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Alcohol

Elsevier BV

Preprints posted in the last 30 days, ranked by how well they match Alcohol's content profile, based on 15 papers previously published here. The average preprint has a 0.01% match score for this journal, so anything above that is already an above-average fit.

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Unpredictable intermittent access exacerbates loss of control over ethanol drinking

Mitten, E. H.; Caldwell, J. M.; Zambrano, G.; Arce Soto, N. M.; Glover, E. J.

2026-04-03 neuroscience 10.64898/2026.03.31.715677 medRxiv
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BackgroundLoss of control over drinking is a hallmark feature of alcohol use disorder (AUD) that is modeled preclinically through escalation of ethanol consumption and aversion-resistant drinking. Prior work with other reinforcers suggests that within-session unpredictable, intermittent access (uIntA) promotes loss of control over intake. However, the effect of uIntA on voluntary ethanol consumption is unknown. MethodsMale and female Long-Evans rats (n=9-10/group) underwent seven weeks of daily voluntary ethanol (20% v/v) drinking sessions under either a continuous access (ContA) or uIntA schedule. Following four weeks of baseline, rats were rendered dependent using a two-week chronic intermittent ethanol vapor exposure procedure. Daily testing was maintained through one week into withdrawal from vapor exposure. On the final day of testing, ethanol was adulterated with quinine (30 mg/L) to assess aversion-resistant drinking. ResultsRats drinking under ContA and uIntA exhibited similar levels of average daily ethanol consumption at baseline. However, uIntA elicited a more robust dependence-induced escalation of ethanol consumption compared to ContA, with uIntA sustaining escalation through early protracted withdrawal. Additionally, while rats with ContA to ethanol remained sensitive to quinine even after chronic ethanol vapor exposure, uIntA promoted aversion-resistant drinking in ethanol dependent rats. ConclusionsThese results demonstrate that, compared to ContA, uIntA maintains ethanol drinking and exacerbates AUD-related symptomatology while also providing researchers with the ability to capture additional measures of motivation and drinking patterns without increasing experimental burden. This work positions uIntA as a powerful tool to assess psychological and neurobiological factors underlying loss of control over drinking.

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Cross-Tabulating Epidemiological Covariates with AUDIT-C Data in Large-Scale Biobanks

Blackburn, A.

2026-04-03 epidemiology 10.64898/2026.04.01.26349975 medRxiv
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Introduction: The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) is a widely utilized screening tool in large-scale electronic health record (EHR) biobanks. However, its categorical, range-based survey responses present a significant challenge for epidemiological research, especially where continuous quantitative variables may be preferred. Standard workarounds, such as assigning categorical midpoints or utilizing aggregate ordinal scores for regression mapping often introduce false mathematical precision or obscure critical behavioral nuances between drinking frequency and quantity. This report presents a novel framework for presenting and bounding categorical alcohol survey data. Materials and Methods: I developed two complementary descriptive techniques: (1) a two-dimensional cross-tabulation matrix that preserves the interaction between drinking frequency and typical quantity, and (2) a systematic bounding algorithm that applies time-interval correction factors to calculate strict lower and upper estimates of average daily alcohol consumption. To demonstrate the real-world utility of this framework, I applied these methods to three analytical descriptive scenarios within a European ancestry (EUR) cohort of the All of Us Research Program: Generalized Anxiety Disorder (GAD) prevalence (n=104,893), minor allele frequency (MAF) for the rs1229984 genetic variant (n=104,890), and self-reported active duty military service history (n=104,893). Results: Application of the cross-tabulation matrix revealed patterns across all three descriptive scenarios. For example, participants reporting the highest frequency ("4 or more times a week") combined with the highest quantity ("10 or More" drinks) demonstrated a GAD prevalence of 13.5%, compared to 5.8% among those reporting the same frequency but a low quantity ("1 or 2" drinks). A general trend of increased anxiety in higher quantity drinkers contrasts with a general trend of decreased anxiety in higher frequency drinkers. Bounding estimates for average daily consumption ranged from 0.299 to 0.730 drinks for individuals with GAD, and 0.303 to 0.787 for those without. Those who reported having been active duty in the US Armed Forces demonstrated a general trend toward more frequent drinking and higher average daily consumption estimates (0.339 to 0.875) than those who had not (0.297 to 0.770). The minor allele of the genetic variant rs1229984 exhibited a clear effect reducing both frequency and quantity, resulting in lower average daily consumption estimates. Conclusions: This bounding and mapping framework provides researchers with an additional method to traditional midpoint and aggregate scoring methods. By explicitly defining the uncertainty inherent in categorical survey instruments and visualizing cohort distributions across intersecting behavioral axes, this methodology improves the resolution, reproducibility, and interpretability of lifestyle exposure data.

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Interferon-Regulatory Factor 7: A Neuroimmune Role For Vapor-Induced Escalations In Ethanol Self-Administration

Lovelock, D. F.; Carew, J. M.; McNair, E. M.; Materia, B. M.; Darawsheh, S.; Downs, A. M.; Sizer, S. E.; McDonald, S. A.; McEligott, Z. A.; Coleman, L. G.; Besheer, J.

