Cited by 120Alcohol Consumption and Health EffectsSubstance Abuse Treatment and OutcomesAlcoholism and Thiamine Deficiency

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Elevated blood acetaldehyde in alcoholics with accelerated ethanol elimination

Lindros, Kai O., Stowell, Allan, Pikkarainen, Pekka, Salaspuro, Mikko·1980·Pharmacology Biochemistry and Behavior

Abstract

Alcoholics and controls given ethanol (1.2 g/kg body weight) were analyzed for blood and breath acetaldehyde using the more sensitive and reliable semicarbazide method. The acetaldehyde levels in controls were almost undetectable (less than 2 microM), but were found to be elevated (10--10 microM) in 6 of 8 alcoholics. Breath acetaldehyde and blood acetaldehyde co-fluctuated during the experiments. Fructose infusion transiently increased blood acetaldehyde, but only in 4 of the alcoholics. The apparent discrepancy between our finding and the simultaneously reported low acetaldehyde level in alcoholics (Eriksson and Peachy, this volume) may be explained by the different status of the alcoholics tested. Our alcoholics were tested on the day after hospital admission and eliminated ethanol 5% faster than controls. It is suggested that elevated blood acetaldehyde occurs regularly after interrupted drinking in heavy alcohol abusers with fast ethanol elimination, possibly combined with reduced liver aldehyde dehydrogenase activity, but that the phenomenon may rapidly disappear upon abstinence and hospital treatment, which reduces disturbances in hepatic functions and the ethanol elimination rate.

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Research works printed but not linked: 17

  1. Eriksson, 1977, The determination of acetaldehyde in biological samples by headspace chromatography, Analyt. Biochem., 80, 116, 10.1016/0003-2697(77)90631-5 · DOI
  2. Eriksson, 1980, Problems and pitfalls in acetaldehyde determinations, Alcoholism clin. ex. Res., 4, 22, 10.1111/j.1530-0277.1980.tb04786.x · DOI
  3. Eriksson, 1980, Lack of difference in blood acetaldehyde of alcoholics and controls after ethanol ingestion, Pharmac. Biochem. Behav., 13, 101, 10.1016/S0091-3057(80)80016-5 · DOI
  4. Jenkins, 1980, Selectively reduced hepatic acetaldehyde dehydrogenase in alcoholics, Lancet 1, 8169, 628, 10.1016/S0140-6736(80)91121-6 · DOI
  5. Korsten, 1975, High blood acetaldehyde levels after ethanol administration. Difference between alcoholic and non-alcoholic subjects, New Engl. J. Med., 292, 386, 10.1056/NEJM197502202920802 · DOI · Paper page
  6. Lindros, 1978, Acetaldehyde—its metabolism and role in the actions of alcohol, Vol. 4, 111
  7. Mezey, 1971, Rates of ethanol clearance and activities of the ethanol-oxidizing enzymes in chronic alcoholic patients, Gastroenterology, 61, 707, 10.1016/S0016-5085(19)33432-8 · DOI
  8. Mizoy, 1979, Relationship between facial flushing and blood acetaldehyde levels after alcohol intake, Pharmac. Biochem. Behav., 10, 303, 10.1016/0091-3057(79)90105-9 · DOI
  9. Pikkarainen, 1980, Breath acetaldehyde. Evidence for acetaldehyde production by oropharynx microflora and by lung microsomes, Vol. 132
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  11. Salaspuro, 1978, Non-uniformity of blood ethanol elimination: Its exaggeration after chronic consumption, Annls. Clin. Res., 10, 294
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  14. Stowell, 1980, Breath and blood acetaldehyde concentrations and their correlation during normal and calcium carbimide-modified ethanol oxidation in man, Biochem. Pharmac., 29, 783, 10.1016/0006-2952(80)90557-2 · DOI
  15. Truitt, 1970, Ethanol-induced release of acetaldehyde from blood and its effect on the determination of acetaldehyde Q Jl Stud, Alcohol, 31, 1
  16. Truitt, 1971, Blood acetaldehyde levels after alcohol consumption by alcoholic and nonalcoholic subjects, Vol. 3, 212
  17. von Wartburg, 1979, Determination of acetaldehyde human blood, Experientia, 35, 1682, 10.1007/BF01953271 · DOI

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Metadata

Authors
Lindros, K. O., Stowell, A., Pikkarainen, P., & Salaspuro, M.
Affiliations
University of Helsinki (FI)
Corresponding author
Lindros, Kai O.
Venue
Pharmacology Biochemistry and Behavior
Publisher
Elsevier BV
Published
1980-01
Volume
13
Pages
119-124
ISSN
0091-3057 (ISSN-L)
OpenAlex
W2038506905
Cited by
120
References
0
Citations by year
2026: 2 · 2025: 4 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 2 · 2015: 2 · 2012: 2
FWCI
8.17
Type
journal article
Language
en
Open access
closed
Locations
  • Pharmacology Biochemistry and Behavior (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Clinical Neurology › Alcoholism and Thiamine Deficiency
Keywords
blood acetaldehyde, alcoholism, ethanol elimination rate, fructose infusion, aldehyde dehydrogenase, liver function, alcohol abstinence
MeSH terms
Acetaldehyde, Adult, Ethanol, Alcoholism, Breath Tests, Humans, Metabolic Clearance Rate, Middle Aged

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Lindros, K. O., Stowell, A., Pikkarainen, P., & Salaspuro, M. (1980). Elevated blood acetaldehyde in alcoholics with accelerated ethanol elimination. Pharmacology Biochemistry and Behavior. https://doi.org/10.1016/s0091-3057(80)80019-0