Abstract
Alcohol misuse and, particularly adolescent drinking, is a major public health concern. While evidence suggests that adolescent alcohol use affects frontal brain regions that are important for cognitive control over behavior little is known about how acute alcohol exposure alters large-scale brain networks and how sex and age may moderate such effects. Here, we employ a recently developed functional magnetic resonance imaging (fMRI) protocol to acquire rat brain functional connectivity data and use an established analytical pipeline to examine the effect of sex, age, and alcohol dose on connectivity within and between three major rodent brain networks: defaul mode, salience, and lateral cortical network. We identify the intra- and inter-network connectivity differences and establish moderation models to reveal significant influences of age on acute alcohol-induced lateral cortical network connectivity. Through this work, we make brain-wide isotropic fMRI data with acute alcohol challenge publicly available, with the hope to facilitate future discovery of brain regions/circuits that are causally relevant to the impact of acute alcohol use.
Keywords: Resting state fMRI, Connectivity, Rat, Underage drinking, Sex, Age
1. Introduction
Alcohol abuse is a significant public health concern and one of the leading causes of premature death and disability [1]. Despite legal constraints, adolescents (age 12–17) consume alcohol at alarming rate [2]. Early age of first alcohol intoxication is a critical risk factor for the development of alcohol use disorder [3–5]. One of the explanations concerning why early intoxication increases the risk of later alcohol problems is its interference with neurodevelopmental, hormonal and cognitive changes occurring at this age [6]. The frontal cortex undergoes substantial reorganization through adolescence [7–9], coinciding with ongoing puberty, improvement of executive functioning and top-down inhibitory control over behavior [10–12]. Several human imaging studies have suggested the frontal cortex may be particularly sensitive to alcohol [9,13–15]. Studies using rodent models have likewise found that adolescent frontal cortex is sensitive to the effects of chronic alcohol as reflected in persistent neuronal [16–18] and cognitive deficits [19,20]. Several recent brain imaging studies in rodents reported that adolescent alcohol exposure decreases cortical functional connectivity (FC) [21,22], glucose metabolism [23] and brain growth trajectories in rats [24]. Together, these studies suggest alterations in frontal cortical function after alcohol exposure during adolescence. However, it is relatively unknown how FC between the frontal cortex and other brain regions may be impacted by acute alcohol intoxication and whether sex and age are significant factors contributing to alcohol-induced FC changes. Gaining such knowledge using an experimental rodent model is important as it allows precise control of extraneous factors that are otherwise difficult to control in humans. The use of fMRI is also expected to facilitate translation of findings to humans.
The use of rodent models enables circuit, cellular, and molecular dissection of mechanisms related to alcohol use disorders and could shape our understanding about addiction development in the human brain. However, the evolutionary distinction of rodent frontal brain regions represents a gap between rodent and human findings. In humans, the frontal cortical regions exhibit a clear spatial segregation with different sub-regions linked to distinct large scale brain networks [25,26]. This spatial segregation is not as clear in rodents, as some network labels often show spatial overlaps in the rodent frontal cortex [27–29]. This cautions against considering only a single circuit/pathway in complex behaviors that have been associated with multiple large-scale networks, such as addiction [30,31]. Considering the urgent need to better understand rodent brain network systems, several pioneering efforts have been made to improve imaging protocols and share databases [32,33]. Joining these efforts, we recently developed a rat fMRI protocol at 400 mm isotropic spatial resolution and utilized data-driven parcellation with modularity analysis to obtain the “triple-network” features [27] that are homologues to human brain [25,26]. The triple-network model is widely adapted to characterize human brain function and dysfunction [34–36], including addiction [37–39]. Accumulating literature supports the existence of triple-networks in the rodent brain, including the salience network (SN) [40], default mode network (DMN) [41–43] and lateral cortical network (LCN) [28,42,44]. Our recent Euclidean-based hierarchical clustering and Louvain modularity-based partitioning of the rat brain fMRI data further suggest that some frontal cortical regions may engage more than a single network [27] Collectively, these results indicate that in rodent brain (1) medial pre-frontal, cingulate, and retrosplenial cortices are nodes of the DMN, (2) sensorimotor cortices are nodes of the LCN, and (3) the medial pre-frontal, cingulate, anterior insular cortices, striatum, and amygdala and are nodes of the SN [27, 28]. While many of these nodes are currently the go-to targets in addiction research, the impact of alcohol on these nodes has yet to be examined at the network level. Consequently, that a brain-wide dynamic measure is required to understand the influence of alcohol on large-scale brain networks, and knowledge related to intra- and inter-network FC changes could pave the way toward a better understanding of alcohol addiction at a system level. Here, we report findings from an fMRI dataset studying the influence of age (PND45 and PND85), sex and acute dose-dependent effects of alcohol on intra- and inter-network connectivity of the triple-networks in rats.
