Imperial College London
Alternate

Professor David Nutt DM, FRCP, FRCPsych, FSB, FMedSci

Faculty of Medicine, Department of Brain Sciences

The Edmond J Safra Chair in Neuropsychopharmacology
 
 
 
//

Contact

 

d.nutt

 
 
//

Location

 

Burlington Danes BuildingBurlington DanesHammersmith Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Palmer:2019:alcalc/agz016,
author = {Palmer, E and Tyacke, R and Sastre, M and Lingford-Hughes, A and Nutt, D and Ward, RJ},
doi = {alcalc/agz016},
journal = {Alcohol and Alcoholism},
pages = {196--203},
title = {Alcohol hangover: underlying biochemical, inflammatory and neurochemical mechanisms},
url = {http://dx.doi.org/10.1093/alcalc/agz016},
volume = {54},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AIM: To review current alcohol hangover research in animals and humans and evaluate key evidence for contributing biological factors. METHOD: Narrative review with alcohol hangover defined as the state the day after a single episode of heavy drinking, when the alcohol concentration in the blood approaches zero. RESULTS: Many of the human studies of hangover are not well controlled, with subjects consuming different concentrations of alcohol over variable time periods and evaluation not blinded. Also, studies have measured different symptoms and use varying methods of measurement. Animal studies show variations with respect to the route of administration (intragastric or intraperitoneal), the behavioural tests utilised and discrepancy in the timepoint used for hangover onset. Human studies have the advantage over animal models of being able to assess subjective hangover severity and its correlation with specific behaviours and/or biochemical markers. However, animal models provide valuable insight into the neural mechanisms of hangover. Despite such limitations, several hangover models have identified pathological changes which correlate with the hangover state. We review studies examining the contribution of alcohol's metabolites, neurotransmitter changes with particular reference to glutamate, neuroinflammation and ingested congeners to hangover severity. CONCLUSION: Alcohol metabolites, neurotransmitter alterations, inflammatory factors and mitochondrial dysfunction are the most likely factors in hangover pathology. Future research should aim to investigate the relationship between these factors and their causal role.
AU  - Palmer,E
AU  - Tyacke,R
AU  - Sastre,M
AU  - Lingford-Hughes,A
AU  - Nutt,D
AU  - Ward,RJ
DO  - alcalc/agz016
EP  - 203
PY  - 2019///
SN  - 0735-0414
SP  - 196
TI  - Alcohol hangover: underlying biochemical, inflammatory and neurochemical mechanisms
T2  - Alcohol and Alcoholism
UR  - http://dx.doi.org/10.1093/alcalc/agz016
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30916313
UR  - http://hdl.handle.net/10044/1/69032
VL  - 54
ER  -
Download