Drugs of abuse that cause developing neurons to commit suicide
1Department of Psychiatry, Washington University, Campus Box 8134, 660 S. Euclid Avenue, St. Louis, MO 63110-1093, USA. farbern@psychiatry.wustl.edu
Abstract:
When neuronal activity is abnormally suppressed during the developmental period of synaptogenesis, the timing and sequence of synaptic connections is disrupted, and this causes nerve cells to receive an internal signal to commit suicide, a form of cell death known as "apoptosis". By altering glutamate and GABA transmission alcohol suppresses neuronal activity, causing millions of nerve cells to commit suicide in the developing brain. This proapoptotic effect of alcohol provides a likely explanation for the diminished brain size and lifelong neurobehavioral disturbances associated with the human fetal alcohol syndrome. These findings have public health significance, not only in relation to fetal alcohol syndrome, but also in relation to several other drugs of abuse and various drugs used in obstetric and pediatric medicine, because these additional drugs (e.g. phencyclidine, ketamine, benzodiazepines, barbiturates) also suppress neuronal activity and drive developing neurons to commit suicide.
Insights
Alcohol suppresses brain development by increasing nerve cell death (apoptosis) during critical periods. This explains fetal alcohol syndrome and highlights risks from other drugs affecting neuronal activity.
Area of Science:
- Neuroscience
- Developmental Biology
- Toxicology
Background:
- Synaptogenesis is a critical developmental period for establishing neural connections.
- Abnormal suppression of neuronal activity during development disrupts synaptic timing and sequence.
- This disruption can trigger programmed cell death, known as apoptosis, in developing neurons.
Purpose of the Study:
- To investigate the mechanism by which alcohol affects neuronal development.
- To determine if alcohol-induced neuronal activity suppression leads to apoptosis.
- To explore the implications for fetal alcohol syndrome and other drug exposures.
Main Methods:
- Examined the effects of alcohol on neuronal activity during synaptogenesis.
- Assessed alcohol's impact on glutamate and GABA neurotransmission.
- Investigated the induction of apoptosis in developing neurons exposed to alcohol.
Main Results:
- Alcohol suppresses neuronal activity by altering glutamate and GABA transmission.
- This suppression triggers apoptosis in millions of developing nerve cells.
- The proapoptotic effect of alcohol offers a mechanism for fetal alcohol syndrome.
Conclusions:
- Alcohol-induced apoptosis during development likely causes the brain abnormalities seen in fetal alcohol syndrome.
- Other drugs that suppress neuronal activity (e.g., ketamine, benzodiazepines) may pose similar risks.
- Findings have significant public health implications for prenatal drug exposure.
Related Concept Videos
Drugs Affecting Neurotransmitter Synthesis
Drugs Affecting Neurotransmitter Release or Uptake
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
Drug Abuse and Addiction: Pharmacological Phenomena
CNS Stimulants: Psychedelic Agents
Drugs Acting on Autonomic Ganglia: Stimulants
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating sympathetic or...


