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Alcohol and Alcoholism Advance Access published online on March 29, 2005

Alcohol and Alcoholism, doi:10.1093/alcalc/agh154
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Alcohol & Alcoholism © Medical Council on Alcohol 2005; all rights reserved
Received November 12, 2004
Revised January 26, 2005
Accepted March 9, 2005


Article

COMPARISON OF SERUM FATTY ACID ETHYL ESTERS AND URINARY 5-HYDROXYTRYPTOPHOL AS BIOCHEMICAL MARKERS OF RECENT ETHANOL CONSUMPTION

ADAM BISAGA 1*, MICHAEL LAPOSATA 2, SHAN XIE 3, and SUZETTE M. EVANS 1

1 Division on Substance Abuse, NYS Psychiatric Institute and Columbia University, Unit/120, 1051 Riverside Drive, New York, NY, USA
2 Division of Laboratory Medicine, Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
3 Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA

* To whom correspondence should be addressed.
ADAM BISAGA, E-mail: amb107{at}columbia.edu


   Abstract

Aims: To examine the effects of an acute dose of ethanol on serum fatty acid ethyl esters (FAEEs) concentration and urinary 5-hydroxytryptophol (5-HTOL)/5-hydroxyindole-3-acetic acid (5-HIAA) ratio. Methods: Sixteen (14 male, 2 female) heavy alcohol drinkers were tested in a single, 2-day long session. Six participants received 1.5 g/l of ethanol/l of body water (~0.75 g/kg of body weight, low dose group: LD) and 10 participants received 2.0 g/l of ethanol (~1.0 g/kg of body weight, high dose group: HD) in four divided doses every 20 min. Blood, urine, and breath samples were collected repeatedly over 36 h following the ingestion of ethanol and were analyzed for the presence of FAEE, 5-HTOL/5-HIAA, and ethanol, respectively. Serum {gamma}-glutamyltransferase (GGT), a marker of chronic ethanol use, was also included. Results: The breath ethanol level peaked ~1 h after the last dose, at 95 and 120 mg/dl for the LD and HD groups, respectively. The mean ratio of urinary 5-HTOL/5-HIAA was significantly elevated 5 and 9 h after ethanol administration, but returned to baseline 13 h after ethanol administration. This ratio was twice as high for the HD group compared with the LD group. Serum levels of FAEEs were significantly elevated at 5 h, but not 13 h after ethanol administration. There were no time-dependent changes in serum GGT levels. Conclusions: Measuring the levels of FAEE and 5-HTOL/5-HIAA ratio provides a convenient method to detect recent, particularly binge-type, ethanol use, but these measures may have limited applicability in detecting ethanol use in traditional clinical trial settings.


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