The traditional belief about ethanol's mechanism of action is based on
ethanol's lipophilicity and capability to penetrate and disorder lipi
d bilayers. This traditional belief is now being supplanted by growing
evidence that ethanol has relatively selective actions on certain syn
aptic receptors, such as those for NMDA, serotonin, and GABA. It was r
ecently argued that these receptor specificities are secondary to a pr
eferential ability of ethanol to displace membrane bound water in the
domains of certain receptors. The data obtained in this study are cons
istent with the original hypothesis: any disorganization of cellular w
ater by ethanol will be detectable by proton nuclear magnetic resonanc
e (NMR) spectroscopy. In particular, the relaxation times of water hyd
rogen protons reflect how constrained water molecules are by the macro
molecules within cells. The relaxation time of ''bulk'' water is lengt
hened relative to water molecules that are under the influence of elec
tromagnetic fields of macromolecular surfaces within cells. Here, we t
ested this hypothesis in living fish, which dosed themselves by swimmi
ng in water that had added ethanol. Estimates of brain alcohol at 5 mi
n after initial exposure revealed that the brain concentration was onl
y about 1/3 that of the water in which they were swimming. The average
value of the NMR relaxation time T-1, but not T-2, was decreased at 5
min (when brain concentrations were on the order of 100 mM) and reach
ed statistical significance at 10 and 30 min after initial exposure. W
e conclude that these NMR results add to the growing evidence that acu
te ethanol acts by affecting hydrogen-bonded water at membranes and ma
cromolecular surfaces within brain cells. Changes in the organization
of cellular water as well as the conformation of macromolecules in the
membrane and cytoplasm seem obvious. This mechanism would seem to pro
vide a parsimonious explanation for the high sensitivity that a variet
y of receptor subtypes seem to have for ethanol.