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(Journal of Nutrition. 2000;130:1091-1094.)
© 2000 The American Society for Nutritional Sciences


Article

Wine Modifies the Effects of Alcohol on Immune Cells of Mice1–3

S. S. Percival4 and C. A. Sims

Food Science and Human Nutrition Department, University of Florida, Gainesville, FL 32611

4To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Ethanol may be detrimental to immune cells due to the generation of free radicals during detoxification. If this is true, then alcoholic beverages that contain antioxidants, like red wine, should be protective against immune cell damage. We investigated this by giving mice either a red muscadine wine (Vitis rotundifolia), a cabernet sauvignon (Vitis vinifera), ethanol (all at 6% alcohol) or water in the water bottles as the sole fluid for 8 wk. Plasma antioxidant capacity was measured with {alpha}{alpha}-diphenyl-ß-picrylhydrazyl and was more than doubled in the mice that consumed wine compared to control mice that consumed water or ethanol. Cytochrome P450–2E1 levels and glutathione-S-transferase activity were modified in such a way as to be interpreted as protective. An immune response was elicited by an intraperitoneal injection of lipopolysaccharide. Later (24 h), natural killer cells and T-lymphocytes derived from the circulation were quantitated in the leukocyte fraction by flow cytometry. Ethanol consumption, as ethanol, significantly suppressed baseline cell numbers relative to the other groups. However, the mice that consumed the same amount of alcohol as wine had baseline cell numbers not different from the water-consuming controls. The lymphocyte response to lipopolysaccharide challenge was inhibited in the mice that consumed ethanol, but was normal in those that consumed the same amount of alcohol in the form of wine. We conclude that there are phytochemicals acting as antioxidants and impacting on the detoxification pathway in the wine that offset the detrimental effects of ethanol on immunity.


KEY WORDS: • wine • immunity • alcohol • mice • phytochemical


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Wine consumption has been suggested to have several health benefits, including reductions in the risk of cancer and heart disease (Huang et al. 1997Citation , Soleas et al. 1997Citation ). Ethanol, however, is known to suppress immunity. Chronic alcohol use predisposes an individual to more frequent and more severe illness. Although many environmental factors contribute to this, studies indicate that ethanol is directly immunosuppressive. One underlying mechanism for immunosuppression may be derived from free radical damage.

Ethanol is a powerful generator of oxygen free radicals when detoxified in the liver. A general schematic of ethanol detoxification is shown below.

Ethanol->acetaldehyde

Phase II enzymes

+glutathione->acetyl cysteine conjugate

Phase I enzymes are isozymes of the cytochrome P450 family and are one of the main mechanisms by which alcohol is detoxified and free radicals are generated (Leiber 1997Citation , Yang et al. 1991Citation ). The secondary phase II enzymes, such as glutathione-S-transferase (GST)4 , are principally detoxifiers by conjugation mechanisms (Tew et al. 1993Citation ). Conjugation increases solubility and excretion. The balance between the phase I enzymes and the phase II enzymes dictates detoxification and free radical generation. An increase in the activity of phase 1 enzymes without a concomitant increase in phase II enzymes would be potentially more damaging due to an increase in acetaldehyde formation and subsequent free radical damage. A higher ratio of phase II activity to phase I activity would be protective.

Studies have shown that alcohol consumption suppresses the immune system. Reductions in natural killer (NK) cell activity (Blank et al. 1993Citation ) and T-cell dependent reactions have been documented (Baker and Johnson 1993Citation ). If ethanol consumption and its subsequent metabolism generate free radicals, and free radicals damage the immune system, it would follow that consumption of antioxidants would prevent immunosuppression by ethanol. In recent studies, red wine has been shown to contain a large amount of antioxidants in the class of phenolic compounds. Ellagic acid, gallic acid and catechins are major contributors to the total antioxidant potential of wine (Formica and Regelson 1995Citation , Garrido et al. 1993Citation ,Kanner et al. 1994Citation ).

The objective of this study was to test the hypothesis that ethanol consumption in the form of wine would not suppress an immune response because of the antioxidant activity of the phenolics. We examined red wine consumption and plasma antioxidants, and we compared two wines from two species of grapes having different phenolic composition to explore potential mechanisms of protection.


    METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The wines were prepared from cabernet sauvignon (Vitis vinifera) and muscadine grapes (Vitis rotundifolia) at the University of Florida. Cabernet sauvignon grapes were obtained from Fresno, California, and shipped to Gainesville via airfreight. Red muscadine grapes (cv. Noble) were obtained from a local vineyard. Grapes were crushed, destemmed and allowed to ferment on the skins for 7 d at 13°C. The soluble solids of the Noble grapes were adjusted to 21% before fermentation. The must was pressed and allowed to finish fermenting to dryness (>0.05% reducing sugar) at 13°C. Wines were then treated with sulfite (100 mg/L of potassium metabisulfite), cold-stabilized at 3°C for 2 mo, filtered and stored at 13°C.

Feeding studies with mice were begun after the wine had been stored for about 1 y. Both wines contained ca. 12% alcohol determined by ebulliometry (Zoecklin et al. 1990Citation ). The cabernet sauvignon had a titratable acidity (as tartaric acid) of 6.0 g/L and a pH of 3.60. The muscadine wine had a titratable acidity of 6.9 g/L and a pH of 3.00. The phenolic composition [as gallic acid and measured by the Folin-Ciocalteau method (Zoecklin et al. 1990Citation )] of the cabernet sauvignon was 912 mg/L and of the muscadine was 1731 mg/L.

Weanling ICR mice were purchased from Harlan Sprague-Dawley (Indianapolis, IN). All procedures were in accordance with the Institutional Animal Care and Use Committee of the University of Florida. The mice were housed in stainless steel cages with 12 h light/dark cycle and fed AIN93G diet (Dyets, Inc., Bethlehem, PA). They were randomly divided into four groups (n = 10) and given water, ethanol or one of the two types of wine in their drinking bottles. No other fluids were provided. Alcohol levels of the wines and the ethanol were adjusted to 6% with water. This adjustment was necessary to equalize the volume of fluid consumed among the four groups. Body weight and food intake were monitored weekly, and fluid intake was monitored daily. Mice were food-deprived overnight before killing. After 8 wk, six mice from each group were injected with 50 µg of lipopolysaccharide (LPS) in saline to produce an immune response. Four mice from each group were injected with saline alone and served as the nonstimulated controls. After injection (24 h), the mice were anesthetized with an i.p. injection of ketamine/xylazine/water (1:1:4), then exsanguinated via the inferior vena cava after opening the body cavity. Mice were then killed by cervical dislocation, organs were removed, flash frozen and stored at -80°C.

Blood was collected into EDTA-containing tubes. Whole blood was layered onto MonoPoly Resolving Medium® (density 1.114 kg/L) (ICN Biomedical, Aurora, OH) and centrifuged at 1000 x g for 30 min. Leukocytes sedimented to one density and were collected, washed in saline and adjusted to 1 x 1010 cells/L.

Oxidant/antioxidant status of the mice was measured by Glavind’s method using {alpha}{alpha}-diphenyl-ß-picrylhydrazyl (DPPH) (Sigma Chemical, St. Louis, MO) (Fauconneau et al. 1997Citation , Glavind 1963Citation ). Plasma (100 µL) was mixed with 0.45 mmol/L of DPPH in 95% ethanol at a ratio of 1:5 (v/v) and the resulting loss of color at 517 nm was monitored in a DU64 spectrophotometer (Beckman Instruments, Carpenteria, CA). Glutathione was measured in the cytosolic fractions of the liver by the recycling enzyme assay (Baker et al. 1990Citation , Baker and Hagner 1990Citation ). Liver malondialdehyde levels were determined by the method recommended by Jentzsch et al. (1996)Citation .

Liver microsomes were prepared by homogenization and differential centrifugation. GST activity was measured with 4 mmol/L of 1-chloro-5, 6-dinitrobenzene and 4 mmol/L of glutathione in phosphate buffer, pH 6.5. Results were obtained kinetically in a microtiter plate reader at 405 nm (Kurata et al. 1992Citation ). Cytochrome P4502E1 was measured by Western blot analysis using a specific polyclonal rabbit anti-mouse cytochrome P450–2E1 antibody (Chemicon, Temecula, CA). Lanes of a 12% polyacrylamide gel were loaded with equal amounts of microsomal protein, the proteins separated and transferred to nitrocellulose. The amount of cytochrome P450–2E1 protein was detected with a chemiluminescence kit and quantified by densitometry.

