Brain switch may reverse alcohol dependence: study

Targeting a network of neurons in the brain may completely reverse alcohol dependence, a new study in mice suggests.
"We can completely reverse alcohol dependence by targeting a network of neurons," said Assistant Professor Olivier George from The Scripps Research Institute (TSRI) in the US, who led the study.
The findings built on previous studies showing that frequent alcohol use can activate specific groups of neurons.
The more a person drinks, the more they reinforce activation in the neuronal "circuit," which then drives further alcohol use and addiction. It is as if the brain carves a special path between alcohol and reward.

For the new study, the researchers investigated whether there was a way to influence only the select neurons that form these circuits.
In both humans and rats, these neurons make up only about five per cent of the neurons in the brain's central amygdala.

TSRI Research Associate Giordano de Guglielmo, who was the study's first author, spearheaded the experiment in rat models of alcohol dependence, which were designed to express a special protein to distinguish only the neurons activated by alcohol.
The rats gave the researchers a potential new window into how these circuits form in human brains, where alcohol-linked neurons are harder to identify without the use of protein labels.

The rats were then injected with a compound that could specifically inactivate only alcohol-linked neurons.
George said he was surprised to see these rats completely cease their compulsive alcohol drinking, a change that lasted for as long as the rats were monitored.
"We've never seen an effect that strong that has lasted for several weeks. I was not sure if I believed it," said George.
The researchers went on to run the experiment a second and then a third time. Each time, the rats ceased drinking compulsively.
"It's like they forgot they were dependent," said George.
Interestingly, these rats were still motivated to drink sugar water, indicating that the researchers had successfully targeted only alcohol-activated neurons, not the brain's overall reward system.

The rats also appeared to be protected from the negative physical symptoms of alcohol withdrawal, such as shaking.
The new research also sheds light on differences in the brain between more casual binge drinking and addictive consumption.
In rat models of non-dependent drinking, switching off the alcohol-linked neurons had little effect on future drinking - the brain just seemed to switch on a new group of neurons, as if the brain's path from alcohol to reward was not established yet.
The researchers said the next step will be to track the formation of alcohol-activated neuronal circuits over time and to find a way to translate this work to humans.