BACKGROUND
Chronic alcohol exposure produces neuroadaptation, which increases the risk of
cellular excitotoxicity and autonomic dysfunction during withdrawal. The temporal
progression and regulation of the gene expression that contributes to this physiologic
and behavioral phenotype is poorly understood early in the withdrawal period. Further,
it is unexplored in the dorsal vagal complex (DVC), a brainstem autonomic regulatory
structure .
METHODS
We use a qPCR platform to precisely and simultaneously measure the expression
of 145 neuromodulatory genes in more than 100 rat DVC samples from control, chronically
alcohol exposed, and withdrawn rats. To gain insight into the dynamic progression and
regulation of withdrawal, we focus on the expression of a subset of functionally
relevant genes during the first 48 hours, when behavioral symptoms are most severe.
RESULTS
In the DVC, expression of this gene subset is essentially normal in chronically
alcohol exposed rats. However, withdrawal results in rapid, large magnitude expression
changes in this group. We observed differential regulation in 86 of the 145 genes
measured (59%), some as early as 4 hours into withdrawal. Time series measurements (4,
8, 18, 32 and 48 hours after alcohol removal) revealed dynamic expression responses in
immediate early genes, γ-aminobutyric acid type A, ionotropic glutamate, and
G-protein coupled receptors and the Ras/Raf signaling pathway. Together, these changes
elucidate a complex, temporally coordinated response that involves correlated expression
of many functionally related groups. In particular, the expression patterns of Gabra1,
Grin2a, Grin3a and Grik3 were tightly correlated. These receptor subunits share
over-represented transcription factor binding sites for Pax-8 and other transcription
factors, suggesting a common regulatory mechanism and a role for these transcription
factors in the regulation of neurotransmission within the first 48h of alcohol
withdrawal.
CONCLUSIONS
Expression in this gene set is essentially normal in the alcohol-adapted DVC,
but withdrawal results in immediate, large magnitude, dynamic changes. These data
support both increased research focus on the biological ramifications of alcohol
withdrawal and enable novel insights into the dynamic withdrawal expression response in
this understudied homeostatic control center.