Ethanol or ethyl alcohol is a molecule that, in mammals, is naturally
present at low concentrations due to its production by gastrointestina
l flora fermentation activity. However, it is remarkable that this met
abolite, with a clearly minor role in regular vertebrate metabolism, c
an be oxidized into acetaldehyde through several enzymatic and nonenzy
matic mechanisms, which comprise the activity of more than ten enzymes
and isozymes, many of them broadly distributed in different species a
nd tissues. In correspondence, acetaldehyde can also be oxidized into
acetate through several enzymatic pathways that involve about ten enzy
mes and isozymes which also have a broad distribution. In this article
, a complete review of the aforementioned metabolic pathways is elabor
ated. From this group, the participation and wide distribution of alco
hol dehydrogenase and aldehyde dehydrogenase systems are emphasized. T
he mechanisms of reaction, kinetic characteristics and physiological r
elevance are described, and finally, the possible physiological role o
f these enzymatic systems as responsible to synthesize or catabolize s
everal endogenous metabolites that regulate growth, metabolism, differ
entiation and neuroendocrine function in mammals are discussed.