Alcohol induced hepatic fibrosis: Role of acetaldehyde
Abstract
Alcohol abuse is one of the major causes of liver fibrosis worldwide. Although the pathogenesis of liver fibrosis is a very complex phenomenon involving different molecular and biological mechanisms, several lines of evidence established that the first ethanol metabolite, acetaldehyde, plays a key role in the onset and maintenance of the fibrogenetic process. This review briefly summarizes the molecular mechanisms underlying acetaldehyde pro-fibrogenic effects. Liver fibrosis represents a general wound-healing response to a variety of insults. Although mortality due to alcohol abuse has been constantly decreasing in the past 20 years in Southern Europe and North America, in several Eastern-European countries and Great Britain Alcoholic Liver Disease (ALD) shows a sharply increasing trend [Bosetti, C., Levi, F., Lucchini, F., Zatonski, W.A., Negri, E., La, V.C., 2007. Worldwide mortality from cirrhosis: an update to 2002. J. Hepatol. 46, 827-839]. ALD has a complex pathogenesis, in which acetaldehyde (AcCHO), the major ethanol metabolite, plays a central role. Ethanol is mainly metabolized in the liver by two oxidative pathways. In the first one ethanol is oxidized to acetaldehyde by the cytoplasmic alcohol dehydrogenase enzyme (ADH), acetaldehyde is then oxidized to acetic acid by the mitochondrial acetaldehyde dehydrogenase (ALDH). The second pathway is inducible and involves the microsomal ethanol-oxidizing system (MEOS), in which the oxidation of ethanol to acetaldehyde and acetic acid also leads to generation of reactive oxygen species (ROS). Chronic ethanol consumption significantly inhibits mitochondrial ALDH activity while the rate of ethanol oxidation to acetaldehyde is even enhanced, resulting in a striking increase of tissue and plasma acetaldehyde levels [Lieber, C.S., 1997. Ethanol metabolism, cirrhosis and alcoholism. Clin. Chim. Acta 257, 59-84]. This review will focus on the molecular mechanisms by which acetaldehyde promote liver fibrosis.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
MAA adducts are found in HSCs, liver sinusoidal endothelial cells, and Kupffer cells in ALD models; they stimulate transformation of HSCs into activated myofibroblasts, resulting in elevated production of profibrotic factors such as PDGF, and can induce proinflammatory cytokines such as TNF-α, IL-12, IL-18, and MIF.
“In addition to individual AA and MDA adducts, MAA adducts (AA-MDA-protein hybrid adducts) are found in HSCs, liver sinusoidal endothelial cells, and Kupffer cells in ALD models.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [220]
Cites
Peroxisome proliferator-activated receptors and hepatic stellate cell activation
Miyahara, T., Schrum, L., Rippe, R., Xiong, S., Yee, H. F., Motomura, K., Anania, F. A., Willson, T. M., & Tsukamoto, H. (2000) · Journal of Biological Chemistry · doi:10.1074/jbc.m006577200 · Cited by 473 · see citing works
Ethanol metabolism, cirrhosis and alcoholism
Lieber, C. S. (1997) · Clinica Chimica Acta · doi:10.1016/s0009-8981(96)06434-0 · Cited by 441 · see citing works
Galli, A., Crabb, D. W., Ceni, E., Salzano, R., Mello, T., Svegliati–Baroni, G., Ridolfi, F., Trozzi, L., Surrenti, C., & Casini, A. (2002) · Gastroenterology · doi:10.1053/gast.2002.33666 · Cited by 440 · see citing works
Self-citationMarra, F., Efsen, E., Romanelli, R. G., Caligiuri, A., Pastacaldi, S., Batignani, G., Bonacchi, A., Caporale, R., Laffi, G., Pinzani, M., et al. (2000) · Gastroenterology · doi:10.1053/gast.2000.9365 · Cited by 409 · see citing works
Hazra, S., Xiong, S., Wang, J., Rippe, R. A., Krishna, V., Chatterjee, K., & Tsukamoto, H. (2004) · Journal of Biological Chemistry · doi:10.1074/jbc.m310284200 · Cited by 320 · see citing works
Casini, A., Ceni, E., Salzano, R., Biondi, P., Parola, M., Galli, A., Foschi, M., Caligiuri, A., Pinzani, M., & Surrenti, C. (1997) · Hepatology · doi:10.1002/hep.510250218 · Cited by 302 · see citing works
Self-citationMoshage, H. J., Casini, A., & LIEBER, C. S. (1990) · Hepatology · doi:10.1002/hep.1840120311 · Cited by 251 · see citing works