2026-04-05 neuroscience 10.64898/2026.04.01.715945 medRxiv
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Neuroimmune signaling is increased in postmortem brain tissue from individuals with alcohol use disorder (AUD), and growing evidence suggests that it contributes to persistent alcohol-related neuroadaptations. Interferon regulatory factor 7 (IRF7), a transcription factor downstream of endosomal Toll-like receptor signaling, is induced in alcohol-relevant brain regions and may contribute to escalated drinking. Here, we tested whether chronic intermittent ethanol (CIE) vapor exposure engages IRF7 signaling during subsequent alcohol self-administration and whether this is associated with altered molecular E/I balance in the aIC and altered functional E/I balance in aICnucleus accumbens projection neurons. Female Wistar rats (n=30) were trained to self-administer alcohol (15% v/v; FR2 vs inactive lever) during 30-minute sessions. After establishing baseline drinking, rats underwent 1-3 cycles of CIE, which increased alcohol self-administration at the 72 h post vapor test. This increase positively correlated with IRF7 levels in the anterior insular cortex (aIC) and nucleus accumbens, while molecular, and immunofluorescence showed that CIE shifted aIC excitatory/inhibitory (E/I) balance toward reduced excitation. Electrophysiological recordings further showed reduced functional E/I balance in aIC neurons projecting to the nucleus accumbens. Knockdown of IRF7 in the aIC attenuated CIE induced escalation of alcohol self-administration, supporting a role for insular IRF7 signaling in alcohol related neuroadaptations that promote escalated drinking.

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Electroconvulsive seizures for alcohol use disorder: a preclinical study

Garcia-Cabrerizo, R.; Bergas-Cladera, P.; Colom-Rocha, C.; Garcia-Fuster, M. J.

2026-04-01 pharmacology and toxicology 10.64898/2026.03.30.715248 medRxiv
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The use of neuromodulation techniques for the treatment of alcohol use disorder is receiving increasing attention, especially non-invasive approaches, such as repetitive transcranial magnetic stimulation or transcranial direct current stimulation, while the hypothetical use of electroconvulsive therapy remains unexplored. Given our experience inducing electroconvulsive seizures (ECS) for therapeutic purposes in psychopathology rodent models, we evaluated the role of ECS on reducing the increased voluntary ethanol consumption caused by adolescent ethanol exposure in our validated preclinical model. Rats were treated in adolescence with a binge paradigm of ethanol (2 g/kg, i.p.; 3 rounds of 2 days at 48-h intervals; post-natal day, PND 29-30, PND 33-34 and PND 37-38) or saline. Following persistent withdrawal until adulthood, rats were allowed to: voluntarily drink ethanol (20%) by a two-bottle choice test, for 3 days (PND 80-82); treated with ECS (95 mA for 0.6 s, 100 Hz, pulse width 0.6 ms; ear-clip electrodes) or SHAM for 5 days (PND 86-90); re-exposed to voluntarily ethanol exposure (PND 94-96). Brains were collected on PND 97 to evaluate hippocampal markers of ethanol toxicity and/or treatment response (e.g., NeuroD, NF-L, BDNF and NF-L/BDNF ratio). Our results reproduced the increased voluntary ethanol consumption in adult rats induced by adolescent ethanol exposure and demonstrated that ECS could improve this abuse-prone response. Moreover, we suggested a possible role for BDNF in the beneficial effects induced by ECS, especially reducing the neurotoxic ratio NF-L/BDNF. Overall, we provide preclinical evidence for the potential use of ECS as an efficacious treatment for alcohol use disorder.

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Alternative polyadenylation in the brain is altered by chronic ethanol exposure in a sex- and cell type-specific manner

Grozdanov, P. N.; Ferguson, L. B.; Kisby, B. R.; MacDonald, C. C.; Messing, R. O.; Ponomarev, I.

2026-03-19 neuroscience 10.64898/2026.03.17.712352 medRxiv
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Alternative polyadenylation (APA) is a common posttranscriptional mechanism to regulate gene expression. APA generates mRNAs with varying lengths of 3' UTRs or transcripts that encode distinct protein carboxy-terminal ends. APA is especially important in neurons, where different mRNA variants are often asymmetrically localized to dendrites and axons, and can be locally translated into proteins. Local protein synthesis is crucial for axon guidance, synaptic plasticity, and learning and memory, key processes associated with the development of alcohol use disorder (AUD). We investigated the role of APA in AUD using a mouse model of alcohol dependence characterized by increased voluntary drinking after chronic intermittent ethanol (CIE) exposure. We examined APA during protracted withdrawal from alcohol in three brain regions of male and female mice. Our analyses revealed hundreds of genes undergoing APA in males, but substantially fewer in females, suggesting sex-specific effects of CIE on APA. Notably, male and female mice displayed distinct APA signatures. APA genes were different from differentially expressed genes (DEGs), suggesting that these molecular processes are regulated independently. We also determined that the expression of APA genes was associated with neurons, while DEGs were associated with non-neuronal cells. Many of the APA genes were involved in synaptic integrity, neuroplasticity, and neuronal maintenance, which was consistent with their enrichment in neurons. Our study suggests that APA is a crucial sex- and cell type-specific mechanism in AUD with the potential to influence localized neuronal protein expression during protracted withdrawal and to modify alcohol consumption behavior. HIGHLIGHTSO_LIChronic ethanol exposure in mice results in profound changes of APA genes in brain. C_LIO_LICommonly regulated cleavage and polyadenylation sites and genes were identified in male but not in female mice. C_LIO_LIThere was a minimal overlap between APA and differentially expressed genes (DEGs). C_LIO_LIAPA genes were primarily associated with neurons, whereas DEGs were associated with non-neuronal cells. C_LI

