The chronic high-level alcohol consumption seen in alcoholism leads to
dramatic effects on the hippocampus, including decreased white matter, loss of
oligodendrocytes and other glial cells, and inhibition of neurogenesis.
Examining gene expression in post mortem hippocampal tissue from 20 alcoholics
and 19 controls allowed us to detect differentially expressed genes that may
play a role in the risk for alcoholism or whose expression is modified by
chronic consumption of alcohol. We identified 639 named genes whose expression
significantly differed between alcoholics and controls at a False Discovery Rate
(FDR) ≤ 0.20; 52% of these genes differed by at least 1.2-fold.
Differentially expressed genes included the glucocorticoid receptor and the
related gene FK506 binding protein 5 (FKBP5), UDP
glycosyltransferase 8 (UGT8), urea transporter
(SLC14A1), zinc transporter (SLC39A10),
Interleukin 1 receptor type 1 (IL1R1), thioredoxin interacting
protein (TXNIP), and many metallothioneins. Pathways related to
inflammation, hypoxia, and stress showed activation, and pathways that play
roles in neurogenesis and myelination showed decreases. The cortisol pathway
dysregulation and increased inflammation identified here are seen in other
stress-related conditions such as depression and post-traumatic stress disorder
and most likely play a role in addiction. Many of the detrimental effects on the
hippocampus appear to be mediated through NF-κB signaling. Twenty-four
of the differentially regulated genes were previously identified by genome-wide
association studies of alcohol use disorders; this raises the potential interest
of genes not normally associated with alcoholism, such as suppression of
tumorigenicity 18 (ST18), BCL2-associated athanogene 3
(BAG3), and von Willebrand factor
(VWF).