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Brain Gaba and Glutamate Concentrations Following Chronic Gabapentin Administration

A Convenience Sample Studied During Early Abstinence From Alcohol

Bibliographic Data

ID15519295
AuthorsDieter J Meyerhoff (0000-0002-2433-7826, University of California, San Francisco, corresponding author), Donna E Murray (0000-0003-0090-2082, San Francisco VA Medical Center), Timothy C Durazzo (0000-0002-5969-9544, Stanford University), David Pennington (0000-0001-7406-0661, University of California, San Francisco), David L Pennington
Year2018
Volume9
Pages78-78
Publication date2018-03-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2018.00078
PMID29599727
OpenAlexW2790106598
LanguageEN
References cited36

Gabapentin (GBP), a GABA analog that may also affect glutamate (Glu) production, can normalize GABA and Glu tone during early abstinence from alcohol, effectively treating withdrawal symptoms and facilitating recovery. Using in vivo magnetic resonance spectroscopy, we tested the degree to which daily GBP alters regional brain GABA and Glu levels in short-term abstinent alcohol-dependent individuals. Regional metabolite levels were compared between 13 recently abstinent alcohol-dependent individuals who had received daily GBP for at least 1 week (GBP+) and 25 matched alcohol-dependent individuals who had not received GBP (GBP-). Magnetic resonance spectra from up to five different brain regions were analyzed to yield absolute GABA and Glu concentrations. GABA and Glu concentrations in the parieto-occipital cortex were not different between GBP- and GBP+. Glu levels in anterior cingulate cortex, dorsolateral prefrontal cortex, and basal ganglia did not differ between GBP- and GBP+. However, in a subgroup of individuals matched on age, sex, and abstinence duration, GBP+ had markedly lower Glu in the frontal white matter (WM) than GBP-, comparable to concentrations found in light/non-drinking controls. Furthermore, lower frontal WM Glu in GBP+ correlated with a higher daily GBP dose. Daily GBP treatment at an average of 1,600 mg/day for at least 1 week was not associated with altered cortical GABA and Glu concentrations during short-term abstinence from alcohol, but with lower Glu in frontal WM. GBP for the treatment of alcohol dependence may work through reducing Glu in WM rather than increasing cortical GABA

Abstinence · Alcohol · Alcohol dependence · Cognition · Glutamate receptor · Magnetic resonance imaging · Prefrontal cortex · Psychiatry · Receptor · White matter · Alcoholism and Thiamine Deficiency · Chemistry · Medicine · Neuroscience · Neuroscience and Neuropharmacology Research · Neurotransmitter Receptor Influence on Behavior · Psychology · Biochemistry · Endocrinology · Internal Medicine

  • Factor structure of the barratt impulsiveness scale

    Open Access•Jim H Patton, Matthew S Stanford et al.•Journal of Clinical Psychology•1995

Citation velocityhistorical
Highly citedNo

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