
Alcohol dehydrogenase (ADH) is an enzyme that breaks down alcohol in the human body. ADH is produced in the liver and is responsible for detoxifying alcohol and converting it into acetaldehyde, which is then further broken down into acetate by another enzyme called aldehyde dehydrogenase (ALDH). This process helps eliminate alcohol from the body, as it converts alcohol into compounds that can be more easily processed and eliminated. The breakdown of alcohol by ADH occurs not only in the liver but also in the stomach, where it detoxifies about one drink per hour.
| Characteristics | Values |
|---|---|
| Name of enzyme | Alcohol dehydrogenase (ADH) |
| Other enzymes involved | Aldehyde dehydrogenase (ALDH) |
| What it breaks down | Alcohol into acetaldehyde |
| What ALDH breaks down | Acetaldehyde into acetate |
| What happens to the alcohol | Converted into water, carbon dioxide, and energy |
| Where it's produced | Liver cells |
| Rate of breakdown | About 0.015 g/100mL/hour (reduces BAC by 0.015 per hour) |
| Genetic variants | ADH1B gene shows several functional variants |
| Where the process starts | Stomach |
| What happens without the enzyme | Alcohol cannot be eliminated from the bloodstream |
| Other enzymes with the same name | Quinoenzymes that require quinoid cofactors |
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What You'll Learn

Alcohol dehydrogenase (ADH) breaks down alcohol
Alcohol dehydrogenase (ADH) is a group of dehydrogenase enzymes that occur in many organisms and are responsible for breaking down alcohol in the human body. Once alcohol is swallowed, a small amount is absorbed by the tongue and the mucosal lining of the mouth. The rest is absorbed into the bloodstream through the tissue lining of the stomach and small intestine. The small intestine has a large surface area, allowing more alcohol to enter the bloodstream.
The liver is the primary organ responsible for detoxifying alcohol, and liver cells produce the ADH enzyme. This enzyme breaks down alcohol into acetaldehyde, a highly toxic and carcinogenic substance. This process occurs in the liver and stomach until all the alcohol is converted into water, carbon dioxide, and energy. The ADH enzyme also occurs naturally in yeast, plants, and many bacteria, where it plays a role in fermentation.
In humans, the ADH1B gene is responsible for producing an alcohol dehydrogenase polypeptide. Genetic variations in this gene can lead to functional differences in the enzyme's ability to break down alcohol. For example, some people have a single nucleotide polymorphism (SNP) that results in either a histidine or arginine residue at a specific position in the polypeptide. The histidine variant is more effective at breaking down alcohol.
The efficiency of ADH and aldehyde dehydrogenase (ALDH) enzymes in processing alcohol varies among individuals due to genetic differences. About 50% of East Asian people have a genetic variation that affects the function of the ALDH enzyme, impairing their ability to process alcohol effectively. As a result, they experience a rise in acetaldehyde levels, which causes unpleasant symptoms such as facial flushing, hot sensations, nausea, and palpitations.
Once alcohol enters the bloodstream, it can only be eliminated through the action of the ADH enzyme, as well as through sweat, urine, and breath. The rate of detoxification is approximately 0.015 g/100mL/hour, and this process cannot be accelerated by drinking water or sleeping. The effective metabolism of alcohol can be influenced by medications, liver damage, and the consumption of food.
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ADH is produced in the liver
Alcohol dehydrogenase (ADH) is a group of dehydrogenase enzymes that occur in many organisms, including humans. ADH is produced in the liver and is responsible for breaking down alcohol, specifically ethanol, into acetaldehyde. This process occurs in the liver until all the alcohol is converted into water, carbon dioxide, and energy. The liver is the primary organ responsible for detoxifying alcohol, with about 90-98% of alcohol being broken down in the liver. The remaining 2-10% is removed through urine, breath, or sweat.
Once alcohol is swallowed, a small amount is absorbed by the tongue and the mucosal lining of the mouth. The majority of the alcohol is then absorbed directly into the bloodstream through the tissue lining of the stomach and small intestine. Food in the stomach can slow down the absorption of alcohol by physically obstructing it from coming into contact with the stomach lining. Once in the bloodstream, alcohol can only be eliminated by the ADH enzyme, urine, sweat, or breath.
The ADH enzyme is also present in the stomach and plays a role in metabolizing alcohol. However, the contribution of the stomach and liver to this process is controversial, with some studies attributing First-Pass Metabolism (FPM) predominantly to the stomach, while others stress the role of the liver. Human ADH3, found in both the liver and stomach, metabolizes alcohol poorly at physiological BACs, but may be important in FPM in the stomach due to high gastric alcohol concentrations during alcohol consumption.
Genetic variations can result in differences in the efficiency of ADH and ALDH enzymes in processing alcohol. For example, about 50% of East Asian people have a genetic variation that affects the function of the ALDH enzyme, leading to an impaired ability to process alcohol and a buildup of acetaldehyde, which is toxic and can cause unpleasant symptoms.
In summary, ADH is produced in the liver and plays a crucial role in breaking down alcohol by converting it into acetaldehyde. This process continues until all the alcohol is detoxified and eliminated from the body. The liver is the primary organ responsible for alcohol detoxification, and the presence of ADH in the liver and its role in metabolizing alcohol highlight the importance of this organ in maintaining homeostasis and protecting the body from the toxic effects of alcohol consumption.
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ADH is also present in the stomach
Alcohol dehydrogenase (ADH) is an enzyme that breaks down alcohol in the human body. It is mainly produced in the liver, where it metabolizes alcohol into acetaldehyde, which is then further metabolized into acetate by another enzyme called aldehyde dehydrogenase (ALDH). This process helps to eliminate alcohol from the body, as it breaks down the alcohol molecule into compounds that can be more easily processed.
