生物性别影响吸烟行为。男人吸烟多于女人,但是女人很难退出。吸烟提示(SC)反应性的性别差异可能是这种行为差异的基础。然而,性别对脑对SC反应性的影响产生了不一致的发现,提示需要继续研究.这里,我们使用不同的成像方式和SC刺激类型调查了性别对两个部位SC反应性的影响.
使用伪连续动脉自旋标记(pCASL)灌注功能磁共振成像(fMRI)评估宾夕法尼亚大学40名吸烟者(23名女性)对SC和非SC视频的大脑反应。在McLean医院,使用BOLDfMRI评估32名吸烟者(18名女性)对SC和非SC静止图像的大脑反应。在男性和女性之间比较了对SC的脑反应性,并与SC诱导的渴望相关。
在这两个队列中,与女性相比,男性在奖励相关的大脑区域表现出更高的SC与非SC反应性(即,腹侧纹状体/腹侧苍白球,腹侧内侧前额叶皮质)。SC与非SC暴露期间的大脑激活与男性SC诱导的主观渴望呈正相关,但不是女性。
目前的工作为SC反应性的性别差异提供了急需的复制和验证。这些发现还增加了大量文献,表明男性对药物类别中的药物线索具有更大的奖励相关大脑激活。这种性别差异证实,不仅在评估SC反应性时,而且在检查尼古丁依赖性病因和治疗时,都需要考虑性别。
Biological sex influences cigarette smoking behavior. More men than women smoke, but women have a harder time quitting. Sex differences in smoking cue (SC) reactivity may underlie such behavioral differences. However, the influence of sex on brain reactivity to SCs has yielded inconsistent findings suggesting the need for continued study. Here, we investigated the effect of sex on SC reactivity across two sites using different imaging modalities and SC stimulus types.
Pseudo-continuous arterial spin-labeled (pCASL) perfusion functional magnetic resonance imaging (
fMRI) was used to assess brain responses to SC versus non-SC videos in 40 smokers (23 females) at the University of Pennsylvania. BOLD
fMRI was used to assess brain responses to SC versus non-SC still images in 32 smokers (18 females) at McLean Hospital. Brain reactivity to SCs was compared between men and women and was correlated with SC-induced craving.
In both cohorts, males showed higher SC versus non-SC reactivity compared to females in reward-related brain regions (i.e., ventral striatum/ventral pallidum, ventral medial prefrontal cortex). Brain activation during SC versus non-SC exposure correlated positively with SC-induced subjective craving in males, but not females.
The current work provides much needed replication and validation of sex differences in SC-reactivity. These findings also add to a body of literature showing that men have greater reward-related brain activation to drug cues across drug classes. Such sex differences confirm the need to consider sex not only when evaluating SC-reactivity but when examining nicotine dependence etiology and treatment.