Oxýt Hoá Bất Bình Thường Chất Formaldehyde (gắn với đồng vị phóng xạ Carbon-14) ấp với Hồng Huyết Cầu Bệnh Nhân Ghiền Rượu và Người bình thường sau khi uống rượu
Abnormal Oxidation of Formaldehyde incubated with Erythrocytes of Alcoholics and nonalcoholics after Consumption of Alcoholic Beverages
Ngo Manh Tran, Marcel Laplante and Etienne LeBel
J. Nuclear Medicine, 13: 677-680, 1972

Abstract: We observed the oxidation of formaldehyde to CO2 in fresh human erythrocytes. The fact that 14CO2 production from 14C-formaldehyde occurred in fresh erythrocytes but not in boiled erythrocytes suggests the presence of enzyme process involved in the oxidation of this substrate in this human tissue. Similar results were reported with another monocarbon fragment, i.e, formate, in rats (1) and human (2) erythrocytes.
In the next series of studies, we observed a decreased 14CO2 production from 14C-formaldehyde in erythrocytes of alcoholics and nonalcoholics 0-12 hr (p≤0.05) after consumption of alcoholic beverages. This altered catabolism of formaldehyde may not be due to a delayed physical transport of this substrate across the cell membrane since no changes in uptakes of formaldehyde by erythrocytes of normal were found when these cells were incubated with ethanol (p≥0.05). Therefore the result obtained may be due to an alteration in erythrocyte metabolism, such as the inhibition of tetrahydrofolate activity involved in the oxidation of formaldehyde. Unfortunately, since tetrahydrofolate is extremely labile, little direct information appears to be available to test the validity of this finding. There have been reports showing a delay in the oxidation of 14C-formate, a monocarbon fragment attached to tetrahydrofolate, erythrocytes of folic acid-deficient rats in vitro, and a decrease in the excretion of 14CO2 after intravenous administration of 14C-formate to folic acid-deficient rats (3) and patients as well as to irradiated rats in vivo. The latter result was probably due to an inhibition of tetrahydrofolate by ionizing radiation (4, 5).
An increased 14CO2 production from 14C-formaldehyde 12-24 hr later (p ≤ 0.05) suggests an over-recovery of enzyme activity. Repeat 14CO2 studies showed that formaldehyde oxidation returned to the normal when measured 3-21 days after consumption of alcoholic beverages (p ≥ 0.05). These observed abnormalities in the oxidation of formaldehyde, probably caused by inhibition of tetrahydrofolate by alcohol, may support the previous result showing that ethanol suppresses hematopoiesis, perhaps by directly affecting folate metabolism.
The fact that both inhibition and over-recovery of enzyme activities were found in very short periods of time may allow an explanation for contradictory results on serum folate level in alcoholics. Indeed, high mean serum folate reported by some authors, whereas others have found a low value of this vitamin level among alcoholics.
The fact that alterations in formaldehyde catabolism occurred in red blood cells of both alcoholics and nonalcoholics 0-12 hr after consumption of alcohol but not in these humans 3-21 days later demonstrated the possible application of this in vitro ionization chamber method with 14C-formaldehyde to the detection of alcohol in human blood (2).

References:
1) Ngo Manh Tran, Marcel Laplante and Etienne LeBel: Altered catabolism of 14C-formate by erythrocytes of folic acid deficient rats: A possible in vitro means for differential diagnosis of megaloblastic anemias in man? J. Nuclear Medicine, 12: 222-226, 1971.
2) Ngo Manh Tran and Etienne LeBel: Inhibition of formate and formaldehyde oxidation by ethanol as an index for estimating alcohol concentration in isolated tissues. J. Nuclear Medicine 15: 284-87, 1974.
3) Ngo Manh Tran: Quantitation of certain alterations in intermediary metabolism in vivo associated with changes in body content of Vitamin B1, B6, B12, and Folic acid using 14CO2 breath analysis. Ph.D. thesis, University of California, Berkeley, California, 1969.
4) Ngo Manh Tran and Saul Winchell: Effects of ionization radiation on the in vivo metabolism of monocarbon fragment precursors to CO2. In Frontier of Nuclear Medicine Book, Horst W., ed, Berlin, Heidelberg, New York, Springer-Verlag, pp 116-127, 1971.
5) Ngo Manh Tran, Saul Winchell and Steve Landaw: Altered in vivo metabolism of histidine (imidazole-2-14C) in irradiated rats. Radiation Research, 34: 390-395, 1968.
TAGS: Formaldehyde, oxidation of formaldehyde in erythrocytes, effect of alcohol on formaldehyde oxidation in erythrocytes, Ngo manh Tran

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