The percentages of lymphocytes and natural killer (NK) cells were determined by two-color flow cytometry from the isolated leukocyte fraction. Cells (2 x 106) were incubated with fluorescent-labeled antibodies against CD3 and NK1.1 (Pharmingen, San Diego, CA). Cells fluorescing with CD3 were counted as lymphocytes, while cells fluorescing with both NK1.1 and CD3 were counted as NK cells. The immune responses were quantified in the mice by measuring these cell numbers 24 h after an injection of a low dose of LPS.

Significant differences in the rate of body weight gained and the average daily fluid intake among the groups was determined by one-way ANOVA using SigmaStat for Windows, version 1.0. Significant differences in studies involving LPS were assessed by two-way ANOVA, with LPS as one variable and fluid as the other. Post-hoc test for significance used the Student-Newman-Keuls method.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Growth rate, food intake and fluid intake did not differ among the groups (data not shown). On average, the mice consumed 5 g of food/d and drank 8 mL of 6% ethanol as ethanol or as wine. Using a value of 16.7 J/g of diet, and 29.3 kJ/L of alcohol, the mice had a total energy intake of 96.3 J/d.

Oxidative stress was not evident in any mice. Neither ethanol, wine nor LPS stimulation caused any consistent or major changes in the levels of malondialdehyde or glutathione in the liver (data not shown). The mice that consumed the wines had a significantly greater plasma total antioxidant capacity than the mice that consumed water or ethanol (Fig. 1Citation ). The plasma antioxidant capacity in mice consuming water was significantly greater after LPS stimulation.



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Figure 1. Total antioxidant capacity of plasma of mice consuming red wines, ethanol or water for 8 wk with and without lipopolysaccharide (LPS) stimulation. Values represent the means ± SD, n = 4 in the group without treatment and n = 6 in the lipopolysaccharide-stimulated group. Bars having different letters are significantly different at P < 0.05.

 
Lymphocytes were determined as a percentage of the leukocyte population by the CD3 marker. Mice consuming ethanol had 75% fewer CD3 bearing lymphocytes than the mice consuming water or either of the wines (Fig. 2Citation ). When the mice were injected with LPS, the normal response of lymphocytes is to migrate out of the circulation into tissues and the lymphatic systems. About 50% of the lymphocytes were gone from the peripheral blood after water- and wine-consuming mice were injected with LPS. There was no difference in the percentage of CD3 cells in the ethanol-consuming mice with or without LPS injection.



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Figure 2. T Lymphocytes as a percentage of total leukocytes in mice consuming red wines, ethanol or water for 8 wk with and without lipopolysaccharide (LPS) stimulation. Values represent the means ± SD, n = 4 in the group without treatment and n = 6 in the LPS-stimulated group. Bars having different letters are significantly different at P < 0.05.

 
Under basal conditions, NK cells comprise only 1–2% of the total leukocyte population. The consumption of ethanol resulted in a 75% reduction in circulating NK cells to < 0.5% (Fig. 3Citation ). In mice that consumed water, the NK cell population increased from 1% of the population to 40% of the population after LPS treatment. The mice consuming cabernet or ethanol had an increase to percentages not different from that of the water-consuming group. NK cell numbers in the mice consuming the muscadine increased from 1% to > 60%, a percentage that was significantly greater than those in the cabernet-, ethanol- and water-consuming groups.



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Figure 3. Natural killer cells as a percentage of total lymphocytes in mice consuming red wines, ethanol or water for 8 wk with and without lipopolysaccharide (LPS) stimulation. Values represent the means ± SD, n = 4 in the group without treatment and n = 6 in the LPS-stimulated group. Bars having different letters are significantly different at P < 0.05.

 
Liver microsomal cytochrome P450–2E1 levels in the mice that consumed cabernet sauvignon was significantly greater by 50% than the water-consuming controls (Table 1Citation ). Muscadine-consuming mice, on the other hand, had cytochrome P450–2E1 levels that were 90% lower than the water-consuming controls. Cytochrome P450–2E1 levels in the ethanol-consuming mice were not different than those in the controls.


