Studies of DPH fluorescence polarization and deformability have shown
that alcohol induces rigidification of the red blood cell (RBC) membra
ne. We investigated a possible link between RBC membrane fluidity and
deformability by studying both parameters simultaneously in samples fr
om alcohol-dependent patients (group 1, N = 19), social drinkers (grou
p 2, N = 12) and long-term abstaining alcoholics (group 3, N = 8). The
active drinkers showed disturbances of several RBC membrane parameter
s, including abnormal microorganization of the membrane surface, a dec
rease in sialic acid content, and resistance to the fluidizing effect
of ethanol, that were not completely corrected in the abstinent alcoho
lics. The RBC transit time was significantly longer in the active drin
kers than in the abstainers but not the social drinkers. There were no
significant differences between the groups with regard to membrane li
pid core fluidity. The main abnormality (fluidization) in RBC from the
active alcoholics involved the polar surface of the membrane (probed
using TMA-DPH), and correlated with the decrease in sialic acid conten
t but not with RBC deformability.