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Astrocyte Reactivity by Alcohol Dependence in the Central Amygdala

Hashimoto, J. G.; Gonzalez, A. E.; Gorham, N.; Barbour, Z.; Roberts, A. J.; Day, L. Z.; Nedelescu, H.; Heal, M.; Davis, B. A.; Carbone, L.; Jacobs, J.; Roberto, M.; Guizzetti, M.

2026-04-06 neuroscience 10.64898/2026.04.02.716159 medRxiv
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Astrocytes play essential roles in maintaining brain homeostasis and in contributing to synaptic functions, but, in response to injury, infection, or disease, astrocytes can downregulate their homeostatic and physiological functions while increasing neuroinflammatory responses. The central amygdala (CeA) is important for stress responsivity and the development of alcohol (ethanol) dependence. Using a multi-omics approach in Aldh1l1-EGFP/Rpl10a mice and the chronic intermittent ethanol two-bottle choice (CIE-2BC) model, we have characterized the translational response of CeA astrocytes, as well as the proteomic and phosphoproteomic changes in ethanol dependent, non-dependent, and naive mice. We identified astrocyte-specific alterations in neuroimmune functions and antioxidant/oxidative stress pathways in ethanol dependent mice as well as cytoskeletal plasticity related pathways in non-dependent mice. Proteomic analysis showed down-regulation of astrocyte physiological functions in dependent animals while phosphoproteomic analysis identified pathways associated with cytoskeleton remodeling in both dependent and non-dependent mice. Reconstructions of astrocyte morphologies demonstrated increased CeA astrocyte complexity in dependent and non-dependent groups compared to naive mice. The astrocyte-specific activation of neuroimmune and antioxidant pathways, down-regulation of homeostatic functions, alteration in protein phosphorylation-mediated cytoskeleton remodeling, and increased astrocyte morphological complexity demonstrate that ethanol dependence induces astrocyte reactivity in the CeA consistent with both adaptive and maladaptive changes. These findings highlight the role of CeA astrocytes in the progression from alcohol intake to dependence and represent a first step toward identifying astrocyte-specific therapeutic strategies to treat Alcohol Use Disorder (AUD) aimed at potentiating reactive astrocyte adaptive changes and inhibiting maladaptive responses.

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Changes in perineuronal net and parvalbumin expression in the orbitofrontal cortex of male Wistar rats following repeated fentanyl administration

Dejeux, M. I. H.; Jewanee, S. S.; Moutos, S.; Trehan, A.; Golbarani, M.; Kwak, J.; Farach, E.; Cheng, N.; Kasaram, S. V.; Ogden, A.; Schwartz, B. A.; Nguyen, J. D.

2026-03-30 neuroscience 10.64898/2026.03.26.714490 medRxiv
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The misuse of opioid medications is a significant health issue in the United States. Very few studies have investigated the effect of opioids on perineuronal nets (PNNs), scaffold-like structures that surround neurons and are involved in the regulation of plasticity-dependent mechanisms such as development, learning and memory, and acquisition of addiction-like phenotypes. Regulation of PNNs in the orbitofrontal cortex (OFC) during periods of drug intoxication or withdrawal is widely unknown. In this study, male Wistar rats were injected with fentanyl (0.125 mg/kg, s.c.) or 0.9% saline twice daily for 7 days and once on day 8 (7continuous days following by 3 days of abstinence) or twice daily for 15 days (5 continuous days followed by 2 days of abstinence for more than 3 weeks) and twice on day 16. Antinociception was evaluated using the tail immersion test immediately before and 30 minutes after injections. Whole-brain coronal slices were collected, and immunohistochemistry was used to identify Wisteria Floribunda Agglutinin (WFA)-positive PNNs and parvalbumin (PV)-expressing cells. Results confirmed that repeated fentanyl injections induced tolerance to the antinociceptive effects, which normalized following acute abstinence periods. WFA intensity decreased following 8 days of injections. Analyses confirmed significant correlations between PV+ density and tail withdrawal latency following 8 days of fentanyl injections. These data confirm that repeated fentanyl injections modulate both WFA+ and PV+ expression in the rodent brain and antinociceptive tolerance in a duration-dependent manner. Overall, these data suggest that perineuronal nets may mediate opioid-induced behavioral effects, such as antinociceptive tolerance, following repeated administration and abstinence in rats.

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Nicotine self-administration increases impulsive action: differential effects of nAChR modulators in a Go/No-Go task

Chellian, R.; Huisman, G.; Bruijnzeel, A.

