DNA damage and neurotoxicity of chronic alcohol abuse

Inna I Kruman1, George I Henderson, Susan E Bergeson

  • 1Department of Pharmacology and Neuroscience, South Plains Alcohol and Addiction Research Center, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA. inna.kruman@ttuhsc.edu

Insights

Chronic alcohol abuse causes brain damage through DNA damage and impaired repair, leading to genomic instability and neurodegeneration. This review explores these mechanisms in alcohol-induced brain pathology.

Area of Science:

  • Neuroscience
  • Genetics
  • Toxicology

Background:

  • Chronic alcohol abuse leads to significant brain pathology, but the underlying causes remain unclear.
  • Proposed mechanisms involve DNA damage accumulation and impaired DNA repair, contributing to genomic instability and neuronal death.
  • Genomic instability is increasingly recognized as a common factor in various neurodegenerative disorders.

Purpose of the Study:

  • To review the role of DNA damage and DNA repair dysfunction in chronic alcohol-induced neurodegeneration.
  • To elucidate the mechanisms by which ethanol impacts genomic stability.
  • To highlight the connection between one-carbon metabolism and neuronal health under chronic alcohol exposure.

Main Methods:

  • Literature review of studies investigating alcohol's effects on DNA.
  • Analysis of research on DNA repair pathways and their impairment by ethanol.
  • Examination of the role of one-carbon metabolism in DNA precursor synthesis and methylation.

Main Results:

  • Chronic alcohol exposure results in DNA damage accumulation.
  • Ethanol interferes with critical DNA repair mechanisms.
  • Dysfunctional one-carbon metabolism, essential for DNA synthesis and repair, is linked to alcohol-induced neurotoxicity.
  • These factors collectively contribute to genomic instability and neuronal loss.

Conclusions:

  • DNA damage and impaired DNA repair are key contributors to alcohol-induced neurodegeneration.
  • Disruption of one-carbon metabolism by ethanol exacerbates genomic instability.
  • Understanding these mechanisms is crucial for developing therapeutic strategies against alcohol-related brain damage.

Related Concept Videos

CNS Depressants: Alcohol and Nicotine01:27

CNS Depressants: Alcohol and Nicotine

Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
Drug Toxicity: Dose-Dependent Reactions01:24

Drug Toxicity: Dose-Dependent Reactions

Drug toxicities can be stratified into pharmacological, pathological, or genotoxic based on their mechanisms. The incidence and severity of these toxicities generally increase with the drug's concentration in the body and exposure time.Pharmacological toxicity is evident when the therapeutic effects of drugs overshoot into adverse reactions in a predictable, dose-dependent manner. Central nervous system (CNS) depression from barbiturates is a classic example, with effects escalating from...
Chronic Pancreatitis II: Pathophysiology01:21

Chronic Pancreatitis II: Pathophysiology

Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Hepatic Encephalopathy01:29

Hepatic Encephalopathy

DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...