Abstract:Background
Greater circulating levels of the steroid hormone 17β‐estradiol (E2) are associated with higher levels of binge drinking in women. In female mice, estrogen receptors in the ventral tegmental area, a dopaminergic region of the brain involved in the motivation to consume ethanol, regulate binge‐like ethanol intake. We recently developed a brain‐penetrant selective estrogen receptor degrader (SERD), YL3‐122, that could be used to test the behavioral role of brain estrogen receptors. We hypothesized tha… Show more
“…Also, estrous cycle sometimes has limited influence on level of intake once rodent addictive behaviours are established 9 . Even so, inhibiting oestrogen receptors decreases alcohol drinking in mice during higher but not lower estrous stages 66 . Thus, different underlying mechanisms could promote behaviour at different cycle stages, even if the level of behaviour does not differ 66,67 .…”
Section: Discussionmentioning
confidence: 99%
“… 9 Even so, inhibiting oestrogen receptors decreases alcohol drinking in mice during higher but not lower estrous stages. 66 Thus, different underlying mechanisms could promote behaviour at different cycle stages, even if the level of behaviour does not differ. 66 , 67 It will be critical in future studies to address potential differences across the estrous cycle in autonomic mechanisms that underly drinking.…”
Problem alcohol drinking continues to be a substantial cost and burden. In addition, alcohol consumption in women has increased in recent decades, and women can have greater alcohol problems and comorbidities. Thus, there is a significant need for novel therapeutics to enhance sex‐specific, individualized treatment. Heart rate (HR) and HR variability (HRV) are of broad interest because they may be both biomarkers for and drivers of pathological states. HRV reflects the dynamic balance between sympathetic (SNS, ‘fight or flight’) and parasympathetic (PNS, ‘rest and digest’) systems. Evidence from human studies suggest PNS predominance in women and SNS in men during autonomic regulation, indicating the possibility of sex differences in risk factors and physiological drivers of problem drinking. To better understand the association between HRV sex differences and alcohol drinking, we examined whether alcohol consumption levels correlated with time domain HRV measures (SDNN and rMSSD) at baseline, at alcohol drinking onset, and across 10 min of drinking, in adult female and male Wistar rats. In particular, we compared both HRV and HR measures under alcohol‐only and compulsion‐like conditions (alcohol + 10 mg/L quinine), because compulsion can often be a significant barrier to treatment of alcohol misuse. Importantly, previous work supports the possibility that different HRV measures could be interpreted to reflect PNS versus SNS influences. Here, we show that females with higher putative PNS indicators at baseline and at drinking onset had greater alcohol consumption. In contrast, male intake levels related to increased potential SNS measures at drinking onset. Once alcohol was consumed, HR predicted intake level in females, perhaps a pharmacological effect of alcohol. However, HRV changes were greater during compulsion‐like intake versus alcohol‐only, suggesting HRV changes (reduced SNS in females, reduced PNS and increased HR in males) specifically related to aversion‐resistant intake. We find novel and likely clinically relevant autonomic differences associated with biological sex and alcohol drinking, suggesting that different autonomic mechanisms may promote differing aspects of female and male alcohol consumption.
“…Also, estrous cycle sometimes has limited influence on level of intake once rodent addictive behaviours are established 9 . Even so, inhibiting oestrogen receptors decreases alcohol drinking in mice during higher but not lower estrous stages 66 . Thus, different underlying mechanisms could promote behaviour at different cycle stages, even if the level of behaviour does not differ 66,67 .…”
Section: Discussionmentioning
confidence: 99%
“… 9 Even so, inhibiting oestrogen receptors decreases alcohol drinking in mice during higher but not lower estrous stages. 66 Thus, different underlying mechanisms could promote behaviour at different cycle stages, even if the level of behaviour does not differ. 66 , 67 It will be critical in future studies to address potential differences across the estrous cycle in autonomic mechanisms that underly drinking.…”
Problem alcohol drinking continues to be a substantial cost and burden. In addition, alcohol consumption in women has increased in recent decades, and women can have greater alcohol problems and comorbidities. Thus, there is a significant need for novel therapeutics to enhance sex‐specific, individualized treatment. Heart rate (HR) and HR variability (HRV) are of broad interest because they may be both biomarkers for and drivers of pathological states. HRV reflects the dynamic balance between sympathetic (SNS, ‘fight or flight’) and parasympathetic (PNS, ‘rest and digest’) systems. Evidence from human studies suggest PNS predominance in women and SNS in men during autonomic regulation, indicating the possibility of sex differences in risk factors and physiological drivers of problem drinking. To better understand the association between HRV sex differences and alcohol drinking, we examined whether alcohol consumption levels correlated with time domain HRV measures (SDNN and rMSSD) at baseline, at alcohol drinking onset, and across 10 min of drinking, in adult female and male Wistar rats. In particular, we compared both HRV and HR measures under alcohol‐only and compulsion‐like conditions (alcohol + 10 mg/L quinine), because compulsion can often be a significant barrier to treatment of alcohol misuse. Importantly, previous work supports the possibility that different HRV measures could be interpreted to reflect PNS versus SNS influences. Here, we show that females with higher putative PNS indicators at baseline and at drinking onset had greater alcohol consumption. In contrast, male intake levels related to increased potential SNS measures at drinking onset. Once alcohol was consumed, HR predicted intake level in females, perhaps a pharmacological effect of alcohol. However, HRV changes were greater during compulsion‐like intake versus alcohol‐only, suggesting HRV changes (reduced SNS in females, reduced PNS and increased HR in males) specifically related to aversion‐resistant intake. We find novel and likely clinically relevant autonomic differences associated with biological sex and alcohol drinking, suggesting that different autonomic mechanisms may promote differing aspects of female and male alcohol consumption.
