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| First author Cynthia Hsu examines a stool culture from a patient on an agar plate. Photo Credit: UC San Diego Health Sciences |
A study of people with a rare condition known as auto-brewery syndrome has found a link between gut microbes and symptoms of intoxication, pointing to new treatment strategies.
Researchers at University of California San Diego, Mass General Brigham, and their colleagues have identified specific gut bacteria and metabolic pathways that drive alcohol production in patients with auto-brewery syndrome (ABS). The rare and often misunderstood condition causes people to experience intoxication without drinking alcohol. The study was published in Nature Microbiology on January 8, 2026.
ABS occurs when gut microbes break down carbohydrates and convert them to ethanol (the alcohol found in intoxicating beverages), which then enters the bloodstream. While the metabolism of carbohydrates can produce small amounts of alcohol in everyone, levels can be high enough to cause intoxication in people with ABS. The condition is extremely rare but likely underdiagnosed due to a lack of awareness, diagnostic challenges, and stigma.
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