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Oxidative Stress and Alcoholic Liver Disease
Abstract
Reactive oxygen species (ROS) are highly reactive molecules that are naturally generated in small amounts during the body's metabolic reactions and can react with and damage complex cellular molecules such as lipids, proteins, or DNA. This review describes pathways involved in ROS formation, why ROS are toxic to cells, and how the liver protects itself against ROS. Acute and chronic ethanol treatment increases the production of ROS, lowers cellular antioxidant levels, and enhances oxidative stress in many tissues, especially the liver. Ethanol-induced oxidative stress plays a major role in the mechanisms by which ethanol produces liver injury. Many pathways play a key role in how ethanol induces oxidative stress. This review summarizes some of the leading pathways and discusses the evidence for their contribution to alcohol-induced liver injury.
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“Liver diseases related to alcohol consumption are partly due to the ROS formation from ethanol (Wu and Cederbaum 2009).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Wu and Cederbaum 2009
In the citing paper
“Hepatic mitochondrial abnormalities are observed in both alcoholic fatty liver disease (AFLD) [4], [5], [6], nonalcoholic fatty liver disease (NAFLD) [7], [8], [9] and acute liver injury.”
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“In the same vein as above, it is well documented that ROS are involved in the formation of liver fibers leading to hyperfibrosis [21], causing liver injury [22].”
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PGC-1α Regulates Translocated in Liposarcoma Activity: Role in Oxidative Stress Gene Expression
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Deubiquitinase Usp18 prevents cellular apoptosis from oxidative stress in liver cells
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“Oxidative stress therefore can cause cell injury, particularly in the liver (Wu and Cederbaum, 2009).”
BackgroundSong, H., Lee, J., Lee, Y., Kim, S., & Kang, S. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26073272 · Cited by 17
Deepak, K., Shee, M., Roy, P., & Mandal, M. (2026) · Cell Death · doi:10.1016/j.celld.2026.100009 · Cited by 19
Li, D., Wu, Y., Hu, Z., Wang, T., Zhang, L., Zhou, Y., Tong, X., Xu, J., & Qin, L. (2022) · Antioxidants · doi:10.3390/antiox11081508 · Cited by 16
“Ethanol conversion catalyzed by CYPE21 is an important source of excessive reactive oxygen species (ROS) that can trigger oxidative stress and eventually lead to cellular injury [9,11,12].”
BackgroundTao, J., Qiu, J., Zheng, J., Li, R., Chang, X., & He, Q. (2024) · Clinical and Translational Medicine · doi:10.1002/ctm2.1806 · Cited by 16
Jiang, X., Yan, Q., Lao, W., et al. (2023) · Metabolic Brain Disease · doi:10.1007/s11011-023-01202-w · Cited by 15
“, ROS and MDA), leading to peripheral and central oxidative stress (Wu and Cederbaum 2009; Li et al. 2020b).”
BackgroundTian, L., Deshmukh, A. P., Prasad, N., & Jang, Y.-Y. (2016) · International Journal of Biological Sciences · doi:10.7150/ijbs.15811 · Cited by 15
“It has long been suggested that oxidative stress is one of the main pathogenic mechanisms underlying ALD initiation and progression (1, 45, 46).”
BackgroundMehanna, E. T., Ali, A.-S. A., El-shaarawy, F. F., Mesbah, N. M., Abo–Elmatty, D. M., & Aborehab, N. M. (2021) · Molecules · doi:10.3390/molecules26247437 · Cited by 15
“Alcohol consumption activates the cluster of differentiation 14 (CD14)/TLR4 pathway which can induce cellular injury through activation of macrophages and generation of inflammatory mediators such as IL1β, IL-6 and TNF-α [23,24].”
BackgroundJie, Q., Tang, Y., Deng, Y., Li, Y., Shi, Y., Gao, C., Xing, M., Wang, D., Liu, L., & Yao, P. (2012) · Alcohol · doi:10.1016/j.alcohol.2012.10.006 · Cited by 15
“The involvement of oxidative injury in ethanol toxicity has been reported extensively in animal experiments and in ALD patients (Albano, 2008; Bailey & Cunningham, 2002; Wu & Cederbaum, 2009).”