2026-04-02 pharmacology and toxicology 10.64898/2026.03.31.715632 medRxiv
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Tobacco use disorder is a chronic condition characterized by compulsive nicotine use, withdrawal, and relapse following abstinence. Impulsivity contributes to persistent nicotine use and poor cessation outcomes. This study examined whether nicotinic acetylcholine receptor (nAChR) modulators alter impulsive action in a nicotine self-administration Go/No-Go task in male and female rats. Rats acquired intravenous nicotine self-administration and were then trained in a Go/No-Go procedure in which active lever presses were reinforced during Go periods but not during No-Go periods. We then assessed the effects of varenicline (0.1-3 mg/kg), nicotine (0.1-0.6 mg/kg), and the nAChR antagonist mecamylamine (0.5-2 mg/kg) in the Go/No-Go procedure. Varenicline and nicotine pretreatment reduced active responding during both Go and No-Go periods, whereas mecamylamine selectively reduced responding during No-Go periods. Mecamylamine decreased the percentage of active responses during No-Go trials, indicating reduced bias toward the nicotine-associated lever. In contrast, nicotine and varenicline did not alter response allocation, suggesting that their effects reflected nonspecific reductions in responding rather than changes in impulsive action. No sex differences were observed. Substituting saline for nicotine during self-administration did not alter active responding during Go periods, but rats in the saline group had fewer active responses during No-Go periods than rats in the nicotine group. These results show that chronic nicotine self-administration increases impulsive action and that nAChR antagonism, but not agonism or partial agonism, reduces nicotine-related impulsive action. This work supports the utility of the Go/No-Go self-administration task for investigating nAChR-dependent mechanisms underlying nicotine-induced impulsivity.

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Adolescent drinking causes a loss of aspartoacylase-expressing oligodendrocytes and hypomyelination of anterior cingulate and corpus callosum axons in male mice, but not females.

Akli, S.; Flores-Bonilla, A.; Nouduri, S.; Scott, S. P.; Richardson, H.

2026-04-05 neuroscience 10.64898/2026.04.01.715654 medRxiv
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Adolescent binge drinking is a strong predictor of alcohol use disorder and related mental health outcomes in adulthood, which may be due to disruptions in myelination during this dynamic period of brain development. White matter expansion in frontal regions during adolescence is essential for mature decision-making and stress regulation, yet the cellular mechanisms by which alcohol disrupts this process remain poorly understood. We used multi-label immunofluorescence and confocal microscopy to visualize proteins in oligodendrocyte lineage cells and myelin ensheathment of axons in the anterior cingulate cortex (Cg1) and corpus callosum (CC) following four weeks of episodic voluntary binge drinking using the Drinking-in-the-Dark model in adolescent male and female C57BL/6NJ mice beginning on postnatal day 28. Contrary to our initial hypothesis that alcohol targets early-stage oligodendrocyte precursor cells (OPCs), binge drinking selectively depleted mature oligodendrocytes expressing aspartoacylase (ASPA) in the Cg1 and CC of male mice, but not females. This enzyme is essential for lipid biosynthesis and myelin production, and this cell-specific loss was accompanied by significant hypomyelination of axons only in males. These findings identify a later maturational stage of oligodendroglial development as a sex-dependent target of alcohol, advancing our mechanistic understanding of prefrontal myelin deficits in adolescent drinking. Furthermore, ASPA emerges as a potential therapeutic target for alcohol use disorder and demyelinating diseases, with differential vulnerability across sex carrying important implications for adult neurodevelopmental outcomes.

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Urine proteomic profiling at admission reveals complement biomarkers linked to alcohol-associated liver disease.

Prado, L. G.; Musich, R.; Taiwo, M.; Pathak, V.; Rotrof, D. M.; Bellar, A.; Welch, N.; Dasarathy, J.; Streem, D.; for the AlcHepNet, ; Dasarathy, S.; Nagy, L. E.

2026-04-07 immunology 10.64898/2026.04.04.716339 medRxiv
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Background and aimsCirculating complement is associated with occurrence of alcohol-associated hepatitis (AH) and is a potential biomarker to distinguish AH from alcohol cirrhosis (AC). Complement contributes to kidney injury, a condition often occurring in patients with alcohol-associated liver disease (ALD). However, little is known regarding complement in cross talk between liver and kidney in ALD. Here we tested the hypothesis that urinary complement would provide potential biomarkers for ALD and insights into mechanisms of liver-kidney crosstalk in the pathogenesis of ALD. MethodsPlasma and urine were collected at admission from patients with sAH, healthy controls (HC), and heavy drinkers without liver disease (HD) (from the multicenter Alcohol Hepatitis Network) and with AC (from the Northern Ohio Alcohol Center). Urine was subjected to unbiased proteomics analysis and plasma complement assessed by multiplex/ELISA assays. 30- and 90-day mortality was tracked in patients with sAH. ResultsAll three complement activation pathways were perturbed in plasma and urine of patients with sAH and AC compared to HC and HD. Components of the lectin and classical pathways in urine were associated with 30- and 90-day mortality in patients with sAH. When 4 complement proteins were combined, they distinguished sAH from AC (AUC 0.78), equivalent to that of MELD (AUC 0.65). There was no correlation between complement in plasma and urine, suggesting an independent impact of sAH on complement in kidney and liver. ConclusionThe urinary proteome revealed complement protein signatures associated with sAH and AC, providing valuable insights into the potential for complement biomarkers and the mechanisms of liver-kidney crosstalk in ALD.

