Alcohols and aldehydes in the metabolic pathways of ethanol and serotonin are substrates for alcohol dehydrogenases (ADH) of class I and II. In addition to the reversible alcohol oxidation/aldehyde reduction, these enzymes catalyse aldehyde oxidation. Class-I gg ADH catalyses the dismutation of both acetaldehyde and 5-hydroxyindole-3-acetaldehyde (5-HIAL) into their corresponding alcohols and carboxylic acids. The turnover of acetaldehyde dismutation is high (k cat = 180 min 21 ) but saturation is reached first at high concentrations (K m = 30 mm) while dismutation of 5-HIAL is saturated at lower concentrations and is thereby more efficient (K m = 150 mm; k cat = 40 min 21 ). In a system where NAD + is regenerated, the oxidation of 5-hydroxytryptophol to 5-hydroxyindole-3-acetic acid proceeds with concentration levels of the intermediary 5-HIAL expected for a two-step oxidation. Butanal and 5-HIAL oxidation is also observed for class-I ADH in the presence of NADH. The class-II enzyme is less efficient in aldehyde oxidation, and the ethanol-oxidation activity of this enzyme is competitively inhibited by acetate (K i = 12 mm) and 5-hydroxyindole-3-acetic acid (K i = 2 mm).Reduction of 5-HIAL is efficiently catalysed by class-I gg ADH (k cat = 400 min 21 ; K m = 33 mm) in the presence of NADH. This indicates that the increased 5-hydroxytryptophol/5-hydroxyindole-3-acetic acid ratio observed after ethanol intake may be due to the increased NADH/NAD + ratio on the class-I ADH.Keywords: alcohol dehydrogenase; alcohol metabolism; aldehydes; sequential oxidation; serotonin metabolism.The alcohol dehydrogenase (ADH) family is the major enzyme system for metabolism of ingested ethanol [1,2]. In addition to ethanol, a range of substrates has been identified for these enzymes and a possible mechanism for ethanol-induced metabolic changes may be interference with other activities of ADH (Fig. 1). For example, ethanol affects human noradrenaline, dopamine and serotonin metabolism by increasing the relative formation of the alcohol products, 4-hydroxy-3-methoxyphenylglycol, 3,4-dihydroxyphenylethanol and 5-hydroxytryptophol (5-HTOL), while decreasing the formation of the carboxylic acid products, 4-hydroxy-3-methoxymandelic acid, 3,4-dihydroxyphenylacetic acid and 5-hydroxyindole-3-acetic acid (5-HIAA) [3,4]. Clinical monitoring of recent drinking takes advantage of the elevated 5-HTOL/5-HIAA ratio which can be detected in urine for several hours after ethanol is no longer measurable [5,6]. The ADH activities for noradrenaline and dopamine metabolites have been characterized, and alcohols and aldehydes in these catabolic pathways serve as good substrates for ADH of both class I and class II [7,8]. It has also been shown that the serotonin metabolite 5-HTOL is an ADH substrate [9].In addition to reversible alcohol oxidation/aldehyde reduction, horse class-I and human class-I and class-II ADH catalyse aldehyde oxidation and thereby mimic the activity of aldehyde dehydrogenase (ALDH) [10±12]. Incubation of ADH with aldehyde and N...