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Schwarze, Y.

Publications and source records attributed to Schwarze, Y..

3 recordsLinked to original sources

Interleukin-6 responses to acute stress are not altered in alcohol use disorder despite elevated baseline inflammation

Acute stress activates the immune system, leading to the release of pro-inflammatory cytokines, such as interleukin-6 (IL-6). Chronic alcohol consumption alters the physiological stress systems and is associated with increased chronic inflammation. However, it remains unclear how IL-6 responds to acute stress in individuals with alcohol use disorder (AUD). Forty patients with AUD during early abstinence and 37 healthy controls (HC) completed two study visits. On one day, an acute stress induction task was performed, and on the other, a non-stressful control task, with the order of tasks being balanced. Plasma IL-6 and C-reactive protein (CRP) were measured as inflammatory markers at baseline and changes in IL-6 were assessed 90 minutes after the experimental manipulation. Patients with AUD showed significantly elevated baseline IL-6 and CRP compared to HC and the levels correlated positively with the amount of consumed alcohol in patients. IL-6 responses to the stress intervention did not differ between groups. Increases in IL-6 were observed on stress and control days and were larger when samples were collected via an indwelling catheter than with a butterfly needle. These findings suggest that IL-6 responses to acute stress do not differ between AUD and HC, despite increased baseline inflammation. Furthermore, the results indicate that blood collection methods can influence IL-6 measurements and highlight the importance of methodological considerations.

immunology↗

No neurobehavioral evidence for reduced motivational potential of social rewards in alcohol use disorder

BackgroundThe mesolimbic dopamine system plays a central role in motivating behavior. In alcohol use disorder (AUD), this system is thought to be dysfunctional, leading to hyperreactivity to alcohol-related cues. In contrast, evidence on how individuals with AUD respond to alcohol-unrelated reward cues is inconclusive, and the motivation for social rewards has not yet been investigated. MethodsTo address this gap, 36 individuals with AUD and 34 healthy controls performed an incentive delay task to assess social reward anticipation with a monetary and a non-reward control condition while undergoing functional magnetic resonance imaging. The ventral striatum was defined as region of interest because of its central role in neuronal circuits for motivation. ResultsNeither behavioral nor neuroimaging data provided any evidence of reduced motivation for social or monetary rewards in AUD. Exploratory whole-brain analyses only revealed stronger activation in the occipital/cuneal cortex in individuals with AUD than in healthy controls across all trials. ConclusionTogether, these results suggest that sensitivity to social reward cues is not fundamentally impaired in AUD. Furthermore, they imply that motivational changes related to the substance do not generally alter the reward potential of alcohol-unrelated domains in AUD, opening perspectives for social-behavioral treatments for this disorder.

neuroscience↗

Altered physiological, affective, and functional connectivity responses to acute stress in patients with alcohol use disorder

BackgroundThere is evidence that the processing of acute stress is altered in alcohol use disorder (AUD), but little is known about how this is manifested simultaneously across different stress parameters and which neural processes are involved. The present study examined physiological and affective responses to stress and functional connectivity in AUD. MethodsSalivary cortisol samples, pulse rate, and affect ratings were collected on two days from 34 individuals with moderate or severe AUD and 34 controls. On one day, stress was induced, and on the other day, a non-stressful control task was performed. Following the intervention, participants underwent fMRI to assess functional connectivity, focusing on cortical and subcortical seed regions previously reported to be involved in AUD and/or stress. ResultsFor pulse rate and cortisol, stress responses were blunted in AUD, whereas negative affect was increased. Furthermore, stress-related changes in pulse rate, cortisol, and affect were only correlated in healthy controls. Neuroimaging analyses revealed stress-related group differences in functional connectivity, involving the connectivity of striatal seeds with the posterior DMN, cerebellum and midcingulate cortex, and of the posterior DMN seed with the striatum and thalamus. ConclusionsThe results suggest a dissociation between subjective experienced distress and the physiological stress response in AUD as well as stress-related alterations in functional connectivity. These findings highlight the complex interplay between chronic alcohol use and acute stress regulation, offering valuable considerations for the development of therapeutic strategies.

neuroscience↗