College of Veterinary Medicine, Chungnam National University, Daejeon, Korea.
Department of Convergence Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Am J Physiol Gastrointest Liver Physiol. 2023 Jun 1;324(6):G442-G451. doi: 10.1152/ajpgi.00206.2022. Epub 2023 Apr 18.
Alcohol-associated liver disease (ALD) is caused by excessive abuse of alcohol. One of the most representative causes of ALD is the action of acetaldehyde. Acetaldehyde is a toxic material produced when alcohol is metabolized through some enzymes, and it causes endoplasmic reticulum (ER) stress, mitochondrial dysfunction, and tissue injury. In this study, we assessed the relationship between Progesterone receptor membrane component 1 (PGRMC1) and ALD because PGRMC1 is expressed in the ER and mitochondria in the liver. Using the chronic and binge alcohol feeding models, we assessed acetaldehyde level, liver damage, alcohol-degrading enzymes, and ER stress. Compared with wild-type (WT) mice ethanol-fed knockout (KO) mice had higher levels of alanine aminotransferase (ALT) and alcohol-degrading enzymes, and KO mice had high serum acetaldehyde and ER stress levels compared with WT mice with control and ethanol feeding. Loss of increased acetaldehyde production through increased expression of alcohol dehydrogenase and catalase, which led to increased ER stress and suggested that cell death was promoted. In conclusion, it has been proposed that the loss of PGRMC1 could promote ALD and cause liver damage in alcohol-abusing humans. Loss of increased acetaldehyde production, and excess acetaldehyde consequently increased ER stress, which activates apoptosis. Since low expression of is vulnerable to alcoholic liver damage, the loss of expression may increase susceptibility to ALD.
酒精相关性肝病 (ALD) 是由过量饮酒引起的。ALD 最具代表性的原因之一是乙醛的作用。乙醛是酒精通过某些酶代谢产生的有毒物质,它会导致内质网 (ER) 应激、线粒体功能障碍和组织损伤。在这项研究中,我们评估了孕激素膜受体成分 1 (PGRMC1) 与 ALD 之间的关系,因为 PGRMC1 在肝脏的 ER 和线粒体中表达。使用慢性和 binge 酒精喂养模型,我们评估了乙醛水平、肝损伤、酒精降解酶和 ER 应激。与野生型 (WT) 小鼠相比,乙醇喂养的 KO 小鼠的丙氨酸氨基转移酶 (ALT) 和酒精降解酶水平更高,与 WT 小鼠相比,KO 小鼠的血清乙醛和 ER 应激水平更高,而 WT 小鼠的对照和乙醇喂养水平更高。PGRMC1 的缺失通过增加酒精脱氢酶和过氧化氢酶的表达增加了乙醛的产生,从而导致 ER 应激增加,并提示促进了细胞死亡。总之,有人提出 PGRMC1 的缺失可能会促进 ALD 并导致酗酒人群的肝损伤。缺失增加了乙醛的产生,过量的乙醛继而增加 ER 应激,激活细胞凋亡。由于 低表达易受酒精性肝损伤的影响,因此 表达的缺失可能会增加 ALD 的易感性。