Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives

Alcohol-related liver disease (ALD) refers to a spectrum of liver manifestations ranging from fatty liver diseases, steatohepatitis, and fibrosis/cirrhosis with chronic inflammation primarily due to excessive alcohol use. Currently, ALD is considered as one of the most prevalent causes of liver dise...

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Main Authors: Yoonji Ha, Inju Jeong, Tae Hyun Kim
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/10/2530
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author Yoonji Ha
Inju Jeong
Tae Hyun Kim
author_facet Yoonji Ha
Inju Jeong
Tae Hyun Kim
author_sort Yoonji Ha
collection DOAJ
description Alcohol-related liver disease (ALD) refers to a spectrum of liver manifestations ranging from fatty liver diseases, steatohepatitis, and fibrosis/cirrhosis with chronic inflammation primarily due to excessive alcohol use. Currently, ALD is considered as one of the most prevalent causes of liver disease-associated mortality worldwide. Although the pathogenesis of ALD has been intensively investigated, the present understanding of its biomarkers in the context of early clinical diagnosis is not complete, and novel therapeutic targets that can significantly alleviate advanced forms of ALD are limited. While alcohol abstinence remains the primary therapeutic intervention for managing ALD, there are currently no approved medications for treating ALD. Furthermore, given the similarities and the differences between ALD and non-alcoholic fatty liver disease in terms of disease progression and underlying molecular mechanisms, numerous studies have demonstrated that many therapeutic interventions targeting several signaling pathways, including oxidative stress, inflammatory response, hormonal regulation, and hepatocyte death play a significant role in ALD treatment. Therefore, in this review, we summarized several key molecular targets and their modes of action in ALD progression. We also described the updated therapeutic options for ALD management with a particular emphasis on potentially novel signaling pathways.
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spelling doaj.art-aeca801536e6442fa3890bac1192bc072023-11-23T23:04:33ZengMDPI AGBiomedicines2227-90592022-10-011010253010.3390/biomedicines10102530Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic PerspectivesYoonji Ha0Inju Jeong1Tae Hyun Kim2College of Pharmacy, Sookmyung Women’s University, Seoul 04310, KoreaCollege of Pharmacy, Sookmyung Women’s University, Seoul 04310, KoreaCollege of Pharmacy, Sookmyung Women’s University, Seoul 04310, KoreaAlcohol-related liver disease (ALD) refers to a spectrum of liver manifestations ranging from fatty liver diseases, steatohepatitis, and fibrosis/cirrhosis with chronic inflammation primarily due to excessive alcohol use. Currently, ALD is considered as one of the most prevalent causes of liver disease-associated mortality worldwide. Although the pathogenesis of ALD has been intensively investigated, the present understanding of its biomarkers in the context of early clinical diagnosis is not complete, and novel therapeutic targets that can significantly alleviate advanced forms of ALD are limited. While alcohol abstinence remains the primary therapeutic intervention for managing ALD, there are currently no approved medications for treating ALD. Furthermore, given the similarities and the differences between ALD and non-alcoholic fatty liver disease in terms of disease progression and underlying molecular mechanisms, numerous studies have demonstrated that many therapeutic interventions targeting several signaling pathways, including oxidative stress, inflammatory response, hormonal regulation, and hepatocyte death play a significant role in ALD treatment. Therefore, in this review, we summarized several key molecular targets and their modes of action in ALD progression. We also described the updated therapeutic options for ALD management with a particular emphasis on potentially novel signaling pathways.https://www.mdpi.com/2227-9059/10/10/2530alcohol-related liver diseasepathophysiologydiagnosisnon-alcoholic fatty liver diseasetherapeutic targetsG protein-coupled receptor
spellingShingle Yoonji Ha
Inju Jeong
Tae Hyun Kim
Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives
Biomedicines
alcohol-related liver disease
pathophysiology
diagnosis
non-alcoholic fatty liver disease
therapeutic targets
G protein-coupled receptor
title Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives
title_full Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives
title_fullStr Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives
title_full_unstemmed Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives
title_short Alcohol-Related Liver Disease: An Overview on Pathophysiology, Diagnosis and Therapeutic Perspectives
title_sort alcohol related liver disease an overview on pathophysiology diagnosis and therapeutic perspectives
topic alcohol-related liver disease
pathophysiology
diagnosis
non-alcoholic fatty liver disease
therapeutic targets
G protein-coupled receptor
url https://www.mdpi.com/2227-9059/10/10/2530
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AT taehyunkim alcoholrelatedliverdiseaseanoverviewonpathophysiologydiagnosisandtherapeuticperspectives