However, ADH is also present in the stomach, where it plays a crucial role in the initial detoxification of alcohol. When alcohol is ingested, the first step of detoxification begins in the stomach, where ADH can detoxify about one drink per hour. This process involves converting the alcohol into acetaldehyde, which is even more toxic to the body, and then quickly converting it into acetate so that it can be easily processed and eliminated.
The presence of ADH in the stomach is important because it helps to slow down the absorption of alcohol into the bloodstream. Food in the stomach, for example, can inhibit the absorption of alcohol by physically blocking its contact with the stomach lining. This gives the ADH enzyme more time to break down the alcohol into less harmful compounds.
Genetic variations can affect the activity and efficiency of ADH, leading to differences in alcohol tolerance and dependence. For example, some people with genetic mutations may lack or express less ADH, resulting in higher alcohol intolerance. Additionally, about 50% of East Asian people have a genetic variation that affects the function of the ALDH enzyme, causing them to experience unpleasant symptoms when consuming alcohol.
Overall, ADH plays a critical role in the breakdown and detoxification of alcohol in the human body, both in the stomach and the liver. Its presence in the stomach helps to initiate the detoxification process and slow down the absorption of alcohol, while its activity in the liver helps to further metabolize alcohol and eliminate it from the body.
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ADH breaks down alcohol into acetaldehyde
Alcohol dehydrogenase (ADH) is an enzyme that breaks down alcohol into acetaldehyde. This process occurs in the liver and is the first step in detoxifying the body of alcohol. ADH is produced by liver cells and breaks down alcohol at a rate of about 0.015 g/100mL/hour, which is the same rate at which alcohol leaves the body. This process reduces the blood alcohol concentration (BAC) level by 0.015 per hour.
Once alcohol is swallowed, it is not digested like food. Instead, it is absorbed directly into the bloodstream through the tissue lining of the stomach and small intestine. Food in the stomach can slow down the absorption of alcohol by physically obstructing it from coming into contact with the stomach lining.
After the stomach and bowels absorb the alcohol, it is carried to the liver for further metabolic breakdown. Here, ADH breaks down alcohol, specifically ethanol, into acetaldehyde. Acetaldehyde is a toxic compound and a known carcinogen. It can cause an unpleasant reaction when it builds up in the body, including symptoms such as flushing of the face, hot sensations, nausea, and palpitations.
Following the ADH process, another enzyme called aldehyde dehydrogenase (ALDH) rapidly breaks down acetaldehyde into acetate, a less toxic compound. Acetate is then broken down into water and carbon dioxide, which can be easily eliminated from the body.
Genetic variations can result in differences in the activity of ADH and ALDH enzymes, affecting individuals' ability to process alcohol. For example, about 50% of East Asian people have a genetic variation that affects the function of their ALDH enzyme, leading to higher acetaldehyde levels after consuming alcohol.
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Another enzyme, aldehyde dehydrogenase (ALDH), breaks down acetaldehyde into acetate
Alcohol dehydrogenase (ADH) is an enzyme that breaks down alcohol in the liver. However, it is important to note that the liver is not the only organ involved in alcohol metabolism. Alcohol is first absorbed through the tissue lining of the stomach and small intestine, and a small amount is also absorbed directly by the tongue and mucosal lining of the mouth.
Once alcohol is in the bloodstream, it can be eliminated through various routes, including sweat, urine, and breath. The liver is the primary organ responsible for detoxification, where alcohol is metabolized by ADH enzymes. These enzymes are produced by liver cells and facilitate the breakdown of alcohol into acetaldehyde, a highly toxic and carcinogenic compound.
While ADH plays a crucial role in the initial breakdown of alcohol, another enzyme, aldehyde dehydrogenase (ALDH), is responsible for further metabolizing acetaldehyde into acetate. This process rapidly converts the toxic acetaldehyde into a less harmful compound, acetate, which can then be easily eliminated from the body.
ALDH is a crucial enzyme in the alcohol metabolism process, as it helps to detoxify the harmful acetaldehyde. However, it is important to note that the efficiency of ALDH can vary among individuals due to genetic variations. For example, about 50% of East Asian people have a genetic variation that affects the proper functioning of the ALDH enzyme, leading to an impaired ability to process alcohol and increased acetaldehyde levels. This variation can cause unpleasant symptoms, such as flushing of the face, hot sensations, nausea, and palpitations.
The breakdown of alcohol by ADH and ALDH is a complex process that occurs in multiple steps, and it involves the interaction of various enzymes and genetic factors. While these enzymes are essential for detoxifying alcohol and protecting the body from its toxic effects, excessive alcohol consumption can still lead to health complications and negative side effects. Therefore, it is crucial to consume alcohol in moderation and be aware of individual variations in alcohol metabolism.
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Frequently asked questions
The enzyme alcohol dehydrogenase (ADH) breaks down alcohol.
The process starts in the stomach, where ADH can detoxify about one drink per hour.
The alcohol ingested is converted into acetaldehyde, which is toxic to the body, and is then converted to acetate so that it can be easily processed by the body.
People with less ADH, due to genetic mutations, are known to be more intolerant of alcohol. About 50% of East Asian people have a variation that means their ALDH enzyme doesn't work properly, causing an acetaldehyde buildup and an unpleasant reaction.




































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