Background & Aims: Long-term ethanol consumption is known to impair the abi
lity of the liver to regenerate, but the molecular mechanisms are poorly un
derstood. Multiple growth factors promote hepatocyte proliferation, some of
which involve the insulin receptor substrate 1 (IRS-1)-mediated signal tra
nsduction pathway. To explore effects of ethanol on the IRS-1 signal liver
growth in vivo, studies in transgenic mice overexpressing IRS-1 in the live
r were performed because these mice show constitutive activation of the dow
nstream signal transduction pathways leading to enhanced hepatocyte prolife
ration. Methods: Tyrosyl phosphorylation of IRS-1 and subsequent protein-pr
otein interactions were examined in liver lysates from animals fed ethanol
or control diet. Activity of phosphatidylinositol-3 kinase (Pl3K) and mitog
en-activated protein kinase (MAPK) was assessed by specific enzymatic assay
s. Hepatocyte proliferation was measured by incorporation of [H-3]thymidine
into liver DNA. Results: Tyrosyl phosphorylation of IRS-1, association of
IRS-1 with Pl3K, and activation of downstream Pl3K and MAPK pathways were g
reatly reduced as a result of long-term ethanol consumption, Ethanol virtua
lly abolished the enhanced hepatocyte DNA synthesis induced by expression o
f the IRS-1 transgene, Conclusions: Altered transmission of growth signals
through the IRS-1-mediated signal transduction cascade may represent a mole
cular mechanism of how ethanol inhibits hepatocyte proliferation.