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Published in: Hepatology International 2/2008

01-06-2008 | NASH (NAFLD), PHT, Hepatic Failure and Others

Comparative redox status in alcoholic liver disease and nonalcoholic fatty liver disease

Authors: Payal Bhardwaj, Kaushal Madan, Sandeep Thareja, Yogendra Kumar Joshi, Anoop Saraya

Published in: Hepatology International | Issue 2/2008

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Abstract

Purpose

Altered redox status has been implicated in pathogenesis of alcoholic liver disease (ALD) as well as in nonalcoholic fatty liver disease (NAFLD). This study was planned to find the relative role of redox status in these two diseases.

Methods

A total of 44 patients with ALD and 32 patients with NAFLD and 25 apparently healthy controls were included in the study. Redox status was estimated by measuring oxidative stress (superoxide dismutase (SOD) and lipid peroxidation products as thiobarbituric acid reactive substances (TBARS)) and antioxidant status (ferric reducing ability of plasma (FRAP) and vitamin C).

Results

TBARS level was raised significantly in both ALD (3.5 (2.3–9.4) vs. 1.8 (0.5–4.1) nmol/ml; P = 0.0001) and NAFLD (5.1 (1–10.2) vs. 1.82 (0.51–4.1) nmol/ml; P = 0.0001) as compared with controls, but was not different between ALD and NAFLD. SOD was significantly higher in ALD as compared to NAFLD (2.4 (1.3–7.8) vs. 0.68 (0.05–19.1) U/ml; P = 0.0001) and controls (1.12 (0.01–3.5) U/ml; P = 0.001). FRAP was lower in ALD as compared with NAFLD (345.4 (56–615.9) vs. 434.1 (197.6–733.3) μmol of Fe+2 liberated; P = 0.001) but similar to that of controls (340.9 (141.5–697.5) μmol of Fe+2 liberated).

