Cited by 160Alcohol Consumption and Health EffectsLiver physiology and pathologyDrug-Induced Hepatotoxicity and Protection

Alcohol induced hepatic fibrosis: Role of acetaldehyde

Mello, Tommaso, Ceni, Elisabetta, Surrenti, Calogero, Galli, Andrea·2008·Molecular Aspects of Medicine

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.

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Crossref · 10.1016/j.mam.2007.10.001

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  • 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.”

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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

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