The Effect of Low Alcohol Consumption during Pregnancy on the Metabolic Processes of Women and Their Alcohol-Exposed Babies

Anait Marianian, Marina Darenskaya, Lyudmila Grebenkina, Natalia Protopopova, Lubov Kolesnikova

 
International Journal of Biomedicine. 2021;11(4):519-525.
DOI: 10.21103/Article11(4)_OA19
Originally published December 10, 2021

Abstract: 

The aim of this study was to examine the effect of low or very low amounts of alcohol consumption on the LPO-AOD systems of pregnant women and their infants after birth, and the effect of that exposure on infant, growth, health, and development.   
Methods and Results: A sample of 201 pregnant women (mother-child dyads) was recruited for the study. Pregnant women were categorized into three groups according to the amount of alcohol they consume: 1) non-drinking, 2) very low drinking, and 3) low drinking. Small amounts of alcohol consumption caused dysfunction of the LPO-AOD system and the development of OS in women, and had negative effects on infants.
The biomarkers of potentially harmful LPO, such as TBARs, were higher in very low and low drinking mothers. The activity of the AOD system was lower among mothers who drank alcohol. Alcohol consumption decreased levels of retinol, SOD activity, GSH, and GR activity. Higher rates of pathological conditions, delayed development, and slower growth were observed among infants who were prenatally exposed to alcohol.
Conclusion: Identification and preventive interventions are needed for pregnant women who use alcohol in any amount.

