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Research Article| Volume 16, ISSUE 2, P289-306, June 1996

Ethanol and Hepatocellular Injury

  • Samuel W. French
    Correspondence
    Address reprint requests to: Samuel W. French, MD, Division of Anatomic Pathology, Harbor–UCLA Medical Center, 1000 West Carson Street, Torrance, CA 90509
    Affiliations
    From the Division of Anatomic Pathology, Harbor–UCLA Medical Center, Torrance, California
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      Hepatocellular injury that results from chronic alcohol abuse may be a consequence of (1) augmented viremia in hepatitis C virus; (2) the carcinogenic effect of DNA, which results from the combination of alcohol-induced CYP2E1 and ingestion of low levels of carcinogenic compounds or choline deficiency; (3) differential proliferation of hepatocytes versus nonparenchymal cells during injury, regeneration, and repair; (4) alteration of the regenerative response of hepatocytes in response to agonists, which stimulate the cell cycle through membrane signal transduction-nuclear pathways; (5) Kupffer cell activation by endotoxin, which generates cytokines that signal hepatocellular programmed cell death (apoptosis) through signal transduction mechanisms; or (6) dietary and immune mechanisms (i.e., formation of neoantigens).
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