Tuma, D. J., Thiele, G. M., Xu, D., Klassen, L. W., & Sorrell, M. F. (1996) · Hepatology · doi:10.1002/hep.510230431 · Cited by 245 · see citing works
Hepatic fibrosis and cirrhosis: The (myo)fibroblastic cell subpopulations involved
Guyot, C., Lepreux, S., Combe, C., Doudnikoff, É., Bioulac‐Sage, P., Balabaud, C. P., & Desmoulière, A. (2005) · The International Journal of Biochemistry & Cell Biology · doi:10.1016/j.biocel.2005.08.021 · Cited by 241 · see citing works
Worldwide mortality from cirrhosis: An update to 2002
Bosetti, C., Levi, F., Lucchini, F., Zatonski, W. A., Negri, E., & La Vecchia, C. (2007) · Journal of Hepatology · doi:10.1016/j.jhep.2007.01.025 · Cited by 230 · see citing works
Galli, A., Pinaire, J. A., Fischer, M., Dorris, R., & Crabb, D. W. (2001) · Journal of Biological Chemistry · doi:10.1074/jbc.m008791200 · Cited by 226 · see citing works
Self-citationGarcía-Trevijano, E., Iraburu, M., Fontana, L., Domínguez-Rosales, J., Auster, A., Covarrubias‐Pinedo, A., & Rojkind, M. (1999) · Hepatology · doi:10.1002/hep.510290346 · Cited by 223 · see citing works
Galli, A., Crabb, D., Price, D., Ceni, E., Salzano, R., Surrenti, C., & Casini, A. (2000) · Hepatology · doi:10.1002/hep.510310117 · Cited by 197 · see citing works
Self-citationCasini, A., Cunningham, M., Rojkind, M., & Lieber, C. S. (1991) · Hepatology · doi:10.1002/hep.1840130424 · Cited by 189 · see citing works
Greenwel, P., Domı́nguez-Rosales, J. A., Mavi, G., Rivas-Estilla, A. M., & Rojkind, M. (2000) · Hepatology · doi:10.1002/hep.510310118 · Cited by 189 · see citing works
Nlemelä, O., Parkkila, S., Ylä‐Herttuala, S., Villanueva, J. A., Ruebner, B. H., & Halsted, C. H. (1995) · Hepatology · doi:10.1002/hep.1840220428 · Cited by 172 · see citing works
Rolla, R., Vay, D., Mottaran, E., Parodi, M., Traverso, N., Aricò, S., Sartori, M., Bellomo, G., Klassen, L. W., Thiele, G. M., et al. (2000) · Hepatology · doi:10.1053/he.2000.5373 · Cited by 163 · see citing works
NIEMELA, O. (1995) · Hepatology · doi:10.1016/0270-9139(95)90630-4 · Cited by 149 · see citing works
Svegliati‐Baroni, G., Ridolfi, F., Sario, A. D., Saccomanno, S., Bendia, E., Benedetti, A., & Greenwel, P. (2001) · Hepatology · doi:10.1053/jhep.2001.23788 · Cited by 134 · see citing works
4-Hydroxynonenal as a selective pro-fibrogenic stimulus for activated human hepatic stellate cells
Zamara, E., Novo, E., Marra, F., Gentilini, A., Romanelli, R. G., Caligiuri, A., Robino, G., Tamagno, E., Aragno, M., Danni, O., et al. (2003) · Journal of Hepatology · doi:10.1016/s0168-8278(03)00480-x · Cited by 123 · see citing works
Inagaki, Y., Truter, S. L., Tanaka, S., Liberto, M. D., & Ramirez, F. (1995) · Journal of Biological Chemistry · doi:10.1074/jbc.270.7.3353 · Cited by 108 · see citing works
Viitala, K., Israel, Y., Blake, J. E., & Niemelä, O. J. (1997) · Hepatology · doi:10.1002/hep.510250619 · Cited by 92 · see citing works
Svegliati‐Baroni, G., Inagaki, Y., Rincón‐Sánchez, A. R., Else, C., Saccomanno, S., Benedetti, A., Ramirez, F., & Rojkind, M. (2005) · Hepatology · doi:10.1002/hep.20798 · Cited by 87 · see citing works
Chen, A., & Davis, B. H. (2000) · Molecular and Cellular Biology · doi:10.1128/mcb.20.8.2818-2826.2000 · Cited by 83 · see citing works
Chen, A. (2002) · Biochemical Journal · doi:10.1042/bj20020949 · Cited by 81 · see citing works
Holstege, A., Bedossa, P., Poynard, T., Kollinger, M., Chaput, J. C., Houglum, K., & Chojkier, M. (1994) · Hepatology · doi:10.1002/hep.1840190215 · Cited by 80 · see citing works
CASIN, A., Galli, G., SAIZANO, R., et al. (1994) · Alcohol and Alcoholism · doi:10.1093/oxfordjournals.alcalc.a045537 · Cited by 63 · see citing works
Inagaki, Y., Truter, S. L., Greenwel, P., Rojkind, M., Unoura, M., KOBAYASHI, K. P., & Ramirez, F. (1995) · Hepatology · doi:10.1002/hep.1840220230 · Cited by 61 · see citing works
Román, J., Giménez, A., Lluis, J. M., et al. (2000) · Journal of Biological Chemistry · doi:10.1074/jbc.275.19.14684 · Cited by 58 · see citing works
