Department of Neurosurgery, Medical College of Wisconsin, United States; Clement J. Zablocki Veterans Affairs Medical Center, United States.
Department of Pharmacology and Toxicology, Medical College of Wisconsin, United States; Neuroscience Research Center, Medical College of Wisconsin, United States.
Behav Brain Res. 2023 Feb 13;438:114181. doi: 10.1016/j.bbr.2022.114181. Epub 2022 Oct 27.
Numerous epidemiological studies have found co-morbidity between non-severe traumatic brain injury (TBI) and substance misuse in both civilian and military populations. Preclinical studies have also identified this relationship for some misused substances. We have previously demonstrated that repeated blast traumatic brain injury (rbTBI) increased oxycodone seeking without increasing oxycodone self-administration, suggesting that the neurological sequelae of traumatic brain injury can elevate opioid misuse liability. Here, we determined the chronicity of this effect by testing different durations of time between injury and oxycodone self-administration and durations of abstinence. We found that the subchronic (four weeks), but not the acute (three days) or chronic (four months) duration between injury and oxycodone self-administration was associated with increased drug seeking and re-acquisition of self-administration following a 10-day abstinence. Examination of other abstinence durations (two days, four weeks, or four months) revealed no effect of rbTBI on drug seeking at any of the abstinence durations tested. Together, these data indicate that there is a window of vulnerability after TBI when oxycodone self-administration is associated with elevated drug seeking and relapse-related behaviors.
许多流行病学研究在平民和军人人群中发现了非严重创伤性脑损伤(TBI)和物质滥用之间的共病。临床前研究也已经确定了一些滥用物质的这种关系。我们之前的研究表明,反复爆震性创伤性脑损伤(rbTBI)增加了羟考酮觅药行为而不增加羟考酮自我给药,这表明创伤性脑损伤的神经后遗症可能增加阿片类药物滥用的易感性。在这里,我们通过测试损伤后和羟考酮自我给药之间不同的时间间隔以及禁欲时间来确定这种效应的慢性。我们发现,亚慢性(四周),而不是急性(三天)或慢性(四个月)的损伤和羟考酮自我给药之间的时间间隔与在 10 天禁欲后增加的药物寻求和重新获得自我给药有关。对其他禁欲时间(两天、四周或四个月)的检查表明,rbTBI 对任何测试的禁欲时间的药物寻求都没有影响。综上所述,这些数据表明,在 TBI 后存在一个易损期,在此期间,羟考酮自我给药与增加的药物寻求和与复发相关的行为有关。