Ethanol inhibits Li-mediated cell-cell adhesion in fibroblast cell lines stably transfected with human Li. Here we show that this action of ethanol is present in only a subset of transfected NIH/3T3 and L cell clonal cell lines. All Li-expressing cell lines had higher levels of cell adhesion than cell lines transfected with empty vector. In all ethanol-sensitive cell lines, Li -mediated adhesion was inhibited by ethanol (IC 50 5-iO mM), 2 mM butanol, but not 5 mM pentanol. In contrast, ethanolinsensitive cell lines were not inhibited by up to 200 mM ethanol, 2 mM butanol, or 5 mM pentanol. Ethanol sensitivity or insensitivity was a stable property of each cell line and was not associated with differences in electrophoretic mobility, abundance, or cell surface localization of Li. Fab fragments prepared from anti-Li polyclonal antisera inhibited cell adhesion only in the ethanol-sensitive cell lines. These data suggest that Li may exist in an alcohol-sensitive or an alcohol-insensitive state that may be governed by host cell factors. Key Words: Ethyl alcohol-Fetal alcohol syndrome-Cell adhesion molecule, Li -Cell transfection. J. Neurochem. 71, 2382Neurochem. 71, -239i (1998.The immunoglobulin neural cell adhesion molecule (N-CAM) Li plays a fundamental role in nervous system development (Hortsch, 1996). Li is expressed on axons and growth cones and binds to Li molecules on adjacent cells, components of the extracellular matrix, and cytoskeletal elements. Activation of Li initiates a signaling cascade involving the fibroblast growth factor receptor (Williams et al., i 994) and pp6O c-srr (1g nelzi et al., 1994), leading to changes in growth cone morphology and neurite outgrowth (Lemmon et al., 1989; Kamiguchi and Lemmon, i997). Two isoforms of Li are generated by alternate splicing of a 12-base pair segment in the cytoplasmic domain encoding the amino acids arginine, serine, leucine, and glutamic acid (RSLE) (Reid and Hemperly, i992). The RSLE-positive isoform is expressed predominantly in the CNS, and the RSLE domain may help sort Li to the axon growth cone . Homophilic binding of human Li is mediated by the second immunoglobulin domain of the extracellular portion of the molecule (Zhao and Siu, 1995); deletion of the cytoplasmic domain does not reduce adhesiveness (Hortsch et al., i995;Wong et al., 1995). Mutations in the gene for Li are associated with a spectrum of neurodevelopmental disorders characterized by mental retardation and combinations of aphasia, shuffling gait, adducted thumbs, spastic paraparesis, agenesis of the corpus callosum, hydrocephalus, pyramidal tract hypoplasia, and cerebellar dysplasia (Fransen et al., 1995).We noted previously a similarity in the neuropathology of Li mutations and fetal alcohol syndrome (FAS) (Ramanathan et al., 1996). Based on this observation, we studied the effects of ethanol on cell-cell interactions mediated by Li. Pharmacologically relevant concentrations of ethanol inhibited cell-cell adhesion in NG1O8-i5 cells treated with OP-l (an inducer of Li and...