Acute pretrauma ethanol exacerbates PTSD-like phenotype in rats and is reversed by early intranasal ketamine
Scientific Reports June 14, 2026 Bar Eilat Yogev, Gal Levi, Noa Efroni et al.
Alcohol consumption before trauma increases vulnerability to PTSD-like symptoms in rats. Rats given ethanol four hours before predator scent stress showed more anxiety-like behavior, heightened startle responses, and greater hippocampal dendritic retraction seven days later. This vulnerability was linked to reduced brain-derived neurotrophic factor and neuropeptide Y, increased hyperpolarization-activated cyclic nucleotide-gated channel 1, and loss of neuropeptide Y-Y1 receptor immunoreactivity in the hippocampus—a hypoexcitable, plasticity-resistant state. A single intranasal subanesthetic dose of ketamine delivered via amylolipid nanovesicles one hour after trauma reduced cue-induced freezing and dendritic atrophy, suggesting a potential preventive strategy for alcohol-exposed trauma survivors.