Abstract
BackgroundThe neurotrophins brain-derived neurotrophic factor (BDNF) and neurotrophic factor 3 (NT3) could play a role in addictive behavior. Interactions between BDNF and dopamine transmission influence the alcohol intake. It has been hypothesized that extensive alcohol consumption leads to diminished circulating BDNF levels and impaired BDNF-mediated protective mechanisms. What is more, alcohol dependency causes changes in lipid metabolism which in turn may influence the neurotrophin system.MethodsIn this study, we tested the hypothesis that alcohol withdrawal increases the serum levels of BDNF in alcoholic patients and investigated correlations between serum BDNF and NT3 and alcohol in breath as well as with the body-mass-index (BMI), lipoprotein profiles and lifestyle factors in 110 male in-patients diagnosed with alcohol addiction on the first day after admission and at discharge.ResultsThe intoxication level (alcohol in breath at admission) was significantly correlated with liver enzymes and BDNF concentrations (R = .28; p = .004). Patients with positive breath-alcohol test at admission had about 9 times higher NT3 levels and higher liver enzyme concentration levels than nonintoxicated subjects. Alcohol intoxicated patients with pathological aspartate aminase (ASAT) levels had even higher NT3 level (F = 5.41; p = .022). The concentration of NT3 was positively associated with the (BMI) (admission R = .36; p = .004; discharge R = .33; p = .001), and the obese patients had 3 to 5 times higher NT3 concentration than the others. Low-density lipoprotein (LDL) concentration levels were found to positively correlate with NT3 concentration levels (admission R = .025; p = .015 discharge R = .24; p = .23).ConclusionOther than expected, the levels of NT3 and to a lesser extent BDNF levels, were found to be significantly increased in acute alcohol abuse. Alcohol deprivation did not significantly change the serum neurotrophin levels at admission. NT3 levels were positively correlated with the BMI and LDL levels. Because of expected difference between genders, we recommend investigating these correlations further in patients of both genders.
Highlights
The neurotrophins brain-derived neurotrophic factor (BDNF) and neurotrophic factor 3 (NT3) could play a role in addictive behavior
The BDNF mRNA expression in the Striatum Dorsalis depends on the duration of alcohol abuse
We investigated correlations between serum BDNF and NT3 with alcohol in breath at admission as well as body-mass-index, lipoprotein profile and lifestyle factors in 110 male in-patients diagnosed with alcohol addiction on the first day after admission and at discharge
Summary
The neurotrophins brain-derived neurotrophic factor (BDNF) and neurotrophic factor 3 (NT3) could play a role in addictive behavior. Interactions between BDNF and dopamine transmission influence the alcohol intake. Interactions between BDNF and the dopamine transmission may influence the alcohol ingestion [1,2]. After six weeks of alcohol consumption the BDNF level in the cortex was shown to decrease, and even after a two-weeks abstinence it did not normalize. A decreased BDNF-expression or attenuated signal transduction through the BDNF-receptors in the presence of alcohol could contribute to alcohol-induced neurodegeneration It has been speculated, that the administration of BDNF could protect against alcohol abuse. In subjects with a family history of alcohol abuse over several generations, an interaction was detected between allele variants of BDNF genes associated with increased volumes of brain gray substance and the addictive behaviour [6]. The comorbid psychiatric diseases and their influence on developing alcohol dependency could be of interest [3]
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