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Neurobehavioral Effects of Dry Hit Nicotine E-Cigarette Vapor Inhalation in Adolescent Wistar Rats

Ogden, A.; Wright, S.; Kasaram, S. V.; Moutos, S.; Wernette, C.; Dejeux, M. I. H.; Schwartz, B. A.; Sayes, C. M.; Nguyen, J. D.

2026-03-30 neuroscience 10.64898/2026.03.26.714509 medRxiv
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"Dry Hitting" is a unique phenomenon of e-cigarette use that has been shown to produce toxic chemical degradants and byproducts. Although it is widely understood that nicotine exposure during adolescence impacts neurobiological and behavioral function, little is known about how dry hitting may impact users. We hypothesized that subjects repeatedly exposed to nicotine dry hit vapor would exhibit distinct behavioral responses compared with saturated nicotine vapor and would differentially alter the expression of perineuronal nets (PNNs) in the rodent brain. Using a customized system of e-cigarette vapor inhalation, adolescent male Wistar rats (PND 31-40) received vaporized nicotine (30 or 60 mg/mL; [~]2.5-3 mL/cage), nicotine with dry hits (60 mg/mL; 1.75-2 mL/cage), or propylene glycol (PG) vehicle for 30 minutes over 7 daily sessions. Locomotor activity, antinociception, and elevated plus maze testing were used to assess behavioral response to drug intoxication and tolerance. Immunohistochemistry was used to identify Wisteria Floribunda Agglutinin (WFA)-positive PNN structures in the amygdala and insular cortex. Rats exposed to dry hits exhibited behavioral responses (locomotor sensitization, antinociception) similar to those of rats exposed to saturated nicotine vapor, but spent more time in the open arms of the elevated plus maze. Immunohistochemical analyses confirmed significantly greater WFA intensity in the central nucleus of the amygdala, but not the basolateral amygdala or insular cortex, of rats exposed to dry hits. Overall, these data confirm the impact of dry hit vapor on behavioral responses and perineuronal net expression in rats during adolescence.

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Sex-specific differences in endocannabinoid regulation of cocaine-evoked dopamine in the medial nucleus accumbens shell

Gaulden, A. D.; Chase, K.; McReynolds, J. R.

2026-03-28 neuroscience 10.64898/2026.03.27.714857 medRxiv
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Endocannabinoid (eCB) signaling is a key regulator of reward-related dopaminergic signaling, particularly in response to drugs of abuse, such as cocaine. To date, our understanding of this mechanism has primarily been limited to male subjects. Prior work establishes that female cocaine users have more adverse outcomes, and female rats show greater sensitivity to cannabinoid type 1 receptor (CB1R) regulation of cocaine self-administration. Therefore, we hypothesize that female rats exhibit enhanced eCB regulation of cocaine-evoked dopamine (DA). We used in vivo fiber photometry recording of the dopamine biosensor, dLight 1.3b, in the nucleus accumbens medial shell (NAcms) in response to cocaine in male and female rats. Rats were pretreated with cannabinoid-targeting drugs to investigate the effects of CB1R inactivation or augmentation of the eCB 2-AG on cocaine-evoked DA. Our results revealed that CB1R inactivation attenuates cocaine-evoked DA in male and female rats, but females showed enhanced sensitivity for CB1R regulation of cocaine-evoked DA. Cocaine-evoked DA was enhanced by augmenting 2-AG levels, and females again showed increased sensitivity to this manipulation. Finally, females show greater cocaine-evoked DA when in a non-estrous cycle compared to estrous, reinforcing that estrous cycle is a determinant of cocaine-evoked DA. These data indicate that females show enhanced eCB regulation of cocaine-evoked DA signaling, underscoring the importance of sex as a biological variable in our understanding of endocannabinoid regulation of drug reward. HighlightsO_LICB1R inactivation attenuates cocaine-evoked DA in NAcms, preferentially in females C_LIO_LI2-AG augmentation via MAGL inhibition enhances cocaine-evoked DA, with female bias C_LIO_LIEstrous phase modulates the dopamine response to a high dose of cocaine in females C_LIO_LIMale and female rats show similar baseline DA and locomotor responses to cocaine C_LI

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Supporting women who have served in the Armed Forces with a smartphone app to reduce alcohol consumption: A Randomized Controlled Trial

Williamson, G.; Carr, E.; Varghese, R.; Dymond, S.; King, K.; Simms, A.; Goodwin, L.; Murphy, D.; Leightley, D.

