2010
DOI: 10.4161/oxim.3.3.12288
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Acetaldehyde Adducts in Alcoholic Liver Disease

Abstract: Chronic alcohol abuse causes liver disease that progresses from simple steatosis through stages of steatohepatitis, fibrosis, cirrhosis, and eventually hepatic failure. In addition, chronic alcoholic liver disease (ALD), with or without cirrhosis, increases risk for hepatocellular carcinoma (HCC). Acetaldehyde, a major toxic metabolite, is one of the principal culprits mediating fibrogenic and mutagenic effects of alcohol in the liver. Mechanistically, acetaldehyde promotes adduct formation, leading to functio… Show more

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Cited by 289 publications
(235 citation statements)
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“…The metabolism of ethanol is mainly performed in liver by hepatic alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) [18]. The accumulation of ethanol metabolites, especially acetaldehyde, in liver severely injured hepatic tissues, leading to alcoholic liver disease (ALD) which is one of the leading causes of death wordwide [19]. Therefore, accelerating the clearance of blood alcohol, thereby reducing the accumulation of its metabolites, helps to alleviate the toxic effect of alcohol in humans, especially on the liver.…”
Section: Discussionmentioning
confidence: 99%
“…The metabolism of ethanol is mainly performed in liver by hepatic alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) [18]. The accumulation of ethanol metabolites, especially acetaldehyde, in liver severely injured hepatic tissues, leading to alcoholic liver disease (ALD) which is one of the leading causes of death wordwide [19]. Therefore, accelerating the clearance of blood alcohol, thereby reducing the accumulation of its metabolites, helps to alleviate the toxic effect of alcohol in humans, especially on the liver.…”
Section: Discussionmentioning
confidence: 99%
“…The resulting acetate formed in step (b) being unstable gets readily converted to water and carbon dioxide. Acetaldehyde accumulated in excess turns toxic and forms adducts with DNA, lipids and proteins [26][27][28][29]. This could result in the formation of acetaldehyde derived-AGEs termed as AA-AGEs via Maillard reaction [30].…”
Section: Plausible Link Between Alcohol and Agesmentioning
confidence: 99%
“…It forms adducts with proteins and DNA and therefore impairs microtubules, decreases protein secretion and causes protein retention and ballooning of the hepatocyte. Acetaldehyde exerts toxicity also with regard to other key cellular functions, particularly in the mitochondria, and it may promote the peroxidation of the cellular membranes (55)(56)(57).…”
Section: Alcohol Metabolites and Ros-associated Alcoholinduced Hepatimentioning
confidence: 99%