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A Single Dose of Alcohol Can Permanently Alter the Neuronal Mitochondria

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Even a single dose of drinking alcohol – ethanol – can permanently alter synapses and mitochondrial movement in the brain’s neurons. That has consequences for the brain’s reward learning and can potentially lead to later alcohol addiction


A research team from the University of Cologne and the Universities of Mannheim and Heidelberg has found that even the single administration of alcohol permanently alters the morphology of neurons. In particular, the structure of the synapses as well as the dynamics of mitochondria – the powerhouses of the cell – are influenced by alcohol. Using the genetic model system of the fruit fly Drosophila melanogaster, Professor Dr Henrike Scholz and her team members Michèle Tegtmeier und Michael Berger showed that changes in the migration of mitochondria in the synapses reduce the rewarding effect of alcohol. These results suggest that even a single consumption event can lay the foundation for alcohol addiction. The study ‘Single-dose ethanol intoxication causes acute and lasting neuronal changes in the brain’ has appeared in PNAS (Proceedings of the National Academy of Sciences).


Which changes in the brain accompany the transition from sporadic drinking to chronic alcohol abuse? That is the question a joint research project with working groups at the University of Mannheim-Heidelberg and the University of Cologne explored. Most scientific research has examined the effects of chronic alcohol consumption on the hippocampus – the control centre of our brain. Because of this, little is known about the acute neuronal interactions of critical risk factors, such as a first alcohol intoxication at an early age, explained Henrike Scholz: ‘We set out to discover ethanol-dependent molecular changes. These, in turn, provide the basis for permanent cellular changes following a single acute ethanol intoxication. The effects of a single alcohol administration were examined at the molecular, cellular and behavioural levels.’ The working hypothesis was that, similar to the formation of memory after a single lesson, a single administration of ethanol would form a positive association with alcohol.


The team tested its hypothesis using research in fruit flies and mouse models and found ethanol-induced changes in two areas: mitochondrial dynamics and the balance between synapses in neurons. Mitochondria supply cells and especially nerve cells with energy. In order to optimally deliver the energy to the cells, the mitochondria move. The movement of the mitochondria was disturbed in the cells treated with ethanol. The chemical balance between certain synapses was also disturbed. These changes remained permanent and were confirmed by behavioural changes in the animals: Mice and fruit flies showed increased alcohol consumption and alcohol relapse later in life.


The morphological remodelling of neurons is a well-known basis for learning and memory. These so-called cellular plasticity mechanisms, which are central to learning and memory, are also thought to be at the core of the formation of associative memories for drug-related rewards. Therefore, some of the observed morphological changes may influence ethanol-related memory formation. Together with the migration of mitochondria in neurons, which are also important for synaptic transmission and plasticity, the researchers speculate that these ethanol-dependent cellular changes are critical for the development of addictive behaviours.


‘It is remarkable that the cellular processes contributing to such complex reward behaviour are conserved across species, suggesting a similar role in humans,’ said Henrike Scholz. ‘It could be a possible general cellular process essential for learning and memory.’


Both of the observed mechanisms could explain observations made in mice that a single intoxication experience can increase alcohol consumption and alcohol relapse later in life. ‘These mechanisms may even be relevant to the observation in humans that the first alcohol intoxication at an early age is a critical risk factor for later alcohol intoxication and the development of alcohol addiction,’ explained Professor Scholz. ‘This means that identifying lasting ethanol-dependent changes is an important first step in understanding how acute drinking can turn into chronic alcohol abuse.’


Reference: Knabbe J, Protzmann J, Schneider N, et al. Single-dose ethanol intoxication causes acute and lasting neuronal changes in the brain. Proceedings of the National Academy of Sciences. 2022;119(25):e2122477119. doi:10.1073/pnas.2122477119


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