Adult galantamine treatment reversed the adolescent intermittent ethanol (AIE)-induced increase of proinflammatory neuroimmune signaling molecules in the adult basal forebrain. (A) Modified unbiased stereological assessment revealed a 20% (±5%) increase of high-mobility group box 1 immunoreactive (HMGB1 + IR) cells in the adult (P73) basal forebrain of AIE-treated subjects, relative to CONs. Adult galantamine treatment from P57 to P73 did not affect HMGB1 + IR in CONs, but reversed the AIE-induced increase of HMGB1 + IR cells in adulthood, relative to vehicle-treated AIE subjects. (B) Modified unbiased stereological assessment revealed a 46% (±5%) increase of Toll-like receptor 4 immunoreactive (TLR4 + IR) cells in the adult (P73) basal forebrain of AIE-treated subjects, relative to CONs. Adult galantamine treatment alone did not affect expression of TLR4 + IR cells in CONs, but reversed the AIE-induced increase of TLR4 + IR cells in adulthood, relative to vehicle-treated AIE subjects. Representative photomicrographs of TLR4 + IR cells in the adult basal forebrain of CON- and AIE-treated subjects. Scale bar = 50 μm. (C) Immunofluorescent co-labeling revealed TLR4 (red) colocalization with choline acetyltransferase immunoreactive (ChAT + IR) neurons in the adult basal forebrain. Closed arrowheads = TLR4 + IR colocalization with ChAT + IR neurons (yellow). Scale bar = 50 μm. (D) Modified unbiased stereological assessment revealed a 28% (±5%) increase of receptor for advanced glycation end-products immunoreactive (RAGE + IR) cells in the adult (P73) basal forebrain of AIE-treated subjects, relative to CONs. Adult galantamine treatment alone did not affect RAGE + IR in CONs, but reversed the AIE-induced increase of RAGE + IR cells in adulthood, relative to vehicle-treated AIE subjects. Representative photomicrographs of RAGE + IR cells in the adult basal forebrain of CON- and AIE-treated subjects. Scale bar = 50 μm. (E) Immunofluorescent co-labeling revealed RAGE (red) colocalization with ChAT + IR neurons in the adult basal forebrain. Closed arrowheads = RAGE + IR colocalization with ChAT + IR neurons (yellow). Scale bar = 50 μm. (F) Modified unbiased stereological assessment revealed a 15% (±4%) increase of phosphorylated nuclear factor kappa-light-chain-enhancer of activated B cells p65 immunoreactive (pNF-κB p65 + IR) cells in the adult (P73) basal forebrain of AIE-treated subjects, relative to CONs. Adult galantamine treatment alone did not affect pNF-κB p65 + IR cells in CONs, but reversed the AIE-induced increase of pNF-κB p65 + IR cells in adulthood, relative to vehicle-treated AIE subjects. Data are presented as mean ± SEM (n = 8/group). ∗p < 0.05, ∗∗p < 0.01.