{"title":"酒精和酒精中毒相关的神经系统疾病:全球视角的最新进展和最近的建议","authors":"Prashanti Sahu, Henu Kumar Verma, Lvks Bhaskar","doi":"10.5493/wjem.v15.i1.100402","DOIUrl":null,"url":null,"abstract":"<p><p>Alcohol use disorder (AUD) is a medical condition that impairs a person's ability to stop or manage their drinking in the face of negative social, occupational, or health consequences. AUD is defined by the National Institute on Alcohol Abuse and Alcoholism as a \"severe problem\". The central nervous system is the primary target of alcohol's adverse effects. It is crucial to identify various neurological disorders associated with AUD, including alcohol withdrawal syndrome, Wernicke-Korsakoff syndrome, Marchiafava-Bignami disease, dementia, and neuropathy. To gain a better understanding of the neurological environment of alcoholism and to shed light on the role of various neurotransmitters in the phenomenon of alcoholism. A comprehensive search of online databases, including PubMed, EMBASE, Web of Science, and Google Scholar, was conducted to identify relevant articles. Several neurotransmitters (dopamine, gamma-aminobutyric acid, serotonin, and glutamate) have been linked to alcoholism due to a brain imbalance. Alcoholism appears to be a complex genetic disorder, with variations in many genes influencing risk. Some of these genes have been identified, including two alcohol metabolism genes, <i>alcohol dehydrogenase 1B gene</i> and <i>aldehyde dehydrogenase 2 gene</i>, which have the most potent known effects on the risk of alcoholism. Neuronal degeneration and demyelination in people with AUD may be caused by neuronal damage, nutrient deficiencies, and blood brain barrier dysfunction; however, the underlying mechanism is unknown. This review will provide a detailed overview of the neurobiology of alcohol addiction, followed by recent studies published in the genetics of alcohol addiction, molecular mechanism and detailed information on the various acute and chronic neurological manifestations of alcoholism for the Future research.</p>","PeriodicalId":75340,"journal":{"name":"World journal of experimental medicine","volume":"15 1","pages":"100402"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11718584/pdf/","citationCount":"0","resultStr":"{\"title\":\"Alcohol and alcoholism associated neurological disorders: Current updates in a global perspective and recent recommendations.\",\"authors\":\"Prashanti Sahu, Henu Kumar Verma, Lvks Bhaskar\",\"doi\":\"10.5493/wjem.v15.i1.100402\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Alcohol use disorder (AUD) is a medical condition that impairs a person's ability to stop or manage their drinking in the face of negative social, occupational, or health consequences. 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引用次数: 0
摘要
酒精使用障碍(AUD)是一种医学状况,它损害了一个人在面对负面的社会、职业或健康后果时停止或控制饮酒的能力。澳大利亚国家酒精滥用和酒精中毒研究所将澳元定义为“严重问题”。中枢神经系统是酒精副作用的主要目标。鉴别与AUD相关的各种神经系统疾病至关重要,包括酒精戒断综合征、Wernicke-Korsakoff综合征、Marchiafava-Bignami病、痴呆和神经病变。为了更好地了解酒精中毒的神经环境,阐明各种神经递质在酒精中毒现象中的作用。我们对PubMed、EMBASE、Web of Science和谷歌Scholar等在线数据库进行了全面搜索,以确定相关文章。一些神经递质(多巴胺、γ -氨基丁酸、血清素和谷氨酸)由于大脑失衡而与酒精中毒有关。酗酒似乎是一种复杂的遗传疾病,许多基因的变异会影响风险。其中一些基因已经被确定,包括两个酒精代谢基因,酒精脱氢酶1B基因和醛脱氢酶2基因,这两个基因对酒精中毒的风险有最有效的已知影响。AUD患者的神经元变性和脱髓鞘可能由神经元损伤、营养缺乏和血脑屏障功能障碍引起;然而,其潜在机制尚不清楚。本文将详细介绍酒精成瘾的神经生物学,以及最近发表的酒精成瘾遗传学、分子机制和各种急性和慢性酒精中毒神经学表现的详细信息,为今后的研究提供参考。
Alcohol and alcoholism associated neurological disorders: Current updates in a global perspective and recent recommendations.
Alcohol use disorder (AUD) is a medical condition that impairs a person's ability to stop or manage their drinking in the face of negative social, occupational, or health consequences. AUD is defined by the National Institute on Alcohol Abuse and Alcoholism as a "severe problem". The central nervous system is the primary target of alcohol's adverse effects. It is crucial to identify various neurological disorders associated with AUD, including alcohol withdrawal syndrome, Wernicke-Korsakoff syndrome, Marchiafava-Bignami disease, dementia, and neuropathy. To gain a better understanding of the neurological environment of alcoholism and to shed light on the role of various neurotransmitters in the phenomenon of alcoholism. A comprehensive search of online databases, including PubMed, EMBASE, Web of Science, and Google Scholar, was conducted to identify relevant articles. Several neurotransmitters (dopamine, gamma-aminobutyric acid, serotonin, and glutamate) have been linked to alcoholism due to a brain imbalance. Alcoholism appears to be a complex genetic disorder, with variations in many genes influencing risk. Some of these genes have been identified, including two alcohol metabolism genes, alcohol dehydrogenase 1B gene and aldehyde dehydrogenase 2 gene, which have the most potent known effects on the risk of alcoholism. Neuronal degeneration and demyelination in people with AUD may be caused by neuronal damage, nutrient deficiencies, and blood brain barrier dysfunction; however, the underlying mechanism is unknown. This review will provide a detailed overview of the neurobiology of alcohol addiction, followed by recent studies published in the genetics of alcohol addiction, molecular mechanism and detailed information on the various acute and chronic neurological manifestations of alcoholism for the Future research.