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Alcohol effects on hepatic lipid metabolism
Open accessAbstract
Alcoholic liver disease (ALD) is the most prevalent type of chronic liver disease with significant morbidity and mortality worldwide. ALD begins with simple hepatic steatosis and progresses to alcoholic steatohepatitis, fibrosis, and cirrhosis. The severity of hepatic steatosis is highly associated with the development of later stages of ALD. This review explores the disturbances of alcohol-induced hepatic lipid metabolism through altered hepatic lipid uptake, de novo lipid synthesis, fatty acid oxidation, hepatic lipid export, and lipid droplet formation and catabolism. In addition, we review emerging data on the contributions of genetics and bioactive lipid metabolism in alcohol-induced hepatic lipid accumulation.
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“It should be noted that alcohol-induced dysregulation of mitochondrial β-oxidation is considered the most significant contribution to lipid accumulation in the liver [46].”
From Pathophysiological Aspects of Alcohol Metabolism in the Liver (2021) · cites this paper as [46]
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Autophagy regulates lipid metabolism
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Sorted by citations
Items 201–253 of 253
Role of Neutrophils in the Development of Steatotic Liver Disease
Choi, Y., Kim, Y. S., & Hwang, S. (2024) · Seminars in Liver Disease · doi:10.1055/s-0044-1789207 · Cited by 2
Enzyme-Treated Zizania latifolia Ethanol Extract Improves Liver-Related Outcomes and Fatigability
Ahn, Y. J., Kim, B., Kim, Y. H., Kim, T. Y., Seo, H., Park, Y., Park, S., & Ahn, Y. (2024) · Foods · doi:10.3390/foods13111725 · Cited by 1
Sakou, D. N., & Tietcheu, B. R. G. (2024) · Journal of Ayurveda and Integrative Medicine · doi:10.1016/j.jaim.2023.100851 · Cited by 1
“…by indicating that exposure to ethanol increased the activation of the sterol regulatory element binding protein-1 (SREBP-1) transcription factor involved in the expression of lipogenic enzymes, increased fatty acid uptake, increased hepatic lipid export and decreased fatty acid oxidation [23].”
BackgroundLai, S., Ma, Y., Hao, L., Ding, Q., Chang, K., Zhuge, H., Qiu, J., Xu, T., Dou, X., & Li, S. (2023) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2023.159286 · Cited by 1
Hepatic injuries resulting from chronic alcohol abuse identified by forensics
Crauciuc, D., Stan, C., Rîşcanu, L., Predescu, O., & Bulgaru-Iliescu, D. (2021) · Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · doi:10.47162/rjme.62.3.20 · Cited by 1
Tang, Z., Zhang, P., Li, L., Guo, Y., You, Y., & Liao, Y. (2023) · Journal of Men s Health · doi:10.22514/jomh.2023.119
“Excessive alcohol intake impairs the liver’s ability to metabolize alcohol [19], and over time, this prolonged lipid accumulation can result in liver tissue damage and inflammation, eventually progressing to cirrhosis and liver failure [20– 22].”
BackgroundYan, Y., Wang, X., Shi, H.-Y., Zhu, C.-H., Xing, M., Wang, M., & Zhou, D.-M. (2026) · iScience · doi:10.1016/j.isci.2026.118019
Zhao, R.-R., Gao, X.-Q., Liang, S.-Y., Huang, J.-G., Ruan, Z.-M., Li, Z.-M., Zhang, G.-K., Cui, P., Ye, L., & Chen, H. (2026) · Microorganisms · doi:10.3390/microorganisms14102297
Hypertriglyceridemia: Causes, Consequences, Diagnosis, and Management
Qi, S., Chen, W., Chen, K., Yang, S., Wang, S., Ni, T., Xu, D., Mao, E., Chen, E., & Chen, Y. (2026) · MedComm · doi:10.1002/mco2.70956
“Alcohol use can also raise TG levels by stimulating hepatic TG synthesis and VLDL secretion and by impairing TRL clearance [ 85, 86 ].”
Santra, A., Maity, S., Kuruvalli, G., Arjunan, S., Selvam, S., Challaraj Emmanuel, E. S., & Reddy, V. D. (2026) · ACS Pharmacology & Translational Science · doi:10.1021/acsptsci.6c00246
Impact of alcohol cessation on hepatic metabolic signaling during cancer cachexia
Tice, A. L., Murphy, R. D., Laudato, J. A., Tangen, A. R., Lima, M. J., Gordon, B. S., & Steiner, J. L. (2026) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2026.154176
Wang, R.-F., Li, C., Liu, Y., Jiang, L., Liu, J.-C., Jiao, Z.-G., & Zhang, Q. (2026) · Food Bioscience · doi:10.1016/j.fbio.2026.109536
Kim, H., Lee, D., Jeong, H., Kim, J.-Y., Shim, J.-J., & Lee, J.-H. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27188058
Elvers, F. L., Adelmeijer, J., Stamouli, M., Bernal, W., Patel, V., & Lisman, T. (2026) · Research and Practice in Thrombosis and Haemostasis · doi:10.1016/j.rpth.2026.106975
“One explanation could be that alcohol-related liver disease and MASLD have been shown to increase hepatic triglyceride synthesis and peripheral lipolysis, modulate lipogenic enzymes, and inhibit fatty acid oxidation [24,25].”
