Abstract
Successful treatment of alcoholism is generally dependent on an early diagnosis. Consequently, there is a clinical need for objective and reliable markers of alcohol consumption, since valid information of alcohol intake cannot be obtained from subjects misusing alcohol. This chapter describes two new biochemical markers of alcohol consumption: carbohydrate-deficient transferrin (CDT) in serum and 5-hydroxytryptophol (5-HTOL) in urine. It gives information about biochemical background and clinical characteristics and describes recent method developments to enable their use in clinical routine work. Because they show different clinical profiles, how they can be used in combination in a clinical setting monitoring alcohol consumption is also illustrated.
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References
H. Stibler and K. G. Kjellin (1976) Isoelectric focusing and electrophoresis of the CSF proteins in tremor of different origins. 7. Neurol Sci. 30, 269–285.
H. Stibler, S. Borg, and C. Allgulander (1979) Clinical significance of abnormal heterogeneity of transferrin in relation to alcohol consumption. Acta Med. Scand. 206, 275–281.
H. Stibler, O. Sydow, and S. Borg (1980) Quantitative estimation of abnormal microheterogeneity of serum transferrin in alcoholics. Pharmacol Biochem. Behav. 13, 47–51.
A. Hamann (1977) Microheterogeneity of serum glycoproteins as revealed by flat-bed isoelectric focusing, Electrofocusing and Isotachophoresis. B. J. Radfola and B. Graesslin, eds. (W de Gruyter, New York), pp. 329–335.
H. Stibler (1978) The normal cerebrospinal fluid proteins identified by means of thin-layer isoelectric focusing and crossed immunoelectro-focusing. J. Neurol. Sci. 36, 273–288.
H. van Eijk, W. van Noort, M.-L. Dubelaar, and C. van der Heul (1983) The microheterogeneity of human transferrin in biological fluids. Clin. Chim. Acta. 132, 167–171.
H. Stibler and S. Borg (1986) Carbohydrate composition of transferrin in alcoholic patients. Alcohol Clin. Exp. Res. 10, 61–64.
H. Stibler and S. Borg (1981) Evidence of a reduced sialic acid content in serum transferrin in male alcoholic patients. Alcohol. Clin. Exp. Res. 5, 545–549.
H. Stibler, S. Borg, and M. Joustra (1986) Micro anion exchange chromatography of carbohydrate-deficient transferrin in serum in relation to alcohol consumption. Alcohol. Clin. Exp. Res. 10, 535–544.
H. Stibler and R. Hultcrantz (1987) Carbohydrate-deficient transferrin in serum in patients with liver diseases. Alcohol Clin. Exp. Res. 11, 468–473.
H. Stibler and S. Borg (1988) The value of carbohydrate-deficient transferrin as a marker of high alcohol consumption, Biomedical and Social Aspects of Alcohol and Alcoholism. K. Kuriyama, A. Takada, and H. Ishii, eds. (Elsevier Sci. Amsterdam), pp. 503–506.
H. Stibler, L. Dahlgren, and S. Borg (1988) Carbohydrate-deficient transferrin (CDT) in serum in women with early alcohol addiction. Alcohol 5, 393–398.
O. Vesterberg, S. Petren, and D. Schmidt (1984) Increased concentrations of a transferrin variant after alcohol abuse. Clin. Chim. Acta. 141, 33–39.
E. Storey, U. Mack, L. Powell, and J. Halliday (1985) Use of chromatofocusing to detect a transferrin variant in serum of alcoholic subjects. Clin. Chem. 31, 1543–1545.
F. Schellenberg and J. Weill (1987) Serum desialotranserrin in the detection of alcohol abuse. Drug Alcohol Depend. 19, 181–191.
H. Gjerde, J. Johnsen, A. Bjorneboe, G.-E. Bjorneboe, and J. Morland (1988) A comparison of serum carbohydrate-deficient transferrin with other biological markers of excessive drinking. Scand. J. Clin. Lab. Invest. 48, 1–6.
U. Behrens, T. Worner, L. Brady, F. Schaffher, and C. Lieber (1988) Carbohydrate-deficient transferrin: A marker for chronic alcohol consumption in different ethnic populations. Alcohol Clin. Exp. Res. 12, 427–432.