2026-03-24 psychiatry and clinical psychology 10.64898/2026.03.22.26349029 medRxiv
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Background: Alcohol misuse is common in the UK Armed Forces (AF) community, with prevalence higher than in the general population. To date, digital health initiatives to address alcohol misuse have largely focused on men, who represent around 88% of the UK AF. However, women who have served in the UK AF also drink disproportionately more than women in the general population. Objective: This two-arm participant-blinded (single-blinded) confirmatory randomized controlled trial (RCT) aimed to assess the efficacy of a brief alcohol intervention (DrinksRation) compared to a web application which included NHS-focused drinking advice (BeAlcoholSmart) in reducing weekly self-reported alcohol consumption between baseline and 84-day follow-up among women who have served in the UK AF. Methods: A smartphone app (DrinksRation) was compared with government guidance on alcohol use. The app included features tailored to the needs of women who have served and was designed to enhance motivation to reduce alcohol consumption. The trial enrolled women who had completed at least one day of paid service in the UK Armed Forces. Recruitment, consent, and data collection were completed automatically through the platform. The primary outcome was the between-group difference in change in self-reported weekly alcohol consumption from baseline to day 84, measured using the Timeline Follow-Back method. The secondary outcome was the between-group difference in change in Alcohol Use Disorders Identification Test (AUDIT) score from baseline to day 84. Process evaluation outcomes included app engagement and usability, with usability assessed using the mHealth App Usability Questionnaire. Results: A total of 88 women UK AF veterans were included in the final analysis (control=37; intervention=51). At 84 days post-baseline, participants in the intervention group (DrinksRation) showed a greater reduction in weekly alcohol consumption compared to controls (BeAlcoholSmart) (adjusted mean difference in change from baseline = -11.6 units; 95% CI: -19.7 to -3.6; p=0.005). AUDIT scores decreased more in the intervention group (adjusted mean difference in change = -3.9; 95% CI: -6.9 to -1.0; p=0.01). Usability scores at day 28 were significantly higher for the intervention group across all domains. No serious adverse events or technical issues were reported. Conclusions: DrinksRation reduced alcohol consumption and hazardous drinking among women who have served in the UK Armed Forces. Engagement was strong, usability was high, and no safety concerns were identified. These findings support the potential of tailored digital interventions to address alcohol misuse in women who have served in the UK Armed Forces. Registration: ClinicalTrials.gov (trial registration: NCT05970484).

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Neurometabolic signatures of addiction vulnerability and heroin versus social seeking: a PET study in rats

D'Ottavio, G.; Sullivan, A.; Pilz, E.; Schoenborn, I.; Solis, O.; Gomez, J. L.; Kahnt, T.; Michaelides, M.; Shaham, Y.

2026-03-23 neuroscience 10.64898/2026.03.19.712973 medRxiv
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Only a subset of heroin users develop addiction, characterized by binge-like heroin use and preference for heroin over other rewards, including social rewards. We recently established a rat model of these features. We trained rats to lever-press for social interaction and heroin (or saline, control) infusions and then tested heroin- and social-seeking and heroin-vs.-social choice. During 3-5 abstinence weeks, we used 2-deoxy-2-[{superscript 1}F]fluoro-D-glucose (FDG) PET imaging to assess regional brain metabolic activity at rest (homecage) and during heroin and social seeking. We assessed regional differences in FDG uptake using unbiased voxel-wise analysis and statistical parametric mapping, and correlated FDG uptake with principle-component-analysis-derived addiction severity score incorporating heroin intake, binge-like episodes, and heroin preference. Compared with saline-trained rats, heroin-trained rats showed overall higher FDG uptake across multiple brain regions at rest and during both reward-seeking tests. Comparison of heroin-vs.-social-seeking in heroin-trained rats showed higher uptake in claustrum/lateral striatum and auditory cortex during social seeking. Analysis of individual differences showed that addiction severity was primarily associated with metabolic alterations under resting conditions rather than during heroin- or social-seeking. At rest, higher addiction severity was associated with lower uptake in piriform cortex and higher uptake in ventral hippocampus, whereas during heroin-seeking, addiction severity was associated with lower uptake in post-subiculum and cerebellum. Addiction severity was not associated with differences in social seeking or FDG uptake during social seeking. These findings identify neurometabolic features of social and heroin seeking and heroin addiction vulnerability that can potentially serve as brain biomarkers and targets for neuromodulation. Significance StatementHeroin addiction develops in only a subset of users, yet the determinants of vulnerability versus resilience to addiction remain largely unknown. We combined a rat model capturing key features of heroin addiction, including binge-like heroin intake and preference for heroin over social interaction, with behavioral heroin- and social-seeking assays and longitudinal whole-brain metabolic imaging using FDG-PET. We identified distinct patterns of neurometabolic alterations associated with heroin self-administration and addiction severity at rest and in the context of heroin seeking. In contrast, heroin self-administration and addiction severity were not significantly associated with neurometabolic alterations during social seeking. These findings highlight brain-wide neurometabolic features of vulnerability to heroin addiction that can serve as brain biomarkers and targets for neuromodulation.

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Precise measurement of rodent drinking using CLiQR (Capacitive Lick Quantification in Rodents)

Parker, C. J.; Lam, A.; Walters, A.; Carvour, H.; Douglass, J.; Dyer, B.; Glorius, A.; Main, B.; Moore, C.; Niemeier, M.; Patel, A.; White, K.; Timme, N. M.

