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Neuroplasticity and Predictors of Alcohol Recovery

Recovery from alcoholism is a complex and long-term process with high relapse rates. Therefore, understanding why people relapse has been critically important to improving treatment outcomes. To that end, researchers are looking for clinical and biological markers that predict relapse after treatment and to use those risk factors to develop effective treatments to reduce relapse rates. One...

Stress Glossary

Adrenocorticotropic hormone (ACTH): Also known as corticotropin, is a hormone produced and secreted by the anterior pituitary gland. It is an important component of the hypothalamic–pituitary–adrenal (HPA) axis and often is produced in response to biological stress (along with corticotropin-releasing factor from the hypothalamus). Its principal effects are increased production and release of...

Resilience to Meet the Challenge of Addiction: Psychobiology and Clinical Considerations

Evidence from different disciplines suggests that acute and chronic stress–related mechanisms play an important role in both the development and the chronic, relapsing nature of addiction (Baumeister 2003; Baumeister et al. 1994; Brady and Sinha 2005). Stress is defined as the physiological and psychological process resulting from a challenge to homeostasis by any real or perceived demand on the...

Genetic and Environmental Determinants of Stress Responding

The development of alcohol dependence is a complex process influenced by both genetic and environmental risk factors (Prescott and Kendler 1999). The relative contributions of genetic and environmental influences fluctuate across development. During adolescence the initiation of alcohol use is strongly influenced by environmental factors (Dick et al. 2007; Heath et al. 1997; Karvonen 1995...

Using Genetically Engineered Animal Models in the Postgenomic Era to Understand Gene Function in Alcoholism

During the first decade of the new millennium, remarkable advances in technology allowed investigators in all areas of biological research to collect massive amounts of genetic data at an unprecedented rate. The genomics revolution, which began with the sequencing of the human genome, was the basis for efforts such as the 1,000 Genomes Project (http://www.1000genomes.org/) that strive to compile a...

Alcohol Misuse and Kidney Injury: Epidemiological Evidence and Potential Mechanisms

Chronic alcohol consumption is a well-known risk factor for tissue injury. The link between alcohol use disorder (AUD) and kidney injury is intriguing but controversial, and the molecular mechanisms by which alcohol may damage the kidneys are poorly understood. Epidemiological studies attempting to link AUD and kidney disease are, to date, inconclusive, and there is little experimental evidence...

Epigenetics—Beyond the Genome in Alcoholism

Alcohol is one of the most widely used addictive drugs, and continued use and abuse can lead to the development of tolerance and dependence (Koob 2003a; Tabakoff et al. 1986). Numerous studies have shown that both genetic and environmental risk factors play a role in the development of alcoholism (Ducci and Goldman 2008; Edenberg and Foroud 2006; Farris et al. 2010). Genetic studies in both humans...

Alcohol and Skeletal Muscle in Health and Disease

Introduction

Alcohol misuse is the most common form of substance misuse and is associated with liver, cardiovascular, and metabolic diseases as well as with infections and cancers.1 Although an estimated 20% to 25% of people who drink heavily develop alcohol-related liver disease,2 40% to 60% of people with alcohol misuse have alcohol-related myopathy.3 Evidence that alcohol use leads to skeletal...

Common Biological Mechanisms of Alcohol Use Disorder and Post-Traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD) are highly comorbid. Although recent clinical studies provide some understanding of biological and subsequent behavioral changes that define each of these disorders, the neurobiological basis of interactions between PTSD and AUD has not been well-understood. In this review, we summarize the relevant animal models that parallel...