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Enzymatic Mechanisms of Ethanol Oxidation in the Brain
Abstract
Background: The exact enzymatic mechanisms of ethanol oxidation in the brain are still unclear. The catalase‐mediated oxidation of ethanol was demonstrated in rat brain using incubation of brain homogenates with catalase inhibitors. The role of the alcohol dehydrogenase (ADH) or cytochrome P450–dependent system in this process is possible, but has not been confirmed. The objective of the study was to determine the contribution of the different enzymatic pathways to ethanol oxidation in brain homogenates from mice and rats. Methods: Three approaches were used to investigate the enzymatic mechanisms of ethanol oxidation in the brain of rats and mice: (1) preincubation of brain homogenates with inhibitors of the ethanol‐metabolizing enzymes (catalase, CYP2E1, ADH, and ALDH); (2) utilization of mice with genetic deficiency in ethanol‐metabolizing enzymes (catalase, CYP2E1, or both enzymes); and (3) determination of ethanol oxidation in brain subcellular fractions known to have differential activity of ethanol‐metabolizing enzymes. The ethanol‐derived acetaldehyde (AC) and acetate were determined in brain samples by gas chromatography. Results: The catalase inhibitors sodium azide (5 mM) and aminotriazole (5 mM) as well as CYP2E1 inhibitors diallyl sulfide (2 mM) and β‐phenethyl isothiocyanate (0.1 mM) lowered significantly the accumulation of the ethanol‐derived AC and acetate in brain homogenates. The ADH inhibitor 4‐methyl pyrazole (5 mM) significantly decreased the acetate but not the AC accumulation. Ethanol‐derived AC accumulation in brain homogenates of acatalasemic mice was 47% of the control value, 91% in CYP2E1‐null mice, and 24% in double mutants (with deficiency of both catalase and CYP2E1). The highest levels of ethanol oxidation were found in microsomal and peroxisomal subcellular brain fractions, where CYP2E1 and catalase are located, respectively. Conclusions: Catalase is the key enzyme of ethanol oxidation in the brain of rodents: it may be responsible for about 60% of the process. CYP2E1 plays an important role in ethanol oxidation in the rodent brains. Alcohol dehydrogenase plays a minor role, if any, in this process. Aldehyde dehydrogenase plays the crucial role in the further oxidation of ethanol‐derived AC in the brain homogenates.
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“Similar to the liver, ethanol oxidizing enzymes are also functional in the brain and include ADH, catalase, CYP2E1, and ALDH2, which make different contributions.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [147]
In the citing paper
“Cerebral ADH plays very little or virtually no role in ethanol metabolism in the brain compared to its action by its hepatic isoform.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [147]
In the citing paper
“In contrast, ALDH1B and other isoforms may be involved in acetaldehyde metabolism in rodents145,147,163.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [147]
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BackgroundAlpha-lipoic acid, a scavenging agent for H2O2, reduces ethanol-stimulated locomotion in mice
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Brain ethanol metabolism and mitochondria.
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“In turn, acetaldehyde is oxidized in-situ to acetate by brain ALDH (Zimatkin et al., 2006).”
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“In the brain, catalase is responsible for about 60 percent of alcohol metabolism, CYP 2E1 for about 20 percent and the rest by ADH and some other unknown factors (Zimatkin et al. 2006).”
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Role of acetaldehyde in alcohol addiction : current evidence and future perspectives
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Gaztañaga, M., Angulo-Alcalde, A., Spear, N. E., & Chotro, M. G. (2017) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2017.00014 · Cited by 12
“In the brain, however, the system responsible for generating the majority of acetaldehyde from ethanol (approximately 60%) is the catalase system, even though CYP2E1 is also centrally active, producing around 20% of acetaldehyde (Zimatkin et al., 2006; Hipólito et al., 2007).”
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“The finding of ACA accumulation within cells (Zimatkin et al., 2006; Zimatkin and Buben, 2007) led to the conclusion that ACA can achieve some of its effects from the intracellular side of the membrane.”
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“At high levels of ethanol intake and elevated BEC, it is likely that acetaldehyde is being produced by brain catalase [5, 6].”
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Adult-onset hypothyroidism increases ethanol consumption
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Melamed, E., Rungratanawanich, W., Liangpunsakul, S., Maki, K. A., McCullough, R. L., & Llorente, C. (2025) · Alcohol · doi:10.1016/j.alcohol.2025.07.001 · Cited by 13
“Instead, catalase accounts for 60 % of ethanol conversion to acetaldehyde under normal conditions (Zimatkin et al., 2006).”
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“Catalase and cytochrome P450-2E1 (CYP2E1) are the two major enzymes that are responsible for brain ethanol oxidation into acetaldehyde [57,83] (Table 2).”
BackgroundEthanol reduces kainate-evoked glutamate secretion in rat hippocampal astrocytes
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“Besides ADH, the CYP2E1 plays an important role in EtOH oxidation in liver or other organs (Zimatkin and Deitrich, 1997; Zimatkin et al., 2006).”
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Categorising a problem: alcohol and dementia
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The MAO-A inhibitor clorgyline reduces ethanol-induced locomotion and its volitional intake in mice
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“14 al no significant changes in electrolyte balance could be detected after alcohol consumption.”
