Development of Tolerance to Effects of Ethanol Depends on its Concentration in Stomach

Background: The problem of alcohol dependence, as well as the repercussion of alcohol consumption is one of the most dramatic and socially relevant problems for modern society. Aims: Studying the development of tolerance to anxiolytic, psycho stimulant and analgesic effects of ethanol upon repeated intragastric administration of ethanol in the same dose, but in various volumes. Methods: Male Wistar rats were treated with ethanol at the same dose (2 g/kg), but in various concentrations (40 ml/kg 5%, 15,5 ml/kg 13%, and 5 ml/kg 40% v/v). The level of anxiety and locomotor activity of animals were evaluated in the elevated plus maze. The analgesic effect of ethanol was studied in the hot plate test. Results: Intragastric administration of ethanol in a dose of 2 g/kg had the anxiolytic, psychostimulant, and analgesic effects. Tolerance to the psychostimulant and analgesic effects develops most rapidly after treatment with small amounts of high-concentration ethanol. By contrast, tolerance to an anxiolytic action was formed rapidly after administration of large amounts of low-concentration ethanol. Conclusions: 1. The development of tolerance to various effects of ethanol depends on its concentration and gastric distention with the administered volume. 2. The development of tolerance to various effects of ethanol depends differently on the volume and concentration. 3. These results support our hypothesis that tolerance to the effect of ethanol is mainly related to its influence on the activity of gastric receptors, which mediates a variety of changes in the central nervous mechanisms. *Corresponding author: Sergey Sudakov, Ph.D., MD, P.K. Anokhin Research Institute of Normal Physiology, Baltiyskaya ul. 8, Moscow, 125315, Russia; Tel: +7(495) 601-00-45; Fax: +7(499) 231-00-45, E-mail: s-sudakov@nphys.ru Received Date: October 04, 2016 Accepted Date: November 04, 2016 Published Date: November 08, 2016


Introduction
The problem of alcohol dependence, as well as the repercussion of alcohol consumption is one of the most dramatic and socially relevant problems for modern society [1] . Despite of the large number of studies devoted to this problem, some aspects of the physiological and neurochemical effects of ethanol are still poorly understood. One of these problems is the problem of tolerance to different effects of ethanol. Tolerance is usually considered as a reduced reaction to repeated administration of different psychoactive substances, including ethanol. Thus, there is the adaptation to exogenous psychoactive substance. To achieve a certain effect of the substance, it is necessary to P. K. Anokhin Research Institute of Normal Physiology, Baltiyskaya ul. 8, Moscow, Russia Citation: Sudakov [2,3] . It is supposed that its effects may be mediated by the systems of gamma-Aminobutyric acid or N-methyl-D-aspartate receptors [4,5] . Due to the fact that specific receptors for ethanol in Central Nervous System (CNS) have not yet been found, we assumed that the development of tolerance to its effects may be partially related to a direct action of ethanol on the gastric mucosa and intragastric receptors. Our previous experiments revealed that variations in the activity of intragastric receptors indirectly lead to changes in the activity of similar receptors in the CNS. It should be emphasized that the influence on opioid receptors in the stomach leads to a change in the activity of the brain opioid system [6,7] .
This work was designed to study the development of tolerance upon repeated intragastric administration of ethanol in the same dose, but in various volumes. We hypothesized that different amounts and concentrations of ethanol will affect chemoreceptors and mechanoreceptors in the wall of the stomach.

Animal preparations
Experiments were performed on 48 male Wistar rats weighing 180 -210 g. The animals were housed in ventilated cages (Techniplast, Italy) with a free access to water and standard food. The artificial light regimen was from 23:00 to 11:00. The experiment was conducted in accordance with the Order № 267 of the Russian Ministry of Health (19.06.2003), "Rules of Studies on Experimental Animals" (approved by the Ethics Committee of the P. K. Anokhin Institute of Normal Physiology; protocol No. 1, 3.09.2005), and requirements of the World Society for the Protection of Animals (WSPA) and European Convention for the Protection of Experimental Animals.

Experimental procedure
The anxiolytic, psychostimulant, and analgesic effects of ethanol were studied for 7 days. Ethanol or water was administered once a day directly into the stomach using a special metal catheter. Two hours before treatment, the rats were deprived of food and water. The animals were divided into 6 groups of 8 animals each. The rats of three experimental groups received ethanol solutions at a dose of 2 g/kg in various concentrations and different volumes. Group 1 animals received ethanol in a volume of 5 ml/kg, which corresponds to a concentration of 40% (v/v); group 2 animals received ethanol in a volume of 15.5 ml/kg, which corresponds to a concentration of 13% (v/v); and group 3 animals received ethanol in a volume of 40 ml/kg, which corresponds to a concentration of 5% (v/v). The rats of control groups 1, 2, and 3 received standard bottled water (5, 15.5, and 40 ml/kg, respectively).

