The mechanism by which alcohol increases plasma total high density lipoproteins
(HDLs) and HDL- cholesterol is unknown, but it may involve modulation of the lipolytic
enzymes, hepatic triglyceride lipase (HTGL) and/or lipoprotein lipase (LPL) in hepatic
and extrahepatic tissues. The modulation of HDL metabolism by alcohol may also be related
to its potential to induce mixed function oxidases in liver microsomes. These possibilities
were examined by a pair-feeding protocol in which rats were fed diets with 35% of the caloric
content as ethanol; control groups received a diet with an isocaloric amount of sucrose or
were fed chow ad libitum. Alcohol caused a significant decrease in HTGL activity of liver
microsomes, but there was no significant effect of alcohol upon the activities of LPL in
adipose tissue and heart muscle. The relative rates of mixed function oxidases, assayed in
control liver microsomes using ethoxy-, pentoxy- and benzyloxy-resorufin as substrates, were
benzyloxy > ethoxy > pentoxy. This order was not affected by alcohol, but the oxidation of
ethoxy- and pentoxy-resorufin was reduced in liver microsomes from the ethanol-fed group.
HTGL synthesis and secretion were also measured using primary rat hepatocyte cultures
isolated from animals on the above dietary regimes and maintained for up to 3 days in basal
medium alone or supplemented with 10 mmol/l ethanol. In basal media the order of activity
of extracellular HTGL, released by the addition of heparin, was sucrose-fed > chow-fed >
ethanol-fed. The rate of HTGL secretion from hepatocytes was stimulated in ethanol-containing
medium, and was greater in hepatocytes from the sucrose-fed controls. These data
suggest that the alcohol-mediated hyperlipidemia during long-term alcohol exposure may be
partially effected by reduction in HTGL synthesis and secretion by the liver.