Drunken behaviour is caused by alcohol breakdown products in the BRAIN

Booze really DOES go to your head! Drunken behaviours including slurring and difficulty with balance are caused by alcohol breakdown products in the BRAIN and not the liver

  • Researchers looked for different chemicals in the brains of mice and humans
  • They found the chemical changes related to alcohol behaviour were in the brain
  • This includes slurring of words, lack of control and difficulty with balance
  • The study authors say it could be possible to target the cause of alcoholism 

Alcohol goes to your head and causes drunken behaviour through the breakdown of chemicals produced in the brain, a new study reveals.  

The finding turns previous theories that it was linked to the liver upside down, and scientists believe it holds the key to combating binge drinking and alcoholism.

Researchers from National Institute on Alcohol Abuse and Alcoholism tested the impact of alcohol on chemicals in human brain samples and in mice.

They found that alcohol metabolism is regulated ‘directly in the brain’, as it breaks down beer, wine or spirits, causing a range of behavioural side effects. 

Enzymes in the brain produce a chemical when alcohol breaks down and the chemical disrupts pathways that result in drunken behaviour.

The team discovered that when the enzyme is removed, the chemical isn’t created – even under the same alcohol consumption – and drunken behaviour doesn’t happen.

‘It suggests the possibility of new targets for altering the effects – and potentially treating alcohol use disorder,’ said lead author Dr Li Zhang. 

Alcohol goes to your head and causes drunken behaviour through the breakdown of chemicals produced in the brain, a new study reveals. Stock image


Alcoholism is the most severe form of alcohol abuse and involves the inability to manage drinking habits.

It is organised into three categories: mild, moderate and severe. Each category has various symptoms and can cause harmful side effects.

If left untreated, any type of alcohol abuse can spiral out of control. 

Individuals struggling with alcoholism often feel as though they cannot function normally without alcohol.

This can lead to a wide range of issues and impact professional goals, personal matters, relationships and overall health.

Sometimes the warning signs of alcohol abuse are very noticeable. Other times, they can take longer to surface. 

When alcohol addiction is discovered in its early stages, the chance for a successful recovery increases significantly.

The study sheds fresh light on why people can get tipsy after only one or two drinks, triggering unsteadiness, slurred speech and slower reaction times.

Dr Zhang said alcohol suppresses human brain function and affects behaviour but little is known about the neurological processes that control this.  

The possibility of brain alcohol metabolism has been a controversial topic within the field of alcohol research for several decades, but never confirmed.

The behavioural effects from alcohol are already widely known to be caused by metabolites that are made as the body breaks down beer, wine or spirits.

One such metabolite, acetate, is produced by an enzyme called ALDH2 – which is abundant in the liver – but new tests by the US team show it is also in the brain.

Specifically in astrocytes, also known as the ’tiles’ of the central nervous system, found in the cerebellum, a brain region that controls balance and co-ordination.

When ALDH2 was removed from the cells, the lab rodents became immune to motor impairments induced by alcohol consumption.

They performed as well as their peers on a rotating cylinder – or rotarod – that measures their balance and co-ordination skills.

Dr Zhang said there is a long-standing idea that alcohol related behaviour comes largely from liver alcohol metabolism, transported through the blood-brain barrier.

‘Our data presented here directly challenge this idea,’ she said.

They found that drinking alcohol fuels the metabolite and GABA – a neurotransmitter that calms the nerves and causes sleepiness.

Thought, speech and movements slow up as different parts of the brain cannot co-ordinate movement, speech and brain function as effectively.

This is why we slur our words, fail to pick up on social signals, can’t make decisions and become clumsy when drunk.

The finding turns previous theories that it was linked to the liver upside down, and scientists believe it holds the key to combating binge drinking and alcoholism. Stock image

Dr Zhang explained that there was a marked improvement in function, despite being under the influence of alcohol, when ALDH2 was removed from astrocytes. 

‘In contrast, removing ALDH2 in the liver did not affect the levels of acetate or GABA in the brain,’ the author explained.

‘These findings suggest acetate produced in the brain and in the liver differ in their ability to affect motor function.’

The study published in Nature Metabolism opens the door to better regulation of the effects of drink on behaviour.

It could lead to improved therapies for alcoholism and binge drinking – and other conditions that reduce balance and co-ordination, including stroke, Parkinson’s disease and multiple sclerosis.

Dr Zhang said: ‘Astrocytic ALDH2 is an important target not only for alcohol use disorders but also for other neurological diseases.’


One screening tool used widely by medical professionals is the AUDIT (Alcohol Use Disorders Identification Tests). Developed in collaboration with the World Health Organisation, the 10-question test is considered to be the gold standard in helping to determine if someone has alcohol abuse problems.

The test has been reproduced here with permission from the WHO.

To complete it, answer each question and note down the corresponding score.


0-7: You are within the sensible drinking range and have a low risk of alcohol-related problems.

Over 8: Indicate harmful or hazardous drinking.

8-15: Medium level of risk. Drinking at your current level puts you at risk of developing problems with your health and life in general, such as work and relationships. Consider cutting down (see below for tips).

16-19: Higher risk of complications from alcohol. Cutting back on your own may be difficult at this level, as you may be dependent, so you may need professional help from your GP and/or a counsellor.

20 and over: Possible dependence. Your drinking is already causing you problems, and you could very well be dependent. You should definitely consider stopping gradually or at least reduce your drinking. You should seek professional help to ascertain the level of your dependence and the safest way to withdraw from alcohol.

Severe dependence may need medically assisted withdrawal, or detox, in a hospital or a specialist clinic. This is due to the likelihood of severe alcohol withdrawal symptoms in the first 48 hours needing specialist treatment.

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