Recent Advances in Alcoholic Liver Disease I. Role of intestinal permeability and endotoxemia in alcoholic liver disease
Abstract
A significant body of evidence indicates that endotoxemia and endotoxin-mediated hepatocellular damage play a crucial role in the pathogenesis of alcoholic liver disease. A close correlation between endotoxemia and the severity of alcohol-induced liver injury is supported by a number of clinical and experimental studies. Elevated intestinal permeability appears to be the major factor involved in the mechanism of alcoholic endotoxemia and the pathogenesis of alcoholic liver disease. Ethanol and its metabolic derivatives, acetaldehyde in particular, alter intracellular signal-transduction pathways leading to the disruption of epithelial tight junctions and an increase in paracellular permeability to macromolecules. Studies addressing the mechanisms of such epithelial disruption and the protective factors that prevent ethanol and acetaldehyde-mediated disruption of epithelial tight junctions are critically important in the investigations toward the search of preventive and therapeutic strategies for alcoholic liver disease.
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Ethanol and its metabolite acetaldehyde disrupt tight junctions, contributing to high bacterial translocation in alcoholic liver disease.
“The ability of ethanol and its metabolite acetaldehyde to disrupt tight junctions contributes to the high levels of bacterial translocation in ALD43.”
From The gut microbiome and liver cancer: mechanisms and clinical translation (2017) · cites this paper as [43]
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- Authors
- Rao, R. K., Seth, A., & Sheth, P.
- Affiliations
- University of Tennessee Health Science Center (US)
- ORCID
- Venue
- American Journal of Physiology-Gastrointestinal and Liver Physiology
- Publisher
- American Physiological Society
- Published
- 2004-06
- Volume
- 286
- Issue
- 6
- Pages
- G881-G884
- ISSN
- 0193-1857 (ISSN-L)
- 1522-1547
- OpenAlex
- W2144175661
- Cited by
- 340
- References
- 29
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 11 · 2023: 9 · 2022: 19 · 2021: 13 · 2020: 13 · 2019: 13 · 2018: 12 · 2017: 21 · 2016: 20 · 2015: 25 · 2014: 22 · 2013: 20 · 2012: 26
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Gastrointestinal and Liver Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (R01 AA12307, R01AA012307)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01-DK-55532, R01DK055532)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- alcoholic liver disease, intestinal permeability, endotoxemia, ethanol, acetaldehyde, tight junctions, paracellular permeability, signal transduction, intestinal epithelium, pathogenesis, protective factors
- MeSH terms
- Animals, Gastroenterology, Humans, Intestinal Absorption, Liver Diseases, Alcoholic, Permeability, Endotoxemia
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