The importance of ethanol (EtOH) metabolism in development of alcoholic liver disease remains controversial. The current study examined the effects of selective inhibition of the cytochrome P450 enzyme CYP2E1 compared to inhibition of overall EtOH metabolism on the development of alcoholic steatohepatitis. Adult male Sprague-Dawley rats were fed via total enteral nutrition for 45 d with or without 10-12 g/kg/d EtOH. Some groups were given 200 mg/kg/d of the CYP2E1 inhibitor diallylsulfide (DAS). Other groups were treated with 164 mg/kg/d of the alcohol dehydrogenase inhibitor 4-methylpyazole (4MP) and dosed at 2-3 g/kg/d EtOH to maintain similar average urine EtOH concentrations. Liver pathology scores and levels of apoptosis were elevated by EtOH (P< 0.05), but did not differ significantly on co-treatment with DAS or 4MP. However, liver triglycerides were lower when EtOH was fed with DAS or 4MP (P< 0.05). Serum alanine aminotransferase (ALT) values were significantly lower in EtOH-fed 4MP-treated rats indicating reduced necrosis. Hepatic oxidative stress and the endoplasmic reticulum (ER) stress marker TRB3 were increased after EtOH (P<0.05); further increased by DAS; but partly attenuated by 4MP. DAS and 4MP both reversed EtOH increases in the cytokine, tumor necrosis factor (TNF)α, and the chemokine CXCL-2 (P<0.05). However, neither inhibitor prevented EtOH suppression of interleukins IL-4 or IL-12. Moreover, neither inhibitor prevented EtOH increases in tumor growth factor (TGF)β mRNA. EtOH and DAS additively induced hepatic hyperplasia (P<0.05). These data suggest that a significant proportion of hepatic injury following EtOH exposure is independent of alcohol metabolism. EtOH metabolism by CYP2E1 may be linked in part to triglyceride accumulation; to induction of TNFα; and to chemokine production. EtOH metabolism by ADH may be linked in part to oxidative and ER stress and necrotic injury.
KeywordsAlcohol; Liver; Metabolism; Acetaldehyde; ADH; CYP2E1 The role played by ethanol metabolism in the development of alcohol-induced liver damage (ALD) remains controversial. It has been suggested that oxidative stress, resulting from reactive oxygen species generated during metabolism of ethanol (EtOH) via a cytochrome P450 enzyme (CYP2E1)-dependent pathway, plays a primary role in hepatocellular necrosis and Kupffer cell activation (Lieber and De Carli, 1991;Ronis et al., 1996;Albano et al., 1996;Lu and Cederbaum, 2008, Butura et al., 2009). Similar claims regarding ALD have been made for acetaldehyde, the major product of ethanol metabolism by alcohol dehydrogenase (ADH) and CYP2E1 and for redox changes associated with increased conversion of NAD to NADH during ADH-dependent and subsequent aldehyde dehydrogenase-dependent metabolism of EtOH to acetaldehyde and acetate (Lieber and DeCarli 1991;Lieber 1993;Anania et al. 1996; Cao et al., 2000;Lieber 2004;Purohit and Brenner, 2006). Increased ALD has been described in conditions where CYP2E1 is over-expressed (Korourian et al., 1999;Butura et al., 2009). CYP2...