Keywords: 
lipid peroxidation • antioxidant defense • pregnant women • infant • alcohol
References: 
  1. Maier SE, West JR. Drinking patterns and alcohol-related birth defects. Alcohol Res Health. 2001;25(3):168-74. 
  2. Randall CL. Alcohol and pregnancy: highlights from three decades of research. J Stud Alcohol. 2001 Sep;62(5):554-61. doi: 10.15288/jsa.2001.62.554.
  3. Riley EP, McGee CL. Fetal alcohol spectrum disorders: An overview with emphasis on changes in brain and behavior. Exp Biol Med (Maywood). 2005;230(6):357-365. doi: 10.1177/15353702-0323006-03.
  4. Skagerstróm J, Chang G, Nilsen P. Predictors of drinking during pregnancy: a systematic review. J Womens Health (Larchmt). 2011 Jun;20(6):901-13. doi: 10.1089/jwh.2010.2216.
  5. Thackray H, Tifft C. Fetal alcohol syndrome. Pediatr Rev. 2001;22(2):47-55. doi: 10.1542/pir.22-2-47.
  6. Abel EL, Dintcheff BA. Factors affecting the outcome of maternal alcohol exposure: II. Maternal age. Neurobehav Toxicol Teratol. 1985 May-Jun;7(3):263-6.
  7. Abel EL, Hannigan JH. Maternal risk factors in fetal alcohol syndrome: provocative and permissive influences. Neurotoxicol Teratol. 1995 Jul-Aug;17(4):445-62. doi: 10.1016/0892-0362(95)98055-6. Erratum in: Neurotoxicol Teratol 1995 Nov-Dec;17(6):689.
  8. Balachova T, Bonner B, Chaffin M, Bard D, Isurina G, Tsvetkova L et al. Women's alcohol consumption and risk for alcohol-exposed pregnancies in russia. Addiction. 2012;107(1):109-117. doi: 10.1111/j.1360-0443.2011.03569.x
  9. Darenskaya MA, Kolesnikov SI, Rychkova LR, Grebenkina LA, Kolesnikova LI. Oxidative stress and antioxidant defense parameters in different diseases: Ethnic aspects. Free Radical Biology and Medicine. 2018;120(1):60.
  10. Gilliam D, Irtenkauf K. Maternal genetic effects on ethanol teratogenesis and dominance of relative embryonic resistance to malformations. Alcohol Clin Exp Res. 1990;14(4):539-545. doi: 10.1111/j.1530-0277.1990.tb01196.x.
  11. Jacobson JL, Jacobson SW, Sokol RJ, Martier SS, Ager JW, Shankaran S. Effects of alcohol use, smoking, and illicit drug use on fetal growth in black infants. J Pediatr. 1994 May;124(5 Pt 1):757-64. doi: 10.1016/s0022-3476(05)81371-x.
  12. Kosyh E, Balachova T, Bonner B, Volkova E. Alcohol consumption by pregnant women in the Nizhny Novgorod region, Russia. Alcohol Clin Exp Res. 2010; 34(3):111.
  13. Marianian AYu,  Molchanova EV. Social and Economic Effect of Comprehensive Prevention of Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders in Children: A Review. Journal of Pharmaceutical Research International. 2020; 32(23): 115-123. doi: 10.9734/jpri/2020/v32i2330798.
  14. McCarver DG, Thomasson HR, Martier SS, Sokol RJ, Li T. Alcohol dehydrogenase-2*3 allele protects against alcohol-related birth defects among african americans. J Pharmacol Exp Ther. 1997;283(3):1095-1101.
  15. West JR. Fetal alcohol-induced brain damage and the problem of determining temporal vulnerability: A review. Alcohol Drug Res. 1987;7(5-6):423-441.
  16. West JR, Blake CA. Fetal alcohol syndrome: an assessment of the field. Exp Biol Med (Maywood). 2005 Jun;230(6):354-6. doi: 10.1177/15353702-0323006-02. 
  17. Yaltonskaya A, Yaltonsky V, Kolpakov Y, Abrosimov I, Tanner, V, Pervakov, K, Rehm J, Popova S. The alcohol consumption during pregnancy and fetal alcohol spectrum disorders in russia: Systematic literature reviews of scientific. Monthly reviewed scientific and practical journal Russian an Academy of Medical Sciences International Society of Addiction Journal Editors. 2014;6:80-90.
  18. Rychkova L, Marianian A, Darenskaya M, Grebenkina L, Barbara B, Balachova T et al.  Lipid peroxidation processes in newborns born from mothers who consumed alcohol during pregnancy Archives of Disease in Childhood. 2017;102(2):A90-A91. doi: 10.1136/archdischild-2017-313273.235.
  19. Chandra A, Surti N, Kesavan S, Agarwal A. Significance of oxidative stress in human reproduction. Arch Med Sci. 2009;5:S28–S42.
  20. Kolesnikova LI, Darenskaya MA, Kolesnikov SI. [Free radical oxidation: a pathophysiologist’s view]. Bulletin of Siberian Medicine. 2017;16(4):16-29. doi: 10.20538/1682-0363-2017-4-16-29. [Article in Russizn].
  21. Kolesnikova L, Grebyonkina L, Darenskaya M, Vlasov BJ. Oxidative stress as a nonspecific pathogenic link of reproductive disorders (review). Bulletin of the Siberian Branch of the Russian Academy of Medical Sciences. 2012; 32(1): 58-66.
  22. Marianian A, Protopopova N, Kolesnikova L. Metabolic changes in newborns and women who consumed small doses of alcohol in the prenatal period. Journal of Pharmaceutical Research International. 2020;32(24):1-8. doi: 10.9734/JPRI/2020/v32i2430803 
