ceramide pathways modulate ethanol-induced cell death in astrocytes
TRANSCRIPT
Protective effects of lysophosphatidic acid (LPA) on chronic
ethanol-induced injuries to the cytoskeleton and on glucose uptake
in rat astrocytes
Monica Tomas,* Francisco Lazaro-Dieguez,� Juan M. Duran,� Pilar Marın,*
Jaime Renau-Piqueras* and Gustavo Egea�
*Centro de Investigacion, Hospital La Fe, Valencia
�Departament de Biologia Cellular i Anatomia Patologica, Facultat de Medicina, Institut d’Investigacions Biomediques August Pi
i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain
Abstract
Ethanol induces severe alterations in membrane trafficking in
hepatocytes and astrocytes, the molecular basis of which is
unclear. One of the main candidates is the cytoskeleton and the
molecular components that regulate its organization and
dynamics. Here, we examine the effect of chronic exposure to
ethanol on the organization and dynamics of actin and micro-
tubule cytoskeletons and glucose uptake in rat astrocytes.
Ethanol-treated cells cultured in either the presence or absence
of fetal calf serum showed a significant increase in 2-deoxy-
glucose uptake. Ethanol also caused alterations in actin
organization, consisting of the dissolution of stress fibres and
the appearance of circular filaments beneath the plasma
membrane. When lysophosphatidic acid (LPA), which is a
normal constituent of serum and a potent intercellular lipid
mediator with growth factor and actin rearrangement activities,
was added to ethanol-treated astrocytes cultured without fetal
calf serum, it induced the re-appearance of actin stress fibres
and the normalization of 2-deoxyglucose uptake. Furthermore,
ethanol also perturbed the microtubule dynamics, which
delayed the recovery of the normal microtubule organization
following removal of the microtubule-disrupting agent noco-
dazole. Again, pre-treatment with LPA prevented this alter-
ation. Ethanol-treated rodent fibroblast NIH3T3 cells that
constitutively express an activated Rho mutant protein (GTP-
bound form) were insensitive to ethanol, as they showed
no alteration either in actin stress-fibre organization or in
2-deoxyglucose uptake. We discuss the putative signalling
targets by which ethanol could alter the cytoskeleton and hex-
ose uptake and the cytoprotective effect of LPA against eth-
anol-induced damages. The latter opens the possibility that
LPA or a similar non-hydrolysable lipid derivative could be used
as a cytoprotective agent against the noxious effects of ethanol.
Keywords: actin, alcohol, glia, GLUT1, microtubules, Rho
GTPases.
J. Neurochem. (2003) 87, 220–229.
There is clinical and experimental evidence that ethanol
consumption disrupts development of the central nervous
system (CNS), leading to depression of neurogenesis and an
aberrant migration, which collectively contribute to the fetal
alcohol syndrome, an embryo pathology related to maternal
ethanol drinking that causes mental retardation in neonates
(Miller 1992; Streissguth et al. 1994; Eckardt et al. 1998).
As glial cells are also sensitive to ethanol, alterations in
neuron–glia interactions could account for the ethanol-
induced disruptions of brain development (Renau-Piqueras
et al. 1998; Guerri et al. 2001).
It has been clearly established that glycosylation machin-
ery is affected by chronic pre-natal ethanol exposure (Ghosh
et al. 1993; Lieber 1994; Renau-Piqueras et al. 1997; Ghosh
et al. 1998; Arndt 2001). Many glycosylated proteins and
lipids appear to mediate normal growth and tissue differen-
tiation during fetal development, and pre-natal ethanol
exposure severely alters glycosylation in hepatocytes and
astrocytes (Renau-Piqueras et al. 1987; Kim and Druse
Received April 24, 2003; revised manuscript received June 16, 2003;
accepted June 23, 2003.
Address correspondence and reprint requests to Gustavo Egea,
Departament de Biologia Cellular i Anatomia Patologica, Facultat de
Medicina, Universitat de Barcelona, C/Casanova 143, E-08036 Barce-
lona, Spain. E-mail: [email protected]
Abbreviations used: 2-DGlc, 2-deoxyglucose; FCS, fetal calf serum;
LPA, lysophosphatidic acid; LTB, latrunculin B; NZ, nocodazole; PKC,
protein kinase C; PKD, protein kinase D.
Journal of Neurochemistry, 2003, 87, 220–229 doi:10.1046/j.1471-4159.2003.01993.x
220 � 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
1996; Renau-Piqueras et al. 1997; Minana et al. 2000;
Tomas et al. 2002). This alteration could impair the intra-
cellular transport of nascent glycoproteins and glycolipids.
Ethanol also reduces the expression and secretion of
neurotrophic-factor receptors, and the plasma membrane
levels of the highly sialylated form of the neural cell
adhesion molecule (PSA-NCAM) (Valles et al. 1994; Kim
and Druse 1996; Renau-Piqueras et al. 1997; Minana et al.
2000). Furthermore, chronic exposure to ethanol (30 mM)
enhances monosaccharide uptake and increases the protein
concentrations of GLUT1 (Tomas et al. 2002). However, the
mechanisms of these ethanol-induced changes in astrocytes
remain unknown.
In contrast to intermediate filaments (Renau-Piqueras et al.
1989), little is known about the effects of ethanol on
microtubule or actin cytoskeletons in glial cells. In fact, the
reported effects of ethanol in these cells could be thus
attributable to a primary alteration of the organization and
dynamics of the cytoskeleton. In this regard, chronic
exposure to ethanol alters actin cytoskeleton in astroglial
primary cultures from rat cerebral cortex (Allansson et al.
2001). This alteration might explain the ethanol-induced
increase in the uptake of 2-deoxyglucose (2-DGlc; Carver
et al. 1999; Tomas et al. 2002) as glucose uptake by
transport proteins (GLUTs) seems to be also dependent on
actin cytoskeleton (Bunn et al. 1999). It is important to
highlight that astrocytes are essential for neuronal glucose
metabolism as alterations to glucose transport in these cells
compromise neuronal function and brain development
(Wiesinger et al. 1997; Magistretti and Pellerin 1999).
Therefore, here we examine ethanol-induced alterations in
glucose uptake and cytoskeleton organization and dynamics.
Interestingly, these alterations are prevented by lysophos-
phatidic acid (LPA), which is a structurally simple phosp-
holipid and a potent intercellular lipid mediator present in
serum that elicits a broad spectrum of responses in diverse
cell types (Moolenaar 2000 for a review) including glial cell
survival and proliferation (Weiner and Chun 1999; Steiner
et al. 2002; Li et al. 2003) and actin rearrangements
(Ramakers and Moolenaar 1998).
