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Brain not liver may be responsible for drunken behaviour, mouse study suggests

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Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Experimental study: At least one thing in the experiment was changed to see if it had an impact on the subjects (often people or animals) – eg: changing the amount of time mice spend on an exercise wheel to find out what impact it has on weight loss.

Animals: This is a study based on research on whole animals.

The clumsiness of being inebriated may be caused by alcohol breakdown products (metabolites) produced in the brain, and not in the liver, according to a US and Chinese study in mice and human brain tissue samples. One metabolite thought to affect behaviour, acetate, is produced when alcohol is broken down by an enzyme called ALDH2. It had been assumed this happened in the liver, and acetate then travelled through the blood to the brain. But the scientists found the enzyme is also present in an area of the brain called the cerebellum, which controls balance and motor coordination. They removed the enzyme from mouse brains, and found the animals were immune to the impaired movement usually caused by alcohol. The authors conclude that alcohol metabolism may therefore be regulated directly in the brain, although further research is required to see if the effects seen in the mice also apply to humans.

Journal/conference: Nature Metabolism

Link to research (DOI): 10.1038/s42255-021-00357-z

Organisation/s: National Institutes of Health, USA

Funder: This work was supported by grants 1UL1TR003098 (to Q. Cao) from the University of Maryland, Baltimore, Institute for Clinical & Translational Research (ICTR) and the National Center for Advancing Translational Sciences (NCATS) Clinical Translational Science Award (CTSA), K08AA024895-01A1 to (Q. Cao) from the National Institue on Alcohol Abuse and Alcoholism (NIAAA), National Institutes of Health (NIH), chairman seed grant award (to Q. Cao) of the Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore and 81801938 (to S.J.) from the National Natural Science Foundation of China.

Media release

From: Springer Nature

Alcohol is directly metabolized in the brain in mice

The behavioural effects of alcohol intoxication may be caused by alcohol breakdown products (metabolites) produced in the brain, and not in the liver, in mice, according to a study published in Nature Metabolism. These findings provide new insights into how alcohol may affect the brain and open the possibility of better regulation of the effects of alcohol on behaviour.

The behavioural effects of alcohol, such as motor impairment, in people and mice are thought to be caused by metabolites produced during alcohol breakdown. One such metabolite, acetate, is produced by the enzyme ALDH2, which is abundant in the liver. Acetate produced in the liver travels via the bloodstream to the brain, where it can impair motor function through signalling via the inhibitory neurotransmitter GABA. 

Li Zhang and colleagues observed that in three human brain samples and 11 mice, ALDH2 was expressed in cells known as astrocytes in the cerebellum, a brain region that controls balance and motor coordination. When ALDH2 was removed from the cerebellar astrocytes, the mice were resistant to the motor impairment induced by alcohol consumption. Normally, alcohol consumption elevates the levels of acetate and GABA in the brain; however, this elevation was prevented when ALDH2 was deleted from astrocytes. In contrast, removing ALDH2 in the liver did not affect the levels of acetate or GABA in the brain. These findings suggest that acetate produced in the brain and in the liver differ in their ability to affect motor function. 

The authors conclude that alcohol metabolism may therefore be regulated directly in the brain, thus suggesting the possibility of new targets for altering alcohol’s effects and potentially treating alcohol use disorder. Further research is necessary to determine whether these mechanisms observed in mice also exist in people.

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