Cited by 340Alcohol Consumption and Health EffectsLiver Disease and TransplantationGastrointestinal motility and disorders

Recent Advances in Alcoholic Liver Disease I. Role of intestinal permeability and endotoxemia in alcoholic liver disease

Rao, R. K., Seth, A., Sheth, P.·2004·American Journal of Physiology-Gastrointestinal and Liver Physiology

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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Registry

Crossref · 10.1152/ajpgi.00006.2004

Cites

29 of 29 references verified0 citation errors · 0 not checkable

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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.”

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Authors
Rao, R. K., Seth, A., & Sheth, P.
Affiliations
University of Tennessee Health Science Center (US)
Venue
American Journal of Physiology-Gastrointestinal and Liver Physiology
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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