Metabotropic Glutamate Receptors in Alcohol Use Disorder: Physiology, Plasticity, and Promising Pharmacotherapies

Max E. Joffe, Samuel W. Centanni, Anel A. Jaramillo, Danny G. Winder, P. Jeffrey Conn

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations

Abstract

Developing efficacious treatments for alcohol use disorder (AUD) has proven difficult. The insidious nature of the disease necessitates a deep understanding of its underlying biology as well as innovative approaches to ameliorate ethanol-related pathophysiology. Excessive ethanol seeking and relapse are generated by long-term changes to membrane properties, synaptic physiology, and plasticity throughout the limbic system and associated brain structures. Each of these factors can be modulated by metabotropic glutamate (mGlu) receptors, a diverse set of G protein-coupled receptors highly expressed throughout the central nervous system. Here, we discuss how different components of the mGlu receptor family modulate neurotransmission in the limbic system and other brain regions involved in AUD etiology. We then describe how these processes are dysregulated following ethanol exposure and speculate about how mGlu receptor modulation might restore such pathophysiological changes. To that end, we detail the current understanding of the behavioral pharmacology of mGlu receptor-directed drug-like molecules in animal models of AUD. Together, this review highlights the prominent position of the mGlu receptor system in the pathophysiology of AUD and provides encouragement that several classes of mGlu receptor modulators may be translated as viable treatment options.

Original languageEnglish
Pages (from-to)2188-2204
Number of pages17
JournalACS Chemical Neuroscience
Volume9
Issue number9
DOIs
StatePublished - Sep 19 2018

Bibliographical note

Publisher Copyright:
© 2018 American Chemical Society.

Funding

*Department of Pharmacology, Vanderbilt University, 12475E MRB4, Nashville, TN 37232-0697. E-mail: max.joffe@ vanderbilt.edu. Telephone: (615) 322-6730. Fax: (615) 343-3088. *Vanderbilt Center for Neuroscience Drug Discovery, Vanderbilt University, 1205 Light Hall, Nashville, TN 37232-0697. E-mail: [email protected]. Telephone: (615) 936-2478. Fax: (615) 343-3088. ORCID Max E. Joffe: 0000-0002-6748-886X Author Contributions S.W.C. and A.A.J. contributed equally to this work. D.G.W. and P.J.C. contributed equally to this work. M.E.J. conceived the review. S.W.C. and A.A.J. composed the sections on interoception, binge/intoxication, and withdrawal. M.E.J. composed all other sections. M.E.J., S.W.C., A.A.J., D.G.W., and P.J.C. critically reviewed the document, tables, and figures. Funding This work was supported by National Institutes of Health (NIH) Grants R01MH062646 (P.J.C.), R37NS031373 (P.J.C.), and R01AA019455 (D.G.W.). M.E.J. was supported by a postdoctoral fellowship through the Pharmaceutical Research and Manufacturers of America Foundation. Notes The authors declare the following competing financial interest(s): P.J.C. has been funded by the National Institutes of Health, AstraZeneca, Bristol-Myers Squibb, the Michael J. Fox Foundation, the Dystonia Medical Research Foundation, the CHDI Foundation, and the Thome Memorial Foundation. Over the past three years, he has served on the Scientific Advisory Boards for the Michael J. Fox Foundation, the Stanley Center for Psychiatric Research Broad Institute, Karuna Pharmaceuticals, the Lieber Institute for Brain Development, Clinical Mechanism and Proof of Concept Consortium, and the Neurobiology Foundation for Schizophrenia and Bipolar Disorder. P.J.C. is an inventor on patents that protect different classes of mGlu receptor allosteric modulators. M.E.J., S.W.C., A.A.J., and D.G.W. declare no conflicts of interest.

FundersFunder number
National Institutes of Health (NIH)R01MH062646, R37NS031373
National Institute on Alcohol Abuse and AlcoholismR01AA019455
The Michael J Fox Foundation for Parkinson's Research
Dystonia Medical Research Foundation
Pharmaceutical Research and Manufacturers of America Foundation
Bristol-Myers Squibb
AstraZeneca
CHDI Foundation
Edward N and Della L Thome Memorial Foundation

    Keywords

    • Alcohol use disorder
    • bed nucleus of the stria terminalis
    • metabotropic glutamate receptor
    • nucleus accumbens
    • prefrontal cortex
    • synaptic plasticity

    ASJC Scopus subject areas

    • Biochemistry
    • Physiology
    • Cognitive Neuroscience
    • Cell Biology

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