“…In a study of ethanol consumption using the 1-bottle DID procedure in C57BL/6J mice, differences in ethanol consumption between estrus cycle phases were not detected (nor did DID cause changes in the estrous cycle), even though ovariectomy decreased ethanol consumption and injections of 17β-estradiol benzoate in those ovariectomized increase ethanol consumption [135]. However, in another 1-bottle DID study using C57BL/6J mice, Chen et al compared systemic treatments with selective estrogen receptor degraders that were either high or low in brain penetrance [143]. The high-penetrant compound reduced ethanol consumption in diestrus, but not in estrus (no effects of the low-penetrant compound detected).…”
Section: Estrogen and Estrogen Receptorsmentioning
Background: Sex differences in ethanol consumption have been reported in both humans and laboratory rodents, but the independent/dependent contributions of genetic and hormonal sex‑biasing mechanisms to these phenotypes have not yet been fully explored. Methods: To examine the contributions of sex-chromosome complement (SCC) and gonadal sex (GS) to ethanol consumption, we studied adolescent (28-32 days old) four core genotypes (FCG) mice (C57BL/6J background; FCG model allows for independent assortment of GS and SCC) using a modified drinking-in-the-dark (DID) procedure. Mice were offered concurrent access to 20%, 10% and 0% ethanol (in water) in four daily 2-hour sessions. Consumption at the level of individual bouts was recorded. Results: Although all four genotype groups preferred the 20% ethanol over 10% and 0%, and showed similar consumption of the 10% and 0% solutions, the group rankings for consumption of the 20% ethanol solution were XX+testes > XY+testes > XY+ovaries > XX+ovaries. Thus, an interaction was observed between SCC and GS for which the simple effect of SCC was greatest in mice with ovaries (XY > XX) and the simple effect of GS was greatest in XX mice (testes > ovaries). Moreover, these effects varied in magnitude across and within drinking sessions. The behavioral microstructure of ethanol consumption (i.e., parameterization of within-session discriminable drinking bouts) support the validity of our 3-bottle modification of the DID procedure as a model of binge-like consumption as: (1) the consumption rate of the 20% ethanol solution was ~80 g EtOH/kg/h within a bout (~12 s/bout, ~3 bouts/session), (2) most of this ethanol consumption was completed in a single bout and (3) within-session ethanol consumption was greater earlier than later, indicating "front loading." Conclusions: These results indicate that SCC and GS interact on ethanol consumption in adolescent FCG mice on a C57BL/6J background to affect binge-like consumption from the very initiation of access and that these effects are dynamic as they varied both across and within sessions.
“…There is significant evidence that E2 may be a key neuromodulator driving alcohol and drug-related behaviors 8,[32][33][34] , including excessive alcohol consumption 9,35,36 , which is a primary risk factor for numerous disease states including alcohol use disorder (AUD) and anxiety disorders [37][38][39][40][41] . Women exhibit an accelerated onset of, and a higher probability for developing, AUD with the same history of alcohol use as their male counterparts in a phenomenon known as the telescoping effect; further, binge-like patterns of alcohol consumption are increasingly prevalent 39,[42][43][44] .…”
Section: Introductionmentioning
confidence: 99%
“…It is well-established in preclinical rodent models that females consume more alcohol than their male counterparts [49][50][51][52][53] , and ovarian hormones likely contribute to this phenomenon. Both removal of the ovaries and degradation of estrogen receptors (ERs) in the brain reduce alcohol drinking 9,35 , and chronic E2 administration in ovariectomized females can restore high alcohol drinking in some cases 9,[54][55][56][57] . However, a specific role for fluctuating E2 across the estrous cycle in intact female alcohol drinking behavior has not been established, nor mechanistic insight into its role.…”
The overconsumption of alcohol contributes to a multitude of negative health outcomes, especially in women, who are more susceptible to its effects and more likely to develop alcohol dependence than men with the same early history of alcohol consumption. Binge alcohol drinking is prominent during reproductive years and correlated with high circulating estrogen in women, and rodent studies show that female rodents with intact ovaries consume more alcohol than males. However, the causal role of ovarian E2 in intact animals in alcohol drinking has not been established. Here, we show that intact female mice consume more alcohol and display reduced avoidance behavior when they have elevated levels of circulating E2 during proestrus compared to other estrous cycle stages in individual mice. We found that high ovarian E2 promotes alcohol drinking in females, but not anxiolysis, through rapid nongenomic E2 signaling at ERα in the bed nucleus of the stria terminalis (BNST). Acute administration of intra-BNST E2 in low ovarian E2 mice enhanced binge alcohol intake, while acute systemic inhibition of E2 synthesis and acute blockade of ERα signaling in the BNST reversed the pro-drinking effects of high ovarian E2 status. In contrast, acute E2 manipulations were unable to alter the effects of ovarian E2 status on avoidance behavior, suggesting genomic mechanisms are required for the anxiolytic effects of ovarian E2. We further show that corticotropin-releasing factor (CRF) neurons in the BNST are an important mediator of these effects of rapid E2 signaling, as high E2 rapidly enhanced synaptic excitation of BNSTCRFneurons and promoted their pro-alcohol drinking behavioral role. Thus, we uncover a mechanism by which ovarian hormones in intact female mice control alcohol drinking behavior, and we provide the first mechanism by which ovarian E2 control of behavior is mediated by a rapid, nongenomic signaling mechanism.
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