“…On the other hand, given the frequent co-abuse of ethanol and tobacco, part of the deleterious effects of ethanol on myelin proteins might result from an interaction of ethanol with specific components of tobacco, such as nicotine-specific nitrosamine ketone (NNK; Tong et al, 2015 ; Zabala et al, 2015 ; Papp-Peka et al, 2017 ). However, even in subjects without such obvious neurological and anatomical complications (the “uncomplicated cases”), the expression of myelin and oligodendrocyte-related proteins, or their mRNAs, can be significantly altered in various brain regions, being particularly prominent in the PFC (Mayfield et al, 2002 ; Alexander-Kaufman et al, 2006 ; Liu et al, 2006 ), which are reflected in low levels of the main structural myelin proteins such as myelin basic protein (MBP) and possibly proteolipid protein (PLP), their companions, myelin associated-glycoprotein (MAG) and oligodendrocyte-myelin glycoprotein (Omgp; Okamoto et al, 2006 ), and related transcription factors (Miguel-Hidalgo et al, 2017 ). Reduced expression of major myelin proteins such as MBP has been detected in models of prenatal alcohol exposure (Ozer et al, 2000 ; Bichenkov and Ellingson, 2001 ), while in vitro studies have shown that the effects of ethanol on the expression of myelin components could be mediated by direct regulation of PKC-like enzymes rather than by altering their expression (Bichenkov and Ellingson, 2002 ).…”