Alcohol and the Immune System PMC

Monocytes express Toll-like receptor (TLR) 4, which is the PRR responsible for recognizing the endotoxin LPS on the surface of Gram negative bacteria. Upon LPS binding, monocytes become activated, mature into macrophages and migrate into tissues where they respond to infection by secreting various cytokines, recruiting additional leukocytes via production of chemokines and presenting pathogen-derived peptides to T cells to activate them. Often, investigators stimulate with LPS after pre-exposure to ethanol to mimic inflammation observed in trauma patients with high blood alcohol levels and explore the alterations in immunity that lead to frequent subsequent infections among this group. As reviewed by Szabo and Saha, alcohol’s combined effects on both innate and adaptive immunity significantly weaken host defenses, predisposing chronic drinkers to a wide range of health problems, including infections and systemic inflammation.

One study found that people who got less than 7 hours of sleep were nearly three times more likely to develop a cold compared with those who got 8 or more hours of sleep. According to the Cleveland Clinic, once you take a sip of alcohol, your body prioritizes breaking down alcohol over several other bodily functions. The body doesn’t have a way to store alcohol like it does with carbohydrates and fats, so it has to immediately send it to the liver, where it’s metabolized. “With COVID-19, alcohol is likely to interfere with an individual’s ability to clear SARS-CoV-2 and cause people to suffer worse outcomes, including ARDS, which commonly results in death,” Edelman said. To reduce the spread of the coronavirus and other infectious diseases, the CDC recommends washing your hands with soap and water after you’ve been in a public place or after blowing your nose, coughing or sneezing. If you need to wash your hands but soap and water aren’t available, use a hand sanitizer made with at least 60% alcohol.

Effects on CD4+ (Helper) T-Cells

The redness and swelling that you see is the result of your body sending more blood to provide nutrients to the site of injury. Similarly, alcohol can trigger inflammation in the gut and destroy the microorganisms that live in the intestine and maintain immune system health. The belief that a lot of cleaning and hand-washing weakens your immune system was probably born out of something called the hygiene hypothesis. This is the idea that kids who are exposed to more viruses, bacteria and other pathogens early in life build stronger immune systems. And now, researchers say the odd glass of wine with dinner may actually benefit our health – as new research suggests it can boost the immune system and improve its response to vaccination. This kindling effect can also occur after chemical stimulus to the brain or body, such as anti-convulsant medication.

  • In addition, female mice that consumed 20% (w/v) ethanol for 8 weeks showed a reduction in LPS activated efferocytosis (Boe, Richens et al. 2010).
  • “This idea comes from observations that some developing countries where kids might be exposed to more pathogens tend to have lower rates of certain diseases such as allergies and asthma,” Dr. Fernandez notes.
  • Although the innate immune response is immediate, it is not specific to any given pathogen.
  • This kindling effect can also occur after chemical stimulus to the brain or body, such as anti-convulsant medication.
  • Bagby and colleagues review substantial evidence that alcohol further disrupts the immune system, significantly increasing the likelihood of HIV transmission and progression.
  • Allergist and immunologist James Fernandez, MD, PhD, says there’s no scientific evidence to suggest that temporarily stepping up your cleaning game is dangerous to your immune health.

Fortunately, not drinking for 30 days can bring T cell counts back to normal levels. Your immune system has several different cell types, each of which has a different but very important job to help keep you healthy. Past data shows binge drinking can have a massive effect on the immune system. “Alcohol intake can kill normal healthy gut bacteria, which help to promote health and reduce risk of infection,” Mroszczyk-McDonald said.

Drinking impairs immune cells in key organs

These articles detail how alcohol affects the immune system and how researchers are harnessing this knowledge to help prevent and treat alcohol-related harm. According to Favini, a moderate amount of drinking — one drink per day for women, and two drinks per day for men per the United States Dietary Guidelines for Americans — is generally safe for people in good health and unlikely to have a negative effect on their immune systems. The immune system is typically categorized into the innate and adaptive immune response systems, both of which are essential components in the body’s defense against pathogens.

  • “The oxidative metabolism of alcohol generates molecules that inhibit fat oxidation in the liver and, subsequently, can lead to a condition known as fatty liver,” says Dr. Menon.
  • Also, bacteria that escape this area can change the immune system in your liver, which can lead to inflammation and, potentially, alcoholic liver disease.
  • This is not the first study to show the potential benefits of moderate alcohol consumption.
  • One study found that people who got less than 7 hours of sleep were nearly three times more likely to develop a cold compared with those who got 8 or more hours of sleep.
  • This information is based on the assumption that you have a normal tolerance to alcohol.

For example, chronic alcoholics exhibit loss of B-cells in the periphery and a reduced capacity to generate protective antibodies (Cook et al. 1996). In addition, chronic alcohol can decrease the number of B-cells that produce an antibody type called IgA5 in one of the layers of mucous membranes (i.e., the lamina propria), which is indicative of altered mucosal immunity (Lopez et al. 1994). Finally, alcohol inhibits the responsiveness of B-cells at certain developmental stages (i.e., blasts, which are the precursors to the antibody-secreting plasma cells) to various cytokines, particularly to IL-2 and IL-4. However, alcohol may have a dual effect on B-cell function because some studies have reported that B-cells also could be activated in alcohol-consuming people (Drew et al. 1984). Acute and chronic alcohol exposure can interfere with various aspects of the adaptive immune response, including the antigen presentation required to activate T- and B-cells, the activity of CD4+ and CD8+ T-cells, and the activity of B-cells. In addition to these changes in cytokine function, investigators also have shown a contribution of barrier dysfunction to the postinjury increase in infections in intoxicated people (Choudhry et al. 2004).

Q: Does binge drinking lead to liver disease?

They do this by destroying the cells in your body that have been taken over by viruses. When you have an illness or get a vaccine, your body’s B cells create antibodies. does alcohol weaken your immune system These antibodies attack invaders and prevent an infection from spreading further. Examples include certain cancers, as well as pneumonia and other respiratory problems.

does alcohol weaken your immune system

It can also weaken your bones, placing you at greater risk of fracturing or breaking them. Drinking large amounts of alcohol for many years will take its toll on many of the body’s organs and may cause organ damage. Organs known to be damaged by long-term alcohol misuse include the brain and nervous system, heart, liver and pancreas.

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