Conclusions

ALD patients have a higher degree of redox imbalance as compared with NAFLD patients
Literature
1.
go back to reference Sugimoto M, Sadamoto T, Nonaka H. Clinical and pathological differences between alcoholic hepatitis and non-alcoholic steatohepatitis. Nihon Arukoru Yakubutsu Igakkai Zasshi. 2003;38(1):34–45.PubMed Sugimoto M, Sadamoto T, Nonaka H. Clinical and pathological differences between alcoholic hepatitis and non-alcoholic steatohepatitis. Nihon Arukoru Yakubutsu Igakkai Zasshi. 2003;38(1):34–45.PubMed
2.
go back to reference Nakano M, Fukusato T. Histological study on comparison between NASH and ALD. Hepatol Res. 2005;33(2):110–5.PubMedCrossRef Nakano M, Fukusato T. Histological study on comparison between NASH and ALD. Hepatol Res. 2005;33(2):110–5.PubMedCrossRef
3.
go back to reference Nakano M. Histological study on the resemblance and difference between non-alcoholic steatohepatitis (NASH) and alcoholic liver diseases (ALD). Alcohol Clin Exp Res. 2005;29(Suppl 12):230S–5S.PubMed Nakano M. Histological study on the resemblance and difference between non-alcoholic steatohepatitis (NASH) and alcoholic liver diseases (ALD). Alcohol Clin Exp Res. 2005;29(Suppl 12):230S–5S.PubMed
4.
go back to reference Halliwell B. Oxidants and human disease: some new concepts. FASEB J. 1987;1(5):358–64.PubMed Halliwell B. Oxidants and human disease: some new concepts. FASEB J. 1987;1(5):358–64.PubMed
5.
go back to reference Arteel GE. Oxidants and antioxidants in alcohol-induced liver disease. Gastroenterology. 2003;124:778–90.PubMedCrossRef Arteel GE. Oxidants and antioxidants in alcohol-induced liver disease. Gastroenterology. 2003;124:778–90.PubMedCrossRef
6.
go back to reference Masalkar PD, Abhang SA. Oxidative stress and antioxidant status in patients with alcoholic liver disease. Clin Chim Acta. 2005;355(1–2):61–5.PubMedCrossRef Masalkar PD, Abhang SA. Oxidative stress and antioxidant status in patients with alcoholic liver disease. Clin Chim Acta. 2005;355(1–2):61–5.PubMedCrossRef
7.
go back to reference Hirnwich HE, Nahum LH, Pakieten N, Fazekas JF, Bots DU. Effects of alcohol on metabolism. Am J Physiol. 1982;101:57–68. Hirnwich HE, Nahum LH, Pakieten N, Fazekas JF, Bots DU. Effects of alcohol on metabolism. Am J Physiol. 1982;101:57–68.
8.
go back to reference Morimotto M, Hagbjork AI, Nariji AA. Role of cytochrome P450 2E1 in alcoholic liver disease pathogenesis. Free Rad Biol Med. 1992;10:459–64. Morimotto M, Hagbjork AI, Nariji AA. Role of cytochrome P450 2E1 in alcoholic liver disease pathogenesis. Free Rad Biol Med. 1992;10:459–64.
9.
go back to reference Seki S, Kitada T, Sakaguchi H. Clinicopathological significance of oxidative cellular damage in non-alcoholic fatty liver diseases. Hepatol Res. 2005;33(2):132–4.PubMedCrossRef Seki S, Kitada T, Sakaguchi H. Clinicopathological significance of oxidative cellular damage in non-alcoholic fatty liver diseases. Hepatol Res. 2005;33(2):132–4.PubMedCrossRef
10.
go back to reference Koruk M, Taysi S, Savas MC, Yilmaz O, Akcay F, Karakok M. Oxidative stress and enzymatic status in patients with nonalcoholic steatohepatitis. Ann Clin Lab Sci. 2004;34:57–62.PubMed Koruk M, Taysi S, Savas MC, Yilmaz O, Akcay F, Karakok M. Oxidative stress and enzymatic status in patients with nonalcoholic steatohepatitis. Ann Clin Lab Sci. 2004;34:57–62.PubMed
11.
go back to reference Perlemuter G, Davit-Spraul A, Cosson C, Conti M, Bigorgne A, Paradis V, et al. Increase in liver antioxidant enzyme activity in non-alcoholic fatty liver disease. Liver Int. 2005;25(5):946–53.PubMedCrossRef Perlemuter G, Davit-Spraul A, Cosson C, Conti M, Bigorgne A, Paradis V, et al. Increase in liver antioxidant enzyme activity in non-alcoholic fatty liver disease. Liver Int. 2005;25(5):946–53.PubMedCrossRef
12.
go back to reference Sanyal AJ, Campbell-Sargent C, Mirshahi F, et al. Non-alcoholic steatohepatitis: association of insulin resistance and mitochondrial abnormalities. Gastroenterology. 2001;120:1183–92.PubMedCrossRef Sanyal AJ, Campbell-Sargent C, Mirshahi F, et al. Non-alcoholic steatohepatitis: association of insulin resistance and mitochondrial abnormalities. Gastroenterology. 2001;120:1183–92.PubMedCrossRef
13.
