Alcoholism is a chronic disorder characterized by cycling periods of excessive ethanol consumption, withdrawal, abstinence and relapse, which is associated with progressive changes in central corticotropin-releasing factor (CRF) receptor signaling. CRF and urocortin (Ucn) peptides act by binding to the CRF type 1 (CRF1R) or the CRF type 2 (CRF2R) receptors, both of which have been implicated in the regulation of neurobiological responses to ethanol. The current review provides a comprehensive overview of preclinical evidence from studies involving rodents that when viewed together, suggest a promising role for CRF receptor (CRFR) antagonists in the treatment of alcohol abuse disorders. CRFR antagonists have been shown to protect against excessive ethanol intake resulting from ethanol dependence without influencing ethanol intake in non-dependent animals. Similarly, CRFR antagonists block excessive binge-like ethanol drinking in non-dependent mice but do not alter ethanol intake in mice drinking moderate amounts of ethanol. CRFR antagonists protect against increased ethanol intake and relapse-like behaviors precipitated by exposure to a stressful event. Additionally, CRFR antagonists attenuate the negative emotional responses associated with ethanol withdrawal. The protective effects of CRFR antagonists are modulated by the CRF1R. Finally, recent evidence has emerged suggesting that CRF2R agonists may also be useful for treating alcohol abuse disorders.
KeywordsCorticotropin-releasing factor; urocortin; CRF receptor; alcoholism; dependence; withdrawal; relapse; ethanol Corticotropin-releasing factor (CRF) is a 41-amino acid poly-peptide that is widely expressed throughout the central nervous system (CNS) and modulates a range of neurobiological responses through activation of the G s -protein coupled CRF type 1 (CRF1R) and type 2 (CRF2R) receptors [1][2][3][4]. While CRF binds to both receptors, it has greater affinity to the CRF1R [1,5,6]. CRFRs are also stimulated by the 40-amino acid urocortin (Ucn) family of peptides, with Urocortin I (Ucn1) displaying equal affinity for both CRF1R and CRF2R, and Urocortin II (Ucn2) and Urocortin III (Ucn3) displaying affinity primarily for the CRF2R [1,6,7]. In rodents, expression of the CRF1R is ubiquitous throughout the brain, with high density found in hypothalamic, cortical, and limbic regions, while CRF2R expression is limited to specific regions, including the raphe nuclei, lateral septum, and subregions of the amygdala [1]. Agonist binding of these receptors induces distinct outcomes with respect to cellular signaling pathways, downstream mechanisms, and behavior [1,8,9]. CRF and Ucn signaling through CRF1Rs and CRF2Rs have been implicated in a number of biobehavioral processes, including regulation of the hypothalamic-pituitary-adrenal (HPA) axis stress response, anxiety, depression, feeding, and excessive alcohol consumption [1,3,6,[10][11][12][13][14].Alcoholism is a chronic and progressive disorder characterized by cyclic patterns of excessive ethanol sel...