2. Methods
2.1. Ethics statement
All experiments were in accordance with the Guide for the Care and Use of Laboratory Animals established by the National Institutes of Health, using protocols approved by the Institutional Animal Care and Use Committee at the University of North Carolina (UNC) at Chapel Hill.
2.2. Animals
A total of 38 Wistar rats bred and reared in-house were used in this experiment (breeders were purchased from Envigo in Dublin, VA). On postnatal day (P) 1, litters (n = 21) were culled to 8–10 pups, with the same ratio between sex whenever possible. The pups were housed with their mother until pair-housed at weaning (P21). The rats were divided into two groups composed of both sexes. Each group was then used for the resting-state fMRI (rs-fMRI) at age P45 (n = 19, 11 females) or P80 (n = 19, 10 females). Of note, the age effect was evaluated between independent groups to prevent the impact of prior exposure to the anesthetic at a later scan session. All animals were housed in a temperature- and humidity-controlled vivarium on a 12:12 h light:dark cycle with ad libitum access to food and water.
2.3. Experimental design
Each animal underwent a single scanning session at the designated age (P45 or P80). A total of 75 min of blood oxygenation level-dependent (BOLD) rs-fMRI data (five 15 min blocks) were acquired per single session. During the rs-fMRI scan session, each animal was given a saline i.p. injection after 15 min of the initial scan (baseline), followed by two 1 g/kg and one 2 g/kg of 20% v/v ethanol injections (one injection for each 15 min period) [45,46]. A timeline of ethanol dosing is represented in Fig. 4A. The volume of injected saline was determined based on the volume of the first ethanol injection. Consequently, the injection paradigm occurred with cumulative ethanol dose exposure for each injection session of 0, 1, 2, and 4 g/kg, respectively. The ethanol dosing protocol has been used in our previous study where measures of blood ethanol concentration (BEC) were collected 15 min after the last dose [46]. The analysis revealed that cumulative 4 g/kg injected over 45 min interval resulted to average BEC of 96 ± 21 mg/dl (BEC range: 70–135 mg/dl). Imaging data from the baseline period (i.e., before alcohol administration including period after saline administration) were used to access the reproducibility of the rs-fMRI measures and effect of sex and age on triple-network FC in alcohol-naive rats.
2.4. MRI data acquisition
Rats were initially anesthetized with 4% isoflurane (Vaporizer #911103, VetEquip Inc., Livermore, CA, USA) mixed with medical air and endotracheally intubated using a 14G × 2"(P45) or 16G × 2"(P45) intravenous (i.v.) catheter (Surflash Polyurethane Catheter, TERUMO, Somerset, NJ, USA). Respiration was maintained by an MRI-compatible ventilator (MRI-1, CWE Inc, Ardmore, PA, USA) set at 60 breaths/min and an inspiration time ratio of 40%. Next, the isoflurane concentration was adjusted to 2% and the animals were secured to a custom-built, MR-compatible rat cradle. A rectal probe was used to monitor core body temperature (OAKTON Temp9500, Cole-Parmer, Vernon Hills, IL, USA) and a capnometer was used to monitor heart rate, peripheral blood oxygen saturation, and end-tidal CO2 (SURGIVET® V90041LF, Smith Medical, Dublin, OH, USA). Body temperature was maintained at 37 ± 0.5 °C using a circulating water blanket connected to a temperature adjustable water bath (Haake S13, Thermo Fisher Scientific, Waltham, MA, USA). Ventilation tidal volume was adjusted to keep the heart rate at 300 ± 50 beats per minute, peripheral blood oxygen saturation above 96%, and end-tidal CO2 between 2.8 and 3.2%. End-tidal CO2 values from this capnometer system were previously calibrated against an invasive sampling of arterial blood gas, reflecting a partial pressure of carbon dioxide (pCO2) level of 30–40 mm Hg [47,48]. Upon stabilizing the animals, a cocktail of dexmedetomidine (0.05 mg/kg/hr) and pancuronium bromide (0.5 mg/kg/hr) was continuously infused via the intraperitoneal cavity (i.p.) [21,49,50] and the isoflurane was reduced to 0.5% [51]. The infusion started 30 min prior to the rs-fMRI scans [41].