Materials and methods
Reagents
Radiochemicals
2-Deoxy-D-[1–3H]glucose (specific activity 13.0 Ci/mmol) and
L-[35S]methionine (Met) (specific activity 40–500 Ci/mmol) were
from Amersham Pharmacia (Buckinghamshire, UK).
Antibodies
Anti-GLUT1 rabbit polyclonal antibody (Santa Cruz Biotechnology,
Santa Cruz. CA, USA), anti-actin mouse monoclonal antibody
(Sigma, St Louis, MO, USA), anti-b-tubulin and anti RhoA mouse
monoclonal antibodies (Santa Cruz), secondary Alexa-488 or Alexa-
546 F(ab¢)2 fragments were from Molecular Probes (Leyden, the
Netherlands).
Other reagents
Nocodazole and lysophosphatidic acid were from Sigma, latrun-
culin-B was purchased from Calbiochem (San Diego, CA, USA)
and TRITC-Phalloidin was from Molecular Probes. Culture reagents
were all from Invitrogen (Paisley, UK).
Primary cultures of rat astrocytes and NIH3T3 cells
Primary cultures of astrocytes from 21-day-old rat fetuses were
prepared from brain hemispheres as described elsewhere (Gomez-
Lechon et al. 1992). They were grown in a humidified atmosphere
of 5% CO2 and 95% air at 37�C. In these conditions the cells grew
rapidly for 7–10 days. The medium (Dulbecco’s modified Eagle’s
medium, DMEM) was changed every 2 days. We used astrocytes at
7 days because they release several neurotrophic factors and express
their receptor during proliferation (Lu et al. 1991; Valles et al.
1994). Cells were grown in the presence of ethanol, which was
added to the culture medium when the cells were settled (day 0).
Ethanol concentration in the medium was checked daily and
adjusted to a final concentration of 30 mM (ethanol evaporation after
24 h was 10–20%), which is similar to that reported in blood vessels
in pregnant chronic drinkers or when three to five alcoholic drinks
are consumed within 1 h by a woman weighing about 60 kg
(Eckardt et al. 1998). In some experiments, cells were exposed for
7 days to 50 or 100 mM ethanol. The purity of astrocyte cultures
was assessed by immunofluorescence using a mouse anti-glial
fibrillary acidic protein monoclonal antibody (Renau-Piqueras et al.
1989). All experiments using rats were approved by the appropriate
institutional review committee and performed in strict compliance
with the European Community Guide for the Care and Use of
Laboratory Animals.
NIH3T3 cells expressing either the GTP-bound form of Rho
(RhoAV14 mutant) or the empty vector (Mock cells) were generated
in the laboratory of J. C. Lacal (Jimenez et al. 1995). NIH3T3 cell
lines were all cultured in DMEM with 10% of FCS, but in the case
Mock and RhoV14 cell lines, geneticin (750 lg/mL) was present in
the culture medium.
Western blotting
NIH3T3 cells were washed in phosphate-buffered saline (PBS),
homogenized in extraction buffer (Tris-HCl 6 mM, EDTA 10 mM
and sodium dodecyl sulfate (SDS) 2%, pH 7.0) and incubated on ice
for 15 min. Cell lysates (20 lg per lane) were mixed with lithium
dodecyl sulfate (LDS sample buffer) and boiled for 3 min. Proteins
were separated in SDS polyacrylamide slab gels (15%). After
electrophoresis, the proteins were transferred to nitrocellulose paper,
which was incubated for 60 min with anti-RhoA monoclonal
antibody (1 : 1000). Membranes were washed in TBS-Tween and
then incubated with an alkaline phosphatase (AP)-conjugated goat
anti-mouse IgG (1 : 10 000). After 10–20 min of colour develop-
ment, the nitrocellulose sheets were washed and photographed.
Carbohydrate uptake
Astrocyte cultures were incubated with 2 mL of medium
containing [3H]2-DGlc and [35S]Met as previously reported
Effects of LPA on ethanol-induced injuries 221
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
(Tomas et al. 2002). The cells were maintained in this medium
for 5 min and incorporation was stopped by washing the cultures
three times in cold PBS. Supernatants and cells were collected
for radioactive counting. Cells were incubated overnight at 37�Cin the presence of 0.5 N NaOH and the amount of radioactivity
incorporated was measured in an automatic scintillation coun-
ter and, as the energy distribution spectra of the [3H] and [35S]
were superimposed, a two-channel counting program was used.
The dpm obtained in each channel was computed to obtain the
net dpm corresponding to each isotope. The results are expressed
as pmol/mg of protein. The protein concentration was deter-
mined by using the BCA protein assay kit (Pierce, Rockford, IL,
USA).
Fluorescence microscopy
Cultured cells were fixed with 4% formaldehyde in PBS for
30 min at room temperature, washed in PBS (3 · 5 min each)
and in PBS containing 50 mM ammonium chloride. Subsequently,
cells were permeabilized for 15 min with PBS containing 0.1%
saponin and 0.1% BSA. Actin stress fibres were visualized by
incubating cells for 45 min with 0.1 lg/mL of TRITC-labelled
phalloidin, as previously described (Valderrama et al. 1998). For
microtubules, cells were incubated first with a mouse anti-
b-tubulin monoclonal antibody (1 : 500) then with an anti-mouse
antibody conjugated with FITC. Finally, cells were rinsed several
times in PBS, mounted in Mowiol and observed in a fluorescence
microscope.
Statistical analysis
Data are presented as means ± SD. Differences between group
means were considered significant where P £ 0.05, as determined
by Student’s t-test.
Results
Ethanol increases the 2-deoxyglucose uptake
Recent data from our laboratories demonstrated that, upon
treatment with low concentrations of ethanol, the uptake of
labelled carbohydrates undergoes a significant increase
(Tomas et al. 2002). Here, we examined in detail the uptake
of [3H]2-deoxyglucose (2-DGlc), a derivative of glucose that
is not metabolized beyond phosphorylation, in untreated and
ethanol-treated astrocytes at growing stage (7 days in culture;
Renau-Piqueras et al. 1998). Astrocytes treated with ethanol
(30 mM) showed a significant increase in 2-DGlc uptake
(Fig. 1a). To determine whether this increase was dependent
on components contained in FCS, astrocytes were grown for
6 days in culture medium with FCS and one more day
without FCS (– FCS). Results showed that the basal 2-DGlc
uptake diminished both in control and ethanol-treated
astrocytes in comparison with cells cultured in the presence
of FCS (+ FCS) (Fig. 1a). Strikingly, the differences between
untreated and ethanol-treated cells remained significant, the
latter being more sensitive to FCS deprivation than the
former (Fig. 1a).
Microfilaments and microtubules are involved
in the uptake of 2-DGlc
Most cell lines cultured in the absence of FCS show a
perturbed cytoskeleton. Therefore, to examine whether the
ethanol-produced increase in 2-DGlc uptake depends on
the integrity of the cytoskeleton, astrocytes were treated
with latrunculin B (LTB; 1 lM, final concentration) or
nocodazole (NZ; 30 lM, final concentration), disrupters of
actin filaments and microtubules, respectively. LTB
increased 2-DGlc uptake at 10 and 20 min, but the effect
was reversed after 40 min (Fig. 2), most likely as a result
of a reduction in cell viability. NZ treatment also increased
2DGlc uptake, which was sustained throughout the
experiment (Fig. 2).
Lysophosphatidic acid quickly increases the 2-DGlc
uptake in ethanol-treated astrocytes cultured in the
absence of FCS
We reasoned that the FCS must contain a component, or
components, that is directly involved in the increase of
2-DGlc uptake in ethanol-exposed cells. One of the most
abundant constituents of serum is lysophosphatidic acid
(LPA; 1-acyl-sn-glycerol-3-phosphate), which mediates
Fig. 1 LPA treatment normalizes the ethanol-induced increase of
2-DGlc uptake. Histogram showing the uptake of [3H]2-DGlc mono-
saccharide by control and ethanol (30 mM)-exposed astrocytes grown
for 7 days in the presence of FCS (+ FCS) or for 6 days with FCS and
one more day without FCS (– FCS). (a) In cells cultured in the pres-
ence of FCS, ethanol increased the 2-DGlc uptake. In the absence of
FCS, the levels of 2-DGlc uptake were lower but the differences
between untreated and ethanol-treated cells remained. (b) When LPA
(200 ng/mL) was added for 15, 30 or 60 min to astrocytes cultured
without FCS, the 2-DGlc uptake rose to the same levels observed in
astrocytes cultured with FCS, and it occurred faster in ethanol-treated
than in untreated cells. The data shown are representative of three
independent experiments and expressed as the mean ± SD. Asterisks
indicate significant differences (Student’s t-test, p £ 0.05) of ethanol-
treated versus untreated cells.
222 M. Tomas et al.
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
multiple biological responses (actin reorganization, survival,
amongst many others) via G protein-coupled serpentine
receptors (Moolenaar et al. 1997). Taking into account that
ethanol increases the protein levels of the glucose transporter
GLUT1 in growing astrocytes (Tomas et al. 2002), which is
the main transporter in these cells (Maher et al. 1994;
Morgello et al. 1995), and GLUT1 activity seems to be
dependent on actin dynamics (Zhang and Ismail-Beigi 1998;
Bunn et al. 1999), we therefore examined the effects of LPA
on the 2-DGlc uptake in astrocytes deprived of FCS the last
24 h (– FCS). LPA treatment (200 ng/mL) normalized faster
the 2-DGlc uptake in ethanol-treated than in untreated cells
(Fig. 1b), similarly to ethanol-treated cells cultured in the
presence of FCS (Fig. 1a). This result indicates that LPA is
involved in the ethanol-induced increase in the 2-DGlc
uptake.
Ethanol alters the actin cytoskeleton organization
of astrocytes
We next examined whether actin cytoskeleton organiza-
tion was perturbed by ethanol (Fig. 3). For this, primary
cultures of rat astrocytes were treated for 7 days with
different concentrations of ethanol (30, 50 or 100 mM,
final concentrations). After fixation, actin was stained with
TRITC-phalloidin. Untreated astrocytes showed numerous
well-organized actin stress fibres (Fig. 3a). In contrast,
ethanol-treated cells showed fewer actin fibres, which, in
addition, were rearranged in a circular structure beneath
plasma membrane, leaving the central portion of cells devoid
of actin (Figs 3b and c). The severity of this alteration was
dependent on the ethanol concentration used.
LPA reverts the ethanol-induced alterations of the actin
cytoskeleton
We studied whether LPA could revert the ethanol-induced
alteration in the actin organization. For this, we used the
same experimental conditions described above for the
2-DGlc uptake experiments (Fig. 1b). Astrocytes cultured
in the absence of FCS (the last 24 h) showed few actin stress
fibres (not shown). When LPA was added to cells cultured
without FCS, both untreated (Fig. 3d) and ethanol-treated
cells (30 or 100 mM; Figs 3e and f, respectively) showed an
actin cytoskeleton organization indistinguishable from con-
trol (Fig. 3a).
LPA prevents the ethanol-induced alteration
in microtubule dynamics
It has been reported that LPA also stimulates the assembly of
stable microtubules independently of its effects on actin
filaments (Cook et al. 1998). Therefore, we studied whether
ethanol also alters microtubules. Ethanol (30 mM) did not
effect microtubule organization (Figs 4a and b). Nonetheless,
we reasoned that ethanol could impair the dynamics of
microtubules. Therefore, we examined the kinetics of
microtubule reassembly. For this, astrocytes were first treated
with nocodazole (NZ) to induce the complete disassembly
of microtubules (Figs 4c–e) and, subsequently, NZ was
removed from the culture medium. In ethanol-treated astro-
cytes, the kinetics of the microtubule reassembly (Figs 4g, j
and m) was slower than in untreated cells (Figs 4f, I and l).
In particular, the complete microtubule reassembly in
untreated astrocytes was observed at 45 min after NZ
removal (Fig. 4l), whereas in ethanol-treated cells reassem-
bly occurred only between 90 and 120 min after NZ washout
Fig. 2 Cytoskeleton disrupters alter the 2-deoxyglucose uptake in rat
astrocytes. Control (C) and ethanol-treated (E) astrocytes were cul-
tured with FCS for 7 days. Subsequently, control cells were incubated
with latrunculin B (LTB; 1 lM) or nocodazole (NZ; 30 lM) for several
periods, and the 2-DGlc uptake was measured as described in
Materials and methods. The disruption of actin and microtubule cyto-
skeletons produced different effects on the 2-DGlc uptake. The results
are the mean ± SD from three independent experiments. Asterisks
indicate significant differences (Student’s t-test, p £ 0.05) versus
control cells cultured with FCS.
