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Sullivan EV, Zahr NM, Zhao Q, Pohl KM, Sassoon SA, Pfefferbaum A. Contributions of Cerebral White Matter Hyperintensities to Postural Instability in Aging with and without Alcohol Use Disorder. Biol Psychiatry Cogn Neurosci Neuroimaging 2024:S2451-9022(24)00083-1. [PMID: 38569932 DOI: 10.1016/j.bpsc.2024.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 02/29/2024] [Accepted: 03/22/2024] [Indexed: 04/05/2024]
Abstract
BACKGROUND Postural instability and brain white matter hyperintensities (WMH) are both noted markers of normal aging and alcohol use disorder (AUD). Here, we questioned what variables contribute to sway path/WMH relations in individuals with AUD and healthy control participants. METHOD The data comprised 404 balance platform sessions, yielding sway path length and MRI acquired cross-sectionally or longitudinally, in 102 control and 158 AUD participants, ages 25-80 years. Balance sessions were typically conducted on the same day as MRI FLAIR acquisitions, permitting WMH volume quantification. Factors considered in multiple regression analyses as potential contributors to relations between WMH volumes and postural instability were age, sex, socioeconomic status, education, pedal 2-point discrimination, systolic and diastolic blood pressure, body mass index, depressive symptoms, total alcohol consumed in the past year, and race. RESULTS Initial analysis identified diagnosis, age, sex, and race as significant contributors to observed sway path/WMH relations. Inclusion of these factors as predictors in multiple regression analysis substantially attenuated the sway/WMH relations in both AUD and healthy control groups. Women, irrespective of diagnosis or race, had shorter sway paths than men. Black participants, irrespective of diagnosis or sex, had shorter sway paths than non-Black participants despite having modestly larger WMH volumes than non-Black participants, possibly a reflection of the younger age of the Black sample. DISCUSSION Longer sway paths were related to larger WMH volumes in healthy men and women, with and without AUD. Critically, however, age nearly fully accounted for these relations.
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Affiliation(s)
- Edith V Sullivan
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.
| | - Natalie M Zahr
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Center for Health Sciences, SRI International, Menlo Park, CA
| | - Qingyu Zhao
- Department of Radiology, Weill Cornell Medicine, New York, NY
| | - Kilian M Pohl
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA
| | - Stephanie A Sassoon
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Center for Health Sciences, SRI International, Menlo Park, CA
| | - Adolf Pfefferbaum
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Center for Health Sciences, SRI International, Menlo Park, CA
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Mitkin NA, Kirilkin GE, Unguryanu TN, Malyutina S, Cook S, Kudryavtsev AV. The relationship between physical performance and alcohol consumption levels in Russian adults. Sci Rep 2024; 14:1417. [PMID: 38228702 PMCID: PMC10792008 DOI: 10.1038/s41598-024-51962-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 01/11/2024] [Indexed: 01/18/2024] Open
Abstract
Investigating the relationship between alcohol consumption and physical performance, we used data from the 2015-2018 Know Your Heart study on 4215 adults aged 35-69 from Arkhangelsk and Novosibirsk, Russia. We classified participants' drinking status into non-drinking, non-problem drinking, hazardous drinking, and harmful drinking based on their self-reported drinking behaviors. To evaluate physical performance, we developed a Composite Physical Performance Scale (CPPS), which combined the results of three functional tests: grip strength (GS), closed-eyes balance, and chair rises (CR). We applied multivariable linear regression to assess the relationship between alcohol consumption and CPPS score, and ordinal logistic regression to explore the associations between alcohol consumption and the three functional tests separately. The results showed that harmful drinking was associated with lower CPPS scores compared to non-problem drinking. Among harmful drinking men, the decrease in CPPS scores was explained by all three tests equally and exceptionally by GS among women. Non-drinking was also associated with decreased CPPS, linked to lower GS and CR scores in men, and only lower GS scores in women. The study revealed a reduced physical performance in the non-drinking and harmful drinking groups compared to non-problem drinking.
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Affiliation(s)
- Nikita A Mitkin
- Department of Community Medicine, UiT The Arctic University of Norway, N-9037, Tromsø, Norway.
