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Alcohol tolerance (i.e., an acquired reduction in acute alcohol responsivity) is a universally recognized symptom of AUD, but the direct contribution of adolescent binge drinking to adult alcohol tolerance is poorly understood. To investigate the contributions of adolescent binge ethanol exposure to lasting acquisition of acute tolerance, we used our ethanol response battery (ERB) to assess intoxication rating, hypothermia, motor coordination and balance across cumulative ethanol doses (i.e., 0.0, 0.5, 1.0, 2.0 and 3.0\u2009g\/kg) in adult female Wistar rats following adolescent intermittent ethanol (AIE), lipopolysaccharide (LPS) and glycyrrhizic acid treatment following AIE. We report AIE confers lasting alcohol tolerance across cumulative ethanol doses and blunts acute ethanol\u2010induced increases in proinflammatory HMGB1 plasma levels. Adolescent LPS (1.0\u2009mg\/kg, i.p.) treatment, which mimics AIE\u2010induced HMGB1\u2010mediated neuroinflammation, induces adult alcohol tolerance and blunts HMGB1 release across cumulative ethanol doses on the ERB. Assessment of proinflammatory HMGB1 involvement in AIE\u2010induced acquisition of lasting alcohol tolerance showed that post\u2010AIE administration of the HMGB1 inhibitor glycyrrhizic acid reversed the AIE\u2010induced acquisition of alcohol tolerance in adulthood. These data reveal that (1) adolescent binge drinking confers long\u2010lasting low ethanol responsivity (i.e., tolerance), (2) proinflammatory neuroimmune activation contributes to the development of alcohol tolerance and (3) blockade of proinflammatory HMGB1 signalling reverses AIE\u2010induced acquisition of alcohol tolerance in adulthood. These findings suggest a potential mechanistic target for the development of novel therapeutics for the treatment of AUD.<\/jats:p>","DOI":"10.1111\/adb.70119","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:01:14Z","timestamp":1772989274000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Adolescent Binge Ethanol Exposure Confers Lasting Adult Alcohol Tolerance due to Neuroimmune Activation: Reversal by Inhibition of HMGB1"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2393-4976","authenticated-orcid":false,"given":"Fulton\u00a0T.","family":"Crews","sequence":"first","affiliation":[{"name":"Bowles Center for Alcohol Studies, School of Medicine University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Psychiatry, School of Medicine University of North Carolina at Chapel Hill  Chapel Hill North 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