Fig. 3 Ethanol induces a rearrangement of actin cytoskeleton, which
is reverted by LPA. Untreated and ethanol-treated astrocytes cultured
in the presence (+ FCS; a–c) of FCS, were stained with TRITC-
phalloidin to visualize the actin cytoskeleton organization. Ethanol
produced a significant rearrangement of actin stress fibres (b, c) in
comparison with untreated cells (a). When LPA was added to cells
cultured without FCS (+ LPA; d–f), numerous parallel actin stress
fibres re-appeared, both in control (d) and in ethanol-treated astro-
cytes (e, f). Bar, 10 lm.
Effects of LPA on ethanol-induced injuries 223
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
(not shown). In accordance with these observations, the
kinetics of the NZ-induced microtubule disassembly in
ethanol-treated cells was faster than in untreated cells (not
shown). As in 2-DGlc uptake and actin cytoskeleton
experiments, we next examined whether LPA also prevented
the alteration in the microtubule dynamics. Indeed, LPA
(200 ng/mL) normalized the kinetics of the reassembly of
microtubules in ethanol-treated cells (Figs 4h, k and n).
Together, these data indicate that ethanol treatment impairs
microtubule assembly and reassembly and that LPA prevents
these alterations.
NIH3T3 cells that constitutively express activated RhoA
are resistant to the ethanol-induced alterations on actin
and on 2-deoxyglucose uptake
Rho GTPase family governs the actin cytoskeleton organ-
ization, and in particular RhoA regulates the formation of
actin stress fibres (Hall 1998; for a review). As we have
observed that ethanol induced a rearrangement of actin
cytoskeleton, we examined whether the RhoA signalling
pathway could be involved in the mechanism by which
ethanol produces these actin cytoskeleton alterations. With
this aim, NIH3T3 cells that constitutively express a mutant
form of RhoA for its GTP-bound form (RhoAV14; mutated
Rho activated by Val14 substitution in the GTP binding site;
Jimenez et al. 1995) were treated with ethanol (100 mM).
GTP-bound RhoA-expressing cells were insensitive to the
expected actin dissolution produced by the absence of FCS
(Figs 5d and e), and they showed an actin stress fibres pattern
(Fig. 5f) that was indistinguishable from that shown by cells
cultured in the presence of FCS (Fig. 5c). Unlike wild-type
(Fig. 5g) and Mock cells (Fig. 5h), RhoAV14-expressing
cells treated with 30 mM (not shown) or 100 mM ethanol
(Fig. 5i) showed a virtually unaltered actin stress fibre
Fig. 4 LPA prevents the ethanol-induced
impairment in the reassembly of micro-
tubules. Control (a) and ethanol (30 mM)-
treated (b) astrocytes were fixed and
stained to a-tubulin to visualize microtubule
cytoskeleton. Next, cells were first treated
with nocodazole (NZ; 30 lM, 60 min), which
produced the disassembly of microtubules
(c–e). Subsequently, NZ was removed from
the medium and the kinetics of the reas-
sembly of microtubules was examined
(f–n). In control cells, the microtubule
reassembly was complete after 30–45 min
(i, l) whereas in ethanol-treated cells at
these times (j, m) microtubules were still
disassembled although the characteristic
microtubule aster emerging from centrioles
(j) and some microtubules tracks were
evident (m). When LPA (200 ng/mL;
60 min) was added to ethanol-treated cells
(h, k, n), the kinetics of the reassembly of
microtubules was indistinguishable from
control (f, i, l). Bar, 10 lm.
224 M. Tomas et al.
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
organization (compare Figs 5a, c and i). Furthermore, these
cells did not show any increase in 2-DGlc uptake (Fig. 5j).
Discussion
Ethanol perturbs glucose uptake and the organization
and dynamics of the cytoskeleton
It has been postulated that GLUT1 is a stress-response
protein (Wertheimer et al. 1991; Mueckler 1994; Olson
and Pessin 1996). Ethanol increases glucose transport,
like other stressful stimuli such as hypoxia, inhibition of
oxidative phosphorylation, hyperosmolarity, incubation in a
low-glucose medium, or at high pH (Ismail-Beigi 1993;
Hwang and Ismail-Beigi 2001, and references herein).
However, unlike all these stimuli, the ethanol-induced
increase in 2-deoxyglucose uptake is concomitant to an
increase in the GLUT1 protein content (Tomas et al. 2002),
which may be an adaptive response to long-term ethanol
exposure. Although, how ethanol treatment increases GLUT1
and glucose uptake is unclear, the cytoskeleton could be
involved. This hypothesis is supported by the observation
that GLUT1 activity is regulated by actin cytoskeleton
(Zhang and Ismail-Beigi 1998). The astrocyte contains a
cytosolic GLU1-binding protein named Glut1CBP, which
tethers GLUT1 to the actin-binding protein a-actinin-1
(j)
Fig. 5 NIH3T3 cells that constitutively express a GTP-bound Rho
mutant protein are resistant to ethanol-induced actin disassembly.
NIH3T3 cell lines (wild-type, WT; transfected with a empty plasmid,
Mock NIH3T3; and constitutively expressing activated RhoA protein
(RhoAV14) were fixed and stained to actin with TRITC-phalloidin. All
three cell lines showed a well-organized actin cytoskeleton with den-
sely packed actin stress fibres (a–c). When these cell lines were cul-
tured overnight in the absence of FCS (– FCS), there was a
dissolution of stress fibres in WT and Mock NIH3T3 cells (d and e,
respectively) but, in contrast, the activated RhoA-expressing cells
showed an actin cytoskeleton organization indistinguishable from
control NIH3T3 cells (f and a, respectively), which is indicative of the
continuous expression of activated RhoA protein in these cells. In
addition, these cells also overexpress larger amounts of RhoA protein
as shown by western blot (inset in c). Ethanol treatment (100 mM;
5 days) induced the dissolution of actin stress fibres in WT (g) and
Mock (h), but not in RhoAV14-expressing cells (i), which showed a
virtually unaltered actin cytoskeleton organization in comparison with
untreated control cells (c). (j) Measurement of the 2-DGlc uptake in
wild type, Mock and RhoAV14-expressing NIH3T3 cells cultured in the
absence or presence of ethanol (100 mM) for 5 days. Unlike wild type
and Mock cells, those expressing the mutant GTP-bound form of
RhoA showed no increase in the 2-DGlc uptake. These results are the
mean of two independent experiments. Bar, 10 lm.