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Table 1. The effects of wine or ethanol consumption for 8 wk on liver microsomal detoxifying enzymes in mice1

 
Compared to the control mice that drank water, the activity of GST was not different in those consuming cabernet or ethanol, but was significantly lower in the mice that drank muscadine. The ratio of GST activity to P450–2E1 levels was significantly greater in the mice consuming muscadine relative to the other groups.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The energy from wine or ethanol contributed 14% of the total daily energy intake of mice. If that is extrapolated to the equivalent of a human adult’s consumption, that consumption is ~12 oz (360 mL) of wine (12% ethanol) in a 10.5 kJ diet. Thus, we conclude that the mice consumed a moderate amount of wine.

Results of the DPPH-based assay for total plasma antioxidant capacity suggest that wine phenolic phytochemicals increased in the plasma of mice drinking wines. The data suggest that the plasma can accumulate sufficient and significant antioxidant activity in the blood when a moderate amount of wine is consumed on a daily basis. Although the muscadine wine had twice the phenolic content of the cabernet sauvignon, this difference was not apparent in vivo.

Consumption of ethanol lowered the percentage of lymphocytes circulating in the blood. Lymphocytes did not change further after LPS treatment, suggesting impairment in the ability to migrate out of the circulation. Alternatively, consumption of ethanol might have resulted in a situation in which cells were already gone from the periphery. Further migration could not be stimulated. Research will be necessary to distinguish between these explanations. What is the most interesting of these results is that consumption of the same amount of alcohol in the form of wine did not result in the same effects observed in the mice that consumed ethanol only.

A similar observation was made regarding the NK population. Ethanol consumption lowered baseline percentages of NK cells relative to those in the wine-consuming mice. LPS caused the percentage of peripheral NK cells to increase. Why the mice that consumed the muscadine wine had a significantly greater percentage of NK cells after LPS compared to the other three groups is not known. Muscadine grapes have a unique phenolic profile (Auw et al. 1996Citation ) compared to the cabernet; however, we do not know what component(s) may be responsible for the higher proportion of NK cells after LPS stimulation. It may be that this effect of muscadine on NK cells is not biologically important. Nonetheless, the alteration in NK cell percentages due to ethanol consumption was not evident in the wine-consuming controls.

Measurements of phase I and phase II enzymes suggest possible mechanisms by which the wines prevented changes in the percentages of the cell subpopulations. The mice consuming cabernet had greater activity of cytochrome P450–2E1 than controls. Although the ratio of GST activity to P450 activity was not different from the water-consuming controls, the higher activity of P450 suggests a greater flux through the pathway, and an overall greater formation rate of the less toxic conjugate. Consumption of muscadine had a much different effect on the phase I and phase II enzymes. Both cytochrome P4502E1 and GST were significantly lower than in the controls, with the reduction in P450 much greater than that in the GST. This resulted in a > 100% greater ratio of GST to P450 compared to water-consuming mice. Therefore, acetaldehyde conjugation was greater than acetaldehyde formation, lessening the formation of potentially damaging free radicals.

Cytochrome P450–2E1 is only one of many of the Phase I isozymes. Similarly, GST is only one of many phase II enzymes. In this study, ethanol consumption did not affect either of the two enzymes that were measured. The induction of P450–2E1 due to alcohol consumption has been well documented in the literature; however, the alcohol content in those studies was 20% or more. We used a 6% solution of ethanol. A 10% ethanol concentration did not raise the 2E1 levels to a great extent (Manson et al. 1997Citation ). In our study, the ratio of GST/P450 in the liver microsomes of the ethanol-consuming mice was significantly lower than that of the water-consuming controls. A lower ratio may imply free radical damage from acetaldehyde, although we were not able to show damage by crude measures in the liver. However, it does not rule out that it is possibly the mechanism by which the immune cell populations were affected by ethanol.

In summary, moderate consumption of ethanol suppressed certain immune system variables. Phase I and phase II enzyme activities were altered such that acetaldehyde levels may have led to free radical damage. These results are interesting because they show that moderate consumption of the food product itself had physiological effects, rather than showing effects due to consumption of purified components, injections or high quantities. In mice consuming ethyl alcohol, the lymphocyte response to LPS was either suppressed or delayed compared to the mice that drank water. When the same amount of ethanol was consumed in the form of wine, the response to LPS was the same as in the water-consuming controls. Wine consumption also led to a significantly greater proportion of circulating NK cells compared to the ethanol-consuming mice. The NK cell response to LPS was significantly greater when muscadine wine was consumed compared to the other groups. In conclusion, it appears that some of the phytochemicals in red wine can overcome the detrimental effects of ethanol on the immune system. The protective effect may be related to alterations in the enzymes responsible for detoxification of alcohol.


