While there have been reports on the in vitro effects of ethanol ethan
ol on mitogen-stimulated lymphocyte proliferation, little attention ha
s been paid to whether these effects are mediated by the ethanol molec
ule per se or the associated hyperosmolality. There is controversy whe
ther ethanol at high concentrations inhibits or has no effect on mitog
en-stimulated proliferation of T cells. In this study we sought to dis
tinguish between effects due to ethanol and those related to increased
osmolality. Rat splenocytes were cultured in vitro in hypertonic (gre
ater than or equal to 320 mOsm) or isotonic (320 mOsm) ethanol solutio
ns (tip to 400 mg/dL), or in corresponding hypertonic solutions withou
t ethanol. Proliferative responses to the B cell mitogen lipopolysacch
aride and the T cell mitogen concanavalin A were measured by mitochond
rial dimethylthiazole diphenyl tetrazolium metabolism and [H-3]-thymid
ine incorporation into DNA. B cell response was not significantly affe
cted by ethanol under any conditions. By contrast, T cell proliferativ
e responses were significantly inhibited by isotonic ethanol solutions
or hypertonic solutions in the absence of ethanol, but nor by hyperto
nic ethanol solutions. These results indicate that, while high osmolal
ity is normally inhibitory to lymphocyte function, the increase in osm
olality caused by ethanol is protective against the otherwise detrimen
tal effects of ethanol.