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Role of Alcohol Metabolism in Non-Alcoholic Steatohepatitis 英文参考文献
RoleofAlcoholMetabolisminNon-Alcoholic
Steatohepatitis
SusanS.Baker1,RobertD.Baker1,WenshengLiu1,NormaJ.Nowak2,3,LixinZhu1*
1Digestive Diseases and Nutrition Center, Department of Pediatrics, TheState University of New York, Buffalo, New York, United States of America, 2Department of
BiochemistryandtheNewYorkStateCenterofExcellenceinBioinformaticsandLifeSciences,TheStateUniversityofNewYorkatBuffalo,Buffalo,NewYork,UnitedStates
ofAmerica,3MicroarrayandGenomicsFacility,RoswellParkCancerInstitute,Buffalo,NewYork,UnitedStatesofAmerica
Abstract
Background:Non-alcoholicsteatohepatitis(NASH)isaseriousformofnon-alcoholicfattyliverdisease(NAFLD),associated
withobesityandinsulinresistance.Previousstudiessuggestedthatintestinalbacteriaproducedmorealcoholinobesemice
thanleananimals.
Methodology/PrincipalFindings:ToinvestigatewhetheralcoholisinvolvedinthepathogenesisofNASH,theexpression
ofinflammation,fibrosisandalcoholmetabolismrelatedgenesinthelivertissuesofNASHpatientsandnormalcontrols
(NCs)wereexaminedbymicroarray(NASH,n=7;NC,n=4)andquantitativereal-timePCR(NASH,n=6;NC,n=6).Genes
relatedtoliverinflammationandfibrosiswerefoundtobeelevatedinNASHliverscomparedtonormallivers.Themost
striking finding is the increased gene transcription of alcohol dehydrogenase (ADH) genes, genes for catalase and
cytochrome P450 2E1, and aldehyde dehydrogenase genes. Immunoblot analysis confirmed the increased expression of
ADH1andADH4inNASHlivers(NASH,n=9;NC,n=4).
Conclusions/Significance:Theaugmentedactivityofalltheavailablegenesofthepathwaysforalcoholcatabolismsuggest
that1)alcoholconcentrationwaselevatedinthecirculationofNASHpatients;2)therewasahighpriorityfortheNASH
liverstoscavengealcoholfromthecirculation.Ourdataisthefirsthumanevidencethatsuggestsalcoholmaycontributeto
thedevelopmentofNAFLD.
Citation:BakerSS,BakerRD,LiuW,NowakNJ,ZhuL(2010)RoleofAlcoholMetabolisminNon-AlcoholicSteatohepatitis.PLoSONE5(3):e9570.doi:10.1371/
journal.pone.0009570
Editor:ChristianGluud,CopenhagenUniversityHosp
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