Metabolism and metabolic effects of ethanol, including interaction with drugs, carcinogens and nutrition

C. S. Lieber, E. Baraona, M. A. Leo, A. Garro

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56 Scopus citations

Abstract

Different pathways of alcohol metabolism, the alcohol dehydrogenase pathway, the microsomal ethanol-oxidizing system and the catalase pathway are discussed. Alcohol consumption leads to accelerated ethanol metabolism by different mechanisms including an increased microsomal function. Microsomal induction leads to interactions of ethanol with drugs, hepatotoxic agents, steroids, vitamins and to an increased activation of mutagens/carcinogens. A number of ethanol-related complications may be explained by the production of its first metabolite, acetaldehyde, such as alterations of mitochondria, increased lipid peroxidation and microtubular alterations with its adverse effects on various cellular activities, including disturbances of cell division. Nutritional factors in alcoholics such as malnutrition are discussed especially with respect to its possible relation to cancer.

Original languageEnglish
Pages (from-to)201-233
Number of pages33
JournalMutation Research/Reviews in Genetic Toxicology
Volume186
Issue number3
DOIs
StatePublished - Nov 1987

Keywords

  • Alcohol dehydrogenase pathway
  • Carcinogens
  • Catalase pathway
  • Drugs
  • Ethanol, metabolism, metabolic effects
  • Microsomal oxidizing system
  • Nutrition

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