© 1992 Medical Council on Alcohol
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RAPID COMMUNICATION: PLASMA ß-ENDORPHIN, BUT NOT MET-ENKEPHALIN LEVELS ARE ABNORMAL IN CHRONIC ALCOHOLICS

*Cattedra di Clinica Medica Generale e Terapia Medica, Universitá di Parma Via A. Gramsci 14, 43100 Parma, Italy
Servizio di Medicina d'Urgenza USL no. 4 Parma, Parma, Italy
Received 22 April 1992; first review notified 6 July 1992; accepted 29 July 1992
Plasma ß-endorphin, met-enkephalin and ACTH concentrations were measured in 20 male alcoholics (age: 3260 yr; duration of ethanol addiction: 13.2 ± 6.2 yr; mean ± SE) immediately after admission to the hospital (at a time not exceeding 8 hr from the last ethanol consumption) and after 5 weeks of forced abstinence. The results were compared with those obtained in 12 age-matched normal controls. Plasma ACTH and met-enkephalin levels were normal in alcoholics on both occasions. In contrast, in samples taken at admission to the hospital, the circulating concentrations of ß-endorphin in alcoholics were half (17.1 ± 5.3 pg/ml; mean ± SE) of those observed in the normal controls (34.1 ± 6.0). ß-endorphin levels rose significantly after 5 weeks of abstinence (30.1 ± 4.9); at this time, they were not significantly different from those observed in normal controls. These data indicate that acute alcohol consumption induces significant alterations in plasma ß-endorphin, but not met-enkephalin levels, which are reversed after 5 weeks of abstinence.
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