Effects of LPA on ethanol-induced injuries 225
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
(Bunn et al. 1999). GLUT1 is thus restricted to some plasma
membrane domains and regulated in its activity. Therefore,
GLUT1 activity could be affected by actin rearrangements,
which is indeed what we observe when astrocytes were
treated either with latrunculin B (Fig. 2) or ethanol (Fig. 1a).
Ethanol-induced actin rearrangement may also perturb the
receptor-mediated endocytosis of GLUT1. In fact, receptor-
mediated endocytosis is actin-dependent (Qualmann and
Kessels 2002) and significantly inhibited by ethanol (Megıas
et al. 2000; Nagy et al. 2002). Therefore, the here-reported
increase in 2-DGlc uptake could be the result of an (partial)
inhibition of the GLUT1 endocytosis, which thereafter would
stay functionally longer in plasma membrane (Fig. 6).
In contrast, in hepatocytes, colonic cells and neurons,
ethanol alters the organization and dynamics of microtubules
(Banan et al. 1998; Yoon et al. 1998; Rovasio and Battiato
2002). We here observed that the steady state microtubule
cytoskeleton organization of ethanol-treated astrocytes is
virtually unaltered but, in contrast, its dynamics is impaired.
In particular, microtubule reassembly after nocodazole
treatment was significantly delayed. This indicates that the
functionality of cellular processes that depend on dynamic
microtubules will be perturbed, as is the case of membrane
trafficking (Yoon et al. 1998; Guash et al. 1992; Larkin
et al. 1996; Renau-Piqueras et al. 1997). It has been
suggested that in hepatocytes the microtubule disruption
produced by ethanol is a consequence of the high-affinity
interaction of acetaldehyde with a-tubulin, which becomes
useless for microtubule polymerization (Sorrell and Tuma
1987; Smith et al. 1992; Hamm-Alvarez and Sheetz 1998;
Yoon et al. 1998). Similar results have also been reported
with purified rabbit skeletal-muscle actin in vitro (Xu et al.
1989). Although the production of acetaldehyde in astrocytes
is much lower than in hepatocytes (Eyserric et al. 1997), this
mechanism may explain the ethanol-induced alterations in
microtubule dynamics. Like ethanol, the disruption of
microtubules by nocodazole also increases 2-DGlc uptake
(Fig. 2). Interestingly, LPA treatment normalizes the 2-Dglc
uptake levels in ethanol-treated cells cultured in the absence
of FCS (Fig. 1b). LPA is a component of serum that
stimulates RhoA signalling pathway, which not only governs
actin cytoskeleton organization (Nobes and Hall 1995) but
also stabilizes microtubules (Cook et al. 1998). With regard
to the latter, LPA could be considered as a cytoprotectant as it
has been previously reported with prostaglandin in ethanol-
treated Caco-2 cells (Banan et al. 1999). Collectively, our
results on LPA show a role of the cytoskeleton in glucose
uptake, suggesting that ethanol could interfere in this
association. Nonetheless, other molecular mechanisms could
also explain the alterations induced by ethanol, particularly
those involving the dynamics and organization of actin
cytoskeleton (see below).
Signalling molecules that regulate actin dynamics
and organization as putative targets of ethanol
Actin organization is regulated by the Rho family members
Rho, Rac and Cdc42, whose downstream signalling
pathways usually induce the appearance of stress fibres,
membrane ruffles/lamelipodia, and filopodia, respectively
(Hall 1998; Hall and Nobes 2000; for reviews). LPA is an
intercellular lipid mediator with growth factor-like activity,
which activates plasma membrane-specific G protein
coupled receptor, leading to Rho activation and, subse-
quently, to stress fibre formation in fibroblasts (Nobes
et al. 1995; Moolenaar et al. 1997). Thus, the finding that
the effect of ethanol on cell cytoskeleton and glucose
uptake is reverted by LPA suggests that ethanol interferes
in the Rho signalling pathway. Consistent with this are the
results in NIH3T3 fibroblasts that constitutively overex-
press the GTP-bound form of RhoA: neither actin cyto-
skeleton organization nor glucose uptake was significantly
altered by ethanol treatment. However, the effect of LPA
treatment indicates the partial involvement of Rho signal-
ling pathway, but not in coupling LPA receptor and hetero-
trimeric G proteins to RhoA otherwise LPA treatment
Fig. 6 Potential signalling pathways through which ethanol could
mediate actin and glucose uptake injuries and LPA its protective
action. Ethanol inhibits PKC and/or PLD activities, which reduces the
PIP2 levels and alters actin polymerization and actin cytoskeleton
organization. Concomitantly to this effect, ethanol also inhibits
receptor-mediated endocytosis of GLUT1 receptors located in plasma
membrane, a process that is also dependent on actin filaments. We
postulate that the cytoprotective effect of LPA is mediated by the
activation of the RhoA signalling pathway. In particular, RhoA acti-
vates Rho kinase, which, on the one hand, stimulates PI(4)P5-kinase,
raising the levels of PIP2, which in turn leads to net actin polymer-
ization, and on the other hand, this increase in filamentous actin
induces the formation of stress fibres. Importantly, this net actin
polymerization also leads to the assembly of a submembranous
actin filament that regulates GLUT1 activity.
