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Alcoholic Liver Disease: Pathogenesis and Current Management

Excessive alcohol consumption is a global healthcare problem. The liver sustains the greatest degree of tissue injury by heavy drinking because it is the primary site of ethanol metabolism. Chronic and excessive alcohol consumption produces a wide spectrum of hepatic lesions, the most characteristic of which are steatosis, hepatitis, and fibrosis/cirrhosis. Steatosis is the earliest response to...

Epigenetic Effects of Ethanol on the Liver and Gastrointestinal System

Epigenetic modifications are emerging as important dynamic mechanisms contributing to both transient and sustained changes in gene expression. In some cases, epigenetic changes even can be inherited, although the mechanism for this remains elusive. Several types of epigenetic modifications have been studied in recent years. For example, several laboratories have actively examined modifications, of...

Hepatic Cannabinoid Signaling in the Regulation of Alcohol-Associated Liver Disease

Introduction

The prevalence of alcohol use disorder has been steadily rising around the world in recent years, and reducing the burden of alcohol-associated liver disease (ALD) caused by chronic alcohol consumption has become one of the most important global health issues.1,2 Excessive alcohol drinking (more than 40 g of pure alcohol per day) is closely associated with increased risk of all-cause...

Development, Prevention, and Treatment of Alcohol-Induced Organ Injury: The Role of Nutrition

Alcohol and nutrition have the potential to interact at multiple levels. For example, heavy alcohol consumption can interfere with normal nutrition, resulting in overall malnutrition or in deficiencies of important micronutrients, such as zinc, by reducing their absorption or increasing their loss. Interactions between alcohol consumption and nutrition also can affect epigenetic regulation of gene...

Epigenetics Glossary

Adipogenesis: Process of cell differentiation by which fat cells (i.e., adipocytes) are generated from precursor cells.

AMP/ATP ratio: Ratio of adenosine monophosphate (AMP) to adenosine triphosphate (ATP) in the cell; ATP supplies the energy needed for many biochemical reactions; therefore, the AMP/ATP ratio reflects the cell’s energy level.

Apoptosis: Series of biochemical reactions occurring...

Pathophysiology of the Effects of Alcohol Abuse on the Endocrine System

Alcohol can permeate virtually every organ and tissue in the body, resulting in tissue injury and organ dysfunction. Considerable evidence indicates that alcohol abuse results in clinical abnormalities of one of the body’s most important systems, the endocrine system. This system ensures proper communication between various organs, also interfacing with the immune and nervous systems, and is...

Alcohol’s Effects on Breast Cancer in Women

Globally, more than 2 million new cases of breast cancer are reported annually. The United States alone has more than 496,000 new cases every year. The worldwide prevalence is approximately 6.8 million cases. Although many risk factors for breast cancer are not modifiable, understanding the role of the factors that can be altered is critical. Alcohol consumption is a modifiable factor. Studies of...

Alcohol, DNA Methylation, and Cancer

According to the World Health Organization (WHO) Global Burden of Disease Project, alcohol accounts for approximately 3.2 percent of all deaths per year worldwide (corresponding to 1.8 million people) and is causally related to more than 60 different medical conditions (Rehm et al. 2004). Cancer formation (i.e., carcinogenesis) is one of the most significant consequences attributed to alcohol...

Identifying Genetic Variation for Alcohol Dependence

Over the last decade, three large-scale projects have catalyzed a revolution in genetic technologies and studies. First, the Human Genome Project laid the foundation for modern genetic studies of disease by determining the basic sequence of the 3 billion building blocks (i.e., base pairs) that make up the human genome and by identifying the approximately 25,000 genes included in this sequence (htt...

The Role of Innate Immunity in Alcoholic Liver Disease

Heavy consumption of alcohol poses a well-known health risk worldwide. Alcohol’s effects on health and well-being are numerous and include injuries and fatalities resulting from alcohol-induced incapacitation. Moreover, chronic and heavy alcohol consumption affects the integrity and function of vital tissues and organs, causing slow but significant structural and functional damage over time. One...