ABSTRACT
Reactive oxygen species (ROS) are highly reactive molecules that are naturally generated
in small amounts during the body's metabolic reactions and can react with and damage
complex cellular molecules such as lipids, proteins, or DNA. This review describes
pathways involved in ROS formation, why ROS are toxic to cells, and how the liver
protects itself against ROS. Acute and chronic ethanol treatment increases the production
of ROS, lowers cellular antioxidant levels, and enhances oxidative stress in many
tissues, especially the liver. Ethanol-induced oxidative stress plays a major role
in the mechanisms by which ethanol produces liver injury. Many pathways play a key
role in how ethanol induces oxidative stress. This review summarizes some of the leading
pathways and discusses the evidence for their contribution to alcohol-induced liver
injury.
KEYWORDS
Oxidative stress - alcoholic liver injury - reactive oxygen species - free radicals
- antioxidants
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Arthur I CederbaumPh.D.
Department of Pharmacology and Systems Therapeutics, Mount Sinai School of Medicine
One Gustave L. Levy Place, Box 1603, New York, NY 10029
eMail: arthur.cederbaum@mssm.edu