1. A review of alcohol–pathogen interactions: New insights into combined disease pathomechanisms
- Author
-
Natalia A. Osna, Moses New‐Aaron, Raghubendra S. Dagur, Paul Thomes, Liz Simon, Danielle Levitt, Patrick McTernan, Patricia E. Molina, Hye Yeon Choi, Keigo Machida, Kenneth E. Sherman, Antonio Riva, Sandra Phillips, Shilpa Chokshi, Kusum K. Kharbanda, Steven Weinman, and Murali Ganesan
- Subjects
Liver Cirrhosis ,Psychiatry and Mental health ,Carcinoma, Hepatocellular ,Ethanol ,Liver Neoplasms ,Animals ,Humans ,Medicine (miscellaneous) ,HIV Infections ,Hepacivirus ,Toxicology ,Hepatitis C ,Article - Abstract
Progression of chronic infections to end-stage diseases and poor treatment results are frequently associated with alcohol abuse. Alcohol metabolism suppresses innate and adaptive immunity leading to increased viral load and its spread. In case of hepatotropic infections, viruses accelerate alcohol-induced liver hepatitis and fibrosis, thereby promoting end-stage outcomes, including cirrhosis and hepatocellular carcinoma (HCC). In this review, we concentrate on several unexplored aspects, which illustrate the combined effects of viral/bacterial infections and alcohol in disease development. Here, we overview alcohol-induced alterations implicated in immunometabolism as a central mechanism impacting metabolic homeostasis and viral pathogenesis in Simian immunodeficiency virus/human immunodeficiency virus (SIV/HIV) infection. Furthermore, in hepatocytes, both HIV-infection and alcohol activate oxidative stress to cause lysosomal dysfunction and leakage and apoptotic cell death, thereby increasing hepatotoxicity. In addition, we discuss the mechanisms of hepatocellular carcinoma and tumor signaling in hepatitis C virus (HCV)-infection. Finally, we analyze the studies aimed at reviewing and describing the immune derangements in hepatotropic viral infections for the development of novel targets and strategies to restore effective immunocompetency in alcohol-associated liver disease (ALD). In conclusion, alcohol exacerbates pathogenesis of viral infections, contributing to chronic course of infections and poor outcomes, but the mechanisms behind these events are virus-specific and depend on virus-alcohol interactions, which are not the same in various infections.
- Published
- 2022
- Full Text
- View/download PDF