Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States; Department of Psychiatry, Virginia Commonwealth University, Virginia Institute for Psychiatric and Behavioral Genetics, Richmond, VA, United States.
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.
Int Rev Neurobiol. 2021;160:85-116. doi: 10.1016/bs.irn.2021.08.002. Epub 2021 Oct 7.
Alcohol use disorder (AUD) is recognized as harmful for the developing brain. Numerous studies have sought environmental and genetic risk factors that predict the development of AUD, but recently identified resilience factors have emerged as protective. This chapter reviews normal processes of brain development in adolescence and emerging adulthood, delineates disturbed growth neurotrajectories related to heavy drinking, and identifies potential endogenous, experiential, and time-linked brain markers of resilience. For example, concurrent high dorsolateral prefrontal activation serving inhibitory control and low nucleus accumbens activation serving reward functions engender positive adaptation and low alcohol use. Also discussed is the role that moderating factors have in promoting risk for or resilience to AUD. Longitudinal research on the effects of all levels of alcohol drinking on the developing brain remains crucial and should be pursued in the context of resilience, which is a promising direction for identifying protective biomarkers against developing AUDs.
酒精使用障碍(AUD)被认为对发育中的大脑有害。许多研究都在寻找可预测 AUD 发展的环境和遗传风险因素,但最近出现的恢复力因素已被证明具有保护作用。本章回顾了青少年和成年早期大脑发育的正常过程,描绘了与大量饮酒相关的神经发育轨迹紊乱,并确定了潜在的内源性、经验性和与时间相关的大脑恢复力标志物。例如,同时具有较高的背外侧前额叶激活以进行抑制控制和较低的伏隔核激活以进行奖励功能,会促进积极的适应和较低的酒精使用。还讨论了调节因素在促进 AUD 风险或恢复力中的作用。关于所有饮酒水平对发育中大脑影响的纵向研究仍然至关重要,应该在恢复力的背景下进行研究,这是确定预防 AUD 发展的保护生物标志物的有前途的方向。