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Healthcare (Basel). 2021 Apr 01;9(4). doi: 10.3390/healthcare9040395.

Immune Responses after Heavy Alcohol Consumption: Cytokine Concentrations in Hangover-Sensitive and Hangover-Resistant Drinkers.

Healthcare (Basel, Switzerland)

Aurora Jae van de Loo, S Jorinde Raasveld, Anna Hogewoning, Raymond de Zeeuw, Else R Bosma, Noor H Bouwmeester, Melanie Lukkes, Karen Knipping, Marlou Mackus, Aletta D Kraneveld, Karel A Brookhuis, Johan Garssen, Andrew Scholey, Joris C Verster

Affiliations

  1. Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, 3584CG Utrecht, The Netherlands.
  2. Global Centre of Excellence Immunology, Nutricia Danone Research, 3584CT Utrecht, The Netherlands.
  3. Faculty of Behavioral and Social Sciences, Groningen University, 9700AB Groningen, The Netherlands.
  4. Centre for Human Psychopharmacology, Swinburne University, Melbourne, VIC 3122, Australia.

PMID: 33916085 PMCID: PMC8067124 DOI: 10.3390/healthcare9040395

Abstract

This study investigated immunological changes during an alcohol hangover, and the possible difference between hangover-resistant and hangover-sensitive drinkers in terms of immune reactivity. Using a semi-naturalistic design, N = 36 healthy social drinkers (18 to 30 years old) provided saliva samples on a control day (after drinking no alcohol) and on a post-alcohol day. Hangover severity was rated directly after saliva collection. Cytokine concentrations, interleukin (IL)-1β, IL-6, IL-8, IL-10 and tumor necrosis factor (TNF)-α, and hangover severity were compared between both test days and between hangover-sensitive and -resistant drinkers. Data from N = 35 drinkers (17 hangover-sensitive and 18 hangover-resistant) were included in the statistical analyses. Relative to the control day, there were significant increases in saliva IL-6 and IL-10 concentrations on the post-alcohol day. No significant differences in cytokine concentrations were found between hangover-sensitive and hangover-resistant drinkers, nor did any change in cytokine concentration correlate significantly with hangover severity. In line with previous controlled studies assessing cytokines in blood, the current naturalistic study using saliva samples also demonstrated that the immune system responds to high-level alcohol intake. However, further research is warranted, as, in contrast to previous findings in blood samples, changes in saliva cytokine concentrations did not differ significantly between hangover-sensitive and hangover-resistant drinkers, nor did they correlate significantly with hangover severity.

Keywords: alcohol; cytokine; hangover; hangover severity; immune system

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