go back to reference Madan K, Bhardwaj P, Thareja S, Dattagupta S, Saraya A. Oxidant stress and antioxidant status among patients with non-alcoholic fatty liver disease (NAFLD). J Clin Gastroenterol. 2006;40(10):930–5.PubMedCrossRef Madan K, Bhardwaj P, Thareja S, Dattagupta S, Saraya A. Oxidant stress and antioxidant status among patients with non-alcoholic fatty liver disease (NAFLD). J Clin Gastroenterol. 2006;40(10):930–5.PubMedCrossRef
14.
go back to reference Harrison SA, Torgerson S, Hayashi P, et al. Vitamin E and vitamin C treatment improves fibrosis in patients with non alcoholic steatohepaitis. Am J Gastroenterol. 2003;98:2485–90.PubMedCrossRef Harrison SA, Torgerson S, Hayashi P, et al. Vitamin E and vitamin C treatment improves fibrosis in patients with non alcoholic steatohepaitis. Am J Gastroenterol. 2003;98:2485–90.PubMedCrossRef
15.
go back to reference Yang SQ, Zhu H, Li Y, et al. Mitochondrial adaptations to obesity related oxidant stress. Arch Biochem Biophys. 2000;378:259–68.PubMedCrossRef Yang SQ, Zhu H, Li Y, et al. Mitochondrial adaptations to obesity related oxidant stress. Arch Biochem Biophys. 2000;378:259–68.PubMedCrossRef
16.
go back to reference Letteron P, Fromenty B, Terris B, et al. Acute and chronic hepatic steatosis lead to in vivo lipid peroxidation in mice. J Hepatol. 1996;24:200–8.PubMedCrossRef Letteron P, Fromenty B, Terris B, et al. Acute and chronic hepatic steatosis lead to in vivo lipid peroxidation in mice. J Hepatol. 1996;24:200–8.PubMedCrossRef
17.
go back to reference Belch JJF, Bridges AB, Scott N, Chopra M. Oxygen free radicals and congestive heart failure. Brit Heart J. 1991;65:215–8.CrossRef Belch JJF, Bridges AB, Scott N, Chopra M. Oxygen free radicals and congestive heart failure. Brit Heart J. 1991;65:215–8.CrossRef
18.
go back to reference Marklund S, Marklund G. Involvement of superoxide anion radical in the autooxidation of pyragallol and a convenient assay for SOD. Eur J Biochem. 1974;47:469–74.PubMedCrossRef Marklund S, Marklund G. Involvement of superoxide anion radical in the autooxidation of pyragallol and a convenient assay for SOD. Eur J Biochem. 1974;47:469–74.PubMedCrossRef
19.
go back to reference Okamura M. An improved method for determination of l-ascorbic acid and l-dehydroascorbic acid in blood plasma. Clin Chem Acta. 1980;103:259–68.CrossRef Okamura M. An improved method for determination of l-ascorbic acid and l-dehydroascorbic acid in blood plasma. Clin Chem Acta. 1980;103:259–68.CrossRef
20.
go back to reference Benzie IFF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of “Antioxidant Power”: the FRAP assay. Anal Biochem. 1996;239:70–6.PubMedCrossRef Benzie IFF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of “Antioxidant Power”: the FRAP assay. Anal Biochem. 1996;239:70–6.PubMedCrossRef
21.
go back to reference Lieber CS. Metabolism and metabolic effects of alcohol. Med Clin North Am. 1984;68(1):3–31.PubMed Lieber CS. Metabolism and metabolic effects of alcohol. Med Clin North Am. 1984;68(1):3–31.PubMed
22.
go back to reference Nordmann R, Ribiere C, Rouach H. Implication of free radical mechanisms in ethanol induced cellular injury. Free Rad Biol Med. 1992;12:219–40.PubMedCrossRef Nordmann R, Ribiere C, Rouach H. Implication of free radical mechanisms in ethanol induced cellular injury. Free Rad Biol Med. 1992;12:219–40.PubMedCrossRef
23.
go back to reference Zima T, Kalousova M. Oxidative stress and signal transduction pathways in alcoholic liver disease. Alcohol Clin Exp Res. 2005;29(Suppl 11):110S–15S.PubMedCrossRef Zima T, Kalousova M. Oxidative stress and signal transduction pathways in alcoholic liver disease. Alcohol Clin Exp Res. 2005;29(Suppl 11):110S–15S.PubMedCrossRef
24.
go back to reference Chitturi S, George J. Interaction of iron, insulin resistance and non-alcoholic steatohepatitis. Curr Gastroenterol Rep. 2003;5(1):18–25.PubMedCrossRef Chitturi S, George J. Interaction of iron, insulin resistance and non-alcoholic steatohepatitis. Curr Gastroenterol Rep. 2003;5(1):18–25.PubMedCrossRef
25.
go back to reference Robertson G, Leclercq I, Farrell GC. Nonalcoholic steatosis and steatohepatitis. II. Cytochrome P-450 enzymes and oxidative stress. Am J Physiol Gastrointest Liver Physiol. 2001;281(5):G1135–9.PubMed Robertson G, Leclercq I, Farrell GC. Nonalcoholic steatosis and steatohepatitis. II. Cytochrome P-450 enzymes and oxidative stress. Am J Physiol Gastrointest Liver Physiol. 2001;281(5):G1135–9.PubMed