BackgroundCYP2E1 phenotype in Mexican workers occupationally exposed to low levels of toluene
Jiménez-Garza, O., Márquez‐Gamiño, S., Albores, A., et al. (2012) · Toxicology Letters · doi:10.1016/j.toxlet.2012.01.021 · Cited by 15
Sun, S., Wang, Y., Du, Y., et al. (2020) · Pharmaceutical Biology · doi:10.1080/13880209.2020.1859552 · Cited by 14
“MDA, SOD, GSH, and CAT are indicators closely related to the mechanism of hepatotoxic oxidative stress injury (Wu and Cederbaum 2009).”
BackgroundQueiroz, L. Y., de Oliveira, I. G., Cartágenes, S. D. C., Fernandes, L. M. P., dos Santos, S. M., Ferreira, W. A. S., Mello, F. A. R., Bittencourt, L. O., Paiva, E. B. C., Burbano, R. M. R., et al. (2022) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2022/7207755 · Cited by 14
“…the most important nonenzymatic antioxidant present in cell, a protein involved in antioxidant defense against the toxic e ff ects of reactive species from xenobiotic metabolism, as well as an important molecule to reduce both free radicals and acetaldehyde produced by alcohol metabolism [74, 75].”
Choubey, P., Sharma, V., Joshi, R., Upadhyaya, A., Kumar, D., & Patial, V. (2024) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2024.117866 · Cited by 14
Molecular Mechanisms for Alcoholic Hepatitis Based on Analysis of Gene Expression Profile
Liu, M., Dou, Y., Sun, R., et al. (2015) · Hepatitis Monthly · doi:10.5812/hepatmon.15(5)2015.27336 · Cited by 14
“In addition, reactive oxygen species (ROS) and reactive nitrogen species (RNS) have been identified as key components in the progression from alcohol-induced fatty liver to AH and cirrhosis (25, 26).”
BackgroundMarianian, A. Y., Atalyan, A. V., Bohora, S. B., Darenskaya, M. A., Grebenkina, L., Колесникова, Л. И., Kolesnikov, S. I., Mikhaylevich, I., Владимировна, П. Н., Stockett, M., et al. (2019) · Birth Defects Research · doi:10.1002/bdr2.1582 · Cited by 13
Huang, W., Liu, W., Chen, L., Ni, L., Zou, X., Ye, M., Zhang, Z., & Zou, S. (2022) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2022.115455 · Cited by 14
Metadata
- Authors
- Wu, D., & Cederbaum, A.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- ORCID
- Wu, Defeng
- Venue
- Seminars in Liver Disease
- Publisher
- Georg Thieme Verlag KG
- Published
- 2009-04-22
- Volume
- 29
- Issue
- 02
- Pages
- 141-154
- ISSN
- 0272-8087 (ISSN-L)
- 1098-8971
- OpenAlex
- W1981280200
- Cited by
- 342
- References
- 0
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 19 · 2023: 19 · 2022: 27 · 2021: 19 · 2020: 19 · 2019: 18 · 2018: 16 · 2017: 23 · 2016: 14 · 2015: 19 · 2014: 29 · 2013: 28 · 2012: 26
- FWCI
- 15.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Liver Disease (publishedVersion)
- PubMed (publishedVersion)
- 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 › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- oxidative stress, alcoholic liver disease, reactive oxygen species, ethanol-induced liver injury, antioxidant defense, alcohol metabolism, lipid peroxidation, DNA damage, protein oxidation
- MeSH terms
- Alcohol Drinking, Ethanol, Animals, Antioxidants, Glutathione, Humans, Iron, Kupffer Cells, Liver, Liver Diseases, Alcoholic, Mitochondria, Liver, Reactive Oxygen Species, Oxidative Stress, Cytochrome P-450 CYP2E1, Reactive Nitrogen Species
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