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Alcohol and Alcoholism Advance Access originally published online on September 22, 2008
Alcohol and Alcoholism 2008 43(6):653-657; doi:10.1093/alcalc/agn076
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© The Author 2008. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved

Breath Alcohol Level and Plasma Amino Acids: A Comparison between Older and Younger Chronic Alcohol-Dependent Patients

Henriette Walter1,*, William B. Schlaff1, Otto M. Lesch1, Libor Vitek2, Tomas Zima2, Doris Hartl1, Alexander Dvorak1, Karin Gutierrez-Lobos1, Kenneth Thau1 and Philippe De Witte3

1 Department of Psychiatry and Psychotherapy, Medical University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria
2 1st Faculty of Medicine, Institute of Clinical Biochemistry and Laboratory Diagnostics, Charles University, 128 08 Prague, Czech Republic; and
3 Université Catholique de Louvain, Biologie du Comportement, 1, Croix du Sud, B-1348 Louvain-la-Neuve, Belgium

* Corresponding author: Department of Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. Tel: +43-1-40400-3526; Fax: +43-1-40400-3472; E-mail: Henriette.walter{at}meduniwien.ac.at

Received 15 May 2008; first review notified 30 June 2008; in revised form 11 July 2008; accepted 18 July 2008; advance access publication 22 September 2008


   Abstract

Aim: The aim of the present study is to examine the distribution of plasma excitatory and inhibitory amino acids, according to the age and current breath alcohol levels (BrAl±), of alcohol-dependent patients. Participants and Methods: 78 alcohol-dependent patients (mean age = 46.2 ± 11 years, men/women = 54/24) were clinically tested, including the determination of the major excitatory as well as inhibitory amino acids. The independent variables were gender, age and current alcohol consumption measured with the breath alcohol level (BrAl ± status). Results: In comparison to BrAl negatives, BrAl positives had higher plasma levels of glutamic acid (P = 0.01) and proline (P = 0.026), and lower levels of aminobutyric acid (P = 0.002), serine (P = 0.031) and urea (P = 0.01). In the BrAl positives, no age effect was found related to the plasma amino acids. In contrast, the BrAl negatives displayed age-related differences. The older (≥50 years) BrAl negative patients had higher plasma levels of cystine, tyrosine, citrulline and urea, and lower histidine levels, compared to the younger group (<50 years). In general, differences in plasma levels of certain amino acids were dependent on gender, BrAl status, age and biochemical markers (GGT, MCV) of alcohol abuse. Conclusions: Abstaining patients (BrAl–/) display age-related differences in AAs’ distribution, while active drinking (BrAl+/) seems to even out those differences, underpinning the hypothesis that drinking mimics changes seen with advanced age.


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