Review Article

New Insights into the Pathogenesis of Alcohol-Induced ER Stress and Liver Diseases

Table 1

Alcohol-induced endoplasmic reticulum stress (AERR) and injuries occur in many species.

Experimental systemCause InjuryRemarkReference

Chronic intragastric infusion
 Mouse HyperhomocysteinemiaNecroinflammationMouse strain difference[1113]
 Methionine deficiency   Apoptosis   Rat and mouse difference   [1418]   
Acetaldehyde adductsFatty liverSynergy with obesity[19]
 Rat High SAH  Fibrosis[20]
Low SAM/SAH 
Epigenetic alterations
Chronic oral feeding
 Micropig Folate deficiency Steatosis [21]  
 MouseChaperone deficiency Apoptosis Interaction of alcohol with [22]  
Synergy with HFD/drugs  Fibrosis anti-HIV/HCV drugs [23]  
Excess iron CirrhosisInvolvement of autophagy [24, 25]  
Oxidative stressOxidative stress precedes AERR[26, 27]
Acute alcohol exposure
 Liver perfusion Acetaldehyde, ROS Fat accumulation  Role of alcohol metabolites in AERR [28]  
 Mouse gavage Synergy with drugs Apoptosis [22]  
Ca2+ homeostasis Fibrosis  AERR parallels LPS-TLR4 [29, 30]  
Inflammation Suppressed UPR[31]  
 Zebrafish CDIPT deficiency Hepatomegaly [3234]  
 NematodeNot knownNot characterizedNo AERR without the liver[35]
Alcohol treated cells
 Human cellsROS Apoptosis Basal ER stress in HepG2[3638]
Excessive homocysteineSteatosis
Patient liver biopsies
 Human alcoholicsToxic lipid species Apoptosis Clinical relevance [3942]
Oxidative stress Steatohepatitis Role of mitochondrial 
Insulin resistanceFibrosis/cirrhosisDysfunctions in AERR