Coker Caitlin R, Keller Bailey N, Arnold Amy C, Silberman Yuval
Biochemistry and Molecular & Cellular Biology, Georgetown University School of Medicine, Washington, DC, United States.
Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, United States.
Front Behav Neurosci. 2021 Jan 26;14:601111. doi: 10.3389/fnbeh.2020.601111. eCollection 2020.
The prevalence of psychiatry disorders such as anxiety and depression has steadily increased in recent years in the United States. This increased risk for anxiety and depression is associated with excess weight gain, which is often due to over-consumption of western diets that are typically high in fat, as well as with binge eating disorders, which often overlap with overweight and obesity outcomes. This finding suggests that diet, particularly diets high in fat, may have important consequences on the neurocircuitry regulating emotional processing as well as metabolic functions. Depression and anxiety disorders are also often comorbid with alcohol and substance use disorders. It is well-characterized that many of the neurocircuits that become dysregulated by overconsumption of high fat foods are also involved in drug and alcohol use disorders, suggesting overlapping central dysfunction may be involved. Emerging preclinical data suggest that high fat diets may be an important contributor to increased susceptibility of binge drug and ethanol intake in animal models, suggesting diet could be an important aspect in the etiology of substance use disorders. Neuroinflammation in pivotal brain regions modulating metabolic function, food intake, and binge-like behaviors, such as the hypothalamus, mesolimbic dopamine circuits, and amygdala, may be a critical link between diet, ethanol, metabolic dysfunction, and neuropsychiatric conditions. This brief review will provide an overview of behavioral and physiological changes elicited by both diets high in fat and ethanol consumption, as well as some of their potential effects on neurocircuitry regulating emotional processing and metabolic function.
近年来,在美国,诸如焦虑症和抑郁症等精神疾病的患病率一直在稳步上升。焦虑和抑郁风险的增加与体重过度增加有关,而体重过度增加通常是由于过度食用高脂肪的西方饮食,以及与暴饮暴食症有关,暴饮暴食症往往与超重和肥胖结果重叠。这一发现表明,饮食,尤其是高脂肪饮食,可能对调节情绪处理以及代谢功能的神经回路产生重要影响。抑郁症和焦虑症也常常与酒精和物质使用障碍并发。众所周知,许多因过度食用高脂肪食物而失调的神经回路也与药物和酒精使用障碍有关,这表明可能涉及重叠的中枢功能障碍。新出现的临床前数据表明,高脂肪饮食可能是动物模型中增加暴饮药物和乙醇易感性的一个重要因素,这表明饮食可能是物质使用障碍病因的一个重要方面。调节代谢功能、食物摄入和类似暴饮暴食行为的关键脑区,如下丘脑、中脑边缘多巴胺回路和杏仁核中的神经炎症,可能是饮食、乙醇、代谢功能障碍和神经精神疾病之间的关键联系。这篇简短的综述将概述高脂肪饮食和乙醇消费所引发的行为和生理变化,以及它们对调节情绪处理和代谢功能的神经回路的一些潜在影响。