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Le TM, Oba T, Couch L, McInerney L, Li CSR. Neural correlates of proactive avoidance deficits and alcohol use motives in problem drinking. Transl Psychiatry 2024; 14:336. [PMID: 39168986 PMCID: PMC11339324 DOI: 10.1038/s41398-024-03039-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Revised: 07/22/2024] [Accepted: 07/24/2024] [Indexed: 08/23/2024] Open
Abstract
Physical pain and negative emotions represent two distinct drinking motives that contribute to harmful alcohol use. Proactive avoidance, in contrast, can reduce consumption in response to these motives but appears to be impaired in those with problem drinking. Despite such evidence, proactive avoidance and its underlying neural deficits have not been assessed experimentally. How these deficits inter-relate with drinking motives to influence alcohol use also remains unclear. The current study leveraged neuroimaging data in forty-one problem and forty-one social drinkers who performed a probabilistic learning go/nogo task featuring proactive avoidance of painful outcomes. We identified the brain responses to proactive avoidance and contrasted the neural correlates of drinking to avoid negative emotions vs. physical pain. Behavioral results confirmed proactive avoidance deficits in problem drinking individuals' learning rate and performance accuracy, both which were associated with greater alcohol use. Imaging findings in the problem drinking group showed that negative emotions as a drinking motive predicted attenuated right anterior insula activation during proactive avoidance. In contrast, physical pain motive predicted reduced right putamen response. These regions' activations as well as functional connectivity with the somatomotor cortex also demonstrated a negative relationship with drinking severity and positive relationship with proactive avoidance performance. Path modeling further delineated the pathways through which physical pain and negative emotions influenced the neural and behavioral measures of proactive avoidance. Taken together, the current findings provide experimental evidence for proactive avoidance deficits in alcohol misuse and establish the link between their neural underpinnings and drinking behavior.
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Affiliation(s)
- Thang M Le
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
| | - Takeyuki Oba
- Human Informatics and Interaction Research Institute, The National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, Japan
| | - Luke Couch
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Lauren McInerney
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Chiang-Shan R Li
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University School of Medicine, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
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2
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Spanagel R, Bach P, Banaschewski T, Beck A, Bermpohl F, Bernardi RE, Beste C, Deserno L, Durstewitz D, Ebner‐Priemer U, Endrass T, Ersche KD, Feld G, Gerchen MF, Gerlach B, Goschke T, Hansson AC, Heim C, Kiebel S, Kiefer F, Kirsch P, Kirschbaum C, Koppe G, Lenz B, Liu S, Marxen M, Meinhardt MW, Meyer‐Lindenberg A, Montag C, Müller CP, Nagel WE, Oliveria AMM, Owald D, Pilhatsch M, Priller J, Rapp MA, Reichert M, Ripke S, Ritter K, Romanczuk‐Seiferth N, Schlagenhauf F, Schwarz E, Schwöbel S, Smolka MN, Soekadar SR, Sommer WH, Stock A, Ströhle A, Tost H, Vollstädt‐Klein S, Walter H, Waschke T, Witt SH, Heinz A. The ReCoDe addiction research consortium: Losing and regaining control over drug intake-Findings and future perspectives. Addict Biol 2024; 29:e13419. [PMID: 38949209 PMCID: PMC11215792 DOI: 10.1111/adb.13419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Revised: 05/15/2024] [Accepted: 05/21/2024] [Indexed: 07/02/2024]
Abstract
Substance use disorders (SUDs) are seen as a continuum ranging from goal-directed and hedonic drug use to loss of control over drug intake with aversive consequences for mental and physical health and social functioning. The main goals of our interdisciplinary German collaborative research centre on Losing and Regaining Control over Drug Intake (ReCoDe) are (i) to study triggers (drug cues, stressors, drug priming) and modifying factors (age, gender, physical activity, cognitive functions, childhood adversity, social factors, such as loneliness and social contact/interaction) that longitudinally modulate the trajectories of losing and regaining control over drug consumption under real-life conditions. (ii) To study underlying behavioural, cognitive and neurobiological mechanisms of disease trajectories and drug-related behaviours and (iii) to provide non-invasive mechanism-based interventions. These goals are achieved by: (A) using innovative mHealth (mobile health) tools to longitudinally monitor the effects of triggers and modifying factors on drug consumption patterns in real life in a cohort of 900 patients with alcohol use disorder. This approach will be complemented by animal models of addiction with 24/7 automated behavioural monitoring across an entire disease trajectory; i.e. from a naïve state to a drug-taking state to an addiction or resilience-like state. (B) The identification and, if applicable, computational modelling of key molecular, neurobiological and psychological mechanisms (e.g., reduced cognitive flexibility) mediating the effects of such triggers and modifying factors on disease trajectories. (C) Developing and testing non-invasive interventions (e.g., Just-In-Time-Adaptive-Interventions (JITAIs), various non-invasive brain stimulations (NIBS), individualized physical activity) that specifically target the underlying mechanisms for regaining control over drug intake. Here, we will report on the most important results of the first funding period and outline our future research strategy.
