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J Clin Invest. 2013 Apr;123(4):1605-14. doi: 10.1172/JCI65153. Epub 2013 Mar 8.

Increased brain uptake and oxidation of acetate in heavy drinkers.

Author information

  • 1Department of Diagnostic Radiology, Yale University, School of Medicine, New Haven, Connecticut 06520, USA. lihong.jiang@yale.edu

Abstract

When a person consumes ethanol, the body quickly begins to convert it to acetic acid, which circulates in the blood and can serve as a source of energy for the brain and other organs. This study used 13C magnetic resonance spectroscopy to test whether chronic heavy drinking is associated with greater brain uptake and oxidation of acetic acid, providing a potential metabolic reward or adenosinergic effect as a consequence of drinking. Seven heavy drinkers, who regularly consumed at least 8 drinks per week and at least 4 drinks per day at least once per week, and 7 light drinkers, who consumed fewer than 2 drinks per week were recruited. The subjects were administered [2-13C]acetate for 2 hours and scanned throughout that time with magnetic resonance spectroscopy of the brain to observe natural 13C abundance of N-acetylaspartate (NAA) and the appearance of 13C-labeled glutamate, glutamine, and acetate. Heavy drinkers had approximately 2-fold more brain acetate relative to blood and twice as much labeled glutamate and glutamine. The results show that acetate transport and oxidation are faster in heavy drinkers compared with that in light drinkers. Our finding suggests that a new therapeutic approach to supply acetate during alcohol detoxification may be beneficial.

PMID:
23478412
[PubMed - indexed for MEDLINE]
PMCID:
PMC3613911
Free PMC Article
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