    ACKNOWLEDGMENTS
 
The authors are indebted to Lee Ann Gordon, Norm Nehmatallah and Chantal Coulen for assistance with this project.


    FOOTNOTES
 
1 This work was funded by the Florida Department of Agriculture and Consumer Services, in association with the Viticulture Advisory Council. Back

2 An abstract of this work was presented at the 1999 IFT meeting in Chicago, Illinois. Gordon, L. A., Percival, S. S. & Sims, C. A. Alcohol, Consumption as Wine Modifies the Detrimental Effects of Ethanol on Mouse Immunity, 1999. Back

3 This is Florida Agricultural Experiment Station Journal Series number 07240. Back

5 Abbreviations DPPH, {alpha}{alpha}-diphenyl-ß-picrylhydrazyl; GST, glutathione-S-transferase; LPS lipopolysaccharide; NK, natural killer. Back

Manuscript received June 29, 1999. Initial review completed July 29, 1999. Revision accepted November 22, 1999.


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 ABSTRACT
 INTRODUCTION
 METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

1. Auw J., Blanco V., O’Keefe S., Sims C. Effect of processing on the phenolics and color of Cabernet Sauvignon, Chambourcin, and noble wines and juices. Am. J. Enol. Vitic. 1996;47:279-286[Abstract/Free Full Text]

2. Baker M. A., Cerniglia G. J., Zaman A. Microtiter plate assay for the measurement of glutathione and glutathione disulfide in large numbers of biological samples. Anal. Biochem. 1990;190:360-365[Medline]

3. Baker M. A., Hagner B. A. Diamide shift in protein and glutathione thiol: disulfide status delays DNA rejoining after X-irradiation of human cancer cells. Biochim. Biophys. Acta 1990;1037:37-47

4. Baker R. C., Johnson J. M. Immunological Aspects. Galanter M. eds. Recent Developments in Alcoholism 1993;Vol. 11:249-271 Plenum Press NY. [Medline]

5. Blank S., Pfister L., Gallucci R., Meadows G. Ethanol-induced changes in peripheral blood and splenic natural killer cells. Alcohol Clin. Exp. Res. 1993;17:561-565[Medline]

6. Fauconneau B., Waffo-Teguo P., Huguet F., Barrier L., Decendit A., Merillon J.-M. Comparative study of radical scavenger and antioxidant properties of phenolic compounds from Vitis vinifera cell cultures using in vitro tests. Life Sci 1997;61:2103-2110[Medline]

7. Formica J. V., Regelson W. Review of the biology of quercetin and related bioflavonoids. Fd. Chem. Toxic. 1995;33:1061-1080[Medline]

8. Garrido V. M., Sims C. A., Marshall M. R., Bates R. P. Factors influencing ellagic acid precipitation in Muscadine grape juice during storage. J. Food Sci. 1993;58:193-196

9. Glavind J. Antioxidants in animal tissue. Acta Chem. Scand. 1963;17:1635-1640

10. Huang M.-T., Ho C.-T., Lee C. Phenolic Compounds in Food and Their Effects on Health 1997 American Chemical Society Washington. DC.

11. Jentzsch A. M., Bachmann H., Furst P., Biesalski H. K., Abraham S. K. Improved analysis of malondialdehyde in human body fluids. Free Rad. Biol. Med. 1996;20:251-256[Medline]

12. Kanner J., Frankel E., Granit R., German B., Kinsella J. E. Natural antioxidants in grapes and wines. J. Agric. Food Chem. 1994;42:64-69

13. Kurata M., Suzuk M., Takeda K. Effect of phenol compounds, glutathione analogues and a diuretic drug on glutathione-S-transferase, glutathione reductase and glutathione peroxidase from canine erythrocytes. Compound Biochem. Physiol. 1992;103B:863-867

14. Leiber C. S. Cytochrome P450–2E1: Its Physiological and Pathological Role. Physiological Rev 1997;77:517-544[Abstract/Free Full Text]

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