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Journal of Education, Health and Sport

The Long-Term Effects of Alcohol on the Central Nervous System: Mechanisms, Cognitive Decline, and Associated Disorders
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  • The Long-Term Effects of Alcohol on the Central Nervous System: Mechanisms, Cognitive Decline, and Associated Disorders
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  3. Vol. 80 (2025) /
  4. Medical Sciences

The Long-Term Effects of Alcohol on the Central Nervous System: Mechanisms, Cognitive Decline, and Associated Disorders

Authors

  • Marcelina Matuszewska Samodzielny Publiczny Szpital Kliniczny im.prof. W. Orłowskiego CMKP ul. Czerniakowska 231, 00-416 Warszawa https://orcid.org/0009-0002-2301-669X
  • Monika Brzozowska Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland, Jagiellońska 13/15, 85-067 Bydgoszcz https://orcid.org/0009-0006-5574-0059
  • Wiktoria Wardal Pediatric Hospital in Bielsko-Biała, ul. Sobieskiego 83, 43-300 Bielsko-Biała, Poland https://orcid.org/0009-0008-6665-2374
  • Natalia Furlepa Samodzielny Publiczny Zakład Opieki Zdrowotnej w Łukowie: Łuków, Poland, PL 21-400 Łuków, ul. Doktora Andrzeja Rogalińskiego 3 https://orcid.org/0009-0002-8163-2087
  • Robert Rzenno Samodzielny Publiczny Zakład Opieki Zdrowotnej w Myślenicach ul. Szpitalna 2, 32-400 Myślenice, Polska https://orcid.org/0009-0003-3838-3262
  • Karolina Wojciechowska Regionalny Szpital Specjalistyczny im. dr. Władysława Biegańskiego w Grudziądzu Doktora Ludwika Rydygiera 15/17, 86-300 Grudziądz https://orcid.org/0009-0004-4535-0327
  • Katarzyna Wicha 1st Military Clinical Hospital with Polyclinic of Independent Public Health Care Unit in Lublin Aleje Racławickie 23, 20-049 Lublin, Poland https://orcid.org/0000-0001-8822-2182
  • Natalia Sidz University Clinical Center in Gdansk, Poland 80-952 Gdańsk, Dębinki 7 https://orcid.org/0009-0005-0685-4175
  • Magdalena Tomaszewska Uniwersytecki Szpital Kliniczny nr. 1 im Norberta Barlickiego w Łodzi ul. Stefana Kopcińskiego 22, 90-153 Łódź https://orcid.org/0009-0009-4567-394X
  • Wiktoria Jedlikowska Heliodor Swiecicki Clinical Hospital, Poznań, Poland https://orcid.org/0009-0002-7874-9911

DOI:

https://doi.org/10.12775/JEHS.2025.80.59611

Keywords

Alcohol, Central Nervous System, Neurotoxicity, Cognitive Decline, Chronic Alcohol Use, Neuroinflammation

Abstract

Prolonged alcohol use exerts significant and multifaceted effects on the central nervous system (CNS). These effects are mediated by mechanisms such as oxidative stress, neuroinflammation, and disruptions in neurotransmission. Structural changes, including gray matter loss and hippocampal atrophy, underlie functional deficits such as memory impairment, cognitive decline, and emotional dysregulation. Chronic alcohol use also increases the risk of neurological conditions, including alcohol-induced dementia, Wernicke-Korsakoff syndrome, and other neurodegenerative diseases. This review synthesizes current findings and highlights the urgent need for longitudinal studies to better understand these impacts and guide intervention strategies.

References

1. Block, M. L., Zecca, L., & Hong, J. S. (2007). Microglia-mediated neurotoxicity: Uncovering the molecular mechanisms. Nature Reviews Neuroscience, 8(1), 57–69. https://doi.org/10.1038/nrn2038

2. Crews, F. T., & Nixon, K. (2009). Mechanisms of neurodegeneration and regeneration in alcoholism. Alcohol and Alcoholism, 44(2), 115–127. https://doi.org/10.1093/alcalc/agn079

3. Gilpin, N. W., & Koob, G. F. (2008). Neurobiology of alcohol dependence: Focus on motivational mechanisms. Nature Reviews Neuroscience, 9(8), 711–722. https://doi.org/10.1038/nrn2513

4. Haorah, J., et al. (2005). Ethanol-induced oxidative stress in the endothelial barrier of the brain. Brain Research, 1056(1), 49–57. https://doi.org/10.1016/j.brainres.2005.07.052

5. Mukherjee, S., et al. (2016). Alcohol metabolism and oxidative stress: The role of alcohol and aldehyde dehydrogenase polymorphisms. Alcohol Research: Current Reviews, 38(2), 199–206. https://doi.org/10.1016/j.brainres.2005.07.052

6. Oscar-Berman, M., & Marinković, K. (2007). Alcohol: Effects on neurobehavioral functions and the brain. Neuropsychology Review, 17(3), 239–257. https://doi.org/10.1007/s11065-007-9038-6

7. Pitel, A. L., et al. (2012). Functional and structural alterations in the brain of alcohol-dependent patients. Current Opinion in Psychiatry, 25(2), 130–134. https://doi.org/10.1097/YCO.0b013e32835035f3

8. Rehm, J., et al. (2019). The relation between different dimensions of alcohol use and the burden of disease. Lancet Psychiatry, 6(4), 389–406. https://doi.org/10.1016/S2215-0366(18)30337-2

9. Sullivan, E. V., Rosenbloom, M. J., & Pfefferbaum, A. (2000). Pattern of motor and cognitive deficits in alcoholism. Alcoholism: Clinical and Experimental Research, 24(5), 611–621. https://doi.org/10.1111/j.1530-0277.2000.tb02035.x

