Neural peptides found in brain and gut tissues modulate the intake of
ethanol by animals and humans. Experiments show that injections of sul
fated cholecystokinin octapeptide, tetradecapeptide bombesin, angioten
sin, and the opioid receptor blockers, naloxone and naltrexone, potent
ly reduce oral consumption of ethanol solutions. Vasoactive intestinal
peptide, neuropeptide Y, and galanin increase ethanol intake, and inc
reases in blood levels of the opioid peptide beta endorphin are associ
ated with relapse in alcoholics. Specific neuropeptide receptor blocke
rs increase ethanol intake and prevent injected cholecystokinin and bo
mbesin from inhibiting ethanol intake. Recently, naltrexone (Revia(R))
has been approved by the FDA for wider clinical use in the treatment
of alcoholism. These findings support the hypothesis of neuropeptiderg
ic regulation of alcohol consumption and innovative therapies for alco
holism.