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© 1991 Medical Council on Alcohol


research-article

THE EFFECT OF FRUCTOSE ON ALCOHOL METABOLISM AND ON THE [LACTATE]/[PYRUVATE] RATIO IN MAN

D. MASCORD, J. SMITH*, G. A. STARMER and J. B. WHITFIELD*,{dagger}

Department of Pharmacology, University of Sydney NSW 2006
*Department of Clinical Biochemistry, Royal Prince Alfred Hospital Camperdown NSW 2050, Australia

{dagger}To whom correspondence should be addressed.

Received 13 March 1990; first review notified 26 September 1990; accepted 26 October 1990

Ten male subjects were given alcohol by intravenous infusion and maintained at a constant blood alcohol level. The rate of alcohol metabolism was measured before and after an oral dose of fructose (100 g), as the amount of alcohol required to maintain the steady state. The mean rate of alcohol metabolism increased by 80% after fructose but there was considerable variation among the subjects, which was related to their plasma fructose concentrations. Blood lactate increased after fructose to a greater degree than blood pyruvate, resulting in a significant increase in [lactate]/[pyruvate] ratio. Since fructose increased the [lactate]/[pyruvate] ratio when it increased alcohol metabolism, the action of fructose cannot be explained by a decrease in the liver cytoplasmic [NADH]/[NAD] ratio and some other mechanism must be sought.


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