# 5/8: INIA Stress and Chronic Alcohol Interactions: Stress-induced Dysregulation of Prefrontal Cortex Circuitry and Plasticity in Alcohol Dependence

> **NIH NIH U01** · MEDICAL UNIVERSITY OF SOUTH CAROLINA · 2020 · $336,375

## Abstract

PROJECT SUMMARY
Alcohol use disorder is a major public health issue associated with altered activation of brain stress systems,
cognitive deficits, and escalated alcohol drinking. The prefrontal cortex (PFC) is a key structure involved in
executive cognitive function and imposing inhibitory control over reward-motivated behaviors. Altered stress
responsivity is implicated in the development and maintenance of excessive alcohol drinking, and both chronic
ethanol and stress negatively impact PFC function. Cognitive deficits in individuals with alcohol use disorder
are thought to hinder successful treatment and contribute to increased risk for relapse. Preclinical studies show
that chronic ethanol exposure produces an exaggerated stress response in the PFC that mediates cognitive
impairments and escalated ethanol drinking. In the current funding period, we identified chronic ethanol-
sensitive proteins and K+ channel genes in the PFC and nucleus accumbens (NAc) of mice and monkeys. We
also identified predictive relationships between candidate K+ channel genes and drinking in ethanol-dependent
BXD recombinant inbred strains of mice, and pharmacological validation showed that positive modulation of a
KCa2 channels significantly reduces escalated drinking in stressed, dependent mice. Moreover, we
demonstrated that chronic stress elevates drinking only in ethanol dependent mice and enhances the
magnitude of the early component of long-term potentiation (LTP) in the mouse PFC. In addition to the
enhanced LTP we observed in the stressed mice, our preliminary data shows that glutamatergic signaling in
the PFC is enhanced in macaques following chronic ethanol self-administration. While it is known that chronic
ethanol and stress exposure elicit maladaptive plasticity in the PFC, the underlying neural mechanisms and the
adaptations in the PFC circuitry induced by ethanol-stress interactions remain poorly understood. To address
this gap in our knowledge, we propose three specific aims that will test the overarching hypothesis that
disruption of PFC circuitry and plasticity underlies the excessive drinking and cognitive impairments produced
by chronic stress and ethanol dependence. Studies in Aim 1 will test the hypothesis that chronic ethanol self-
administration and interactions between ethanol dependence and stress produce functional adaptations in the
PFC of monkeys and mice. Aim 2 will test the efficacy of drugable proteogenetic targets to reduce escalated
drinking in stressed dependent male and female mice. Finally, studies in Aim 3 will test the hypothesis that
ethanol dependence and chronic stress produce aberrant signaling in PFC circuitry that contributes to
escalated drinking and cognitive impairments. In addition to identifying drugable targets, the findings from
these studies will provide data on the temporal aspects of circuit-specific, functional, and morphological
adaptations produced by chronic stress and ethanol in the mouse and monkey PFC.

## Key facts

- **NIH application ID:** 9858201
- **Project number:** 5U01AA020930-09
- **Recipient organization:** MEDICAL UNIVERSITY OF SOUTH CAROLINA
- **Principal Investigator:** Patrick J. Mulholland
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $336,375
- **Award type:** 5
- **Project period:** 2012-02-10 → 2022-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9858201

## Citation

> US National Institutes of Health, RePORTER application 9858201, 5/8: INIA Stress and Chronic Alcohol Interactions: Stress-induced Dysregulation of Prefrontal Cortex Circuitry and Plasticity in Alcohol Dependence (5U01AA020930-09). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9858201. Licensed CC0.

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