2026-03-26 animal behavior and cognition 10.64898/2026.03.24.713970 medRxiv
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Accurate quantification of rodent licking behavior is essential for studies of fluid intake, including investigations of alcohol use disorder and obesity. Existing lickometry systems vary widely in sensing modality, cost, scalability, and data resolution, and many available systems either require specialized housing or store only binary lick/no lick data based on thresholding. Here we present CLiQR (Capacitive Lick Quantification in Rodents), an open-source capacitive lickometry system designed for high-throughput recording of licking behavior in home-cage environments while preserving the full capacitance time series. The system uses MPR121 capacitive sensors connected to custom metal-tipped serological pipette sippers and a centralized desktop computer to record data from up to 24 animals concurrently, with capacity for two-bottle choice experiments. Validation experiments demonstrated that the capacitive signals reliably distinguish licking from non-licking interactions. Total lick counts showed a strong positive correlation with measured fluid consumption (r = 0.827, p < 0.0001), confirming that detected events provide a meaningful proxy for intake. All information necessary to reproduce the system is shared openly in this manuscript and online. By combining scalability, full-trace data acquisition, and low cost, CLiQR provides a flexible and extensible platform for high-throughput behavioral neuroscience experiments and enables retrospective improvement of lick-detection algorithms. Significance StatementUnderstanding ingestive behavior requires measuring both total consumption and consumption pattern. Licking microstructure provides information about motivation, palatability, and behavioral strategies (i.e., binge-like front-loading); yet many existing lickometry systems are limited by high cost, low scalability, specialized housing requirements, or loss of information due to event-only data storage. We introduce CLiQR, an open-source capacitive lickometry system that enables high-throughput, home-cage recording from dozens of animals while preserving the full time series of capacitance data. By retaining raw data, CLiQR allows post hoc validation and reanalysis of licking behavior, addressing a key limitation of many current systems. This approach increases experimental flexibility, improves data transparency, and lowers barriers to large-scale studies of ingestive behavior.

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Macronutrient-preference is modulated by biological sex and estrous cycle in mice

Dofat, A.; Jacob, R.; Jacobs, K.; Ahrens, M.; Howe, W. M.

2026-03-30 neuroscience 10.64898/2026.03.26.714595 medRxiv
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Dietary choice plays a critical role in metabolic and neurological health, yet the biological factors that shape macronutrient preference remain poorly understood. Evidence from both humans and rodents suggests potential sex differences in the attractiveness of specific nutrients, though findings have been inconsistent and often rely on self-report or diets with mixed macronutrient composition. The present study examined sex differences in macronutrient preference and food-directed behavior in mice using a controlled three-food choice paradigm. Adult male (n = 12) and female (n = 11) C57BL/6J mice were given simultaneous access to foods consisting of fat, sucrose, or a fat-carbohydrate combination across 14 days. Intake, latency to approach, and time spent near each food source were quantified, and estrous cycle stage was monitored in females. Female mice consumed significantly more food than males overall, driven by a selective increase in fat intake. Behavioral measures paralleled these results, with females spending more time in proximity to fat-associated food zones. In contrast, males preferentially consumed the fat-carbohydrate combination and showed weaker nutrient-specific engagement. Estrous cycle stage modestly influenced feeding behavior, with estrus associated with increased overall intake and greater consumption of combination diets, reflecting elevated carbohydrate intake. These findings demonstrate robust sex differences in macronutrient preference and suggest that hormonal state may selectively modulate nutrient-specific feeding behavior.

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Metabolites from blood and formalin-fixed, paraffin-embedded tissue from participants with low- and high-grade prostate cancer: a pilot study

Graff, R. E.; Bengtsson, H. L.; Suh, J. H.; Olshen, A. B.; Wang, E. Y.; Allen, R. M.; Van Blarigan, E. L.; Kenfield, S. A.; Cowan, J. E.; Carroll, P. R.; Simko, J.; Chan, J. M.

2026-03-19 epidemiology 10.64898/2026.03.12.26348192 medRxiv
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BackgroundIdentifying metabolites associated with prostate cancer (PC) aggressiveness may elucidate mechanisms underlying disease severity. Doing so for plasma and formalin-fixed, paraffin-embedded (FFPE) tissue could accelerate discovery. In this cross-sectional pilot study, we generated hypotheses for further exploration by assessing associations between plasma metabolites and Gleason score in individuals with PC and evaluating correlations between plasma and FFPE metabolite levels. MethodsWe examined plasma and FFPE samples from 10 individuals with Gleason score 7 (six 3+4, four 4+3) and nine individuals with Gleason score 9 (six 4+5, three 5+4) tumors from a convenience sample of 19 men with PC. We measured the relative abundance of polar metabolites at the time of radical prostatectomy. We used linear models of log2 fold changes to examine plasma metabolite levels relative to pathologic tumor grade. Relationships among metabolite levels measured in plasma and FFPE tumor tissue within individuals across metabolites were examined using Pearson correlations. ResultsAmong 18 plasma metabolites selected a priori because of prior associations with PC aggressiveness, serine (p=0.0051) and ornithine (p=0.036) levels were higher in individuals with Gleason 9 than Gleason 7 PC. After multiple testing correction, however, no associations were statistically significant. The median correlation between levels in plasma and FFPE tumor tissue was 0.45 (range: 0.40-0.53) for the 94 metabolites measured in both biospecimens. ConclusionsPlasma serine and ornithine demonstrated the largest differences between individuals with Gleason 7 and Gleason 9 PC. Metabolite levels in FFPE prostate tissue samples were moderately correlated with plasma levels. Future studies in larger samples are needed to further explore the hypotheses generated by this study.

