The search for biochemical markers for the objective diagnosis of alcoholism has been a topic of research because of the important clinical and forensic implications. In the last few years, two minor ethanol metabolites (ethylglucuronide and fatty acid ethyl esters) have been mainly investigated in hair samples for their ability to be incorporated into this biological matrix. The aim of this study was to experience the detection of fatty acid ethyl esters (FAEE) in the hair of alcoholics, social drinkers, and teetotallers in order to give a contribution to the existing literature. Hair samples from 12 alcoholics, 10 social drinkers, and 10 teetotallers were analyzed by gas chromatography-mass spectrometry technique after headspace solid-phase microextraction with deuterated internal standards. A slight overlap in FAEE concentration between the three groups was found, probably because of external contamination. This observation suggests particular attention to the interpretation of the results. Nevertheless, the results obtained show the usefulness of these biochemical markers in the diagnosis of alcoholism.
The diagnosis of alcoholism is a topical subject of discussion; in fact, many studies have been published on the determination of biochemical markers useful to this target. Fatty acid ethyl esters (FAEE) are minor metabolites of ethanol, and their usefulness has been demonstrated by their detection in hair using a headspace solid-phase microextraction-gas chromatographic-mass spectrometric technique. Environmental contamination in the analysis of drugs of abuse is a well-known focus of discussion between scientists. In the same way, interference from the surroundings could be hypothesized in FAEE detection. To assess the influence of ethanol contamination, an in vitro experiment was performed, leaving hair in an atmosphere saturated with ethanol vapors for 15 days. The spontaneous production of FAEE was demonstrated by analyzing hair day by day. In fact, we observed a constant increase of ethyl myristate, palmitate, and stearate that reached very high concentrations at the end of the investigation. Although the experiment was managed in a stressed way and could not represent real life, its purpose was to focus the attention of researchers on the problem of hair contamination that can occur, for example, with ethanol-containing cosmetics. Therefore, care in interpretation must be taken into account, especially with such a volatile molecule.
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