2018
DOI: 10.1016/j.molmed.2017.12.003
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Aldehyde-Induced DNA and Protein Adducts as Biomarker Tools for Alcohol Use Disorder

Abstract: Alcohol use disorder (AUD) screening frequently involves questionnaires complemented by laboratory work to monitor alcohol use and/or evaluate AUD-associated complications. Here we suggest that measuring aldehyde-induced DNA and protein adducts produced during alcohol metabolism may lead to earlier detection of AUD and AUD-associated complications compared with existing biomarkers. Use of aldehyde-induced adducts to monitor AUD may also be important when considering that approximately 540 million people bear a… Show more

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Cited by 48 publications
(41 citation statements)
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“…The enhanced activation of macrophages following CHD can be hypothesised to occur via two different mechanisms. First, the oxidative stress induced by ethanol or its metabolites (acetyl-CoA) and acetaldehyde adducts can exert a significant impact on cellular transcriptional profiles [60,61]. Specifically, these molecules can serve as cofactors and substrates within signalling pathways that result in epigenetic changes via histone modifications [62], potentially altering chromatin accessibility and regulating gene expression.…”
Section: Discussionmentioning
confidence: 99%
“…The enhanced activation of macrophages following CHD can be hypothesised to occur via two different mechanisms. First, the oxidative stress induced by ethanol or its metabolites (acetyl-CoA) and acetaldehyde adducts can exert a significant impact on cellular transcriptional profiles [60,61]. Specifically, these molecules can serve as cofactors and substrates within signalling pathways that result in epigenetic changes via histone modifications [62], potentially altering chromatin accessibility and regulating gene expression.…”
Section: Discussionmentioning
confidence: 99%
“…No gold standard is yet available, and commonly applied biochemical markers are far from ideal with respect to their discriminatory power, as indicated by AUC values ranging from 0.21 to 0.67 [29]. While new approaches, including protein markers [29], DNA methylation patterns [57], aldehyde-induced DNA, and protein adducts [58], and even neuroimaging [59,60] enhance the detection of heavy drinkers, there is still room for improvement, for example, by utilizing novel biomarkers or by developing of a composite score for excessive alcohol use screening [61]. In our study population, S-ASM activity alone did not perform better than any of the analyzed markers (Table 2, AUC = 0.77 compared to AUC ≥ 0.80 for conventional biomarkers in our cohort), and it also did not appear to be beneficial when this information was added to a combined model.…”
Section: Discussionmentioning
confidence: 99%
“…However, treatment with an antioxidant can halt AA-AGE adduct formation, supporting the idea that AA-AGE adducts can be generated from a Schiff base product similar to AA adducts and AGEs. [189][190][191][192][193][194][195][196][197][198] AA-DNA adducts ↓ DNA integrity and neuronal viability ↓ represses DNA repair enzymes/system ↑ genetic instability and DNA mutations ↑ correlated with AUD 53,192,197,198 AA [214][215][216][217][218][219][220][221][222][223][224][225][226][227][228][229][230] ↑ CYP2E1, oxidative stress, AFLD, and advanced ALD [203][204][205][206][207][208][209][210][211][212][213] AA-AGE adducts ↑ RAGE expression ↑ ROS and oxidative stress ↑ hepatic fatty degeneration and steatosis ↑ hepatocyte ballooning, apoptosis, and steatosis ↑ ALD and AFLD 215,231 Lung soluble RAGE (+HMGB1) ↑ lung inflammation…”
Section: Age-alcohol-adduct Formations (Fig 1)mentioning
confidence: 99%
“…AA-protein adducts are widely present in the brains of alcohol-exposed rodents or people with alcohol use disorder (AUD) [189][190][191][192] . After alcohol consumption, AAprotein adducts are rapidly produced in the cerebral cortex primarily with mitochondrial proteins and localized in the white matter, deep layers of the frontal cortex, and molecular layer of the cerebellum 188,189,191 .…”
Section: Age-alcohol-adduct Formations (Fig 1)mentioning
confidence: 99%