Latge C, Lamboeuf Y, Roumec C, de Saint Blanquat G
Unite de Recherche en Toxicologie Alimentaire, I.N.S.E.R.M. U-87, Université Paul Sabatier, Toulouse, France.
Drug Alcohol Depend. 1987 Sep;20(1):47-55. doi: 10.1016/0376-8716(87)90075-5.
Recent studies have suggested that acetaldehyde participates directly in the pathogenesis of alcoholism. Its action has been attributed mainly to its physico-chemical properties. Results of direct intoxication of laboratory animals with acetaldehyde have been reported, but only for short periods of exposure and at high doses. These are probably not representative of the conditions found during alcohol intoxication. The pulmonary route of administration described here enables long term intoxication with acetaldehyde, at levels corresponding to values measured during chronic ethanol intoxication. Chronic administration of acetaldehyde during 3 weeks induced a metabolic tolerance to ethanol as tested by the sleeping time after a challenge dose of ethanol; behavioural tolerance (measured by blood alcohol levels on waking) was not observed. At the end of the intoxication, phospholipid fatty acids of erythrocyte and synaptosome membranes were also analysed. Small changes in levels of the shorter fatty acids were observed in the phosphatidyl-choline fraction. By comparison with the effects of ethanol on the same membrane preparations, only a small part of this effect can be attributed to acetaldehyde. The first metabolite of ethanol has, however, a sure effect on the pattern of fatty acid phospholipids.
最近的研究表明,乙醛直接参与酒精中毒的发病机制。其作用主要归因于其物理化学性质。已有关于实验室动物直接用乙醛中毒的报道,但仅为短期高剂量暴露。这些情况可能并不代表酒精中毒时的实际情况。本文所述的肺部给药途径能够使动物长期处于乙醛中毒状态,其剂量水平与慢性乙醇中毒时测得的值相当。连续3周给予乙醛可诱导对乙醇的代谢耐受性,这通过给予挑战剂量乙醇后的睡眠时间来测试;未观察到行为耐受性(通过醒来时的血液酒精水平来衡量)。在中毒结束时,还分析了红细胞和突触体膜的磷脂脂肪酸。在磷脂酰胆碱部分观察到较短脂肪酸水平的微小变化。与乙醇对相同膜制剂的作用相比,这种作用中只有一小部分可归因于乙醛。然而,乙醇的第一种代谢产物对脂肪酸磷脂的模式有确切影响。