It has been postulated that ethanol-induced pancreatic injury may be m
ediated by the oxidation of ethanol within the pancreas with secondary
toxic metabolic changes, but there is little evidence of pancreatic e
thanol oxidation. The aims of this study were to determine whether pan
creatic acinar cells metabolize significant amounts of ethanol and, if
so, to compare their rate of ethanol oxidation to that of hepatocytes
. Cultured rat pancreatic acinar cells and hepatocytes were incubated
with 5 to 50 mmol/L carbon 14-labeled ethanol (25 dpm/nmol). Ethanol o
xidation was calculated from the production of C-14-labeled acetate th
at was isolated by Dowex ion-exchange chromatography. Ethanol oxidatio
n by pancreatic acinar cells was demonstrable at all ethanol concentra
tions tested. At an intoxicating ethanol concentration (50 mmol/L), C-
14-labeled acetate production (227 +/- 20 nmol/10(6) cells/h) approach
ed that of hepatocytes (337 +/- 61 nmol/10(6) cells/h). Phenanthroline
tan inhibitor of classes I through III isoenzymes of alcohol dehydrog
enase (ADH)) inhibited pancreatic ethanol oxidation by 90%, but 4-meth
ylpyrazole (a class I and II ADH inhibitor), carbon monoxide (a cytoch
rome P450 inhibitor), and sodium azide (a catalase inhibitor) had no e
ffect. This study has shown that pancreatic acinar cells oxidize signi
ficant amounts of ethanol. At intoxicating concentrations of ethanol,
pancreatic acinar cell ethanol oxidation may have the potential to con
tribute to pancreatic cellular injury. The mechanism appears to involv
e the class III isoenzyme of ADH.