All MR images were collected through the UNC Center for Animal MRI (CAMRI) service on a Bruker BioSpec 9.4-Tesla, 30 cm bore system (Bruker BioSpin Corp., Billerica, MA) with ParaVision 6.0.1 on an AVANCE II console and an RRI BFG 240/120 gradient insert (up to 1000 mT/m gradient strength; Resonance Research, Inc, Billerica, MA) paired with a Prodrive BNG-500/1000 gradient amplifier (up to 500 A and 1000 V; Resonance Research, Inc, Billerica, MA). All experiments used an 86 mm volume coil as the RF transmitter (Bruker BioSpin Corp., Billerica, MA) and a 4-channel, rat brain array coil as the receiver (Bruker BioSpin Corp., Billerica, MA). Magnetic field homogeneity was first optimized by global shimming, followed by local second-order shims using a MAPSHIM protocol.
The BOLD rs-fMRI data were acquired using a 2D multi-slice, single-shot, gradient-echo EPI sequence: repetition time (TR) = 2000 ms, echo time (TE) = 14 ms bandwidth = 250 kHz, flip angle = 70°, field of view (FOV) = 28.8 × 28.8 mm, matrix size = 72 × 72, slice number = 32, and slice thickness = 0.4 mm, resulting in an isotropic voxel resolution of 0.4 mm.
2.5. Data analysis
2.5.1. MRI data preprocessing
All rs-fMRI data were first corrected for slice timing, followed by motion correction using AFNI [52]. Each 4D dataset was then averaged across time to improve signal-to-noise ratios (SNR) for subsequent skull stripping. The brain mask for each time-averaged EPI image was estimated using an in-house developed 2D-UNET-based machine learning algorithm [53] and was generated after manual refinement using ITK-snap [54]. This mask was subsequently applied to the corresponding rs-fMRI data to remove non-brain components. The skull-stripped data were then spatially normalized to the in-house developed EPI template [27] using ANTs SyN diffeomorphic registration [55] before further group-level analysis. For nuisance signal removal, third-degree polynomial curves representing baseline trend and the six motion parameters estimated from motion correction were regressed out, after which a 0.01–0.1 Hz band-pass filter was applied. The global signal was not regressed as discussed in our recent study [25]. The filtered data were then smoothed with a gaussian kernel with a full width half maximum (FWHM) at 0.5 mm. Finally, the data was segmented into five blocks of 15 min scans to represent the brain state of each exposure period. The first 5 min of data of each block containing injection periods (e.g., dynamic state) were discarded. Therefore, only 10 min data points for each block (e.g., steady state) were used in this study.
2.5.2. Statistical analysis of functional connectivity
To generate the functional connectivity matrix, the data-driven functional rat brain atlas from our previous study [27] was utilized as a set of regions of interest (ROIs). Time-course data were averaged within the identified ROIs and extracted from each subject and were used to calculate a Pearson’s correlation coefficient matrix. The Fisher transformation was applied to convert the coefficient matrix to Gaussian distributed Fishers’ z score for the group statistics. The fractions of edges were calculated on the network-level to abstract the within and between network connectivity. The order of ROIs of the resultant matrix was then re-ordered to make it represent the topological structure of the brain network-level as was identified in our previous study [27].
To evaluate the effects of sex, age, alcohol exposure, and alcohol dose, we employed a non-parametric, permutation-based, factorial analysis of variance (ANOVA) using a general linear model (GLM) approach. A design matrix for GLM was generated to evaluate four main factors: sex, age, before/after alcohol condition (main effect of alcohol), and dose of alcohol (0, 1, 2, 4 g/kg). A parametric factorial ANOVA was performed to calculate F values for each independent variable. Subsequently, the null distribution was generated by randomizing assigned factors. A total of 5000 iterations were applied for all permutation-based testing in this study. To control the family-wise error rate, we employed the min P/max T procedure, which counts the maximal T value or minimal p-value among the values generated at each iteration to form the null distribution. The significance of the test was defined as where T values from the one-sample t-test surpassed those of the null distribution at a p-value < 0.05.
2.5.3. Moderation analysis
A moderation analysis model was constructed using generalized linear mixed-effects (LME) model in MATLAB to analyze effect of sex and age on ethanol induced changes in FC (MathWorks, Inc., [56]). In our work, the LME model was used instead of the general linear regression model to estimate the correlation coefficient between two variables for its ability to handle longitudinal data [57]. In each LME model, subject effects were included as the characterization of the temporal correlation. We first identified significant relationships between EtOH doses and the identified FC changes. Then, using this moderation model, both the age and sex were selected as two moderators of the association between EtOH doses and the identified FC changes. In this context, full moderation occurs when the relationship between the independent variable and the dependent variable is no longer significant with the inclusion of a moderator variable [56]. The moderation effect of each moderator for each dose-brain relationship was evaluated in the interaction between independent and moderator variables.
3. Results
3.1. Reproducibility and specificity of rs-fMRI measures
To assess the reproducibility of the rs-fMRI measures, a rs-fMRI matrix was formed from the baseline data collected prior to the ethanol injections. We compared the derived rs-fMRI matrix against our previously disseminated 87-subject database and found highly significant spatial similarity between the two datasets (Fig. 1), suggesting reliable measures of FC in the current cohort. To benchmark FC specificity of the current dataset, we implemented methods to evaluate individual specificity metric as described previously [27,32,33]. In this study, a higher FC between matching bilateral primary somatosensory cortex (S1) and a lower FC between S1 and retrosplenial cortex (RSC) within the same subject was considered specific. Using the thresholds of Z(r) > 0.297 for S1-S1 and Z(r) < 0.061 for S1-RSC, we identified 92.1% specificity from this dataset (Fig. 1), which was superior to the 73.6% specificity found in our previously disseminated dataset [27].
3.2. Sex and age effects on triple-networks
The GLM analysis revealed a significant main effect of sex on FC (p < 0.05 after family-wise error correction), with significant pairs of brain regions (i.e., edges) identified in Fig. 2A. Sex-dependent group-level FC matrices were contrasted between male and female subjects (collapsed across age, baseline and ethanol dosing) and significant differences in connectivity between the groups are shown in the figure. Next, we compared FC within and between the triple-networks and found the male subjects exhibited significantly higher intra-network FC within LCN, DMN, and SN; and inter-network FC between DMN and two other networks (Fig. 2 B, p < 0.05).
Further, the GLM also yielded a significant main effect of age on FC (p < 0.05 after family-wise error correction), with significant pairs of brain regions (i.e., edges) identified in Fig. 3A. One simple t test was employed to compare age-dependent FC within and between the triple-networks and found the P80 subjects to have significantly higher intra-network FC within DMN; and inter-network FC between DMN and SN (Fig. 3 B, p < 0.05).
3.3. Alcohol effect on population-level rs-fMRI changes
After baseline and saline data were collected, cumulative doses of 1, 2, and 4 g/kg were given to all subjects as described in the methods (Fig. 4A). Four groups of subjects went through this dose-protocol: adolescent (P45) female subjects, adolescent male subjects, adult (P80) female subjects, and adult male subjects. The entire population showed a general alcohol dose-dependent increase in FC between brain regions (within-network connectivity) and between networks. The GLM analysis revealed significant effect of ethanol exposure where condition-level FC matrices (i.e., in Fig. 4A, pre-alcohol (the first two blocks) vs. post-ethanol (collapsed three post-alcohol blocks) were derived and compared (effect of exposure, p < 0.01). The model also yielded a significant main effect of ethanol dose on FC (effect of dose, p < 0.05, Fig. 4B), with significant pairs of brain regions (i.e., edges). A follow up comparison of FC within and between the triple-networks revealed that acute EtOH significantly increases intra-network FC within LCN; and inter-network between LCN and DMN, and between LCN and SN (Fig. 4C).
