Brief Answer:
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Detailed Answer:
Hi XXXXXXX
Thanks for writing back with an update.
We need to discuss your question from the fundamentals. Exposure to high amounts of alcohol can have deleterious effects on the growing fetus but this effect appears to vary with the cells within the embryo and not all the cells are affected equally. The route of alcohol exposure to the developing embryo remains through blood alcohol levels.
Research has focused on the embryo’s vulnerability to the facial malformations which is a characteristic of
fetal alcohol syndrome. Studies have been done on mice and chicks show that alcohol exposure at specific stages of early embryo development results in significant death among the cells destined to give rise to facial structures (i.e., cranial neural crest cells). Some of the cells on exposure to significantly higher levels of alcohol go into self destructive mode and cause growth abnormalities.
Researchers have advanced several theories to explain how alcohol triggers cell destruction in the neural crest cells. These theories include
1. deficiency in a type of
vitamin A compound, retinoic acid;
2. reduced levels of antioxidant compounds (i.e., free radical scavengers) that protect against damage from toxic
oxygen molecules (i.e., free radicals); and
3. interference with the cell’s normal internal communication pathways.
However all pregnant subjects may not show the same response to similar alcohol intake. There is exchange of blood metabolites between the mother and embryo from the time
implantation occurs. I guess we have clarified how the alcohol reaches the fetus even before placenta formation.
Keeping in perspective you situation, 5 to 6 glasses of wine taken just once may not have any significant impact on your growing fetus. Any impairment in brain development also depends on other factors like retinoic acid and free radicals as discussed above. An isolated event has a very rare possibility of causing any problems but I suggest that you be careful about your alcohol intake for the present.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek