1997
DOI: 10.1046/j.1365-2362.1997.1780727.x
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Multiple biochemical effects in the pathogenesis of alcoholic fatty liver

Abstract: Abstract. The pathogenesis of alcoholic fatty liver is unknown, but several causes have been proposed based on biochemical findings. These include the metabolism of alcohol leading to a shift in the cytosolic [NAD þ ]/ [NADH] ratio to reduction, which in turn causes a direct inhibition of b-oxidation and enhanced triacylglycerol formation via the [glycerol-3-phosphate]/[dihydroxyacetone phosphate] ratio. There are also chronic effects of ethanol on hepatic enzyme activities. Thus, increased activity of phospha… Show more

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Cited by 46 publications
(20 citation statements)
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“…This might be explained in terms of an activation in PAP. Other authors have in fact described an increase in PAP activity associated with the chronic administration of ethanol [8,28]. Regarding the synthesis of esterified cholesterol from oleate, the results set out in Table 4 show that the levels of radioactivity from oleate in the hepatocytes of rats fed with ethanol were 70% higher than in those of the controls.…”
Section: Resultsmentioning
confidence: 84%
See 1 more Smart Citation
“…This might be explained in terms of an activation in PAP. Other authors have in fact described an increase in PAP activity associated with the chronic administration of ethanol [8,28]. Regarding the synthesis of esterified cholesterol from oleate, the results set out in Table 4 show that the levels of radioactivity from oleate in the hepatocytes of rats fed with ethanol were 70% higher than in those of the controls.…”
Section: Resultsmentioning
confidence: 84%
“…Both enzyme reactions generate an excess of reducing equivalents in the liver, mainly in the form of reduced nicotinamide adenine dinucleotide (NADH). If alcohol consumption is chronic, however, the redox change diminishes despite the persistence of fatty liver [3], suggesting that other mechanisms might be involved in the development of steatosis, such as an increase in substrate supply, glycerol 3-phosphate and fatty acids [4,5], an increased phosphatidate phosphohydrolase (PAP) and diacylglycerol acyltransferase activity [6,7,8] and a decrease in the export of triacylglycerols (TAG) [9].…”
Section: Introductionmentioning
confidence: 99%
“…NAD ϩ / NADH ratio) that results from the metabolism of ethanol and acetaldehyde. Increased levels of NADH will inhibit the NAD ϩ -dependent steps of ␤-oxidation thereby inhibiting fatty acid oxidation (39) and stimulate the activity of various lipogenic enzymes in liver (41). However, ethanol-related alterations in the hepatic redox state have been shown to normalize during continued exposure to ethanol without a concomitant decrease in hepatocyte triglyceride levels (42).…”
Section: Discussionmentioning
confidence: 99%
“…Alcohol has been shown to decrease hepatic fatty acid oxidation in vivo and in vitro. Alcohol metabolism alters the intramitochondrial redox potential, which in turn impairs β oxidation and tricarboxylic acid cycle activity (34). In addition, both long-term and short-term alcohol consumption has been shown to suppress the activity of CPT I, a rate-limiting enzyme involved in the transport of long-chain fatty acids into mitochondrial matrix (35,36).…”
Section: Figurementioning
confidence: 99%