Next, to unravel the influences of sex and age on the observed EtOH dose-dependent LCN-related FC changes, we employed three moderation analysis models (Fig. 5A). In these models, we set EtOH doses as dependent variables, the observed LCN-related FC increases (from Fig. 4C) as independent variables, and sex and age as moderators. Path analysis demonstrated significantly direct relationships between EtOH doses and the identified FC increases: within LCN (direct effect = 0.124, p < 0.001), between LCN and DMN (direct effect = 0.116, p < 0. 001), and between LCN and SN (direct effect = 0.090, p < 0. 001). All direct relationships were significantly moderated by age (interaction effect: all p < 0.05), but not by sex (interaction effect: all n.s.). Specifically, age showed significant partial moderation effects in all three models while the direct relationship between EtOH doses and LCN-related FC changes were still significant with the moderator (WM: all p < 0.05). Fig. 5B illustrates the dose-dependent increase in LCN-related FC in adolescent (P45) and adult (P80) rats.
The results of linear regression analysis are in Table 1. The results of this analysis indicate that adolescent subjects have less increase in EtOH-induced LCN-related FC than adults.
Table 1.
Age (days) | Network pair | Estimate (z/g/kg) | SE | P value | 95% CI Lower Upper | |
---|---|---|---|---|---|---|
P45 | LCN-LCN | 0.09 | 0.013 | <0.0001 | 0.07 | 0.12 |
LCN-DMN | 0.08 | 0.11 | <0.0001 | 0.06 | 0.1 | |
LCN-SN | 0.06 | 0.01 | <0.0001 | 0.05 | 0.08 | |
P80 | LCN-LCN | 0.15 | 0.014 | <0.0001 | 0.12 | 0.17 |
LCN-DMN | 0.14 | 0.013 | <0.0001 | 0.11 | 0.17 | |
LCN-SN | 0.11 | 0.011 | <0.0001 | 0.09 | 0.13 |
4. Discussion
The effect of acute alcohol on functional connectivity of DMN, SN and LCN in rats was examined using an established rs-fMRI data acquisition and analysis pipeline. First, we confirmed the reproducibility of rs-fMRI features by comparing the current cohort of subjects with our previously disseminated database [27]. Next, we revealed sex- and age-dependent differences in intro- and inter-network connectivity in rodent brain. Then we identified alcohol-induced an increase in FC within the LCN and between this network and SN and DMN. The moderation analysis revealed a significant effect of age in agreement with previously reported impact of age on behavioral responses in rats to acute alcohol [6, 58]. Overall, this study supports the utility of the rs-fMRI protocol in studying acute alcohol effects on brain networks and provides a topological roadmap to probe the mechanisms underlying the adolescent insensitivity to acute effects of alcohol intoxication.
This study utilized a rs-fMRI protocol capable of providing whole-brain coverage at 0.4 mm isotropic spatial resolution. The isotropic data enabled the use of 3D non-linear registration [55,59] and offered identical resolution along all the axes when deriving motion parameters [25], which facilitated rs-fMRI preprocessing steps. Using the established analytical pipeline and ROI labels as described in [27], we extracted intrinsic triple networks including the LCN, DMN, and SN (Fig. 1, [28,32,60]) that replicates our previous findings using a different dataset [25]. The triple-networks in the human brain [25] have been used widely to characterize human brain function and dysfunction [25,34–36]. Our previous study [27] identified hippocampus and cingulate cortex to be the nodes of DMN and insular cortex, nucleus accumbens, and amygdala to be the nodes of SN in the rat brain. These regions are analogous in humans and also nodes of the DMN and SN in the human brain, respectively.
The LCN includes areas of motor and somatosensory cortices, traditionally included in the sensorimotor network associated with motor learning and perceptual functions [61,62]. In the mammalian neocortex, cortical areas are functionally linked with each other, integrating, transforming, and passing information along to other areas. Thus, executive control over behavior results from a complex integrative process combining higher-level sensory processing and sensorimotor integration supported by somatosensory and motor cortices [63] included in the LCN in this study. While the a priori defined network nodes were derived from data-driven analyzes and allowed identification of distinct intra- and inter-network FC features in the current study, the precise functional topology of the rodent resting state networks remains a contentious issue in the field warranting behavioral validations in the future [24,25,84].