- International Research Competence Centre, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, Russia, 163069.
| | - German E Kirilkin
- Department of Hygiene and Medical Ecology, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, Russia, 163069
| | - Tatiana N Unguryanu
- Department of Hygiene and Medical Ecology, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, Russia, 163069
| | - Sofia Malyutina
- Research Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, B.Bogatkova Str., 175/1, Novosibirsk, Russia, 630089
- Department of Therapy, Hematology and Transfusiology, Novosibirsk State Medical University, Krasny Prospect, 52, Novosibirsk, Russia, 630091
| | - Sarah Cook
- School of Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, UK
| | - Alexander V Kudryavtsev
- Department of Community Medicine, UiT The Arctic University of Norway, N-9037, Tromsø, Norway
- International Research Competence Centre, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, Russia, 163069
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Rice LC, Langan MT, Cheng DT, Sheu YS, Peterburs J, Hua J, Qin Q, Rilee JJ, Faulkner ML, Mathena JR, Munro CA, Wand GS, McCaul ME, Desmond JE. Disrupted executive cerebro-cerebellar functional connectivity in alcohol use disorder. Alcohol Clin Exp Res (Hoboken) 2024; 48:33-47. [PMID: 38206281 PMCID: PMC10784638 DOI: 10.1111/acer.15219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 10/30/2023] [Accepted: 10/30/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND Alcohol use disorder (AUD) affects 283 million people worldwide and its prevalence is increasing. Despite the role of the cerebellum in executive control and its sensitivity to alcohol, few studies have assessed its involvement in AUD-relevant functional networks. The goal of this study is to compare resting-state functional connectivity (FC) patterns in abstinent adults with a history of AUD and controls (CTL). We hypothesized that group differences in cerebro-cerebellar FC would be present, particularly within the frontoparietal/executive control network (FPN). METHODS Twenty-eight participants completed a resting-state functional magnetic resonance imaging (rsfMRI) study. CTL participants had no history of AUD, comorbid psychological conditions, or recent heavy drinking and/or drug use. AUD participants had a history of AUD, with sobriety for at least 30 days prior to data collection. Multivariate pattern analysis, an agnostic, whole-brain approach, was used to identify regions with significant differences in FC between groups. Seed-based analyses were then conducted to determine the directionality and extent of these FC differences. Associations between FC strength and executive function were assessed using correlations with Wisconsin Card Sorting Test (WCST) performance. RESULTS There were significant group differences in FC in nodes of the FPN, ventral attention network, and default mode network. Post hoc analyses predominantly identified FC differences within the cerebro-cerebellar FPN, with AUD showing significantly less FC within the FPN. In AUD, FC strength between FPN clusters identified in the multivariate pattern analysis (MVPA) analysis (Left Crus II, Right Frontal Cortex) was positively associated with performance on the WCST. CONCLUSIONS Our results show less engagement of the FPN in individuals with AUD than in CTL. FC strength within this network was positively associated with performance on the WCST. These findings suggest that long-term heavy drinking alters cerebro-cerebellar FC, particularly within networks that are involved in executive function.
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Affiliation(s)
- Laura C. Rice
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | | | - Yi-Shin Sheu
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Jutta Peterburs
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Institute for Systems Medicine & Department of Human Medicine, MSH Medical School Hamburg, Germany
| | - Jun Hua
- Neurosection, Division of MRI Research, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, USA
| | - Qin Qin
- Neurosection, Division of MRI Research, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, USA
| | | | | | | | | | - Gary S. Wand
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Mary E. McCaul
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - John E. Desmond
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
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Wang L, Song L, Ma J, Wang H, Li Y, Huang D. Alcohol induces apoptosis and autophagy in microglia BV-2 cells. Food Chem Toxicol 2023; 177:113849. [PMID: 37217066 DOI: 10.1016/j.fct.2023.113849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 05/06/2023] [Accepted: 05/19/2023] [Indexed: 05/24/2023]
Abstract
Alcohol (ethanol) has proven to be toxic to nearly all organs, with the brain being one of the principal targets. As one of the important components of the brain's blood-brain barrier (BBB) and central nervous system, the state of microglia may be associated with some symptoms of alcohol intoxication. In the present study, microglia BV-2 cells were exposed to various concentrations of alcohol for 3 or 12 h, imitating different stages of drunkenness after alcohol use, respectively. From the perspective of the autophagy-phagocytosis axis, our findings show that alcohol alters autophagy levels or promotes apoptosis in BV-2 cells. The current study adds to the understanding of the action mechanisms of alcohol neurotoxicity. We anticipate that this study will increase public awareness of alcohol's negative effects and contribute to the creation of novel alcoholism treatment approaches.
