Prolonged alcohol intake affects the morphology of the hippocampal for
mation of the rat and the resulting alterations do not reverse after w
ithdrawal. Actually, an increase of the degenerative activity might oc
cur in this condition. This unexpected observation prompted us to test
the efficacy of neuronoprotective drugs during withdrawal. Because in
a previous study we found that piracetam, a cyclic derivative of GABA
, once added during withdrawal impedes hippocampal cell loss, we decid
ed to evaluate the effect of this compound at the synaptic level. Usin
g unbiased stereological techniques, we estimated the total number of
contacts between messy fibers and CA3 pyramids, as well as the volume
and the surface area of the respective pre- and postsynaptic compartme
nts. We found that in piracetam-treated withdrawn rats the number of s
ynapses was higher than that observed in nonpiracetam-treated and alco
hol-fed animals. The mechanisms leading to the synaptic reorganization
took place at the messy fiber level. The postsynaptic compartment doe
s not seem to participate in the reorganization. It is suggested that
the role of piracetam in this process might depend on the protective e
ffect that this compound has upon glutamatergic receptors.