Coutts David J C, Harrison Neil L
Department of Anesthesiology, Columbia University, New York, New York.
Alcohol Clin Exp Res. 2015 Mar;39(3):455-62. doi: 10.1111/acer.12642. Epub 2015 Feb 19.
Excessive ethanol (EtOH) drinking is associated with white matter loss in the brain at all stages of life. Myelin-forming oligodendrocytes (OLs) are a major component of white matter, but their involvement in EtOH-mediated white matter loss is unclear. Myelination continues throughout the life with highest rates during fetal development and adolescence. However, little is known about the effects of EtOH and its principal metabolite acetaldehyde (ACD) on OLs at the cellular level.
We compared the responses to different concentrations of EtOH or ACD by primary OLs in culture.
EtOH did not cause significant cell death at concentrations lower than 120 mM, even after 24 hours. In comparison, ACD was highly lethal at doses above 50 μM. High concentrations of EtOH (120 mM) and ACD (500 μM) for 24 hours did not reduce myelin in mature OLs. Myelin production and OL differentiation were significantly impaired by 7 days exposure to 500 or 50 μM ACD but not 120 mM EtOH.
This study shows that OLs are relatively resistant to EtOH, even at a concentration more than 4 times the typical blood EtOH concentrations associated with social drinking (10 to 30 mM). In contrast, OLs are much more sensitive to ACD than EtOH, particularly with long-term exposure. This suggests that part of white matter loss in response to EtOH, especially during high rates of myelin formation, may be due in part to the effects of its principal metabolite ACD.
过量饮酒在生命的各个阶段都与脑白质损失有关。形成髓磷脂的少突胶质细胞(OLs)是白质的主要组成部分,但其在乙醇介导的白质损失中的作用尚不清楚。髓鞘形成在整个生命过程中持续进行,在胎儿发育和青春期速率最高。然而,关于乙醇及其主要代谢产物乙醛(ACD)在细胞水平对少突胶质细胞的影响知之甚少。
我们比较了培养的原代少突胶质细胞对不同浓度乙醇或乙醛的反应。
在浓度低于120 mM时,即使在24小时后,乙醇也不会导致明显的细胞死亡。相比之下,乙醛在剂量高于50 μM时具有高度致死性。24小时的高浓度乙醇(120 mM)和乙醛(500 μM)不会减少成熟少突胶质细胞中的髓磷脂。暴露于500或50 μM乙醛7天会显著损害髓磷脂生成和少突胶质细胞分化,但120 mM乙醇不会。
本研究表明,少突胶质细胞对乙醇相对耐受,即使其浓度超过社交饮酒相关的典型血液乙醇浓度(10至30 mM)四倍以上。相比之下,少突胶质细胞对乙醛比乙醇更敏感,尤其是长期暴露时。这表明,对乙醇反应中白质损失的部分原因,特别是在髓鞘形成速率高时,可能部分归因于其主要代谢产物乙醛的作用。