226 M. Tomas et al.
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
could not prevent the ethanol-induced alterations. There-
fore, another molecular target(s) may be affected, as in the
case of protein kinase C (PKC) and phospholipase D
(PLD). PKC activates various phosphatidylinositol kinases,
whose coupled enzymatic activity leads to the formation of
PIP2, which in turns stimulates actin polymerization (Yin
and Janmey 2003). Importantly, this polymerized actin can
be used for stress fibre assembly, which is governed by
GTP-RhoA and the activation of Rho kinase, ROCK
(Fig. 6). Interestingly, ethanol inhibits some PKC isoforms,
in particular a, b1 and c (Slater et al. 2001). We therefore
postulate that ethanol in astrocytes also perturbs some PKC
activities, which may induce the disruption or rearrange-
ment of actin cytoskeleton and, consequently, the alteration
of physiological processes that depend on actin such as
glucose uptake and endocytosis (Bunn et al. 1999; Qual-
mann and Kessels 2002). The involvement of PKC in the
noxious effects of ethanol is also supported by the fact
that, in CaCo-2 cells, treatment with PKC activators/
stimulators, prior to exposure to ethanol, significantly
reduced cell injury on cell viability and microtubule
disruption (Banan et al. 1999). In contrast, primary alcoh-
ols (mainly 1-butanol and ethanol) are specific inhibitors of
PLDs. Their activity results in the hydrolysis of phosphat-
idylcholine to form phosphatidic acid, which regulates
intracellular vesicular transport, particularly in distal steps
of the secretory pathway (Siddhanta et al. 2000, and
references therein). Furthermore, a distinctive feature of
mammalian PLDs is their functional association with actin
cytoskeleton, based on their ability to directly bind both
G-actin (inhibiting its activity; Lee et al. 2001; Kusner
et al. 2002) and actin-binding proteins (Cross et al. 1996;
Steed et al. 1996; Park et al. 2000), and also on
phosphatidic acid stimulates type I phosphatydilinositol-4-
phosphate 5 kinases (PI(4,5)P-kinases; Jenkins et al. 1994;
Kam and Exton 2001). How then does LPA or overex-
pressed GTP-bound RhoA prevent the ethanol-induced
impairments in actin cytoskeleton organization and 2-DGlc
uptake? The mechanism may be the stimulation of PI(4,5)P
kinase through Rho kinase (Oude et al. 2000), which is
also a downstream effector of both PKC and PLD. The
PIP2 thus generated produces net actin polymerization,
which then leads to LPA-induced formation of stress fibres
and the assembly of a submembranous actin cytoskeleton,
which is directly or indirectly coupled to GLUT1 activity.
All these relationships are depicted in Fig. 6.
In conclusion, the findings reported here support the
hypothesis that the cytoskeleton is a major target for ethanol-
induced damage in astrocytes. The protective effects of LPA
on the chronic ethanol-induced impairments on actin and
microtubule cytoskeletons and on glucose uptake in rat
astrocytes open the possibility that LPA or a similar non-
hydrolysable lipid derivative could be used as a cytoprotec-
tant against the noxious effects of ethanol.
Acknowledgements
The authors thank Juan Carlos Lacal (IIB CSIC-UAM, Madrid) for
NIH3T3 cell lines, Jesus Avila (CBMSO, CSIC-UAM, Madrid) and
Miguel Morales (IDIBAPS, Barcelona) for helpful suggestions, and
Robin Rycroft for editorial assistance. This work is supported by
grants from MCyT (SAF2000-0042 to GE and BFI2001-0123-CO2-
02 to GE and JR-P) and FIS (PI020073 to JR-P). MT and JMD are
recipients of pre-doctoral fellowships from FIS, FL-D from
IDIBAPS, and PM from CIEN (FIS).
References
Allansson L., Khatibi S., Olsson T. and Hansson E. (2001) Acute ethanol
exposure induces [Ca2+]i transients, cell swelling and transfor-
mation of actin cytoskeleton in astroglial primary cultures.
J. Neurochem. 76, 472–479.
Arndt T. (2001) Carbohydrate-deficient transferrin as a marker of chronic
alcohol abuse: a critical review of preanalysis, analysis, and
interpretation. Clin. Chem. 47, 13–27.
Banan A., Smith G. S., Rieckenberg C. L., Kokoska E. R. and Miller
T. A. (1998) Protection against ethanol injury by prostaglandin in a
human intestinal cell line: role of microtubules. Am. J. Physiol.
274, G111–G121.
Banan A., Smith G. S., Deshpande Y., Rieckenberg C. L., Kokoska E. R.
and Miller T. A. (1999) Prostaglandins protect human intestinal
cells against ethanol injury by stabilizing microtubules. Dig. Dis.
Sci. 44, 697–707.
Bunn R. C., Jensen M. A. and Reed B. C. (1999) Protein interactions
with the glucose transporter binding protein GLU2CBP that pro-
vide a link between GLUT1 and the cytoskeleton. Mol. Biol. Cell
10, 819–832.
Carver F. M., Shibley I. A. Jr, Miles D. S., Pennington J. S. and
Pennington S. N. (1999) Increased intracellular localization of
brain GLUT-1 transporter in response to ethanol during chick
embryogenesis. Am. J. Physiol. 277, E750–E759.
Cook T. A., Nagasaki T. and Gundersen G. G. (1998) Rho guanosine
triphosphatase mediates the selective stabilization of microtubules
induced by lysophosphatidic acid. J. Cell Biol. 141, 175–185.
Cross M. J., Roberts S., Ridley A. J., Hodgkin M.-N., Stewart A.,
Claesson-Welsh L. and Wakelam M. J. (1996) Stimulation of actin
stress fibre formation mediated by activation of phospholipase D.
Curr. Biol. 6, 588–596.
Eckardt M. J., File S. E., Gessa G. L., Grant K. A., Guerri C., Hoffman
P. L., Kalant H., Koob G. F., Li T. K. and Tabakoff B. (1998)
Effects of moderate alcohol consumption on the central nervous
system. Alcohol Clin. Exp. Res. 22, 998–1040.
Eyserric H., Gonthier B., Soubeyran A., Bessard G., Saxod R. and Barret
L. (1997) Characterization of the production of acetaldehyde by
astrocytes in culture after ethanol exposure. Alcohol Clin. Exp. Res.
21, 1018–1023.
Ghosh P., Okoh C., Liu Q. H. and Lakshman M. R. (1993) Effects of
chronic ethanol on enzymes regulating sialylation and desialylation
of transferrin in rats. Alcohol Clin. Exp. Res. 17, 576–579.
Ghosh P., Ender I. and Hale E. A. (1998) Long-term ethanol con-
sumption selectively impairs ganglioside pathway in rat brain.
Alcohol Clin. Exp. Res. 22, 1220–1226.
Gomez-Lechon M. J., Iborra F. J., Azorin I., Guerri C. and Renau-
Piqueras J. (1992) Cryopreservation of rat astrocytes from primary
cultures. J. Tissue Cult. Meth. 14, 73–78.
Guash R., Renau-Piqueras J. and Guerri C. (1992) Chronic ethanol
consumption induces accumulation of proteins in the liver Golgi
Effects of LPA on ethanol-induced injuries 227
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
apparatus and decreases galactosyltransferase activity. Alcohol
Clin. Exp. Res. 16, 942–948.