Feng, J., Yuan, F., Xu, R.-B., Ma, X.-P., Gasparetto, R., Mueller, E. G., Kim, S., He, L.-Q., Warner, D. R., McClain, C. J., et al. (2026) · Journal of Proteome Research · doi:10.1021/acs.jproteome.5c00916
Skinner, S. G., Aleman, E. G., Rivera, J., Kalapatapu, N., Kantilal, D., Davies, D. L., & Asatryan, L. (2026) · Alcohol, clinical & experimental research · doi:10.1111/acer.70391
“…the completion of TBC, ORO staining, which detects both TG and cholesteryl esters, the two major lipid components of hepatic steatosis, demonstrated that E/10E mice retained some level of residual steatosis, potentially due to the slower clearance of cholesterol esters (Jeon and Carr 2020).”
Alcohol Consumption and Gut Microbiota-Derived Metabolites in Primates: A Systematic Review
Fierro-Salgado, Y. T., Reiriz, M., Calleja‐Conde, J., Cintado-Alzate, C., Bühler, K., Morales-Garcia, J. A., López‐Moreno, J. A., Giné, E., & Echeverry‐Alzate, V. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27157012
“…nicotinamide adenine dinucleotide, thereby impairing energy-generating pathways [11], structural damage to mitochondria or microtubules caused by acetaldehyde (an alcohol metabolite), and the overproduction of reactive oxygen species (ROS), which promotes oxidative stress and inflammation [12–14].”
The role of cyclooxygenase-mediated eicosanoids in alcohol-associated liver disease
Ai, W., & Saraswathi, V. (2026) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2026.102764
Seo, K. H., Kim, Y., Park, S. H., Yi, N., Yoon, J. H., Chung, G. E., Lee, J., Rho, S. Y., Park, M.-S., Choe, E. K., et al. (2026) · Journal of Korean Medical Science · doi:10.3346/jkms.2026.41.e265
Ge, Y., Yuan, Y.-H., Li, M., Huang, Z.-X., Zhang, C.-L., Yu, C.-Y., Xu, J.-Y., Zhang, S., Guo, H.-W., Zhang, X., et al. (2026) · Frontiers in Genetics · doi:10.3389/fgene.2026.1829878
“…microenvironment in the central nervous system may be one of the pathological mechanisms associated with AUD (Ghare et al., 2011; Mews et al., 2019; Jeon and Carr, 2020; Crotty et al., 2023; Paterson et al., 2023; Bazargan-Hejazi et al., 2024; Togre et al., 2025; Vella et al., 2025).”
Chhetri, P., & Choudhury, A. (2026) · Pharmacological Research - Modern Chinese Medicine · doi:10.1016/j.prmcm.2026.100847
Liu, S., Lu, T., Wang, X., Li, J., Dong, H., & Liu, W. (2026) · Phytomedicine · doi:10.1016/j.phymed.2026.158656
The Use of Lycium barbarum Polysaccharides to Control Liver Disease: A Review
Wang, L.-J., Sun, J.-G., Chen, S., Zhang, P., Sun, Y.-L., Zheng, Y., & Feng, J.-C. (2026) · World Journal of Traditional Chinese Medicine · doi:10.4103/wjtcm.wjtcm_68_26
Ren, L., Gao, W., Ma, X., Zhang, H., Xiao, Y., Jiang, S., Liu, G., & Sun, A. (2026) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.70511
“In addition, alcohol exposure can suppress AMPK activity, a central regulator of hepatic lipid homeostasis, which may result in impaired PPAR α signaling and upregulation of SREBP-1c target genes such as fatty acid synthase (FAS), thus accelerating steatosis [ 3, 4 ].”
