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Associations Between Recent Heavy Drinking and Dorsal Anterior Cingulate N ‐Acetylaspartate and Glutamate Concentrations in Non‐Treatment‐Seeking Individuals with Alcohol Dependence
Author(s) -
Prisciandaro James J.,
Schacht Joseph P.,
Prescot Andrew P.,
Renshaw Perry F.,
Brown Truman R.,
Anton Raymond F.
Publication year - 2016
Publication title -
alcoholism: clinical and experimental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.267
H-Index - 153
eISSN - 1530-0277
pISSN - 0145-6008
DOI - 10.1111/acer.12977
Subject(s) - glutamate receptor , alcohol , neuroscience , dorsum , anterior cingulate cortex , alcohol dependence , psychology , medicine , anesthesia , biology , anatomy , biochemistry , receptor , cognition
Background Proton magnetic resonance spectroscopy ( 1 H‐ MRS ) studies have consistently found abnormal brain concentrations of N ‐acetylaspartate ( NAA ) and glutamate in individuals with alcohol use disorders ( AUD ) relative to light drinkers. However, most such studies have focused on individuals in treatment for severe alcohol dependence (AD), and few studies have investigated associations between neurochemical concentrations and recent alcohol consumption. This study focused on associations between recent drinking and prefrontal neurometabolite concentrations in nonsevere, non‐treatment‐seeking individuals with AUD . Methods Nineteen treatment‐naïve alcohol‐dependent individuals aged 21 to 40 completed a 1 H‐ MRS scan. Single‐voxel 1 H‐ MRS spectra were acquired in dorsal anterior cingulate cortex (dACC) using a 2‐dimensional J‐resolved point resolved spectroscopy sequence. Associations between recent heavy drinking, assessed using the Timeline FollowBack, and dACC metabolite concentrations were estimated via regression controlling for within‐voxel tissue composition. Results Participants provided a negative breathalyzer reading and reported between 1 and 5 days ( M  = 2.45, SD  = 1.23) since their last drink. Number of heavy drinking days in the 14 days preceding the scan ( M  = 4.84, SD  = 3.32) was significantly inversely associated with both glutamate/water ( β  = −0.63, t (17) = −3.37, p  = 0.004) and NAA /water concentrations ( β  = −0.59, t (17) = −2.98, p  = 0.008). Conclusions This study extends the literature by demonstrating inverse associations between recent heavy drinking and dACC glutamate and NAA concentrations in a sample of nonsevere, non‐treatment‐seeking individuals with AD. These findings may support the hypothesis that amount of recent alcohol consumption may account for differences in neuronal metabolism, even in nonsevere, non‐treatment‐seeking alcoholics.

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