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Affiliation(s)
- Rainer Spanagel
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Patrick Bach
- Department of Addictive Behavior and Addiction MedicineCentral Institute of Mental HealthMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Tobias Banaschewski
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Anne Beck
- Department of Psychology, Faculty of HealthHealth and Medical University PotsdamPotsdamGermany
| | - Felix Bermpohl
- Department of Psychiatry and PsychotherapyCharité Campus St. Hedwig HospitalBerlinGermany
| | - Rick E. Bernardi
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Christian Beste
- Cognitive NeurophysiologyDepartment of Child and Adolescent Psychiatry and the University Neuropsychology Center (UNC)DresdenGermany
| | - Lorenz Deserno
- Department of Child and Adolescent Psychiatry, Psychotherapy and PsychosomaticsUniversity Hospital and University WürzburgWürzburgGermany
| | - Daniel Durstewitz
- Department of Theoretical NeuroscienceCentral Institute of Mental HealthMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Ulrich Ebner‐Priemer
- Mental mHealth Lab, Institute of Sports and Sports ScienceKarlsruhe Institute of TechnologyKarlsruheGermany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Tanja Endrass
- Faculty of PsychologyTechnische Universität DresdenDresdenGermany
| | - Karen D. Ersche
- Department of Addictive Behavior and Addiction MedicineCentral Institute of Mental HealthMannheimGermany
- Department of PsychiatryUniversity of CambridgeCambridgeUK
| | - Gordon Feld
- Department of Clinical PsychologyCentral Institute of Mental HealthMannheimGermany
| | | | - Björn Gerlach
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Thomas Goschke
- Faculty of PsychologyTechnische Universität DresdenDresdenGermany
| | - Anita Christiane Hansson
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Christine Heim
- Institute of Medical PsychologyCharité, Universitätsmedizin BerlinBerlinGermany
| | - Stefan Kiebel
- Cognitive Computational Neuroscience, Faculty of PsychologyTechnische Universität DresdenDresdenGermany
| | - Falk Kiefer
- Department of Addictive Behavior and Addiction MedicineCentral Institute of Mental HealthMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Peter Kirsch
- Department of Clinical PsychologyCentral Institute of Mental HealthMannheimGermany
| | - Clemens Kirschbaum
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Georgia Koppe
- Department of Theoretical NeuroscienceCentral Institute of Mental HealthMannheimGermany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- Hector Institute for Artificial Intelligence in Psychiatry, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Bernd Lenz
- Department of Addictive Behavior and Addiction MedicineCentral Institute of Mental HealthMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Shuyan Liu
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
| | - Michael Marxen
- Department of Psychiatry and PsychotherapyTechnische Universität DresdenDresdenGermany
| | - Marcus W. Meinhardt
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Andreas Meyer‐Lindenberg
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Christiane Montag
- Department of Psychiatry and PsychotherapyCharité Campus St. Hedwig HospitalBerlinGermany
| | - Christian P. Müller
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- Department of Psychiatry and PsychotherapyUniversity Clinic, Friedrich‐Alexander‐University of Erlangen‐NürnbergErlangenGermany
| | - Wolfgang E. Nagel
- Center for Information Services and High Performance ComputingDresdenGermany
| | - Ana M. M. Oliveria
- Department of Molecular and Cellular Cognition Research, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - David Owald
- Institute of NeurophysiologyCharité – Universitätsmedizin BerlinBerlinGermany
| | - Maximilian Pilhatsch
- Department of Psychiatry and PsychotherapyTechnische Universität DresdenDresdenGermany
| | - Josef Priller
- Department of Psychiatry and PsychotherapyTechnical University of MunichMunichGermany
- German Center for Mental Health (DZPG), Partner Site Munich‐AugsburgGermany