Unbiased Spatial Proteomics Uncovers Hepatic in Situ Regulation in Alcohol-Associated Hepatitis
Day, L. Z., Hernández‐Tejero, M., Jalan‐Sakrikar, N., Mokbul, M. I., Williams, S., Veličković, M., Kwon, Y., Call, D. H., Fulcher, J. M., Morgan, T. R. M., et al. (2026) · American Journal Of Pathology · doi:10.1016/j.ajpath.2026.06.001
Qiu, J.-W., Wang, Q.-G., Zhang, J.-X., Chen, C., Chen, K.-X., Zhang, Y.-H., & Zhao, Y. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1851531
Kim, T. H., Kim, S., Kim, Y., Lee, H., Hwang, S. H., Yang, S. Y., Smith, L., Hajek, A., Woo, S., & Yon, D. K. (2026) · JMIR Medical Informatics · doi:10.2196/81130
“Excessive alcohol intake results in increased triglyceride accumulation in the liver and plasma, driven by impaired hepatic fatty acid oxidation and stimulated hepatic lipogenesis and very-low-den-sity lipoprotein synthesis and secretion [20,21].”
Huang, J.-Y., Huang, W.-F., Wang, X.-Y., Cheng, J., Xu, G.-H., & Yi, L.-T. (2026) · Food Science & Nutrition · doi:10.1002/fsn3.71890
“Furthermore, alcohol-induced metabolic dysregulation promotes lipid accumulation and hepatosteatosis, further compromising liver function (Jeon and Carr 2020).”
Huang, L., Zhou, B., Ou, Q., Yin, J., Tian, X., & Zhou, X. (2026) · Addiction Biology · doi:10.1111/adb.70165
Zeng, Q., Zheng, Z., Sun, T., Wang, J. Y., Fang, J., Shao, H., Liu, F., & Ling, P. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27093941
“Alcohol entering the liver impairs the tricarboxylic acid cycle and inhibits fatty acid metabolism, leading to increased hepatic TG and abnormal lipid accumulation [47,48].”
Pálóczi, J., Byerley, L. O., & Primeaux, S. D. (2026) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2026.109038
Expression and Clinical Significance of the Long Non‐Coding RNA OIP5‐AS1 in Alcohol Use Disorder
Zhu, M.-Y., Wang, J., Song, J.-J., Wang, Y., & Zhang, B. (2026) · Addiction Biology · doi:10.1111/adb.70146
“Notably, these processes are profoundly disrupted in the context of AUD, as chronic ethanol exposure is known to induce substantial metabolic derangements, such as altered lipid utilisation [27], insulin resistance [20] and progressive weight loss [28].”
Darian, S. B., Oh, J., & Kim, J. K. (2026) · Biomedical Optics Express · doi:10.1364/boe.589972
“In live mouse models, this framework enables the visualization of mitochondrial remodeling in ethanol-induced liver injury [28,29] of Dendra2 mice and the characterization of autophagosome formation in starved GFP-LC3 reporter mice [30,31].”
Li, J., Pan, K., Zhang, Y., Huang, Q., Wang, Y., Yu, M., Zhu, Y., Li, Z., Shi, C., Zhao, D., et al. (2026) · Scientific Reports · doi:10.1038/s41598-026-40028-1
“These changes may result from alcohol-induced shifts in hepatic lipid processing, energy metabolism, and adipose tissue lipolysis 14 .”
Bergheim, I., Cadranel, J. F. D., Chen, J., Ding, W., Eferl, R., García‐Ruiz, C., Jaeschke, H., Kazerouni, F., Lonardo, A., Mann, D. A., et al. (2026) · Exploration of Digestive Diseases · doi:10.37349/edd.2026.1005110
Morin-loaded water-soluble nanomicelles as a novel anti-alcohol intoxication medication
Luo, C., Zhao, L., Chen, Y., Liu, X., Mao, J., Ye, J., Zhang, L., Xiang, Y.-C., Xu, X., Fu, X., et al. (2026) · Pharmaceutical development and technology (Print) · doi:10.1080/10837450.2026.2617346
Darian, S. B., Oh, J., & Kim, J. K. (2026) · International Journal of Medical Sciences · doi:10.7150/ijms.123395
Fan, Z., Wang, Y., Li, J.-X., Li, C.-H., Zhang, Y., Wu, D., Li, J.-N., Wei, L.-L., & Wang, L.-S. (2026) · Aquaculture & Fisheries · doi:10.1016/j.aaf.2025.12.004
Biomarkers From the Microbiome to Predict ALD Progression and Its Severity: A Comprehensive Review
Mishra, S., Solanki, H., & Mandal, P. (2026) · Mediators of Inflammation · doi:10.1155/mi/7244952
“The fi rst phase, steatosis, is marked by the presence of triglycerides in the hepatocytes, which is located mainly in the perivenular (zone 3) area, and it is the result of metabolic imbalance caused by the chronic alcohol intake [10].”