Elevated plus maze test
Twenty minutes after administration of study solutions, rats were placed in the Elevated Plus Maze (EPM) for 5 minutes to evaluate the level of anxiety-related behaviors (estimated as the time spent in the open arms of EPM [8] ). Locomotor activity was determined by the total number of crossings episodes from one arm of EPM to another. An EPM device was of the basic modification (Columbus Instruments, USA) and had the following characteristics: length of each of the four arms of the maze, 50 cm; width, 15 cm; height of opaque walls in the two opposite closed arms of the maze, 15 cm; and central area, 15 x 15 cm. EPM was elevated above the floor at a height of 75 cm. At the beginning of the experiment, rats were placed in the center of the device. These procedures were repeated daily for 7 days.

Hot plate test
Five minutes after the end of each session in EPM, the animals were placed in a hot plate device. The metal surface had a temperature of 56°C degrees (TSE, Germany). The latency of hind limb licking was evaluated. When the licking episode did not occur within 60 seconds, the rats were removed from the device [9] . These procedures were repeated daily for 7 days.

Statistics
The data are expressed as the means and Standard Error of the Means (SEM). The results were analyzed by nonparametric Mann -Whitney U test.

Development of tolerance to the psychostimulant effect of treatment with ethanol at the same dose, but in various volumes
Administration of ethanol in study volumes produced a significant increase in locomotor activity of rats on day 1 of the experiment (Figure 2 b, c). The psychostimulant effect of ethanol solution in a volume of 5 ml/kg was revealed on day 6 of the experiment (Figure 2a). The rats treated with ethanol solution in a volume of 15.5 ml/kg demonstrated a varying stimulatory response. However, the effect of ethanol remained to be significant on day 7 (Figure 2b). Administration of ethanol solution in a volume of 40 ml/kg induced a pronounced increase in locomotor activity as compared to control animals (over 7 days of the experiment; Figure 2c). Thus, the development of tolerance to a psychostimulant effect of ethanol was observed after administration of ethanol solution only in a volume of 5 ml/kg.

Development of tolerance to the analgesic effect of treatment with ethanol at the same dose, but in various volumes
Administration of ethanol in study volumes was followed by significantly delay of paws-licking episodes beginning from the first days of observations (Figure 3). The analgesic effect disappeared on day 3 of the experiment after treatment with ethanol in a volume of 5 ml/kg. The analgesic effect of 15.5 ml/ kg ethanol disappeared on day 5 of the experiment (Figure 3b). The rats treated with the highest volume of ethanol (40 ml/kg) exhibited a lack of tolerance to the analgesic effects of ethanol over 7 days of the experiment (Figure 3c). Thus, the development of tolerance to an analgesic effect of ethanol depends on the concentration and volume of ethanol solutions.

Discussion
Our results show that the development of tolerance to various effects of ethanol depends on gastric distention by the administered volume and ethanol concentration. Tolerance to the psychostimulant and analgesic effects develops most rapidly after treatment with small amounts of high-concentration ethanol.
By contrast, tolerance to an anxiolytic action was formed rapidly after administration of large amounts of low-concentration ethanol. We conclude that the concentration and volume of an ethanol-containing liquid are very important for the development of tolerance to different effects of ethanol at the same dose.
One of the major limitations of used method is that all rats (as control as experimental) in our work were re-exposed to the EPM and hot plate for 7 times. This procedure is quite uncommon, as it has been repeatedly reported that rat performance at these tests is remarkably influenced by previous exposures. However, we evaluate the formation of tolerance in comparison with control groups, which also may show changes caused by the repeated tests.
It should be noted that despite high importance of studying the effects of alcohol, only small number of experimental researches were devoted to the evaluation of tolerance mechanisms. Most of them are focused on the influence of ethanol on the activity of certain receptors in the CNS [10,11] . Thus, it was shown that different subtypes of opioid receptors are involved in the formation of tolerance to various effects of ethanol [12,13,14] . It was demonstrated that chronic ethanol drinking alters the ability of µ-opioid receptor to endocytose opioid peptides, and consequently, promotes tolerance to the effects of opioids [15] . It can be assumed that a change in the binding characteristics of opioid receptors and neuropeptides in brain structures under repeated administrations of ethanol can determine the development of tolerance to different effects of ethanol, including the anxiolytic, sedative, and other effects.
Our previous experiments showed that the level of anxiety (i.e., behavior [16] , locomotor activity [17] , and pain sensitivity [18] ) in rats is modified by a change in the activity of gastric receptors and, particularly, of opioid receptors. Published data indicate that a change in the activity of gastric receptors mediates variations in the activity of similar receptors in the CNS and, partially, modifies different effects of ethanol [6] .
Previous studies revealed that the lowest concentration of ethanol in the blood is observed after consumption of large volumes of beer (as compared to the effect of smaller volumes of strong alcohol) [19] . It can be suggested that a correlation exists between the development of tolerance to stimulating and analgesic effects of ethanol and its concentration in the blood.

Conclusions
1. The development of tolerance to various effects of ethanol depends on its concentration and gastric distention by the administered volume. 2. The development of tolerance to various effects of ethanol depends differently on the volume and concentration. 3. These results support our hypothesis that tolerance to the effect of ethanol is mainly related to its influence on the activity of gastric receptors, which mediates a variety of changes in the central nervous mechanisms.