26.
go back to reference Kojima H, Sakurai S, Uemura M, Takekawa T, Morimoto H, et al. Difference and similarity between non-alcoholic steatohepatitis and alcoholic liver diseases. Alcohol Clin Exp Res. 2005;29(Suppl 12):259S–63S.PubMed Kojima H, Sakurai S, Uemura M, Takekawa T, Morimoto H, et al. Difference and similarity between non-alcoholic steatohepatitis and alcoholic liver diseases. Alcohol Clin Exp Res. 2005;29(Suppl 12):259S–63S.PubMed
27.
go back to reference Suematsu T, Matsumura T, Sato N, Miyamoto T, Ooka T, Kamada T, et al. Lipid peroxidation in alcoholic liver disease in humans. Alcohol Clin Exp Res. 1981;5(3):427–30.PubMedCrossRef Suematsu T, Matsumura T, Sato N, Miyamoto T, Ooka T, Kamada T, et al. Lipid peroxidation in alcoholic liver disease in humans. Alcohol Clin Exp Res. 1981;5(3):427–30.PubMedCrossRef
28.
go back to reference Vincent HK, Taylor AG. Biomarkers and potential mechanisms of obesity-induced oxidant stress in humans. Int J Obes (Lond). 2006;30(3):400–18.CrossRef Vincent HK, Taylor AG. Biomarkers and potential mechanisms of obesity-induced oxidant stress in humans. Int J Obes (Lond). 2006;30(3):400–18.CrossRef
29.
go back to reference Couillard C, Ruel G, Archer WR, Pomerleau S, Bergeron J, Couture P, et al. Circulating levels of oxidative stress markers and endothelial adhesion molecules in men with abdominal obesity. J Clin Endocrinol Metab. 2005;90(12):6454–9.PubMedCrossRef Couillard C, Ruel G, Archer WR, Pomerleau S, Bergeron J, Couture P, et al. Circulating levels of oxidative stress markers and endothelial adhesion molecules in men with abdominal obesity. J Clin Endocrinol Metab. 2005;90(12):6454–9.PubMedCrossRef
31.
go back to reference Kovacs P, Stumvoll M. Fatty acids and insulin resistance in muscle and liver. Best Pract Res Clin Endocrinol Metab. 2005;19(4):625–35.PubMedCrossRef Kovacs P, Stumvoll M. Fatty acids and insulin resistance in muscle and liver. Best Pract Res Clin Endocrinol Metab. 2005;19(4):625–35.PubMedCrossRef
32.
go back to reference Letteron P, Sutton A, Mansouri A, Fromenty B, Pessayre D. Inhibition of microsomal triglyceride transfer protein: another mechanism for drug-induced steatosis in mice. Hepatology. 2003;38(1):133–40.PubMedCrossRef Letteron P, Sutton A, Mansouri A, Fromenty B, Pessayre D. Inhibition of microsomal triglyceride transfer protein: another mechanism for drug-induced steatosis in mice. Hepatology. 2003;38(1):133–40.PubMedCrossRef
33.
go back to reference Begriche K, Igoudjil A, Pessayre D, Fromenty B. Mitochondrial dysfunction in NASH: causes, consequences and possible means to prevent it. Mitochondrion. 2006;6(1):1–28.PubMedCrossRef Begriche K, Igoudjil A, Pessayre D, Fromenty B. Mitochondrial dysfunction in NASH: causes, consequences and possible means to prevent it. Mitochondrion. 2006;6(1):1–28.PubMedCrossRef
34.
go back to reference Moriel P, Plavnik FL, Zanella MT, Bertolami MC, Abdalla DS. Lipid peroxidation and antioxidants in hyperlipidemia and hypertension. Biol Res. 2000;33(2):105–12.PubMedCrossRef Moriel P, Plavnik FL, Zanella MT, Bertolami MC, Abdalla DS. Lipid peroxidation and antioxidants in hyperlipidemia and hypertension. Biol Res. 2000;33(2):105–12.PubMedCrossRef
35.
go back to reference Szuster-Ciesielska A, Daniluk J, Kandefer-Szerszen M. Alcohol-related cirrhosis with pancreatitis. The role of oxidative stress in the progression of the disease. Arch Immunol Ther Exp (Warsz). 2001;49(2):139–46. Szuster-Ciesielska A, Daniluk J, Kandefer-Szerszen M. Alcohol-related cirrhosis with pancreatitis. The role of oxidative stress in the progression of the disease. Arch Immunol Ther Exp (Warsz). 2001;49(2):139–46.
36.
go back to reference Kubota S, Sato N, Matsumura T, Kamada T. Chemiluminescence and superoxide dismutase in the plasma in patients with alcoholic and non-alcoholic liver injuries. Alchol. 1985;2(3):469–72.CrossRef Kubota S, Sato N, Matsumura T, Kamada T. Chemiluminescence and superoxide dismutase in the plasma in patients with alcoholic and non-alcoholic liver injuries. Alchol. 1985;2(3):469–72.CrossRef
37.
go back to reference Koch OR, De Leo ME, Borrello S, Palombini G, Galeotti T. Ethanol treatment up-regulates the expression of mitochondrial manganese superoxide dismutase in rat liver. Biochem Biophys Res Commun. 1994;201(3):1356–65.PubMedCrossRef Koch OR, De Leo ME, Borrello S, Palombini G, Galeotti T. Ethanol treatment up-regulates the expression of mitochondrial manganese superoxide dismutase in rat liver. Biochem Biophys Res Commun. 1994;201(3):1356–65.PubMedCrossRef
