Evidence map›Paper›PMID 40588716›Full record

Trial reportAlcohol, clinical & experimental research2025

Acute changes in immune biomarkers under low- and moderate-dose alcohol in light and heavy drinkers: A randomized, placebo-controlled trial.

Mollie A Monnig, Philip S Lamb, Samantha E Clark, Peter M Monti

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcohol, clinical & experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mollie A MonnigCenter for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA.ORCID 0000-0002-3166-2336
Philip S LambCenter for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA.
Samantha E ClarkCenter for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA.
Peter M MontiCenter for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA.

Funding

Using wearables and EMA to examine the links between cannabis and depressionP20GM130414 · NIGMS · BROWN UNIVERSITY · PI PETER M. MONTI · 2019 to 2026
$22.0M
Immune Activation and Neurodegeneration in HIV Infection and Heavy DrinkingK23AA024704 · NIAAA · BROWN UNIVERSITY · PI MONNIG, MOLLIE A · 2016 to 2021
$1.1M
NIAAA NIH HHS K23 AA024704NIAAA NIH HHS K23AA024704NIGMS NIH HHS P20 GM130414NIGMS NIH HHS P20GM130414
6 · The paper itself

Abstract

backgroundAlcohol consumption modulates immune function, in part by promoting microbial translocation. This process is thought to trigger an acute-phase immune response, contributing to alcohol-related immune modulation. However, most evidence on these effects arises from preclinical models. Additionally, existing human studies lack a placebo control, rely on a single alcohol dose, or fail to account for individual drinking history.

methodsThis study examined in vivo concentrations of lipopolysaccharide (LPS, a marker of microbial translocation), acute-phase proteins, cytokines, and chemokines under low-dose alcohol, moderate-dose alcohol, and placebo using a within-subjects design in light and heavy drinkers. Participants (N = 32) were light drinkers (n = 15) and nontreatment-seeking heavy drinkers (n = 17). Groups did not differ on demographics. Participants received each dose condition in randomized order. Blood samples were collected at baseline and at hourly intervals for 4 h. Plasma concentrations of LPS, acute-phase proteins (LPS binding protein [LBP], soluble cluster of differentiation 14 [sCD14], and soluble cluster of differentiation 163 [sCD163]), and cytokines/chemokines (interleukin 6 [IL-6], interleukin 8 [IL-8], interleukin 10 [IL-10], monocyte chemoattractant protein [MCP-1], and tumor necrosis factor alpha [TNF-α]) were quantified using immunoassays. Linear mixed models tested effects of dose condition, drinker group, time, and the three-way interaction. Further analyses tested associations of LPS, LBP, sCD14, and sCD163 with cytokines/chemokines.

resultsThe three-way interaction of dose by group by time was significant for IL-6 (p = 0.042), IL-8 (p = 0.039), MCP-1 (p = 0.001), and TNF-α (p = 0.001). LPS was associated with concentrations of interleukins. Levels of sCD163 were 43% higher in heavy drinkers overall. Heavy drinkers exhibited apparent conditioned peripheral immune suppression, wherein the expectation of alcohol elicited selective immunosuppressive responses.

conclusionsThis study offers novel in vivo evidence that alcohol-induced changes in immune function are dependent on both acute dose and chronic drinking behavior.

Indexed as

Alcohol DrinkingEthanolAcute-Phase ProteinsAdultBiomarkersChemokinesCytokinesDose-Response Relationship, DrugFemaleHumansLipopolysaccharidesMaleMiddle AgedYoung AdultAcute-Phase ProteinsBiomarkersChemokinesCytokinesEthanolLipopolysaccharidesacute alcoholchronic alcoholcytokinesheavy drinkingimmune functionlipopolysaccharidemicrobial translocation

Identifiers

PMID40588716
PMCPMC12772440

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.