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Can Dietary Fibre Intake Reduce the Risk of Mental and Behavioral Disorders Due to Use of Tobacco in Smokers?

Qi, X.; Qi, H.; li, N.; Wang, T.; Wang, W.; Song, X.; Mi, B.; Zhang, D.

2026-03-28 addiction medicine 10.64898/2026.03.26.26349460 medRxiv
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ABSTRACT Background and aims: Mental and behavioral disorders due to use of tobacco (MBDT) present a critical challenge to global health, yet modifiable lifestyle factors for reducing its risk remain poorly understood. Given that dietary fibre can affect mental health through gut-brain communication, we sought to explore how fibre intake relates to MBDT risks in smokers. Methods: We specifically evaluated the link between dietary fibre intake and MBDT within a smoking population. Utilizing the UK Biobank (UKB) database, we performed cross-sectional (N=19,943) and prospective cohort (N=19,885) evaluations applying logistic and Cox proportional hazards models, respectively. To determine potential causality, two-sample Mendelian randomization (MR) was applied, relying on GWAS summary data derived from the IEU Open GWAS Project and FinnGen repositories. Results: Cross-sectional findings indicated that individuals in the top quartile (Q4) of fibre intake exhibited decreased MBDT risks relative to the bottom quartile (Q1) (OR: 0.32, 95% CI: 0.13-0.79). Over a median observation time of 12.84 years, the prospective evaluation demonstrated a notable inverse correlation (Q4 HR: 0.46, 95% CI: 0.40-0.54). Non-linear modeling via restricted cubic splines uncovered an L-shaped dose-response curve. Furthermore, MR results confirmed a genetically predicted protective causality (IVW OR: 0.68, 95% CI: 0.49-0.95), which remained consistent across sensitivity validations. Conclusions: Among smokers, higher dietary fibre intake is robustly associated with a reduced risk of mental and behavioral disorders due to the use of tobacco, offering a modifiable dietary target for public health interventions.

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Transitions in ENDS and cigarette use among youth in the PATH Study from 2015-2023: a multistate transition modeling analysis

Roberts, O. K.; Jeon, J.; Jimenez-Mendoza, E.; Land, S. R.; Freedman, N. D.; Torres-Alvarez, R.; Mistry, R.; Meza, R.; Brouwer, A. F.

2026-04-15 epidemiology 10.64898/2026.04.14.26349857 medRxiv
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Introduction: Monitoring trends in transitions in the use of electronic nicotine delivery systems (ENDS) and cigarettes among youth is important for understanding the potential public health impacts of these products. Methods: Using a weighted Markov multistate transition model accounting for complex survey design, we estimated transition rates and one-year transition probabilities between never, non-current, ENDS-only, and cigarette use (with or without dual use of ENDS) among 26,744 youth aged 12-17 years who participated in at least two consecutive waves from Waves 2-7.5 (approximately 2015-2023) of the nationally representative Population Assessment of Tobacco and Health (PATH) Study. We also estimated transitions stratified by ages 12-14 and 15-17 years. Results. The one-year probability of ENDS-only initiation from never use among youth peaked in 2017-19 (Waves 4-5) at 4.0% (95%CI: 3.6-4.3%) and was higher for 15-17-year-olds at 5.8% (95%CI: 5.2-6.4%) than 12-14-year-olds at 2.2% (95%CI: 1.8-2.6%). In the following years, ENDS-only initiation rates declined and plateaued, with 2.6% (95%CI: 2.3-3.0%) initiation in 2022-23. Cigarette initiation from never use decreased over 2015-23 from 0.8% (95%CI: 0.6-1.0%) in 2015-16 to 0.1% (95%CI: 0.0-0.2%) in 2022-23. There was an increase in the fraction of youth who transitioned from non-current product use to ENDS-only use from 13.7% (95%CI: 7.5-20.0%) in 2015-16 to 35.1% (95%CI: 25.4-44.8%) in 2022-23, paired with a decrease in non-current use to cigarette use from 20.9% (95%CI: 11.8-30.0%) to 6.3% (95%CI: 1.7-10.8%). Transitions from ENDS-only or cigarette use to non-current use remained relatively constant over time at around 25% and 15% per year, respectively. Conclusion. ENDS-only use initiation has changed over time, peaking around 2019 and subsequently decreasing and plateauing, but cessation rates for both ENDS and cigarettes have remained relatively stable. Thus, interruption of tobacco product initiation may be the most effective approach to reducing tobacco product use among youth.

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Persistent vulnerability to heroin relapse across the adult lifespan in rats

Madangopal, R.; Drake, O. R.; Pham, D. Q.; Lennon, V. A.; Weber, S. J.; Lee, J.; Sobukunola, A.; Holmes, A. R.; Nurudeen, O.; Shaham, Y.; Hope, B. T.

2026-03-20 animal behavior and cognition 10.64898/2026.03.18.712140 medRxiv
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Relapse to opioid use during abstinence is often triggered by drug-associated cues but the persistence of this effect across the lifespan is unknown. Using a rat model, we found that relapse provoked by heroin-predictive discriminative stimuli persisted for over one year of abstinence, suggesting enduring, potentially lifelong opioid relapse vulnerability.