Bishehsari Faraz, Magno Emmeline, Swanson Garth, Desai Vishal, Voigt Robin M, Forsyth Christopher B, Keshavarzian Ali
Faraz Bishehsari, M.D., Ph.D., is an Assistant Professor; Garth Swanson, M.D., is an Assistant Professor; Vishal Desai, M.D., is a Physician; Robin M. Voigt, Ph.D., is an Assistant Professor; Christopher B. Forsyth, Ph.D., is an Associate Professor; and Ali Keshavarzian, M.D., is a Professor, all in the Department of Internal Medicine, Division of Gastroenterology, Rush University Medical Center, Chicago, Illinois. Emmeline Magno, M.D., is an Internist in the Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois.
Alcohol Res. 2017;38(2):163-171.
In large amounts, alcohol and its metabolites can overwhelm the gastrointestinal tract (GI) and liver and lead to damage both within the GI and in other organs. Specifically, alcohol and its metabolites promote intestinal inflammation through multiple pathways. That inflammatory response, in turn, exacerbates alcohol-induced organ damage, creating a vicious cycle and leading to additional deleterious effects of alcohol both locally and systemically. This review summarizes the mechanisms by which chronic alcohol intake leads to intestinal inflammation, including altering intestinal microbiota composition and function, increasing the permeability of the intestinal lining, and affecting the intestinal immune homeostasis. Understanding the mechanisms of alcohol-induced intestinal inflammation can aid in the discovery of therapeutic approaches to mitigate alcohol-induced organ dysfunctions.
大量饮酒时,酒精及其代谢产物会使胃肠道(GI)和肝脏不堪重负,导致胃肠道及其他器官受损。具体而言,酒精及其代谢产物通过多种途径引发肠道炎症。反过来,这种炎症反应会加剧酒精引起的器官损伤,形成恶性循环,导致酒精在局部和全身产生更多有害影响。本综述总结了长期饮酒导致肠道炎症的机制,包括改变肠道微生物群的组成和功能、增加肠壁通透性以及影响肠道免疫稳态。了解酒精性肠道炎症的机制有助于发现减轻酒精性器官功能障碍的治疗方法。