Mood disturbances and regional cerebral metabolic abnormalities in recently abstinent methamphetamine abusers.

BACKGROUND: Mood disturbances in methamphetamine (MA) abusers likely influence drug use, but the neurobiological bases for these problems are poorly understood. OBJECTIVE: To assess regional brain function and its possible relationships with negative affect in newly abstinent MA abusers. DESIGN: Two groups were compared by measures of mood and cerebral glucose metabolism ([18F]fluorodeoxyglucose positron emission tomography) during performance of a vigilance task. SETTING: Participants were recruited from the general community to a research center. PARTICIPANTS: Seventeen abstaining (4-7 days) MA abusers (6 women) were compared with 18 control subjects (8 women). MAIN OUTCOME MEASURES: Self-reports of depressive symptoms and anxiety were measured, as were global and relative glucose metabolism in the orbitofrontal, cingulate, lateral prefrontal, and insular cortices and the amygdala, striatum, and cerebellum. RESULTS: Abusers of MA provided higher self-ratings of depression and anxiety than control subjects and differed significantly in relative regional glucose metabolism: lower in the anterior cingulate and insula and higher in the lateral orbitofrontal area, middle and posterior cingulate, amygdala, ventral striatum, and cerebellum. In MA abusers, self-reports of depressive symptoms covaried positively with relative glucose metabolism in limbic regions (eg, perigenual anterior cingulate gyrus and amygdala) and ratings of state and trait anxiety covaried negatively with relative activity in the anterior cingulate cortex and left insula. Trait anxiety also covaried negatively with relative activity in the orbitofrontal cortex and positively with amygdala activity. CONCLUSIONS: Abusers of MA have abnormalities in brain regions implicated in mood disorders. Relationships between relative glucose metabolism in limbic and paralimbic regions and self-reports of depression and anxiety in MA abusers suggest that these regions are involved in affective dysregulation and may be an important target of intervention for MA dependence.

Ethanol effects on local cerebral glucose utilization in high-alcohol-drinking and low-alcohol-drinking rats.

Divergent ethanol-drinking behavior in rats selectively bred for high- or low-ethanol-drinking behavior could be related to differences in the sensitivity of the CNS to ethanol. In the current study, we examined the effects of acute (i.e., single injection) ethanol administration on local cerebral glucose utilization (LCGU) within selected brain regions of high-alcohol-drinking (HAD) and low-alcohol-drinking (LAD) rats. Adult, male, HAD and LAD rats from replicate line 2 were injected intraperitoneally with saline, or ethanol, at doses of 0.25 g/kg or 1.0 g/kg, during their dark cycle; 10 min later, [14C]-2-deoxyglucose ([14C]-2-DG; 125 microCi/kg) was injected into the femoral vein. Timed arterial blood samples were collected over 45 min and assayed for plasma glucose, ethanol, and [14C]-2-DG levels. Rats were then decapitated, and their brains were quickly extracted and frozen in isopentane at -50 degrees C. Coronal brain sections were prepared and apposed to x-ray film for 2 days, and image densities were determined by using quantitative autoradiography. Data were collected from several key limbic (nucleus accumbens, ventral tegmental area, olfactory tubercle, amygdala, hippocampus, ventral pallidum, and septum), basal ganglia, cortical (medial prefrontal, frontal, parietal, temporal, occipital, entorhinal, piriform, and cingulate), and subcortical (thalamus, habenula, and superior colliculus) structures. After administration of both low (0.25 g/kg) and moderate (1.0 g/kg) doses of ethanol, LCGU values were lower, relative to those for saline controls, in several CNS regions (lateral septum; posterior cingulate, frontal, parietal, and temporal cortices; dorsomedial striatum; and dorsomedial thalamus) of LAD but not HAD rats. These findings may indicate that certain CNS regions of LAD-2 rats are more sensitive than regions of HAD-2 rats to the effects of low-to-intermediate doses of ethanol.

Local cerebral glucose utilization after relapse in ethanol drinking in alcohol-preferring (P) rats.

The [(14)C]-2-deoxyglucose ([(14)C]-2-DG) quantitative autoradiographic technique was used to determine rates of local cerebral glucose utilization (LCGU) in discrete brain regions of adult, male alcohol-preferring (P) rats after 2 weeks of ethanol deprivation (E-D), 3 and 14 days of ethanol-relapse drinking (E-R3; E-R14), and in P rats, which were chronically drinking ethanol (E-C) for 8 weeks during daily 3-h scheduled-access sessions to 15% (vol./vol.) ethanol and water, or were ethanol-naive (E-N). The hypothesis to be tested was that ethanol-relapse drinking is initiated to restore changes in functional activity back to their chronic ethanol-exposed state. The LCGU rates were measured 1 h before the scheduled-access session. Mean ethanol intake did not differ among the groups. The LCGU rates were decreased in 41 of 57 regions or subregions examined in E-C rats compared with findings for E-N rats, including subregions of the cerebral cortex, hippocampus, and structures in the mesocorticolimbic and nigrostriatal systems. After 2 weeks of deprivation, LCGU values tended to return toward control values (E-N) in most CNS regions and did not differ significantly from control values in 12 regions or subregions (e.g., parts of the limbic system, cerebral cortex). Compared with LCGU values that recovered toward control levels in the E-D group, ethanol-relapse drinking was associated with decreased LCGU values in (1) 4 of 10 limbic structures, (2) all 6 cerebral cortical regions, (3) 1 of 4 basal ganglia regions, (4) 2 of 7 hippocampus subregions, and (5) 1 of 6 thalamic nuclei. The present results indicate that ethanol-relapse drinking was associated with reduced LCGU rates in most CNS regions that recovered toward control values and suggested to us that ethanol-relapse drinking may be initiated to restore neuronal function to its prior chronic ethanol-exposure state.

PET imaging of differential cortical activation by monaural speech and nonspeech stimuli.

Positron emission tomography imaging was used to investigate the brain activation patterns of listeners presented monaurally (right ear) with speech and nonspeech stimuli. The major objectives were to identify regions involved with speech and nonspeech processing, and to develop a stimulus paradigm suitable for studies of cochlear-implant subjects. Scans were acquired under a silent condition and stimulus conditions that required listeners to press a response button to repeated words, sentences, time-reversed (TR) words, or TR sentences. Group-averaged data showed activated foci in the posterior superior temporal gyrus (STG) bilaterally and in or near the anterior insula/frontal operculum across all stimulus conditions compared to silence. The anterior STG was activated bilaterally for speech signals, but only on the right side for TR sentences. Only nonspeech conditions showed frontal-lobe activation in both the left inferior frontal gyrus [Brodmann's area (BA) 47] and ventromedial prefrontal areas (BA 10/11). An STG focus near the superior temporal sulcus was observed for sentence compared to word. The present findings show that both speech and nonspeech engaged a distributed network in temporal cortex for early acoustic and prelexical phonological analysis. Yet backward speech, though lacking semantic content, is perceived as speechlike by engaging prefrontal regions implicated in lexico-semantic processing.