Guerri C., Pascual M. and Renau-Piqueras J. (2001) Glia and fetal
alcohol syndrome. Neurotoxicology 22, 593–599.
Hall A. (1998) Rho GTPases and the actin cytoskeleton. Science 279,
509–514.
Hall A. and Nobes C. D. (2000) Rho GTPases: molecular switches that
control the organization and dynamics of the actin cytoskeleton.
Philos. Trans. R. Soc. Lond. B Biol. Sci. 355, 965–970.
Hamm-Alvarez S. F. and Sheetz M. P. (1998) Microtubule-dependent
vesicle transport: modulation of channel and transporter activity in
liver and kidney. Physiol. Rev. 78, 1109–1129.
Hwang D.-Y. and Ismail-Beigi F. (2001) Stimulation of GLUT-1 glu-
cose transporter expression in response to hyperosmolarity. Am.
J. Physiol. Cell Physiol. 281, C1365–C1372.
Ismail-Beigi F. (1993) Metabolic regulation of glucose transporter.
J. Membr. Biol. 135, 1–10.
Jenkins G. H., Fisette P. L. and Anderson R. A. (1994) Type I phos-
phatidylinositol 4-phosphate 5-kinase isoforms are specifically
stimulated by phosphatidic acid. J. Biol. Chem. 269, 11547–
11554.
Jimenez B., Arends M., Esteve P., Perona R., Sanchez R., Ramon y Cajal
S., Wyllie A. and Lacal J. C. (1995) Induction of apoptosis in
NIH3T3 cells after serum deprivation by overexpression of
rho-p21, a GTPase protein of the ras superfamily. Oncogene 10,
811–816.
Kam Y. and Exton J. H. (2001) Phospholipase D activity is required for
actin stress fiber formation in fibroblasts.Mol. Cell Biol. 21, 4055–
4066.
Kim J. A. and Druse M. J. (1996) Deficiency of essential neurotrophic
factors in conditioned media produced by ethanol-exposed cortical
astrocytes. Brain Res. Dev. Brain. Res. 96, 1–10.
Kusner D. J., Barton J. A., Wen K. K., Wang W., Rubenstein P. A. and
Iyer S. S. (2002) Regulation of phospholipase D activity by actin.
Actin exerts bi-directional modulation of mammalian phospholi-
pase D activity in a polymerisation-dependent, isoform-specific
manner. J. Biol. Chem. 277, 50683–50692.
Larkin J. M., Oswald B. and McNiven M. A. (1996) Ethanol induced
retention of nascent proteins in rat hepatocytes is accompanied by
altered distribution of the small GTP-binding protein Rab2. J. Clin.
Invest. 98, 2146–2157.
Lee S., Park J. B., Kim J. H., Kim Y., Kim J. H., Shin K. J., Lee J. S.,
Ha S. H., Suh P. G. and Ryu S. H. (2001) Actin directly interacts
with phospholipase D, inhibiting its activity. J. Biol. Chem. 276,
28252–28260.
Li Y., Gonzalez M. I., Meinkoth J. L., Field J., Kazanietz M. G. and
Tennekoon G. I. (2003) Lysophosphatidic acid promotes survival
and differentiation of rat Swann cells. J. Biocl. Chem. 278, 9585–
9591.
Lieber C. S. (1994) Hepatic and metabolic effects of ethanol: patho-
genesis and prevention. Ann. Med. 26, 325–330.
Lu B., Yokoyama M., Dreyfus C. F. and Black I. B. (1991) NGF gene
expression in actively growing brain glia. J. Neurosci. 11,
318–326.
Magistretti P. J. and Pellerin L. (1999) Astrocytes couple synaptic
activity to glucose utilization in the brain. News Physiol. Sci. 14,
177–182.
Maher F., Vannucci S. J. and Simpson I. A. (1994) Glucose transporter
proteins in brain. FASEB J. 8, 1003–1011.
Megıas L., Guerri C., Fornas E., Azorın I., Bendala E., Sancho-Tello M.,
Duran J. M., Tomas M., Gomez-Lechon M. J. and Renau-Piqueras
J. (2000) Endocytosis and transcytosis in growing astrocytes in
primary culture. Possible implications in neural development. Int.
J. Dev. Biol. 44, 209–221.
Miller M. W. (1992) The effects of prenatal exposure to ethanol on cell
proliferation and neuronal migration, in Development of the Cen-
tral Nervous System: Effects of Alcohol and Opiates (Miller M. W.,
ed.), pp. 47–69. Wiley-Liss, New York.
Minana R., Climent E., Barettino D., Segui J. M., Renau-Piqueras J. and
Guerri C. (2000) Alcohol exposure alters the expression pattern of
neural cell adhesion molecules during brain development.
J. Neurochem. 75, 954–964.
Moolenaar W. H. (2000) Development of our current under-
standing of bioactive lysophospholipids. Ann. NY Acad. Sci. 905,
1–10.
Moolenaar W. H., Kranenburg O., Postma F. R. and Zondag G. C. M.
(1997) Lysophosphatidic acid: G-protein signalling and cellular
responses. Curr. Opin. Cell Biol. 9, 168–173.
Morgello S., Uson R. R., Schwartz E. J. and Haber R. S. (1995) The
human blood–brain barrier glucose transporter (GLUT1) is a glu-
cose transporter of gray matter astrocytes. Glia 14, 43–54.
Mueckler M. (1994) Facilitative glucose transporter. Eur. J. Biochem.
219, 713–725.
Nagy L. E., Lakshman M. R., Casey C. A. and Bearer C. F. (2002)
Ethanol and membrane protein trafficking: diverse mechanisms of
ethanol action. Alcohol Clin. Exp. Res. 26, 287–293.
Nobes C. D. and Hall A. (1995) Rho, Rac and Cdc42 regulate the
assembly of multimolecular focal complexes associated with actin
stress fibers, lamellipodia and filopodia. Cell 81, 53–62.
Nobes C. D., Hawkins P., Stephens L. and Hall A. (1995) Activation of
the small GTP-binding proteins rho and rac by growth factor
receptors. J. Cell Sci. 108, 225–233.
Olson A. L. and Pessin J. E. (1996) Structure, function, and regulation of
the mammalian facilitative glucose transporter gene family. Annu.
Rev. Nutr. 16, 235–256.
Oude W. P. A., Schulte P., Guo Y., Wetzel J., Amano M., Kaibuchi K.,
Haverland S., Voss M., Schmidt M., Mayr G. W. and Jakobs K. H.