Development of alcohol use disorder differs between sexes and depends on age-related vulnerability. Understanding sex- and age-related differences in resting state FC may provide insights into risk and protective factors. In this study, connectivity within and between triple-networks was explored in male and female rats. Specifically, males (collapsed across both age groups) exhibited greater synchronization within all three networks, as well as between DMN and SN, LCN (Fig. 2). Heterogeneous evidence of sex-dependent differences in FC was reported in human and nonhuman primates [64–66]. Greater connectivity within DMN was previously shown in women versus men [67,68]; however, stronger synchronization of sensorimotor nodes (e.g., LCN in this study) was observed in men and male non-human primates [65,67]. Lack of sex-dependent differences in intrinsic FC within the triple networks was reported in humans [66]. Inconsistencies between results in human studies and reported here could be due to several factors known to significantly impact FC including use of anesthesia for data acquisition [69], collapsing samples across two age-groups [70] and contribution of the brain size differences [71].
This study revealed greater level of FC within the DMN and between this network and SN in adult rats compared to adolescents (Fig. 3). This finding corresponds to the previously reported age-dependent increase in intra- [72,73] and inter-network DMN-related connectivity [73–75]. In line with previous observations of age-related network connectivity, our results indicate strengthened synchronization of BOLD activity between the nodes of DMN and SN in rats. The reduced level of synchrony in the activity in adolescents might be underlined by individual differences in ongoing neurodevelopmental process within the DMN regions including synaptic pruning and myelination completed in adulthood [76–79]. It is important to mention that adolescence is relatively short in rodents (between PND 28–42, with late adolescence extending to PND 55 [80]) compared to primates. Neurodevelopmental changes occurring across this age window are dynamic and significantly differ among early, middle and late adolescent periods [58,81]. The age-dependent differences observed in this study are specific to middle adolescence and, presumably, impacted by the developmental processes specific to this age. Thus, caution should be taken when interpreting the findings from the present study as it may not be generalizable across the entire adolescent period.
The neurodevelopmental changes occurring during adolescence is a significant factor contributing to vulnerability for developing alcohol use disorder [58]. In this study, acute alcohol intoxication dose-dependently increased intra- and inter connectivity of LCN that contains somatosensory and primary motor regions of the cortex (Fig. 4). Region-specific effect of acute alcohol on brain functional connectivity has been reported in humans. In agreement with results reported here, acute alcohol enhanced intra- and inter-network FC of somatosensory cortex in human brain [82,83]. However, reduced FC was reported between the areas of the frontal cortex, including prefrontal and anterior cingulate cortices, in young adults after acute alcohol [84]. In our previous study we investigated chronic and acute alcohol effects on FC between cortico-striatal regions associated with alcohol misuse [21]. Specifically, chronic alcohol exposure during adolescence resulted in reduced FC in adulthood within frontal cortical regions and between frontal cortical regions and striatum. In the same study, acute alcohol in adulthood enhanced cortico-striatal FC in alcohol-naïve animals, but not in rats with a history of adolescent alcohol exposure. The current study provides novel insights on the impact of acute alcohol on connectivity of sensorimotor cortices in alcohol-naïve animals. Acute alcohol enhanced intrinsic FC between these cortical regions as well as intra-network connectivity. While overall alcohol-related results in this study correspond to the previous research, the moderation analysis revealed an age-dependent effect in alcohol impact (Fig. 5). Age-dependent sensitivity to social, physical and cognitive effects of alcohol was previously reported in rodents, with adolescents being less responsive to alcohol dosing compared to adults [81,85,86]. This study provides novel insight on a possible network mechanism underlying blunted behavioral response to alcohol among adolescents.