10. Gupta, S., & Warner, J. (2008). Alcohol-related dementia: A 21st-century silent epidemic? British Journal of Psychiatry, 193(5), 351–353. https://doi.org/10.1192/bjp.bp.107.045799

11. Zahr, N. M., Kaufman, K. L., & Harper, C. G. (2011). Clinical and pathological features of alcohol-related brain damage. Nature Reviews Neurology, 7(5), 284–294. https://doi.org/10.1038/nrneurol.2011.42

12. Koob, G. F., & Volkow, N. D. (2010). Neurocircuitry of addiction. Neuropsychopharmacology, 35(1), 217–238. https://doi.org/10.1038/npp.2009.110

13. Heilig, M., et al. (2011). Addiction and the brain: Therapeutic opportunities. Annals of the New York Academy of Sciences, 1216(1), 1–17. https://doi.org/10.1111/j.1749-6632.2010.05810.x

14. Harper, C. (2009). The neurotoxicity of alcohol. Human & Experimental Toxicology, 28(2), 101–119. https://doi.org/10.1177/0960327108099585

15. Pfefferbaum, A., & Sullivan, E. V. (2005). Disruption of brain white matter microstructure by excessive alcohol consumption. Neurology, 64(4), 712–719. https://doi.org/10.1212/01.WNL.0000152041.61686.37

16. World Health Organization. (2022). Global status report on alcohol and health. Retrieved from https://www.who.int/publications/i/item/9789241565639

17. Zlokovic, B. V. (2008). The blood-brain barrier in health and chronic neurodegenerative disorders. Neuron, 57(2), 178–201. https://doi.org/10.1016/j.neuron.2008.01.003

18. Lovinger, D. M. (2008). Communication networks in the brain: Neuronal pathways and their modulation by alcohol. Alcohol Research & Health, 31(3), 196–214. https://doi.org/10.1016/j.neuron.2008.01.003

19. Block, M. L., Zecca, L., & Hong, J. S. (2007). Microglia-mediated neurotoxicity: Uncovering the molecular mechanisms. Nature Reviews Neuroscience, 8(1), 57–69. https://doi.org/10.1038/nrn2038

20. Crews, F. T., & Nixon, K. (2009). Mechanisms of neurodegeneration and regeneration in alcoholism. Alcohol and Alcoholism, 44(2), 115–127. https://doi.org/10.1093/alcalc/agn079

21. Daneman, R., & Prat, A. (2015). The blood-brain barrier. Cold Spring Harbor Perspectives in Biology, 7(1), a020412. https://doi.org/10.1101/cshperspect.a020412

22. Fortier, C. B., Salat, D. H., & McGlinchey, R. E. (2014). Chronic alcohol intake damages white matter pathways across the brain. Alcoholism: Clinical and Experimental Research. Retrieved from https://www.nmr.mgh.harvard.edu

23. Haorah, J., Heilman, D., & Knipe, B. (2005). Ethanol-induced activation of myosin light chain kinase leads to dysfunction of tight junctions and blood-brain barrier compromise. Alcoholism: Clinical and Experimental Research, 29(6), 999–1009. https://doi.org/10.1097/01.ALC.0000166944.79914.0A

24. Hernández, J. A., López-Sánchez, R. C., & Rendón-Ramírez, A. (2016). Lipids and oxidative stress associated with ethanol-induced neurological damage. Oxidative Medicine and Cellular Longevity, 2016, Article 1543809. https://doi.org/10.1155/2016/1543809

25. JCI Insight. (2022). Alcohol exposure-induced neurovascular inflammatory priming impacts ischemic stroke. Retrieved from https://insight.jci.org

26. Cleveland Clinic. (2025). How does alcohol affect the brain? Retrieved from https://health.clevelandclinic.org

27. Zlokovic, B. V. (2008). The blood-brain barrier in health and chronic neurodegenerative disorders. Neuron, 57(2), 178–201. https://doi.org/10.1016/j.neuron.2008.01.003

28. Sullivan, E. V., Rosenbloom, M. J., & Pfefferbaum, A. (2000). Pattern of motor and cognitive deficits in alcoholism. Alcoholism: Clinical and Experimental Research, 24(5), 611–621. https://doi.org/10.1111/j.1530-0277.2000.tb02035.x

29. Abrahao, K. P., Salinas, A. G., & Lovinger, D. M. (2017). Alcohol and the brain: Neuronal molecular targets, synapses, and circuits. Neuron, 96(6), 1223–1238. https://doi.org/10.1016/j.neuron.2017.10.032

30. Rehm, J., et al. (2019). The relation between different dimensions of alcohol use and the burden of disease. The Lancet Psychiatry, 6(4), 389–406. https://doi.org/10.1016/S2215-0366(18)30337-2

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Published

2025-04-28

How to Cite

1.
MATUSZEWSKA, Marcelina, BRZOZOWSKA, Monika, WARDAL, Wiktoria, FURLEPA, Natalia, RZENNO, Robert, WOJCIECHOWSKA, Karolina, WICHA, Katarzyna, SIDZ, Natalia, TOMASZEWSKA, Magdalena and JEDLIKOWSKA, Wiktoria. The Long-Term Effects of Alcohol on the Central Nervous System: Mechanisms, Cognitive Decline, and Associated Disorders. Journal of Education, Health and Sport. Online. 28 April 2025. Vol. 80, p. 59611. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2025.80.59611.
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Issue

Vol. 80 (2025)

Section

Medical Sciences

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Copyright (c) 2025 Marcelina Matuszewska, Monika Brzozowska, Wiktoria Wardal, Natalia Furlepa, Robert Rzenno, Karolina Wojciechowska, Katarzyna Wicha, Natalia Sidz, Magdalena Tomaszewska, Wiktoria Jedlikowska

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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