Casini, A., Ceni, E., Salzano, R., Milani, S., Schuppan, D., & Surrenti, C. (1994) · Life Sciences · doi:10.1016/0024-3205(94)00763-2 · Cited by 47 · see citing works
Self-citationKharbanda, K. K., Todero, S. L., Shubert, K. A., Sorrell, M. F., & Tuma, D. J. (2001) · Alcohol · doi:10.1016/s0741-8329(01)00174-4 · Cited by 45 · see citing works
Acetaldehyde‐Mediated Collagen Regulation in Hepatic Stellate Cells
Greenwel, P. (1999) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1999.tb04206.x · Cited by 42 · see citing works
Acetaldehyde Inhibits PPARγ via H2O2-Mediated c-Abl Activation in Human Hepatic Stellate Cells
Ceni, E., Crabb, D. W., Foschi, M., Mello, T., Tarocchi, M., Patussi, V., Moraldi, L., Moretti, R., Milani, S., Surrenti, C., et al. (2006) · Gastroenterology · doi:10.1053/j.gastro.2006.08.009 · Cited by 41 · see citing works
Self-citationCasini, A., Galli, G., Salzano, R., Rotella, C. M., & Surrenti, C. (1993) · Journal of Hepatology · doi:10.1016/s0168-8278(05)80547-1 · Cited by 35 · see citing works
Self-citationAnania, F. A., Womack, L., Potter, J. J., et al. (1999) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1999.tb04111.x · Cited by 34 · see citing works
Fontana, L., Jerez, D., Rojas-Valencia, L., et al. (1997) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/s0925-4439(97)00056-2 · Cited by 34 · see citing works
Aldehydic products of lipid peroxidation do not directly activate rat hepatic stellate cells
Olynyk, J. K., Khan, N., Ramm, G. A., Brown, K. E., O’Neill, R., Britton, R. S., & Bacon, B. R. (2002) · Journal of Gastroenterology and Hepatology · doi:10.1046/j.1440-1746.2002.02798.x · Cited by 22 · see citing works
Anania, F. A., Womack, L., Potter, J. J., et al. (1999) · Alcoholism Clinical and Experimental Research · doi:10.1097/00000374-199902000-00013 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Alcoholic Liver Disease: Pathogenesis and New Therapeutic Targets
Gao, B., & Bataller, R. (2011) · Gastroenterology · doi:10.1053/j.gastro.2011.09.002 · Cited by 1,963 · see citing works
Pathogenesis of alcoholic liver disease: Role of oxidative metabolism
Ceni, E., Mello, T., & Galli, A. (2014) · World Journal of Gastroenterology · doi:10.3748/wjg.v20.i47.17756 · Cited by 521 · see citing works
Self-citationRungratanawanich, W., Qu, Y., Wang, X., Essa, M. M., & Song, B.-J. (2021) · Experimental & Molecular Medicine · doi:10.1038/s12276-021-00561-7 · Cited by 411 · see citing works
Acetaldehyde adducts in alcoholic liver disease
Setshedi, M., Wands, J. R., & de la Monte, S. M. (2010) · Oxidative Medicine and Cellular Longevity · doi:10.4161/oxim.3.3.12288 · Cited by 365 · see citing works
Kwon, H.-J., Won, Y.-S., Park, O., Chang, B., Duryee, M. J., Thiele, G. E., Matsumoto, A., Singh, S., Abdelmegeed, M. A., Song, B.-J., et al. (2014) · Hepatology · doi:10.1002/hep.27036 · Cited by 191 · see citing works
Pathogenesis of alcohol‐induced liver disease: Classical concepts and recent advances
Seth, D., Haber, P. S., Syn, W., Diehl, A. M., & Day, C. P. (2011) · Journal of Gastroenterology and Hepatology · doi:10.1111/j.1440-1746.2011.06756.x · Cited by 166 · see citing works
- Authors
- Mello, T., Ceni, E., Surrenti, C., & Galli, A.
- Affiliations
- University of Florence (IT)
- Corresponding author
- Mello, Tommaso
- Venue
- Molecular Aspects of Medicine
- Publisher
- Elsevier BV
- Published
- 2008-02
- Volume
- 29
- Issue
- 1-2
- Pages
- 17-21
- ISSN
- 0098-2997 (ISSN-L)
- OpenAlex
- W2063949300
- Cited by
- 160
- References
- 39
- Citations by year
- 2026: 1 · 2025: 11 · 2024: 8 · 2023: 11 · 2022: 11 · 2021: 10 · 2020: 8 · 2019: 10 · 2018: 9 · 2017: 7 · 2016: 7 · 2015: 15 · 2014: 14 · 2013: 8 · 2012: 8
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Aspects of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- acetaldehyde, alcoholic liver disease, alcohol metabolism, alcohol dehydrogenase, acetaldehyde dehydrogenase, microsomal ethanol oxidizing system, reactive oxygen species, fibrogenesis
- MeSH terms
- Acetaldehyde, Animals, Humans, Liver Cirrhosis, Liver Diseases, Alcoholic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review