Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications

Ethanol consumption triggers oxidative stress by generating reactive oxygen species (ROS) through its metabolites. This process leads to steatosis and liver inflammation, which are critical for the development of alcoholic liver disease (ALD). Autophagy is a regulated dynamic process that sequesters...

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Main Authors: Daniel Salete-Granado, Cristina Carbonell, David Puertas-Miranda, Víctor-José Vega-Rodríguez, Marina García-Macia, Ana Belén Herrero, Miguel Marcos
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/12/7/1425
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author Daniel Salete-Granado
Cristina Carbonell
David Puertas-Miranda
Víctor-José Vega-Rodríguez
Marina García-Macia
Ana Belén Herrero
Miguel Marcos
author_facet Daniel Salete-Granado
Cristina Carbonell
David Puertas-Miranda
Víctor-José Vega-Rodríguez
Marina García-Macia
Ana Belén Herrero
Miguel Marcos
author_sort Daniel Salete-Granado
collection DOAJ
description Ethanol consumption triggers oxidative stress by generating reactive oxygen species (ROS) through its metabolites. This process leads to steatosis and liver inflammation, which are critical for the development of alcoholic liver disease (ALD). Autophagy is a regulated dynamic process that sequesters damaged and excess cytoplasmic organelles for lysosomal degradation and may counteract the harmful effects of ROS-induced oxidative stress. These effects include hepatotoxicity, mitochondrial damage, steatosis, endoplasmic reticulum stress, inflammation, and iron overload. In liver diseases, particularly ALD, macroautophagy has been implicated as a protective mechanism in hepatocytes, although it does not appear to play the same role in stellate cells. Beyond the liver, autophagy may also mitigate the harmful effects of alcohol on other organs, thereby providing an additional layer of protection against ALD. This protective potential is further supported by studies showing that drugs that interact with autophagy, such as rapamycin, can prevent ALD development in animal models. This systematic review presents a comprehensive analysis of the literature, focusing on the role of autophagy in oxidative stress regulation, its involvement in organ–organ crosstalk relevant to ALD, and the potential of autophagy-targeting therapeutic strategies.
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spelling doaj.art-5bbd84f2a10646118b43c96e6f6b48f02023-11-18T18:05:47ZengMDPI AGAntioxidants2076-39212023-07-01127142510.3390/antiox12071425Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical ApplicationsDaniel Salete-Granado0Cristina Carbonell1David Puertas-Miranda2Víctor-José Vega-Rodríguez3Marina García-Macia4Ana Belén Herrero5Miguel Marcos6Instituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, SpainEthanol consumption triggers oxidative stress by generating reactive oxygen species (ROS) through its metabolites. This process leads to steatosis and liver inflammation, which are critical for the development of alcoholic liver disease (ALD). Autophagy is a regulated dynamic process that sequesters damaged and excess cytoplasmic organelles for lysosomal degradation and may counteract the harmful effects of ROS-induced oxidative stress. These effects include hepatotoxicity, mitochondrial damage, steatosis, endoplasmic reticulum stress, inflammation, and iron overload. In liver diseases, particularly ALD, macroautophagy has been implicated as a protective mechanism in hepatocytes, although it does not appear to play the same role in stellate cells. Beyond the liver, autophagy may also mitigate the harmful effects of alcohol on other organs, thereby providing an additional layer of protection against ALD. This protective potential is further supported by studies showing that drugs that interact with autophagy, such as rapamycin, can prevent ALD development in animal models. This systematic review presents a comprehensive analysis of the literature, focusing on the role of autophagy in oxidative stress regulation, its involvement in organ–organ crosstalk relevant to ALD, and the potential of autophagy-targeting therapeutic strategies.https://www.mdpi.com/2076-3921/12/7/1425autophagyoxidative stressalcoholic liver diseasealcoholethanolmacroautophagy
spellingShingle Daniel Salete-Granado
Cristina Carbonell
David Puertas-Miranda
Víctor-José Vega-Rodríguez
Marina García-Macia
Ana Belén Herrero
Miguel Marcos
Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications
Antioxidants
autophagy
oxidative stress
alcoholic liver disease
alcohol
ethanol
macroautophagy
title Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications
title_full Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications
title_fullStr Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications
title_full_unstemmed Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications
title_short Autophagy, Oxidative Stress, and Alcoholic Liver Disease: A Systematic Review and Potential Clinical Applications
title_sort autophagy oxidative stress and alcoholic liver disease a systematic review and potential clinical applications
topic autophagy
oxidative stress
alcoholic liver disease
alcohol
ethanol
macroautophagy
url https://www.mdpi.com/2076-3921/12/7/1425
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