(2000) Stimulation of phosphatidylinositol-4-phosphate 5-kinase
by Rho-kinase. J. Biol. Chem. 275, 10168–10174.
Park J. B., Kim J. H., Kim Y., Ha S. H., Du Yoo J. S. G., Frohman M. A.,
Suh P. G. and Ryu S. H. (2000) Cardiac phospholipase D2 local-
izes to sarcolemmal membranes and is inhibited by alpha-actinin in
an ADP-ribosylation factor-reversible manner. J. Biol. Chem. 275,
21295–21301.
Qualmann B. and Kessels M. M. (2002) Endocytosis and the cytoske-
leton. Int. Rev. Cytol. 220, 93–144.
Ramakers G. J. and Moolenaar W. H. (1998) Regulation of astrocyte
morphology by Rho A and lysophosphatidic acid. Exp. Cell Res.
245, 252–262.
Renau-Piqueras J., Miragall F., Guerri C. and Baguena-Cervellera R.
(1987) Prenatal exposure to alcohol alters the Golgi apparatus of
newborn rat hepatocytes: a cytochemical study. J. Histochem.
Cytochem. 35, 221–228.
Renau-Piqueras J., Zaragoza R., De Paz P., Baguena-Cervellera R.,
Megıas L. and Guerri C. (1989) Effects of prolonged ethanol
exposure on the glial fibrillary acidic protein-containing interme-
diate filaments of astrocytes in primary culture: a quantitative
immunofluorescence and immunogold electron microscopic study.
J. Histochem. Cytochem. 3, 229–240.
Renau-Piqueras J., Guasch R., Azorın I., Seguı J. M. and Guerri C.
(1997) Prenatal ethanol exposure affects galactosyltransferase
activity and glycoconjugates in the Golgi apparatus of fetal rat
hepatocytes. Hepatology 25, 343–350.
Renau-Piqueras J., Megıas L. and Guerri C. (1998) Ethanol exposure
during brain development alters astrogliogenesis and astrocyte
functions, in Understanding Glial Cells (Castellano, B., Gonzalez,
B. and Nieto-Sampedro, M., eds.), pp. 233–253. Kluwer Academic
Press, Boston.
228 M. Tomas et al.
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229
Rovasio R. A. and Battiato N. L. (2002) Ethanol induces morphological
and dynamic changes on in vivo and in vitro neural crest cells.
Alcohol. Clin. Exp. Res. 26, 1286–1298.
Siddhanta A., Backer J. M. and Shields D. (2000) Inhibition of phos-
phatidic acid synthesis alters the structure of the Golgi apparatus
and inhibits secretion in endocrine cells. J. Biol. Chem. 275,
12023–12031.
Slater S. J., Stagliano B. A., Curry J. P., Milano S. K., Gergich K. J. and
Stubbs C. D. (2001) Effects of ethanol on protein kinase C activity
induces by filamentous actin. Biochem. Byophys. Acta. 544, 207–
216.
Smith S., Jennett R., Sorrell M. and Tuma D. (1992) Substoichiometric
inhibition of microtubule formation by acetaldehyde-tubulin
adducts. Biochem. Pharmacol. 44, 65–72.
Sorrell M. and Tuma D. (1987) The functional implications of acet-
aldehyde binding to cell constituents. Ann. NY Acad. Sci. 492,
50–62.
Steed P. M., Nagar S. and Wennogle L. P. (1996) Phospholipase D
regulation by a physical interaction with the actin-binding protein
gelsolin. Biochemistry 35, 5229–5237.
Steiner M. R., Urso J. R., Klein J. and Steiner S. M. (2002) Multiple
astrocyte responses to lysophosphatidic acids. Biochem. Biophys.
Acta 1582, 154–160.
Streissguth A. P., Barr H. M., Olson H. C., Sampson P. D., Bookstein
F. L. and Burgess D. M. (1994) Drinking during pregnancy
decreases word attack and arithmetic scores on standardized tests:
adolescent data from a population-based prospective study. Alco-
hol. Clin. Exp. Res. 18, 248–254.
Tomas M., Fornas E., Megıas L., Duran J. M., Portoles M., Guerri C.,
Egea G. and Renau-Piqueras J. (2002) Ethanol impairs monosac-
charide uptake and glycosylation in cultured rat astrocytes.
J. Neurochem. 83, 601–612.
Valderrama F., Babia T., Ayala I., Kok J. W., Renau-Piqueras J. and Egea
G. (1998) Actin microfilaments are essential for the cytological
positioning and morphology of the Golgi complex. Eur. J. Cell
Biol. 76, 9–17.
Valles S., Lindo L., Montolıu C., Renau-Piqueras J. and Guerri C. (1994)
Prenatal exposure to ethanol induces changes in the nerve growth
factor and its receptor in proliferating astrocytes in primary culture.
Brain Res. 656, 281–286.
Weiner J. A. and Chun J. (1999) Schwann cell survival mediated by the
signaling phospholipid lysophosphatidic acid. Proc. Natl Acad. Sci.
USA 96, 5233–5238.
Wertheimer E., Sasson S., Cerasi E. and Ben-Neriah Y. (1991) The
ubiquitous glucose transporter GLUT-1 belongs to the glucose-
regulated protein family of stress-inducible proteins. Proc. Natl
Acad. Sci. 88, 2525–2529.
Wiesinger H., Hamprecht B. and Dringen R. (1997) Metabolic pathways
for glucose in astrocytes. Glia 21, 22–34.
Xu D. S., Jennett R. B., Smith S. L., Sorrell M. F. and Tuma D. J. (1989)
Covalent interactions of acetaldehyde with the actin/microfilament
system. Alcohol Alcohol. 24, 281–289.
Yin H. L. and Janmey P. A. (2003) Phosphoinositide regulation of the
actin cytoskeleton. Annu. Rev. Physiol. 65, 761–789.
Yoon Y., Torok N., Krueger E., Oswald B. and McNiven M. A. (1998)
Ethanol-induced alterations of the microtubule cystoskeleton in
hepatocytes. Am. J. Physiol. 274, G757–G766.
Zhang J. Z. and Ismail-Beigi F. (1998) Activation of Glut1 glucose
transporter I human erythrocytes. Arch. Biochem. Biophys. 357,
86–92.
Effects of LPA on ethanol-induced injuries 229
� 2003 International Society for Neurochemistry, J. Neurochem. (2003) 87, 220–229