Sex differences in the metabolism of ethanol and acetaldehyde in normal subjects.

@article{Arthur1984SexDI,
  title={Sex differences in the metabolism of ethanol and acetaldehyde in normal subjects.},
  author={Michael J. P. Arthur and A. G. Lee and Ralph Wright},
  journal={Clinical science},
  year={1984},
  volume={67 4},
  pages={
          397-401
        }
}
Blood ethanol and acetaldehyde concentrations were compared in normal young male and female subjects after intravenous infusion of 0.5 g of ethanol/kg body weight. After the infusion was completed, females had significantly higher mean concentrations of blood ethanol than males, but a significantly lower apparent volume of distribution (Vd) of ethanol (0.56 +/- 0.06 1/kg vs 0.68 +/- 0.17 1/kg, P less than 0.05). There were no differences in ethanol elimination rate (EER) (females 1.78 +/- 0.3… 
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The time course of ethanol disappearance from the blood has been examined in normal males and females and in alcohol misusers, with results indicating that in all of the normal females the disappearance of ethanol could be adequately described by zero order kinetics.
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It is concluded that the increased bioavailability of ethanol resulting from decreased gastric oxidation of ethanol may contribute to the enhanced vulnerability of women to acute and chronic complications of alcoholism.
The effects of several weeks of ethanol consumption on ethanol kinetics in normal men and women
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The data suggest that this enzyme system does not metabolize a significant fraction of ingested ethanol in subjects who have consumed moderate doses of alcohol for several weeks.
Occurrence of blood acetaldehyde in women during ethanol intoxication: preliminary findings.
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Elevated acetaldehyde levels in women may explain why ethanol is less frequently abused and causes tissue damage more rapidly in women than men.
Gender differences in pharmacokinetics of alcohol.
TLDR
The gender difference in alcohol levels is due mainly to a smaller gastric metabolism in females (because of a significantly lesser activity of chi-ADH), rather than to differences in gastric emptying or in hepatic oxidation of ethanol.
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