  23. Kolesnikova LI, Darenskaya MA, Grebenkina LA, Labygina AV, Suturina LV, Dolgikh MI et al. Activity of lipid peroxidation in infertile women from different populations. Bull Exp Biol Med. 2012;154(2):203-205.
  24. Lash LH. Mitochondrial glutathione transport: Physiological, pathological and toxicological implications. Chem Biol Interact. 2006;163(1-2):54-67. doi: 10.1016/j.cbi.2006.03.001.
  25. Menshchikova E, Zenkov N, Lankin V, Bondar I, Trufankin V. Oxidative stress: Pathological conditions and diseases. Novosibirsk, Art.: 2008. [In Russian].
  26. Niki E. Lipid peroxidation: Physiological levels and dual biological effects. Free Radic Biol Med. 2009;47(5):469-484. doi: 10.1016/j.freeradbiomed.2009.05.032
  27. Balachova T, Bonner BL, Chaffin M, Isurina G, Shapkaitz V, Tsvetkova L, Volkova E, Grandilevskaya I, Skitnevskaya L, Knowlton N. Brief FASD prevention intervention: physicians' skills demonstrated in a clinical trial in Russia. Addict Sci Clin Pract. 2013 Jan 8;8(1):1. doi: 10.1186/1940-0640-8-1. 
  28. Balachova T, Bonner B, Isurina G. Preventing fasd in russia  (8th ed, vol. 7). Fetal Alcohol Forum. The FASD Medical e-Network NOFAS-UK.: 2012.
  29. Hannigan JH, Chiodo LM, Sokol RJ, Janisse J, Ager JW, Greenwald MK at al. A 14-year retrospective maternal report of alcohol consumption in pregnancy predicts pregnancy and teen outcomes. Alcohol. 2010;44(7-8):583-594. doi: 10.1016/j.alcohol.2009.03.003.
  30. Alvik A, Haldorsen T, Groholt B, Lindemann R. Alcohol consumption before and during pregnancy comparing concurrent and retrospective reports. Alcohol Clin Exp Res. 2006;30(3):510-515.  doi: 10.1111/j.1530-0277.2006.00055.x.
  31. Babor TF, Steinberg K, Anton R, Del Boca F. Talk is cheap: Measuring drinking outcomes in clinical trials. J Stud Alcohol. 2000;61(1):55-63. doi: 10.15288/jsa.2000.61.55.
  32. Maisto SA, Connors GJ. Using subject and collateral reports to measure alcohol consumption. Humana Press: 1992.
  33. Sobell L, Sobell M. Alcohol consumption measures. Avaiable from: https://pubs.niaaa.nih.gov/publications/assessingalcohol/measures.htm
  34. Kesmodel U, Kesmodel PS, Larsen A, Secher NJ. Use of alcohol and illicit drugs among pregnant danish women, 1998. Scand J Public Health 2003;31(1):5-11. doi: 10.1080/14034940210134202.
  35. Kristjanson AF, Wilsnack SC, Zvartau E, Tsoy M, Novikov B. Alcohol use in pregnant and nonpregnant russian women. Alcohol Clin Exp Res. 2007;31(2):299-307. doi: 10.1111/j.1530-0277.2006.00315.x.
  36. National Institute on Alcohol Abuse and Alcoholism (NIAAA). Helping patients who drink too much: A clinician’s guide. Avaiable from: https://pubs.niaaa.nih.gov/publications/practitioner/cliniciansguide2005...
  37. Hissin PJ, Hilf R. A fluorometric method for determination of oxidized and reduced glutathione in tissues. Anal Biochem. 1976;74(1):214-226. doi: 10.1016/0003-2697(76)90326-2.
  38. Taylor SL, Lamden MP, Tappel AL. Sensitive fluorometric method for tissue tocopherol analysis. Lipids. 1976;11(7):530-538. doi: 10.1007/BF02532898.
  39. Corongiu FP, Banni S. Detection of conjugated dienes by second derivative ultraviolet spectrophotometry. Methods Enzymol. 1994;233:303-310. doi: 10.1016/s0076-6879(94)33033-6.
  40. Yagi K. Assay for serum lipid peroxide level and its clinical significance. Academic Press: 1982.
  41. Townsend DM, Tew KD, Tapiero H. The importance of glutathione in human disease. Biomed Pharmacother. 2003;57(3-4):145-155. doi: 10.1016/s0753-3322(03)00043-x.
  42. Franco R, Cidlowski JA. Apoptosis and glutathione: Beyond an antioxidant. Cell Death Differ. 2009;16:1303-1314. doi.org/10.1038/cdd.2009.107.
  43. Marianian A, Atalyan A, Bohora S, Darenskaya M, Grebenkina L, Kolesnikova L at al. The effect of low alcohol consumption during pregnancy on the lipid peroxidation-antioxidant defense system of women, their alcohol-exposed infants, and growth, health, and developmental outcomes. Journal of Birth Defects Research. 2020;112(1):40-53. doi: 10.1002/bdr2.1582.
  44. Marianian AY, Kolesnikova LI, Protopopova NV, Kalinkina ОB. Influence of small doses of alcohol on the state of health of pregnant women and their newborns. Alcoholism: Clinical and Experimental Research. 2018;42(6):77. doi: 10.1111/acer.13747.
  45. Burina EA, Kulieva AK, Marianian AY. The risk of fetal alcohol syndrome in pregnant women and women planning pregnancy. Alcoholism: Clinical and Experimental Research. 2018;42;(6):75. doi: 10.1111/acer.13833.

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Received September 29, 2021.
Accepted October 20, 2021.
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