Evidence map›Paper›PMID 42704313›Full record

Trial reportAlcohol, clinical & experimental research2026

Effects of Acute Low- and Moderate-Dose Alcohol on Chronic Disease-Related Biomarkers in Healthy Light and Heavy Drinkers.

Mollie A Monnig, Samantha E Clark, Peter M Monti

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Mollie A MonnigCenter for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0002-3166-2336
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
Alcohol assoCiated gut Dysbiosis and CVD in HIV (the AC/DC HIV study)R01AA031640 · NIAAA · BROWN UNIVERSITY · PI Mollie A Monnig · 2024 to 2026
$1.9M
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 K23AA024704NIAAA NIH HHS R01 AA031640NIAAA NIH HHS R01AA031640NIGMS NIH HHS 3P20GM130414-04S1NIGMS NIH HHS P20 GM130414NIGMS NIH HHS P20GM130414
6 · The paper itself

Abstract

backgroundAlcohol consumption is a major contributor to global chronic disease, with growing evidence indicating health risks even at low levels of intake. However, mechanistic understanding of these risks relies heavily on preclinical models and observational data, leaving a critical gap in controlled experimental evidence regarding how alcohol perturbs human biological systems in vivo.

methodsThe present study utilized plasma samples from a randomized, placebo-controlled trial to evaluate the effects of low-dose (0.35 g/kg) and moderate-dose (0.60 g/kg) alcohol on disease-relevant biomarkers in 32 healthy adults (mean age = 25.0 ± 3.8 years; 21 female/11 male), characterized by light (n = 15) or heavy (n = 17) drinking. This design enabled evaluation of effects across dose, timescale, and drinking history, as well as assessment of their interactions. Plasma was collected at prebeverage baseline and hourly for 4 h afterward. Immunoassays quantified 10 disease-related biomarkers: adiponectin, angiogenin, D-dimer, high-sensitivity C-reactive protein (hsCRP), Intercellular Adhesion Molecule-1 (ICAM-1), Lipocalin-2 (LCN2), Matrix Metalloproteinase-7 (MMP-7), Matrix Metalloproteinase-9 (MMP-9), soluble Receptor for Advanced Glycation End-products (sRAGE), and Triggering Receptor Expressed on Myeloid cells 2 (TREM2).

resultsMain effects of group indicated that even in this young healthy sample, heavy drinking status was associated with higher levels of adiponectin, angiogenin, ICAM-1, LCN2, and sRAGE, a profile suggesting altered vascular and metabolic activity. Acute alcohol administration induced changes in sRAGE and hsCRP. Specifically, moderate-dose alcohol triggered an increase in the immunoglobulin sRAGE, which may reflect an acute compensatory response to inflammation and/or oxidative stress. Compared to placebo, hsCRP was lower in the low-dose alcohol condition; however, this finding should be interpreted in light of CRP biology. MMP-7, MMP-9, and LCN2 showed time-dependent fluctuations that were independent of experimental condition, highlighting the critical importance of placebo-controlled designs to account for diurnal/postprandial variation in immune biomarkers.

conclusionFindings provide translational evidence that alcohol is associated with multisystem biomarker changes relevant to chronic disease and that alcohol-related biomarker perturbations vary by dose and chronicity.

Indexed as

Alcohol DrinkingBiomarkersEthanolAdultChronic DiseaseC-Reactive ProteinDose-Response Relationship, DrugFemaleHumansMaleYoung AdultBiomarkersC-Reactive ProteinEthanolalcohol administrationbiomarkerschronic diseaseheavy drinkinginflammation

Identifiers

PMID42704313
PMCPMC13549153

What OpenQuestion holds

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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.