| | - Michael A. Rapp
- Social and Preventive Medicine, Research Area Cognitive SciencesUniversity of PotsdamPotsdamGermany
- German Center for Mental Health (DZPG), Partner Site Berlin‐PotsdamBerlinGermany
| | - Markus Reichert
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- Department of eHealth and Sports Analytics, Faculty of Sport ScienceRuhr University BochumBochumGermany
| | - Stephan Ripke
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
| | - Kerstin Ritter
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
| | - Nina Romanczuk‐Seiferth
- Clinical Psychology and Psychotherapy, Department of PsychologyMSB Medical School BerlinBerlinGermany
| | | | - Emanuel Schwarz
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- Hector Institute for Artificial Intelligence in Psychiatry, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Sarah Schwöbel
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Michael N. Smolka
- Department of Psychiatry and PsychotherapyTechnische Universität DresdenDresdenGermany
| | - Surjo R. Soekadar
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
| | - Wolfgang H. Sommer
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- Bethanien Hospital for Psychiatry, Psychosomatics and PsychotherapyGreifswaldGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Ann‐Kathrin Stock
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Andreas Ströhle
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
| | - Heike Tost
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
- German Center for Mental Health (DZPG), Partner Site Mannheim‐Heidelberg‐UlmGermany
| | - Sabine Vollstädt‐Klein
- Department of Addictive Behavior and Addiction MedicineCentral Institute of Mental HealthMannheimGermany
- Mannheim Center for Translational Neurosciences (MCTN), Medical Faculty of MannheimUniversity of HeidelbergMannheimGermany
| | - Henrik Walter
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
| | - Tina Waschke
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty MannheimHeidelberg UniversityMannheimGermany
| | - Stephanie H. Witt
- Department of Genetic Epidemiology in Psychiatry, ZIPP BiobankCentral Institute of Mental Health, Medical Faculty MannheimMannheimGermany
| | - Andreas Heinz
- Department of Psychiatry and NeurosciencesCampus Charité MitteBerlinGermany
- German Center for Mental Health (DZPG), Partner Site Berlin‐PotsdamBerlinGermany
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Taxier LR, Flanigan ME, Haun HL, Kash TL. Retrieval of an ethanol-conditioned taste aversion promotes GABAergic plasticity in the insular cortex. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.03.20.585950. [PMID: 38562680 PMCID: PMC10983921 DOI: 10.1101/2024.03.20.585950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Blunted sensitivity to ethanol's aversive effects can increase motivation to consume ethanol; yet, the neurobiological circuits responsible for encoding these aversive properties are not fully understood. Plasticity in cells projecting from the insular cortex (IC) to the basolateral amygdala (BLA) is critical for taste aversion learning and retrieval, suggesting this circuit's potential involvement in modulating the aversive properties of ethanol. Here, we tested the hypothesis that GABAergic activity onto IC-BLA projections would be facilitated following the retrieval of an ethanol-conditioned taste aversion (CTA). Consistent with this hypothesis, frequency of mIPSCs was increased following retrieval of an ethanol-CTA across cell layers in IC-BLA projection neurons. This increase in GABAergic plasticity occurred in both a circuit-specific and learning-dependent manner. Additionally, local inhibitory inputs onto layer 2/3 IC-BLA projection neurons were greater in number and strength following ethanol-CTA. Finally, DREADD-mediated inhibition of IC parvalbumin-expressing cells blunted the retrieval of ethanol-CTA in male, but not female, mice. Collectively, this work implicates a circuit-specific and learning-dependent increase in GABAergic tone following retrieval of an ethanol-CTA, thereby advancing our understanding of how the aversive effects of ethanol are encoded in the brain.