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Affiliation(s)
- Luchen Wang
- State Key Laboratory of Food Science and Technology, International Institute of Food Innovation, China-Canada Joint Laboratory of Food Science and Technology (Nanchang), Key Laboratory of Bioactive Polysaccharides of Jiangxi Province, Nanchang University, 235 Nanjing East Road, Nanchang, 330047, China
| | - Lingmin Song
- State Key Laboratory of Food Science and Technology, International Institute of Food Innovation, China-Canada Joint Laboratory of Food Science and Technology (Nanchang), Key Laboratory of Bioactive Polysaccharides of Jiangxi Province, Nanchang University, 235 Nanjing East Road, Nanchang, 330047, China
| | - Juan Ma
- State Key Laboratory of Food Science and Technology, International Institute of Food Innovation, China-Canada Joint Laboratory of Food Science and Technology (Nanchang), Key Laboratory of Bioactive Polysaccharides of Jiangxi Province, Nanchang University, 235 Nanjing East Road, Nanchang, 330047, China
| | - Huimei Wang
- State Key Laboratory of Food Science and Technology, International Institute of Food Innovation, China-Canada Joint Laboratory of Food Science and Technology (Nanchang), Key Laboratory of Bioactive Polysaccharides of Jiangxi Province, Nanchang University, 235 Nanjing East Road, Nanchang, 330047, China
| | - Yingzhi Li
- State Key Laboratory of Food Science and Technology, International Institute of Food Innovation, China-Canada Joint Laboratory of Food Science and Technology (Nanchang), Key Laboratory of Bioactive Polysaccharides of Jiangxi Province, Nanchang University, 235 Nanjing East Road, Nanchang, 330047, China
| | - Danfei Huang
- State Key Laboratory of Food Science and Technology, International Institute of Food Innovation, China-Canada Joint Laboratory of Food Science and Technology (Nanchang), Key Laboratory of Bioactive Polysaccharides of Jiangxi Province, Nanchang University, 235 Nanjing East Road, Nanchang, 330047, China.
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Nwabueze C, Azam M, Kekere V, Odenigbo N, Banu F, Fouron P. Emotional Incontinence: A Case Report of Pseudobulbar Affect in the Setting of Alcohol Use Disorder. Cureus 2023; 15:e38976. [PMID: 37313061 PMCID: PMC10259877 DOI: 10.7759/cureus.38976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/12/2023] [Indexed: 06/15/2023] Open
Abstract
Pseudobulbar affect (PBA) manifests as a disconnect between emotional feelings and emotional expressions. The impact of pseudobulbar affect on social, occupational, and interpersonal functioning is substantial. It results in poor quality of social interactions and poor overall quality of life. Instances of pseudobulbar affect with no underlying neuropsychiatric disorders are rarely reported in the literature. Although alcohol use has been associated with traumatic brain injuries (TBI), alcohol as a direct cause of pseudobulbar palsy has rarely been reported. Our case presents a unique situation with no known underlying primary neurologic disorder but evidence from clinical history, physical examination, and laboratory tests indicative of severe alcohol use disorder. This case represents the rare instances where the disease etiology is unusual and reminds the health care provider to consider the role of alcohol in the pathophysiology of pseudobulbar affect. More research is needed to understand the role of alcohol in the etiology of pseudobulbar affect in the absence of any known underlying neuropsychiatric disorder.
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Affiliation(s)
| | - Muhammad Azam
- Department of Psychiatry, Interfaith Medical Center, Brooklyn, USA
| | - Victor Kekere
- Department of Psychiatry, Interfaith Medical Center, Brooklyn, USA
| | - Nkolika Odenigbo
- Department of Psychiatry, Interfaith Medical Center, Brooklyn, USA
| | - Fahima Banu
- Department of Psychiatry, Interfaith Medical Center, Brooklyn, USA
| | - Patrice Fouron
- Department of Psychiatry, Interfaith Medical Center, Brooklyn, USA
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