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Vol. 301, Issue 2, 774-784, May 2002
The Psychiatric Institute, Department of Psychiatry, University of
Illinois at Chicago, Chicago, Illinois; and Veterans Affairs Chicago
Health Care System (West-Side Division), Chicago, Illinois
To define the molecular mechanisms of abnormal hypothalamic pituitary
adrenal (HPA) axis during ethanol dependence, we investigated the
effect of chronic ethanol treatment (15 days) and its withdrawal (24 h)
on the expression of glucocorticoid receptors (GRs) and glucocorticoid
response element (GRE)-DNA binding in the rat brain. The effects of
chronic mianserin [serotonin (5-HT)2A/2C antagonist] treatment on these parameters in various brain structures of control diet-fed and ethanol-fed rats were also investigated. It was found that
ethanol treatment and withdrawal significantly decreased the GR protein
levels in cortical (cingulate gyrus, frontal, parietal, and piriform
cortex) and amygdaloid (central, medial, and basolateral) structures
and paraventricular nucleus (PVN) of hypothalamus of rats. It was also
observed that ethanol treatment produced significant reductions in GR
protein levels in various hippocampal structures (CA1, CA2, CA3, and
dentate gyrus), but these changes were normalized during ethanol
withdrawal. Ethanol treatment also significantly decreased GRE-DNA
binding in rat cortex and hippocampus, which remained decreased in the
cortex but reverted to normal in hippocampus during ethanol withdrawal.
Chronic mianserin (alone) treatment had no effect on cortical GRE-DNA
binding and GR protein levels in cortical, amygdaloid, or PVN
structures but significantly decreased the GR protein expression in
various hippocampal structures and GRE-DNA binding in whole
hippocampus. However, when administered concurrently with ethanol
treatment, mianserin significantly antagonized the reductions in
cortical GRE-DNA binding and in GR protein expression in cortical, PVN,
and central, but not medial and basolateral, amygdaloid structures
during ethanol withdrawal. On the other hand, mianserin treatment along
with ethanol administration significantly decreased the hippocampal
GRE-DNA binding and GR protein expression in various hippocampal
structures during ethanol withdrawal. Furthermore, ethanol treatment
and its withdrawal or mianserin treatment had no effect on the
neuron-specific nuclear protein levels in the various brain structures.
Taken together, these results indicate that interaction of
5-HT2A/2C receptors with GRs in cortical, central
amygdaloid, and PVN structures may play a role in neural mechanisms of
alcohol dependence. It is possible that decreased GR expression in PVN
may be responsible for the abnormal HPA axis during ethanol exposure
and withdrawal.
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