The acute and chronic neurologic effects of ethanol appear to be due to its interaction with neural cell membranes. Chronic exposure to ethanol induces changes in the membrane that lead to tolerance to the effects of ethanol. However, the actual membrane changes that account for tolerance to ethanol are not understood. We have developed a model cell culture system, using NG108-15 neuroblastoma-glioma hybrid cells, to study cellular tolerance to ethanol. We have found that adenosine receptor-stimulated cAMP levels increased markedly upon acute exposure to ethanol. However, the cells became tolerant to ethanol, since chronically treated cells required ethanol to maintain normal adenosine-stimulated cAMP levels. Moreover, the cells appeared to be dependent on ethanol, as evidenced by reduced adenosine-stimulated cAMP levels in the absence of ethanol. Recovery occurred after ethanol was withdrawn. These cellular changes appear to parallel the clinical events of acute ethanol intoxication, tolerance, and dependence.The neurological and behavioral complications of alcoholism are major problems in medicine and in society. Alcoholics become tolerant to ethanol and exhibit physical dependence after chronic alcohol abuse. Current concepts suggest that ethanol interacts with cell membranes and induces adaptative changes in neuronal function (1-4). However, the primary molecular events that underlie these responses are not understood. Acute and chronic ethanol-induced changes in membrane order and membrane constituents [e.g., cholesterol/phospholipid ratios (5-8), fatty acids (9-11)] have been reported, but experiments using different animals, different strains of the same animals, or the same strains in different laboratories have yielded conflicting results (12). This may be due in part to genetic factors, the use of disrupted tissue preparations, and the mode of ethanol administration. A most serious problem derives from the heterogeneity of brain. Changes restricted to selected brain regions or cell types, or to specific membrane components, may be difficult to detect in crude brain preparations. Finally, it is nearly impossible to distinguish primary biochemical effects of ethanol from secondary responses related to systemic, metabolic, and hormonal influences in such systems.To overcome these methodological limitations, we have developed a model cell culture preparation using the neuroblastoma-glioma hybrid cell line NG108-15 to study the responses of intact neural cells to acute and chronic exposure to ethanol under precisely controlled conditions (13). Since recent evidence suggests that adenosine may play a role in mediating the effects of ethanol in the brain (14, 15), we have studied the effects of acute and chronic exposure to ethanol on adenosine receptor-dependent cAMP accumulation. We found that adenosine receptor-stimulated cAMP levels in intact NG108-15 cells increased markedly upon acute exposure to ethanol. After chronic exposure to ethanol, adenosine receptor-stimulated cAMP levels were decreased...