38.
go back to reference Videla LA, Rodrigo R, Orellana M, Fernandez V, Tapia G, Quinones L, et al. Oxidative stress-related parameters in the liver of non-alcoholic fatty liver disease patients. Clin Sci. 2004;106:261–268.PubMedCrossRef Videla LA, Rodrigo R, Orellana M, Fernandez V, Tapia G, Quinones L, et al. Oxidative stress-related parameters in the liver of non-alcoholic fatty liver disease patients. Clin Sci. 2004;106:261–268.PubMedCrossRef
39.
go back to reference Koruk M, Taysi S, Savas MC, Yilmaz O, Akcay F, Karakok M. Oxidative stress and enzymatic status in patients with nonalcoholic steatohepatitis. Ann Clin Lab Sci. 2004;34:57–62.PubMed Koruk M, Taysi S, Savas MC, Yilmaz O, Akcay F, Karakok M. Oxidative stress and enzymatic status in patients with nonalcoholic steatohepatitis. Ann Clin Lab Sci. 2004;34:57–62.PubMed
40.
go back to reference MacLean PD, Drake EC, Ross L, Barclay C. Bilirubin as an antioxidant in micelles and lipid bilayers: its contribution to the total antioxidant capacity of human blood plasma. Free Radic Biol Med. 2007;43(4):600–9.PubMedCrossRef MacLean PD, Drake EC, Ross L, Barclay C. Bilirubin as an antioxidant in micelles and lipid bilayers: its contribution to the total antioxidant capacity of human blood plasma. Free Radic Biol Med. 2007;43(4):600–9.PubMedCrossRef
41.
go back to reference Hagymási K, Blázovics A, Lengyel G, Kocsis I, Fehér J. Oxidative damage in alcoholic liver disease. Eur J Gastroenterol Hepatol. 2001;13(1):49–53.PubMedCrossRef Hagymási K, Blázovics A, Lengyel G, Kocsis I, Fehér J. Oxidative damage in alcoholic liver disease. Eur J Gastroenterol Hepatol. 2001;13(1):49–53.PubMedCrossRef
42.
go back to reference Abuja PM. Ascorbate prevents prooxidant effects of urate in oxidation of human low density lipoprotein. FEBS Lett. 1999;446:305–8.PubMedCrossRef Abuja PM. Ascorbate prevents prooxidant effects of urate in oxidation of human low density lipoprotein. FEBS Lett. 1999;446:305–8.PubMedCrossRef
43.
go back to reference Pan WH, Flegal KM, Chang HY, Yeh WT, Yeh CJ, Lee WC. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am J Clin Nutr. 2004;79:31–39.PubMed Pan WH, Flegal KM, Chang HY, Yeh WT, Yeh CJ, Lee WC. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am J Clin Nutr. 2004;79:31–39.PubMed
44.
go back to reference Ogura T, Matsuura K, Matsumoto Y, Mimura Y, Kishida M, Otsuka F, et al. Recent trends of hyperuricemia and obesity in Japanese male adolescents, 1991 through 2002. Metabolism. 2004;53:448–53.PubMedCrossRef Ogura T, Matsuura K, Matsumoto Y, Mimura Y, Kishida M, Otsuka F, et al. Recent trends of hyperuricemia and obesity in Japanese male adolescents, 1991 through 2002. Metabolism. 2004;53:448–53.PubMedCrossRef
45.
go back to reference Notas G, Miliaraki N, Kampa M, Dimoulios F, Matrella E, Hatzidakis A, et al. Patients with primary biliary cirrhosis have increased serum total antioxidant capacity measured with the crocin bleaching assay. World J Gastroenterol. 2005;11(27):4194–8.PubMed Notas G, Miliaraki N, Kampa M, Dimoulios F, Matrella E, Hatzidakis A, et al. Patients with primary biliary cirrhosis have increased serum total antioxidant capacity measured with the crocin bleaching assay. World J Gastroenterol. 2005;11(27):4194–8.PubMed
46.
go back to reference Cao G, Booth SL, Sadowski JA, Prior RL. Increases in human plasma antioxidant capacity after consumption of controlled diets high in fruit and vegetables. Am J Clin Nutr. 1998;68(5):1081–7.PubMed Cao G, Booth SL, Sadowski JA, Prior RL. Increases in human plasma antioxidant capacity after consumption of controlled diets high in fruit and vegetables. Am J Clin Nutr. 1998;68(5):1081–7.PubMed
Metadata
Title
Comparative redox status in alcoholic liver disease and nonalcoholic fatty liver disease
Authors
Payal Bhardwaj
Kaushal Madan
Sandeep Thareja
Yogendra Kumar Joshi
Anoop Saraya
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
Hepatology International / Issue 2/2008
Print ISSN: 1936-0533
Electronic ISSN: 1936-0541
DOI
https://doi.org/10.1007/s12072-008-9060-7

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