1981
DOI: 10.1016/0016-5085(81)90489-3
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Evidence for impairment of transsulfuration pathway in cirrhosis

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Cited by 216 publications
(65 citation statements)
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“…In these individuals, even small amounts of alcohol which have almost no effect on Caucasians can produce a rapid facial flush, frequently associated with tachycardia, headache and nausea [7]. This propensity for flushing is genetically determined and caused by decreased disposition secondary to the lack of ALDH2 activity [8][9][10][11]. In fact, the flushing reaction seen in susceptible Asians mimics to a lesser degree the disulfiram reaction caused by the elevation of acetaldehyde following aldehyde dehydrogenase inhibition.…”
Section: Role Of Acetaldehyde Dehydrogenasementioning
confidence: 98%
“…In these individuals, even small amounts of alcohol which have almost no effect on Caucasians can produce a rapid facial flush, frequently associated with tachycardia, headache and nausea [7]. This propensity for flushing is genetically determined and caused by decreased disposition secondary to the lack of ALDH2 activity [8][9][10][11]. In fact, the flushing reaction seen in susceptible Asians mimics to a lesser degree the disulfiram reaction caused by the elevation of acetaldehyde following aldehyde dehydrogenase inhibition.…”
Section: Role Of Acetaldehyde Dehydrogenasementioning
confidence: 98%
“…Our laboratory was the first to identify hepatic deficiency of SAM in ALD in the early 1980s (Chawla et al, 1984;Horowitz et al, 1981). We observed that alcoholic subjects had a delayed clearance of an oral bolus of methionine but had no detectable accumulation of any metabolic intermediates of the transsulfuration pathway.…”
Section: Sam Affects Tnf-␣ Gene Expression In Macrophagesmentioning
confidence: 89%
“…Several studies implicate nutritional abnormalities as well as oxidative stress, free radical generation, lipid peroxidation, increased cytokine production, metabolic abnormalities, acetaldehyde-adduct formation, and impaired immunological response as major causes for alcoholic liver injury. Abnormal metabolism of SAM is an acquired metabolic abnormality in ALD that was first identified in our laboratory (Chawla et al, 1984;Horowitz et al, 1981) SAM is an obligatory intermediate in the transsulfuration pathway, a major pathway for the conversion of methionine to cysteine. The pathway, in its entirety, is localized in the liver, but major parts of this pathway exist in the brain, kidney, spleen, and several other tissues.…”
Section: Sam Affects Tnf-␣ Gene Expression In Macrophagesmentioning
confidence: 99%
“…These results suggest that methionine transsulfuration (2) and cysteine oxidation (43) are confined to the liver, whereas transamination of cysteine (and methionine) is also occurring in extrahepatic tissues, such as skeletal muscle (1 1-13). The metabolic consequences of preserved sulfur amino acid transamination in patients with advanced forms of liver dysfunction is at present unclear, but recent studies suggest that some of these metabolites are toxic (3,7,9,53,54) and may have etiologic significance in the development of hepatic coma (9). Thus, sulfur amino acid metabolism must be carefully monitored in patients with advanced forms of liver disease, especially during nutritional supplementation with these compounds (3, 4, 10, 13, 55).…”
Section: J Mdrtensson Et Almentioning
confidence: 98%