1982
DOI: 10.1136/gut.23.9.729
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Impaired acetaldehyde oxidation in alcoholics

Abstract: SUMMARY High blood acetaldehyde levels in alcoholics after ethanol ingestion are due to reduced acetaldehyde oxidation rather than to an increased rate of its formation from ethanol. This is associated with low hepatic acetaldehyde dehydrogenase activity in alcoholic subjects and may represent a specific abnormality in them.

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Cited by 74 publications
(17 citation statements)
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“…Blood levels of AcH have been shown to inversely correlate with blood and hepatic ALDH2 ac-tivity and to mainly affect AcH levels during alcohol consumption, even though polymorphisms of the alcohol dehydrogenase gene are also known to influence AcH levels [1][2][3][4][5] . The loss of ALDH2 activity has been reported to influence susceptibility not only to acute adverse effects of alcohol consumption like nausea and headache, but also to severe alcohol-related health risks, particularly esophageal squamous cell carcinoma (ESCC) [6] .…”
Section: Introductionmentioning
confidence: 99%
“…Blood levels of AcH have been shown to inversely correlate with blood and hepatic ALDH2 ac-tivity and to mainly affect AcH levels during alcohol consumption, even though polymorphisms of the alcohol dehydrogenase gene are also known to influence AcH levels [1][2][3][4][5] . The loss of ALDH2 activity has been reported to influence susceptibility not only to acute adverse effects of alcohol consumption like nausea and headache, but also to severe alcohol-related health risks, particularly esophageal squamous cell carcinoma (ESCC) [6] .…”
Section: Introductionmentioning
confidence: 99%
“…Higher blood acetaldehyde levels in alcoholics have been reported to be due to reduced acetaldehyde oxidation rates rather than increased rates of formation [14]. High levels of blood acetaldehyde imply a remarkable elevation of acetaldehyde in the hepatocytes [10], which may inhibit ethanol oxidation.…”
Section: Discussionmentioning
confidence: 99%
“…In volunteers the blood concentration of ac etaldehyde following intake of 0.5 g/kg of alcohol is 0.5-1.3 pmol/1 [8]. Although somewhat higher acetaldehyde levels have been measured in alcoholics and in mothers of FAS children, the activity of placental ALDH as well as its affinity for acetaldehyde are both far too low to prevent passage of acetaldehyde from the mother to the fetus [8][9][10]. In experimental animals, the pla centa constitutes a relative barrier to acetal dehyde [3,4], However, as shown in this study, because of the properties of the pla cental ALDH in alcoholics, the role of pla cental oxidation as a possible placental bar rier to acetaldehyde is negligible.…”
Section: Discussionmentioning
confidence: 99%