“…It has been suggested that alcohol may have an effect by inhibiting the N-methyl-D-aspartate receptor (NMDA) receptor and activating GABA receptors, and can promote apoptosis by affecting the activities of Na + /K + -ATP enzymes, the adenosine acid cyclization enzyme, and opening of Ca 2+ channels. Others have suggested that the pharmacological and toxicological mechanisms of alcohol may work through ceramide (4,5). As an important cellular signal transduction carrier, ceramide is involved in a variety of cellular signal transduction pathways, and has multiple cellular physiological functions, including regulation of the cell cycle, cell differentiation and proliferation, regulation of apoptosis, and being involved in stress, immunity and inflammation (6,7).…”