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大麻二酚可减轻酒精使用障碍个体在接触诱发食欲线索期间楔前叶的激活。

Cannabidiol attenuates precuneus activation during appetitive cue exposure in individuals with alcohol use disorder.

作者信息

Hurzeler Tristan, Logge Warren, Watt Joshua, McGregor I S, Suraev Anastasia, Haber Paul S, Morley Kirsten C

机构信息

Specialty of Addiction Medicine, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.

Edith Collins Centre for Translational Research (Alcohol, Drugs & Toxicology), Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2025 Mar 18. doi: 10.1007/s00406-025-01983-4.


DOI:10.1007/s00406-025-01983-4
PMID:40102270
Abstract

Alcohol use disorder (AUD) is a prevalent psychiatric condition characterised by problematic alcohol consumption and craving, necessitating the exploration of novel therapeutic interventions. Cannabidiol (CBD), a non-psychoactive component of cannabis, has shown potential in modulating neural processes associated with substance use disorders including AUD. This study aimed to investigate the effect of CBD on alcohol cue-induced activation of neurocircuitry associated with alcohol craving, and impact on mood, craving, and cognitive functioning in individuals with AUD. In a cross-over, double-blind, randomized trial, 22 non-treatment seeking individuals (M = 29 years) diagnosed with AUD (DSM-V) received either 800 mg of CBD or a matched placebo, completing two respective fMRI sessions. The primary outcome was neural activation in response to alcohol versus control visual cues, measured using a functional magnetic resonance imaging (fMRI) alcohol cue reactivity task. Secondary outcomes included assessments of mood, craving, and cognitive functioning. Region of interest analyses showed no differences in alcohol cue-elicited activation between the CBD and placebo conditions. However, exploratory whole-brain analysis indicated a significant treatment effect of CBD in the precuneus which was independent of cue specificity. There were no significant treatment effects of CBD compared to placebo on acute craving, mood, or cognitive functioning. In non treatment seeking individuals with AUD, CBD modulates precuneus activity during alcohol cue exposure. Further studies examining the effect of CBD on treatment-seeking AUD individuals are warranted.

摘要

酒精使用障碍(AUD)是一种常见的精神疾病,其特征为饮酒问题和渴望,因此需要探索新的治疗干预措施。大麻二酚(CBD)是大麻的一种非精神活性成分,已显示出在调节与包括AUD在内的物质使用障碍相关的神经过程方面具有潜力。本研究旨在调查CBD对酒精线索诱导的与酒精渴望相关的神经回路激活的影响,以及对AUD个体的情绪、渴望和认知功能的影响。在一项交叉、双盲、随机试验中,22名被诊断为AUD(DSM-V)的未寻求治疗的个体(平均年龄29岁)接受了800毫克的CBD或匹配的安慰剂,并完成了两次各自的功能磁共振成像(fMRI)检查。主要结果是使用功能磁共振成像(fMRI)酒精线索反应任务测量的对酒精与对照视觉线索的神经激活。次要结果包括情绪、渴望和认知功能的评估。感兴趣区域分析显示,CBD组和安慰剂组在酒精线索诱发的激活方面没有差异。然而,探索性全脑分析表明,CBD在前楔叶有显著的治疗效果,且与线索特异性无关。与安慰剂相比,CBD对急性渴望、情绪或认知功能没有显著的治疗效果。在未寻求治疗的AUD个体中,CBD在酒精线索暴露期间调节前楔叶活动。有必要进一步研究CBD对寻求治疗的AUD个体的影响。

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引用本文的文献

[1]
The neural and psychophysiological effects of cannabidiol in youth with alcohol use disorder: A randomized controlled clinical trial.

Neuropsychopharmacology. 2025-6-11

本文引用的文献

[1]
Parameter Space and Potential for Biomarker Development in 25 Years of fMRI Drug Cue Reactivity: A Systematic Review.

JAMA Psychiatry. 2024-4-1

[2]
The functional role of the precuneus.

Brain. 2023-9-1

[3]
Novel Agents for the Pharmacological Treatment of Alcohol Use Disorder.

Drugs. 2022-2

[4]
Revision of the Australian guidelines to reduce health risks from drinking alcohol.

Med J Aust. 2021-12-13

[5]
Moderate ethanol drinking is sufficient to alter Ventral Tegmental Area dopamine neurons activity via functional and structural remodeling of GABAergic transmission.

Neuropharmacology. 2022-2-1

[6]
New Australian guidelines for the treatment of alcohol problems: an overview of recommendations.

Med J Aust. 2021-10-4

[7]
Neurobiological correlates of cue-reactivity in alcohol-use disorders: A voxel-wise meta-analysis of fMRI studies.

Neurosci Biobehav Rev. 2021-9

[8]
Test-retest reliability of neural alcohol cue-reactivity: Is there light at the end of the magnetic resonance imaging tube?

Addict Biol. 2022-1

[9]
The World Health Organization Risk Drinking Levels Measure of Alcohol Consumption: Prevalence and Health Correlates in Nationally Representative Surveys of U.S. Adults, 2001-2002 and 2012-2013.

Am J Psychiatry. 2021-6

[10]
The Course of Cognitive Performance during Inpatient Treatment in Patients with Alcohol Use Disorder with No, Mild or Major Neurocognitive Disorders.

Alcohol Alcohol. 2021-1-4

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