While the rs-fMRI measures allow for assessment of acute and chronic alcohol effects on brain function, the mechanism underlying alcohol-induced change in FC remains incompletely understood. Several studies showed that acute alcohol decreases neuronal firing in the somatosensory cortex [87, 88]. Our recent fiber photometry study also showed that acute alcohol decreases calcium-dependent GCaMP activity in the prefrontal neurons [89]. Depending on the concentration, alcohol potentiates or inhibits calcium-dependent vasoconstriction [90–92], which subsequently alters local cerebral blood flow leading to a change in the BOLD fMRI signal [93]. Intriguingly, some previous studies reported an increase in the cerebral blood flow and reduced glucose utilization [94–96] after acute and chronic alcohol. The alcohol-induced decoupling between glucose metabolism and cerebral blood flow can be due to a shift in energy substrate toward an increase in metabolism of acetate as energy source, reported in humans after acute and chronic alcohol [96]. Glucose is essential for the synthesis of the glutamate-precursor glutamine [97], and alcohol misuse has been linked to a deficit in extracellular glutamate levels and an altered balance between the glutamate-dependent excitatory and GABA-dependent inhibitory neurotransmission systems [98,99]. Nevertheless, it should be noted that decrease in neuronal activity or glucose metabolism does not necessarily come with a decrease in FC (i.e., enhanced synchronization can occur at lower amplitude of activity), and involvement of vasoactive neurotransmission can lead to decoupling between neuronal activity and flow [60,100,101]. In a recent study, Ochi and colleagues (2022) reported an inverted correlation between alcohol-induced increase in cortical FC and somatostatin cortical gene expression in human brain, suggesting that alcohol-induced inhibition of GABAergic interneurons might underly the change in connectivity [83]. Indeed, the GABAergic system is closely related to alcohol-induced activity changes [102–104]. Inhibition of GABA interneurons would lead to presumably synchronized disinhibition of projecting pyramidal neurons, which might be reflected by increased connectivity between cortical brain regions. Importantly, developmental changes of GABA-mediated inhibition in the somatosensory and prefrontal cortices during adolescence have been also reported in rodents [105–107], suggesting a potential role of GABA-interneurons in age-dependent differences in alcohol effect on FC observed in this study. Future studies combining different recording modalities such as FSCV-fMRI [108], electrophysiology [109–111] and fiber photometry [112, 113] can help reveal the potential role of GABAergic interneurons in alcohol-induced increase in cortical FC.
This study has few limitations. The fcMRI data acquisition was conducted with continuous infusion of dexmedetomidine plus low-dose isoflurane. While this protocol is broadly utilized in rodents [114], isoflurane is known to act through the GABAergic mechanism in the brain [115, 116], and the combination with dexmedetomidine, an alpha-2 adrenergic agonist, might interact with alcohol to alter alcohol-induced FC changes. It is therefore important to note that the observed FC changes may differ in non-anaesthetized subjects. Specifically, the cognition- and perception-related network changes are expected to lessen in the current anaesthetized setting, while the pharmacological effects of alcohol may be accentuated. Future studies performing fMRI in awake rodents can address this caveat [117–121]. Additionally, this study uses the cumulative ethanol dosing via i.p. route. While this dosing approach mimics intoxication in humans during a drinking episode, it makes it difficult to identify the exact dose and timing effects on functional connectivity. Nevertheless, using proton magnetic resonance spectroscopy (MRS) in rats, Adalsteinsson and collogues (2006) have revealed a rapid increase (within 7 min) in brain ethanol concentration after 1 g/kg dose (i.p.) followed by its slow decay at the rate of −0.21 mg%/min; whereas Carton and collogues (2019) used MRS and gas chromatography analysis to reveal that cerebral and blood ethanol concentration peaks at 30 min post 1 and 2 g/kg dose [99]. These results suggest the variability in cerebral kinetics of ethanol kinetics in the brain, individual differences in the rate of ethanol absorption, first-pass effect associated with i.p. delivery, and ethanol decay in the brain within the 15 min epoch preceding the following injection may represent confounding factors of our study. Future studies with real-time BEC measurement are needed to reveal the exact dose-connectivity relationship beyond what is reported in this work.
Funding
This research was supported by the National Institutes of Health, NIAAA (U01AA020023, P60AA011605, K01AA025383), NIMH (R01MH126518, R01MH111429, RF1MH117053, S10MH124745), NINDS (R01NS091236), NICHD (P50HD103573), and Office of the Director (S10OD026796). We thank the members of the UNC Center for Animal MRI and Bowles Center for Alcohol Studies for their inputs.
Footnotes
Declaration of Competing Interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
CRediT authorship contribution statement
Sung-Ho Lee: Investigation, Writing – original draft. Tatiana A. Shnitko: Writing – original draft, Writing – review & editing. Li-Ming Hsu: Investigation. Margaret A. Broadwater: Conceptualization. Mabelle Sardinas: Investigation. Tzu-Wen Winnie Wang: Investigation. Donita L. Robinson: Conceptualization. Ryan P. Vetreno: Writing – review & editing. Fulton T. Crews: Conceptualization. Yen-Yu Ian Shih: Conceptualization, Writing – review & editing.
Data availability
Data will be made available on request.
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Associated Data
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Data Availability Statement
Data will be made available on request.