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Affiliation(s)
- Lisa R Taxier
- Bowles Center for Alcohol Studies, University of North Carolina School of Medicine, Chapel Hill, NC, USA, 27599
| | - Meghan E Flanigan
- Bowles Center for Alcohol Studies, University of North Carolina School of Medicine, Chapel Hill, NC, USA, 27599
| | - Harold L Haun
- Bowles Center for Alcohol Studies, University of North Carolina School of Medicine, Chapel Hill, NC, USA, 27599
| | - Thomas L Kash
- Bowles Center for Alcohol Studies, University of North Carolina School of Medicine, Chapel Hill, NC, USA; Department of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC, USA, 27599
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4
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Witkiewitz K, Garcia CC, Muthén BO. Subjective stress and any drinking during alcohol treatment: Disentangling within and between person autoregressive effects. Neurobiol Stress 2024; 29:100602. [PMID: 38221942 PMCID: PMC10784305 DOI: 10.1016/j.ynstr.2023.100602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 11/26/2023] [Accepted: 12/15/2023] [Indexed: 01/16/2024] Open
Abstract
Alcohol use has been shown to increase stress, and there is some evidence that stress predicts subsequent alcohol use during treatment for alcohol use disorder (AUD), particularly among females who are more likely to report coping-motivated drinking. Gaining a better understanding of the processes by which stress and alcohol use are linked during treatment could potentially inform AUD treatment planning. The current study aimed to characterize the association between stress and drinking during the course of AUD treatment and whether there were sex differences in these associations. Secondary data analyses of the COMBINE study (N = 1375; 69% male, 76.3% non-Hispanic and white, average age of 44.4 years) were conducted to examine self-reported perceived stress and alcohol consumption across 16 weeks of treatment for AUD using a Bayesian random-intercept cross-lagged panel model. There was stronger evidence for any alcohol use predicting greater than typical stress in subsequent weeks and less strong evidence for stress increasing the subsequent probability of alcohol use, particularly among males. For females, greater stress predicted subsequent drinking earlier in the treatment period, and a lower probability of subsequent drinking in the last week of treatment. Interventions might specifically focus on targeting reductions in stress following drinking occasions.
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Affiliation(s)
- Katie Witkiewitz
- Center on Alcohol, Substance Use, And Addictions, University of New Mexico, USA
| | - Christian C. Garcia
- Center on Alcohol, Substance Use, And Addictions, University of New Mexico, USA
| | - Bengt O. Muthén
- University of California, Los Angeles, USA
- University of New Mexico and Mplus, USA
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6
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Taylor A, Adank DN, Young PA, Quan Y, Nabit BP, Winder DG. Forced Abstinence from Volitional Ethanol Intake Drives a Vulnerable Period of Hyperexcitability in BNST-Projecting Insular Cortex Neurons. J Neurosci 2024; 44:e1121232023. [PMID: 38050120 PMCID: PMC10860622 DOI: 10.1523/jneurosci.1121-23.2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 10/26/2023] [Accepted: 11/13/2023] [Indexed: 12/06/2023] Open
Abstract
The insular cortex (IC) integrates sensory and interoceptive cues to inform downstream circuitry executing adaptive behavioral responses. The IC communicates with areas involved canonically in stress and motivation. IC projections govern stress and ethanol recruitment of bed nucleus of the stria terminalis (BNST) activity necessary for the emergence of negative affective behaviors during alcohol abstinence. Here, we assess the impact of the chronic drinking forced abstinence (CDFA) volitional home cage ethanol intake paradigm on synaptic and excitable properties of IC neurons that project to the BNST (IC→BNST). Using whole-cell patch-clamp electrophysiology, we investigated IC→BNST circuitry 24 h or 2 weeks following forced abstinence (FA) in female C57BL6/J mice. We find that IC→BNST cells are transiently more excitable following acute ethanol withdrawal. In contrast, in vivo ethanol exposure via intraperitoneal injection, ex vivo via ethanol wash, and acute FA from a natural reward (sucrose) all failed to alter excitability. In situ hybridization studies revealed that at 24 h post FA BK channel mRNA expression is reduced in IC. Further, pharmacological inhibition of BK channels mimicked the 24 h FA phenotype, while BK activation was able to decrease AP firing in control and 24 h FA subjects. All together these data suggest a novel mechanism of homeostatic plasticity that occurs in the IC→BNST circuitry following chronic drinking.
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Affiliation(s)
- Anne Taylor
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, Tennessee 37235
- Vanderbilt Center for Addiction Research, Vanderbilt University, Nashville, Tennessee 37235
| | - Danielle N Adank
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, Tennessee 37235
- Vanderbilt Center for Addiction Research, Vanderbilt University, Nashville, Tennessee 37235
| | - Phoebe A Young
- Vanderbilt Center for Addiction Research, Vanderbilt University, Nashville, Tennessee 37235
| | - Yizhen Quan
- Vanderbilt Center for Addiction Research, Vanderbilt University, Nashville, Tennessee 37235
| | - Brett P Nabit
- Vanderbilt Center for Addiction Research, Vanderbilt University, Nashville, Tennessee 37235
- Department of Pharmacology, Vanderbilt University, Nashville, Tennessee 37235
| | - Danny G Winder
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, Tennessee 37235
- Vanderbilt Center for Addiction Research, Vanderbilt University, Nashville, Tennessee 37235
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, Tennessee 37235
- Department of Pharmacology, Vanderbilt University, Nashville, Tennessee 37235
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