑程度和其他行为测量值相关。参与者被诊断为酒精依赖,特质焦虑得分高,且未寻求治疗酒精依赖或焦虑。从每位参与者采集空腹血样,并使用酶联免疫吸附测定(ELISA)测量血清 BDNF。同日收集行为数据,包括饮酒量、渴求、依赖严重程度和焦虑程度的测量。对 BDNF 水平与行为测量值之间进行了双变量相关性分析。血清 BDNF 浓度与平均饮酒量(r = -0.41,p = 0.02)呈负相关,与强迫性饮酒量表(r = 0.48,p = 0.007)和状态特质焦虑量表(r = 0.52,p = 0.003)呈正相关。这些发现揭示了 BDNF 系统在酒精和焦虑相关行为的神经生物学中的可能作用。

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