Singh, M. M., Shahi, A., Chaturvedi, C. P., Rajak, S., Yadav, A. K., Kumar, A., Gupta, A. K., & Sinha, R. A. (2025) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2025.153072 · Cited by 1
Aberrant alternative splicing in alcoholic hepatitis: regulatory roles of RBPs and sQTLs
Zhao, J., Cheng, J. J., Liang, S., Guo, W., Zhao, B., Zhang, H., Mei, X., Zhang, N., & Sheng, M. (2025) · BMC Gastroenterology · doi:10.1186/s12876-025-04339-3
“Disruption of hepatic lipid metabolism under ethanol exposure is a hallmark of AH, which is characterized by steatosis and lipotoxicity [58, 59].”
Zangbar, F. H., Najdegerami, E. H., Hadian, M., & Shalizar-Jalali, A. (2025) · Biochemistry and Biophysics Reports · doi:10.1016/j.bbrep.2025.102238
“Alcohol intake also causes lipid accumulation in hepatic cells by inhibiting fatty acid oxidation [31], enhancing de novo lipogenesis, and impairing lipid export [32], which further increases oxidative stress and triggers lipid peroxidation.”
Darian, S. B., Choi, W., Oh, J., & Kim, J. K. (2025) · Biosensors · doi:10.3390/bios15090616
“To illustrate an example of our suggested workflow, we explored alcohol’s impact on hepatocyte mitochondria [39,40].”
Zhu, Y., Deng, H., Liu, J., Li, X., Huang, X. H., Che, Z., Bai, W., & Jiao, R. (2025) · Food and Chemical Toxicology · doi:10.1016/j.fct.2025.115639
Sharma, N., Bhat, S. H., Chaudhary, S. D., Mathew, B., Pandey, S., Yadav, S., Yadav, M., Bindal, V., Tripathi, G., Sharma, N., et al. (2025) · Redox Biology · doi:10.1016/j.redox.2025.103674 · Cited by 1
Wu, L., Liang, Z., Yang, Z., Wang, H., Ni, L., Guo, W., & Lv, X. (2025) · eFood · doi:10.1002/efd2.70048 · Cited by 1
Song, J.-H., Choi, S., Park, S. J., Kim, S. M., Cho, Y., Lee, G., Kim, J. S., & Park, S. M. (2023) · Alcohol · doi:10.1016/j.alcohol.2023.04.003
Jeon, S., Scorletti, E., Buyco, D. G., Lin, C., Saiman, Y., Martin, J., Hooks, R., Ogretmen, B., Argemí, J., Melo, L., et al. (2022) · bioRxiv · doi:10.1101/2022.11.03.514971
“Discussion Excessive ceramide accumulation is known to be a key pathological feature of ALD in both human patients and animal models [11].”
BackgroundSelf-citationDDS Perspective: Time to Get Serious About the Global Pandemic
Carr, R. (2022) · Digestive Diseases and Sciences · doi:10.1007/s10620-022-07628-z
“In ALD, there is profound lipid and glucose dysmetabolism, and the latter increases the likelihood of advanced disease [14].”
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RGS9BP and SOCS3: novel biomarkers for prognostic evaluation of bone metastasis in breast cancer
Zhang, Y., Cong, H., Chu, M., Ye, M.-N., Chen, H.-F., & Yin, Y.-L. (2025) · Medical Data Mining · doi:10.53388/mdm202508007
“One such pathway is lipid metabolism, which encompasses lipid synthesis, degradation, catabolism, and fatty acid (FA) oxidation [8].”
Relationship between Alcohol Use and Obesity in US Adults Aged 20 to 79
Echefu, C., & Stone, R. (2025) · Open Journal of Endocrine and Metabolic Diseases · doi:10.4236/ojemd.2025.159017
Wang, Y.-F. (2024) · Traditional Chinese Medicine · doi:10.12677/tcm.2024.136177
Metadata
- Authors
- Jeon, S., & Carr, R.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Carr, Rotonya
- Venue
- Journal of Lipid Research
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 61
- Issue
- 4
- Pages
- 470-479
- ISSN
- 0022-2275 (ISSN-L)
- PMC
- PMC7112138
- OpenAlex
- W3005408539
- Cited by
- 326
- References
- 161
- Citations by year
- 2026: 58 · 2025: 78 · 2024: 76 · 2023: 49 · 2022: 45 · 2021: 13 · 2020: 7
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Lipid Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (R01 AA026302-02, P30 DK0503060)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- alcoholic liver disease, hepatic lipid metabolism, hepatic steatosis, alcoholic steatohepatitis, fatty acid oxidation, de novo lipogenesis, lipid export, lipid droplet formation, genetic susceptibility, bioactive lipids, liver fibrosis
- MeSH terms
- Ethanol, Animals, Humans, Liver, Lipogenesis, Lipid Metabolism
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