Knapp D J, Duncan G E, Crews F T, Breese G R
Center for Alcohol Studies, Department of Psychiatry, University of North Carolina, Chapel Hill 27599-7178, USA.
Alcohol Clin Exp Res. 1998 Apr;22(2):481-93.
The ethanol withdrawal syndrome includes anxiety as a prominent symptom. Because the extent that specific regions of brain are critical to the generation of this emotional state is unknown, Fos-like immunoreactivity (Fos-LI) was used to associate specific regions of the rat brain with the anxiety component of the ethanol withdrawal syndrome exacerbated by an air puff challenge in rats. Chronic ethanol liquid diet was administered intragastrically for 4 days or by having the rats consume the diet for 14 days. During withdrawal from either treatment protocol, Fos-LI was induced most prominently in forebrain areas, although the midbrain and hindbrain were also represented. Included in these Fos-LI positive regions were many cortical regions, septum, accumbens, claustrum, amygdala, paraventricular nucleus of the thalamus and hypothalamus, hippocampus, locus coeruleus, and central gray. Fos-LI expression differed mostly in intensity between the two treatment and withdrawal protocols, with the gastric protocol producing the greatest Fos-LI induction in most brain regions. The threshold for air puff-induced ultrasonic vocalizations was decreased, and the number of vocalizations was increased and the period of vocalization was extended. These behavioral data indicate that aversively motivated responding in rats during ethanol withdrawal can be readily quantified with the ultrasonic vocalizations test without precipitating convulsive activity. Furthermore, a comparison of the effects of the air puff challenge versus withdrawal on Fos-LI indicated that the behavioral state induced in these two situations share functional neuroanatomical features. Some regions--such as the accumbens core, medial septum, subregions of the amygdala, hippocampus, substantia nigra, and cerebellum--exhibited little Fos-LI during withdrawal and also did not exhibit strong increases after the addition of the air puff challenge. However, other regions-such as the cerebral cortex (medial prefrontal, frontal, cingulate and ventrolateral orbital, claustrum, and tenia tecta), hypothalamus, and locus ceoruleus- exhibited Fos-LI at levels higher than that seen after either the ethanol withdrawal or puff challenge alone. These overlapping patterns of Fos-LI in specific regions of the brain, activated by both ethanol withdrawal and an anxiety provoking behavioral challenge, suggest that specific neuroanatomical sites in brain are associated with the symptom of anxiety observed during the "ethanol withdrawal syndrome."
乙醇戒断综合征的一个突出症状是焦虑。由于大脑特定区域对这种情绪状态产生的关键程度尚不清楚,因此利用Fos样免疫反应性(Fos-LI)将大鼠大脑的特定区域与大鼠因气吹刺激而加剧的乙醇戒断综合征的焦虑成分联系起来。通过胃内给予大鼠慢性乙醇液体饲料4天,或让大鼠食用该饲料14天。在从这两种处理方案撤药期间,尽管中脑和后脑也有Fos-LI表达,但前脑区域的Fos-LI诱导最为明显。这些Fos-LI阳性区域包括许多皮质区域、隔区、伏隔核、屏状核、杏仁核、丘脑室旁核和下丘脑、海马、蓝斑和中央灰质。两种处理和撤药方案之间,Fos-LI表达的强度差异主要体现在,在大多数脑区,胃内给药方案产生的Fos-LI诱导最强。气吹诱导的超声发声阈值降低,发声次数增加,发声时间延长。这些行为数据表明,乙醇戒断期间大鼠的厌恶性动机反应可以通过超声发声测试轻松量化,而不会引发惊厥活动。此外,气吹刺激与撤药对Fos-LI影响的比较表明,这两种情况下诱导的行为状态具有功能性神经解剖学特征。一些区域,如伏隔核核心、内侧隔区、杏仁核亚区、海马、黑质和小脑,在撤药期间Fos-LI表达很少,在添加气吹刺激后也没有显著增加。然而,其他区域,如大脑皮质(内侧前额叶、额叶、扣带回和腹外侧眶回、屏状核和带状层)、下丘脑以及蓝斑,其Fos-LI表达水平高于单独乙醇戒断或气吹刺激后的水平。乙醇戒断和气吹刺激这两种引发焦虑的行为挑战均激活的大脑特定区域中这些重叠的Fos-LI模式,表明大脑中特定的神经解剖部位与“乙醇戒断综合征”期间观察到的焦虑症状相关。