F. Schellenberg, J. Benard, A. Le Goff, C. Bourdin, and J. Weill (1989) Evaluation of carbohydrate-deficient transferrin compared with Tf index and other markers of alcohol abuse. Alcohol. Clin. Exp. Res. 13, 605–610.
A. Kapur, G. Wild, A. Milford-Ward, and D. R. Triger ( 1989) Carbohydratedeficient transferrin: A marker for alcohol abuse. Brit. Med. J. 299, 427–431.
I. Kwoh-Gain, L. Fletcher, J. Price, L. Powell, and J. Halliday (1990) Desialylated transferrin and mitochondrial aspartate aminotransferase compared to laboratory markers of excessive alcohol consumption. Clin. Chem. 36, 841–845.
U. Behrens, T. Worner, and C. Lieber (1988) Changes in carbohydratedeficient transferrin levels after alcohol withdrawal. Alcohol. Clin. Exp. Res. 12, 539–544.
H. Stibler, S. Borg, and M. Joustra (1991) A modified method for the assay of carbohydrate-deficient transferrin (CDT) in serum. Alcohol Alcoholism Suppl. 1, 451–454.
H. Stibler, S. Borg, and G. Beckman (1988) Transferrin phenotype and level of carbohydrate-deficient transferrin in serum in healthy individuals. Alcohol. Clin. Exp. Res. 12, 450–453.
H. Stibler and J. Jaeken (1990) Carbohydrate-deficient serum transferrin in a new hereditary systemic syndrome. Arch. Dis. Child. 65, 107–111.
H. Stibler, J. Jaeken, and B. Kristiansson (1991) Biochemical characteristics and diagnosis of the carbohydrate-deficient glycoprotein syndrome. Acta Paediatr. Scand. Suppl. 375, 22–31.
T. R. Bosin (1978) Serotonin metabolism, Serotonin in Health and Disease, vol. 1, W. B. Essman, ed. (Spectrum, New York), pp. 181–300.
O. Beck, S. Borg, G. Jonsson, A. Lundman, and P. Valverius (1984) Measurement of 5-hydroxytryptophol and 5-hydroxyindoleacetic acid in human and rat brain and plasma. J. Neural Transm. 59, 57–67.
M. J. Walsh (1973) Role of acetaldehyde in the interactions of ethanol with neuroamines. Adv. Mental Sci. 3, 233–266.
O. Beck, S. Borg, L. Eriksson, and A. Lundman (1982) 5-Hydroxytryptophol in the cerebrospinal fluid and urine of alcoholics and healthy subjects. NaunynSchmiedebergs Arch. Pharmacol. 321, 293–297.
A. Voltaire, O. Beck, and S. Borg (1992) Urinary 5-hydroxytryptophol: A possible marker of recent alcohol consumption. Alcohol. Clin. Exp. Res. 16, (in press).
A. Helander, O. Beck, and S. Borg (1991) HPLC determination of urinary 5-hydroxytryptophol: A biochemical marker of recent alcohol consumption. Alcohol. Clin. Exp. Res. 15, 386 (abstract).
A. Heiander, T. Wikström, C. Löwenmo, G. Jacobsson, and O. Beck (1992) Urinary excretion of 5-hydroxyindole-3-acetic acid and 5-hydroxytryptophol after oral loading with serotonin. Life Sci. (in press).
A. Helander, O. Beck, M. Wennberg, T. Wikström, and G. Jacobsson (1991) Determination of urinary 5-hydroxyindole-3-acetic acid by high-performance liquid chromatography with electrochemical detection and direct sample injection. Anal Biochem. 196, 170–173.
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Borg, S., Beck, O., Helander, A., Voltaire, A., Stibler, H. (1992). Carbohydrate-Deficient Transferrin and 5-Hydroxytryptophol. In: Litten, R.Z., Allen, J.P. (eds) Measuring Alcohol Consumption. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0357-5_7
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DOI: https://doi.org/10.1007/978-1-4612-0357-5_7
Publisher Name: Humana Press, Totowa, NJ
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Online ISBN: 978-1-4612-0357-5
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