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Dose-Dependent Effects of Ethanol on Lead-Induced Oxidative Stress in Rats
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Acetate-Dependent Mechanisms of Inborn Tolerance to Ethanol
Zimatkin, S. M., Оганесян, Н. А., Киселевский, Ю. В., & Deitrich, R. A. (2011) · Alcohol and Alcoholism · doi:10.1093/alcalc/agr014 · Cited by 8
“The brain acetate can be derived from the peripheral metabolism of ethanol or produced directly in the brain during oxidation of ethanol (acetaldehyde) in situ (Zimatkin et al., 2006).”
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“However, the high anodic potential needed to oxidize H2O2 poses a problem of Faradaic interference due to the presence of other compounds (such as ascorbic acid and uric acid) physiologically present in high concentrations in the CSF, which are also oxidized at the same potential (Belluzo et al., 2008).”
BackgroundInfluentialEngineered Animal Models Designed for Investigating Ethanol Metabolism, Toxicity and Cancer
Marshall, S., Chen, Y., Singh, S. K., Berríos‐Cárcamo, P., Heit, C., Apostolopoulos, N., Golla, J. P., Thompson, D. C., & Vasiliou, V. (2018) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-98788-0_14 · Cited by 7
“Nevertheless, catalase appears to modulate ethanol sensitivity in the brain [20, 21].”
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“CYP2E1 is known to both metabolize and be induced by ethanol in the brain (Zimatkin et al., 2006; Zhong et al., 2012; Ferguson et al., 2013).”
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Converging mechanisms in ethanol neurotoxicity
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“…active, with the ability to oxidize ethanol via catalase and cytochrome P450 2E1 (CYP2E1), leading to nearly 80% of the neuronal alcohol metabolism (Beisswenger et al., 1985; Martínez et al., 2001; Galter et al., 2003; Zimatkin et al., 2006; Wilson and Matschinsky, 2020; Wen et al., 2022).”
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Acetaldehyde-driven mRNA methylation and expression changes in ethanol-metabolizing enzyme genes
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“Evidence suggests that the brain can produce acetaldehyde through local ethanol metabolism, primarily involving catalase and CYP2E1 (Figure 1) [19].”
Acetaldehyde in the Brain After Ethanol Exposure: Research Progress and Challenges
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“PECR requires NADPH to function (22), as well as the catalase expressed in peroxisomes and the major enzyme for ethanol metabolism in the brain (48, 49).”
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“Relative to ACD, these null results may indicate that further pharmacokinetic processes (e.g., ACD conversion into acetate) partially or completely reduce brain concentrations of the metabolite (Quertemont and Didone, 2006; Zimatkin et al., 2006; Hipolito et al., 2007).”
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“Catalase is thought to be more relevant to alcohol oxidation in the brain (Zimatkin et al., 2006).”
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Cytochrome P4502E1 Gene Polymorphisms and the Risks of Ethanol-Induced Health Problems in Alcoholics
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“About 60% of this enzymatic system is mainly responsible for metabolizing ethanol into acetaldehyde in the brain (Aragon et al., 1991b; Zimatkin et al., 2006) and its peak levels of activity occurs from late gestational period to the first week after birth (Del Maestro and McDonald, 1987).”
BackgroundGonzalez, H. C., Misare, K. R., Glorioso, K. E., Delaney, J. R., Becker, H. C., Lopez, M. F., Mulholland, P. J., & Hartman, J. H. (2025) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.70188 · Cited by 2
Metadata
- Authors
- Zimatkin, S. M., Pronko, S. P., Vasiliou, V., Gonzalez, F. J., & Deitrich, R. A.
- Affiliations
- Grodno State Medical University (BY)
- University of Colorado Denver (US)
- National Institutes of Health (US)
- Corresponding author
- Zimatkin, Sergey M.
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2006-08-14
- Volume
- 30
- Issue
- 9
- Pages
- 1500-1505
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- OpenAlex
- W1970756197
- Cited by
- 241
- References
- 25
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 6 · 2023: 10 · 2022: 7 · 2021: 14 · 2020: 11 · 2019: 24 · 2018: 11 · 2017: 20 · 2016: 8 · 2015: 14 · 2014: 15 · 2013: 23 · 2012: 12
- FWCI
- 6.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p50aa003527-25, 5k05aa000093-12, 5r21aa012284-02)
- National Institute on Alcohol Abuse and Alcoholism (R01AA011885, K05 AA 00093, R01 AA 12650, P50 AA03527, R21-AA12284, R01AA012650)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Microbial metabolism and enzyme function
- Keywords
- ethanol oxidation, brain, catalase, CYP2E1, alcohol dehydrogenase, aldehyde dehydrogenase, acetaldehyde, acetate, enzyme inhibitors, subcellular fractions, peroxisomes, microsomes, alcohol metabolism, rodents, mice, rats, 4-methylpyrazole, 3-amino-1,2,4-triazole
- MeSH terms
- Acetaldehyde, Acetates, Alcohol Dehydrogenase, Ethanol, Animals, Brain, Catalase, Central Nervous System Depressants, DNA, Enzyme Inhibitors, Genetic Markers, Male, Mice, Inbred C3H, Oxidation-Reduction, Subcellular Fractions, Genetic Variation, Rats, Wistar, Mice, Knockout, Cytochrome P-450 CYP2E1, Mice, Rats, Cytochrome P-450 CYP2E1 Inhibitors
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