Jung ME, Simpkins JW, Wilson AM, Downey HF, Mallet RT. Intermittent hypoxia conditioning prevents behavioral deficit and brain oxidative stress in ethanol-withdrawn rats. J Appl Physiol 105: 510-517, 2008. First published May 22, 2008 doi:10.1152/japplphysiol.90317.2008.-Intermittent hypoxia (IH) has been found to protect brain from ischemic injury. We investigated whether IH mitigates brain oxidative stress and behavioral deficits in rats subjected to ethanol intoxication and abrupt ethanol withdrawal (EW). The effects of IH on overt EW behavioral signs, superoxide generation, protein oxidation, and mitochondrial permeability transition pore (PTP) opening were examined. Male rats consumed dextrin or 6.5% (wt/vol) ethanol for 35 days. During the last 20 days, rats were treated with repetitive (5-8 per day), brief (5-10 min) cycles of hypoxia (9.5-10% inspired O2) separated by 4-min normoxia exposures. Cerebellum, cortex, and hippocampus were biopsied on day 35 of the diet or at 24 h of EW. Superoxide and protein carbonyl contents in tissue homogenates and absorbance decline at 540 nm in mitochondrial suspensions served as indicators of oxidative stress, protein oxidation, and PTP opening, respectively. Although IH altered neither ethanol consumption nor blood ethanol concentration, it sharply lowered the severity of EW signs including tremor, tail rigidity, and startle response. Compared with dextrin and ethanol per se, in the three brain regions, EW increased superoxide and protein carbonyl contents and accelerated PTP opening in a manner ameliorated by IH. Administration of antioxidant N-acetylcysteine throughout the IH program abrogated the reductions in EW signs and superoxide content, implicating IHinduced ROS as mediators of the salutary adaptations. We conclude that IH conditioning during chronic ethanol consumption attenuates oxidative damage to the brain and mitigates behavioral abnormalities during subsequent EW. IH-induced ROS may evoke this powerful protection. mitochondrial permeability transition; superoxide; hippocampus; reactive oxygen species HYPOXIA, THE REDUCTION OF O 2 supply below physiological levels, is generally considered harmful, especially to tissues with high O 2 requirements (13). Hypoxia occurs naturally at high altitude, during strenuous exercise, and with various respiratory diseases. The fact that tissues survive such hypoxic stresses suggests that adaptive responses are mobilized to compensate for limitations in O 2 supply. Indeed, recent research demonstrates that cyclic exposure to moderate hypoxia with intervening periods of normoxia bolsters cellular resistance to ischemic stress in several organs (6, 7, 9, 25, 26, 31, 48), including brain (3, 33, 40). These studies suggest that intermittent hypoxia (IH) may stimulate endogenous defense mechanisms, affording significant cytoprotection.Brain mitochondria appear to be the principal targets of oxidative stress engendered by ethanol intoxication and withdrawal (20). The inner mitochondrial membrane's highly selective permeabil...