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Acetaldehyde and malondialdehyde react together to generate distinct protein adducts in the liver during long-term ethanol administration
Open accessAbstract
Acetaldehyde and the lipid peroxidation-derived aldehyde malondialdehyde (MDA), are reactive compounds that are generated during ethanol metabolism in the liver, and both aldehydes have been shown to be capable of binding to proteins and forming stable adducts. Because similar concentrations of MDA and acetaldehyde can coexist in the liver during ethanol oxidation, protein adduct formation in the presence of both of these aldehydes was studied under both in vitro and in vivo conditions. When proteins were incubated in the presence of both MDA and acetaldehyde, MDA caused a marked and concentration-dependent increase in the stable binding of acetaldehyde to proteins. Maximum stimulation of binding occurred at approximately a fourfold molar excess of MDA relative to acetaldehyde when concentrations of 1.0 mmol/L and 0.1 mmol/L were tested. The formation of highly fluorescent product or products was associated with the MDA stimulation of acetaldehyde binding, indicating that new and distinct products were being generated. These hybrid adducts of MDA and acetaldehyde have been designated as MAA adducts. An affinity-purified polyclonal antibody was produced that specifically recognized MAA epitopes on proteins and did not cross-react with carrier proteins or proteins modified with either acetaldehyde or MDA alone. A quantitative competitive enzyme-linked immunosorbent assay (ELISA) was developed and detected the presence of MAA-modified proteins in liver cytosol from ethanol-fed rats but not in pair-fed controls. Quantification of the data from the competitive ELISA indicated the presence of approximately 75 pmoles protein-bound MAA per milligram liver cytosol proteins of the ethanol-fed animals. These results indicate that acetaldehyde and MDA can react together in a synergistic manner and generate hybrid adducts (MAA-adducts) and further suggest that MAA adducts may represent a major species of adducts formed in the liver during ethanol metabolism in vivo .
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“Interactions between acetaldehyde or MDA and cellular proteins lead to the formation of MAA adducts, which are highly stable and resistant to rapid degradation178,179.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [178]
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“However, the reactivity of one isotype of immunoglobulins over another to the MAA would indicate a highly unique immune response (23,26,28).”
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Omar, D. Y., Willoughby, M. M., Mostafa, N., Otakhor, K. O., Bhatt, S., Zaidi, M. A. A., & Schott, M. B. (2025) · American Journal Of Pathology · doi:10.1016/j.ajpath.2025.07.010 · Cited by 5
“90 Ethanol can also alter protein acetylation, especially tubulin, which can impact several pathways related to LD trafficking.”
Worrall, S., & Thiele, G. M. (2005) · Elsevier eBooks · doi:10.1016/b978-012564370-2/50094-5 · Cited by 4
Self-citationPathogenesis of alcoholic hepatitis
Brenner, D. A., & SIGMUND, S. (2004) · Journal of Gastroenterology and Hepatology · doi:10.1111/j.1440-1746.2004.03679.x · Cited by 4
Total fecal IgA levels increase and natural IgM antibodies decrease after gastric bypass surgery
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Covalent Protein Adduction by Drugs of Abuse
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Li, S., Nawroth, P. P., & Krøll, J. (2026) · Cardiovascular Diabetology · doi:10.1186/s12933-026-03130-2 · Cited by 3
“AA can react synergistically with MDA to generate hybrid DNA and protein adducts, such as MDA–AA adducts, which are deleterious to the liver and heart [166, 167].”
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“Recent studies have shown that aldehydes formed from both of these pathways, MDA and AA, react with lysine on proteins in a synergistic way, ultimately resulting in separate hybrid adducts (46).”
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Metadata
- Authors
- Tuma, D. J., Thiele, G. M., Xu, D., Klassen, L. W., & Sorrell, M. F.
- Affiliations
- United States Department of Veterans Affairs (US)
- ORCID
- Venue
- Hepatology
- Published
- 1996-04
- Volume
- 23
- Issue
- 4
- Pages
- 872-880
- ISSN
- 0270-9139 (ISSN-L)
- OpenAlex
- W2021937351
- Cited by
- 245
- References
- 0
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 7 · 2022: 12 · 2021: 6 · 2020: 7 · 2019: 2 · 2018: 8 · 2017: 7 · 2016: 6 · 2015: 7 · 2014: 10 · 2013: 18 · 2012: 8
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01aa004961-18)
- National Institute on Alcohol Abuse and Alcoholism (AA-04961, AA07818)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Interaction Studies and Fluorescence Analysis
- Keywords
- acetaldehyde, malondialdehyde, protein adducts, alcohol metabolism, liver, lipid peroxidation, polyclonal antibodies, competitive ELISA, liver cytosol
- MeSH terms
- Acetaldehyde, Ethanol, Animals, Enzyme-Linked Immunosorbent Assay, Liver, Male, Malondialdehyde, Protein Binding, Rabbits, Serum Albumin, Bovine, Rats, Wistar, Rats
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