脳の一部を変化させることでアルコール離脱症状を緩和(Study finds altering one brain area could rid alcohol withdrawal symptoms)

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2025-09-30 ワシントン州立大学(WSU)

ワシントン州立大学(WSU)の研究グループは、アルコール離脱症状を抑えるには、特定の脳領域の活動を変えることが有効である可能性を示した。この研究では、実験動物を対象に、離脱中に過剰活性化する神経回路を標的にし、神経刺激や抑制操作を加えることで、振戦(ぶるえ)や不安、発汗など典型的な離脱症状を大幅に軽減・消失させることに成功したという。これまで個々の症状を個別に管理する治療法が主流であったが、特定中心部位を操作する「離脱中枢制御型治療」の可能性を示す成果であり、将来的には依存症治療や再飲酒予防に応用される可能性がある。

<関連情報>

慢性アルコール曝露に対する小脳の適応を選択的に阻害すると、C57BL6/Nマウスの急性アルコール離脱症状の重症度が軽減される Selectively counteracting cerebellar adaptations to chronic alcohol exposure reduces acute alcohol withdrawal severity in C57BL6/N mice

Nadia A. McLean, Samantha N. Shippell Stiles, Aspen E. Harder, Chloe M. Erikson, Gloria J. Lee, Dominik Schnalzer, Margot Ernst, Marko D. Mihovilovic, Giuseppe Giannotti, David J. Rossi
Neuropharmacology  Available online 19 July 2025
DOI:https://doi.org/10.1016/j.neuropharm.2025.110595

Graphical abstract

脳の一部を変化させることでアルコール離脱症状を緩和(Study finds altering one brain area could rid alcohol withdrawal symptoms)

Highlights

  • Adaptation of cerebellar GC inhibition mediates aversive EtOH withdrawal symptoms.
  • GC specific inhibitory DREADDs improve motor discoordination during EtOH withdrawal.
  • GC specific GABAAR enhancer improves negative emotionality during EtOH withdrawal.
  • Cerebellum may be targeted to reduce negative reinforcement for EtOH consumption.

Abstract

A critical component of Alcohol Use Disorder (AUD) is alcohol (EtOH) withdrawal and consequent aversive withdrawal symptoms that generate negative reinforcement for renewed EtOH consumption to alleviate such symptoms. Here, we simulated human binge EtOH consumption and subsequent acute withdrawal by exposing male and female C57BL6/N mice to EtOH vapor for varying durations (24–72 h). During acute withdrawal, starting 4 h after removal from EtOH vapor, we used patch-clamp recording in cerebellar slices, combined with behavioral analysis of aversive somatic/motor (performance on the accelerating rotorod) and affective/emotional (ultrasonic vocalizations and blood corticosterone) withdrawal symptoms. We found that cerebellar granule cells (GCs) exhibit a homeostatic downregulation of sIPSC frequency that parallels development of motor discoordination and negative emotional affect, all starting at ∼48–72 h of EtOH vapor exposure. Fitting with the negative reinforcement component of the AUD cycle, re-exposure to EtOH during withdrawal reduced somatic and affective withdrawal symptoms. Importantly, selective chemogenetic inhibition of GCs during withdrawal improved motor coordination, likely via actions at the GC axon terminals, and selective pharmacological inhibition of GCs via enhancement of the tonic GABAAR current, using PZ-II-029 (Compound 6), significantly improved negative emotional affect. Collectively, these results indicate that cerebellar homeostatic adaptations mediate aspects of both somatic and affective aversive EtOH withdrawal symptoms, and that restoration of cerebellar adaptations can effectively treat such symptoms. Moreover, they highlight the cerebellum as a promising selective target for treating aversive EtOH withdrawal symptoms, a critical component of the AUD cycle.

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