KEGG   PATHWAY: tup04936
Entry
tup04936                    Pathway                                
Name
Alcoholic liver disease - Tupaia chinensis (Chinese tree shrew)
Description
Alcoholic liver disease (ALD) refers to the damages to the liver and its functions due to alcohol overconsumption. It ranges from simple steatosis to steatohepatitis, cirrhosis, and even hepatocellular carcinoma. Alcohol consumption promotes liver inflammation by increasing the translocation of gut-derived endotoxins to the portal circulation and activating Kupffer cells to produce TNF-alpha through the LPS/Toll like receptor (TLR) 4 pathways. TNF-alpha induces hepatocellular damage. When alcohol intake is chronic and heavy, steatosis is caused via generation of acetaldehyde, reactive oxygen species (ROS) and ER stress. ROS inhibits key hepatic transcriptional regulators such as AMP-activated kinase (AMPK) and peroxisome proliferator-activated receptor alpha (PPAR-alpha), which are responsible for fatty acid oxidation and export via ACC and CPT-1. The blockade of AMPK also leads to overexpression of SREBP-1, resulting in an increase of de novo lipogenesis. Moreover, excessive intracellular ROS production induced by ethanol and its metabolite have a critical role in ethanol-induced apoptosis, which may be the critical process in the exacerbation of ALD. It is inferred that the apoptotic signal derived from ROS that was produced by NOX, is mainly transduced through the JNK and p38 MAPK pathways.
Class
Human Diseases; Endocrine and metabolic disease
Pathway map
tup04936  Alcoholic liver disease
tup04936

Disease
H02516  Alcoholic liver disease
Organism
Tupaia chinensis (Chinese tree shrew) [GN:tup]
Gene
102467686  [KO:K05505]
102467903  ALDH3A2; aldehyde dehydrogenase 3 family member A2 [KO:K00128] [EC:1.2.1.3]
102467954  IKBKB; inhibitor of nuclear factor kappa B kinase subunit beta [KO:K07209] [EC:2.7.11.10]
102468839  ADIPOR2; adiponectin receptor 2 [KO:K07297]
102469098  TRA2A; transformer 2 alpha homolog [KO:K12897]
102469233  TRA2B; transformer 2 beta homolog (Drosophila) [KO:K12897]
102469574  [KO:K05414]
102469675  LPIN2; lipin 2 [KO:K15728] [EC:3.1.3.4]
102470232  ALDH1B1; aldehyde dehydrogenase 1 family member B1 [KO:K00128] [EC:1.2.1.3]
102471344  CXCL8; C-X-C motif chemokine ligand 8 [KO:K10030]
102471499  TRAF3; TNF receptor associated factor 3 [KO:K03174]
102471506  LPIN3; lipin 3 [KO:K15728] [EC:3.1.3.4]
102471560  PRKAB1; protein kinase AMP-activated non-catalytic subunit beta 1 [KO:K07199]
102471752  TIRAP; TIR domain containing adaptor protein [KO:K05403]
102471857  PRKAG3; protein kinase AMP-activated non-catalytic subunit gamma 3 [KO:K07200]
102472172  AKT2; AKT serine/threonine kinase 2 [KO:K04456] [EC:2.7.11.1]
102472197  ADIPOR1; adiponectin receptor 1 [KO:K07297]
102472233  MAPK8; mitogen-activated protein kinase 8 [KO:K04440] [EC:2.7.11.24]
102472622  [KO:K05505]
102472740  CTNNB1; catenin beta 1 [KO:K02105]
102472810  TCF7L2; transcription factor 7 like 2 [KO:K04491]
102472926  CASP3; caspase 3 [KO:K02187] [EC:3.4.22.56]
102472952  [KO:K05414]
102473504  ACADM; acyl-CoA dehydrogenase, C-4 to C-12 straight chain [KO:K00249] [EC:1.3.8.7]
102473549  IRAK1; interleukin 1 receptor associated kinase 1 [KO:K04730] [EC:2.7.11.1]
102474297  AKT3; AKT serine/threonine kinase 3 [KO:K04456] [EC:2.7.11.1]
102474621  LEF1; lymphoid enhancer binding factor 1 [KO:K04492]
102475056  [KO:K05414]
102475138  IL1B; interleukin 1 beta [KO:K04519]
102475482  [KO:K05414]
102475730  MAPK10; mitogen-activated protein kinase 10 [KO:K04440] [EC:2.7.11.24]
102475884  [KO:K05414]
102476038  GSK3B; glycogen synthase kinase 3 beta [KO:K03083] [EC:2.7.11.26]
102476587  FAS; Fas cell surface death receptor [KO:K04390]
102476758  IKBKG; inhibitor of nuclear factor kappa B kinase subunit gamma [KO:K07210]
102477154  PRKAB2; protein kinase AMP-activated non-catalytic subunit beta 2 [KO:K07199]
102477331  MAP3K7; mitogen-activated protein kinase kinase kinase 7 [KO:K04427] [EC:2.7.11.25]
102478161  SCD5; stearoyl-CoA desaturase 5 [KO:K00507] [EC:1.14.19.1]
102478636  TRADD; TNFRSF1A associated via death domain [KO:K03171]
102478674  TAB2; TGF-beta-activated kinase 1 and MAP3K7-binding protein 2 [KO:K04404]
102479566  TAB1; TGF-beta activated kinase 1 (MAP3K7) binding protein 1 [KO:K04403]
102479628  FOXO3; forkhead box O3 [KO:K09408]
102480144  C2; complement C2 [KO:K01332] [EC:3.4.21.43]
102480265  ACACB; acetyl-CoA carboxylase beta [KO:K01946] [EC:6.4.1.2 6.3.4.14 2.1.3.15]
102480594  TICAM1; toll like receptor adaptor molecule 1 [KO:K05842]
102481086  C3AR1; complement C3a receptor 1 [KO:K04009]
102481203  IKBKE; inhibitor of nuclear factor kappa B kinase subunit epsilon [KO:K07211] [EC:2.7.11.10]
102481241  MAPK13; mitogen-activated protein kinase 13 [KO:K04441] [EC:2.7.11.24]
102481324  CPT1B; carnitine palmitoyltransferase 1B [KO:K19523] [EC:2.3.1.21]
102481394  TCF7L1; transcription factor 7 like 1 [KO:K04490]
102481635  FASN; fatty acid synthase [KO:K00665] [EC:2.3.1.85]
102482054  MAP2K6; mitogen-activated protein kinase kinase 6 [KO:K04433] [EC:2.7.12.2]
102482068  IL17RA; interleukin 17 receptor A [KO:K05164]
102482193  ACOX1; acyl-CoA oxidase 1 [KO:K00232] [EC:1.3.3.6]
102482652  TRAF6; TNF receptor associated factor 6 [KO:K03175] [EC:2.3.2.27]
102483263  C4A; complement C4-A [KO:K03989]
102483374  MLYCD; malonyl-CoA decarboxylase [KO:K01578] [EC:4.1.1.9]
102483916  ADH4; alcohol dehydrogenase 4 [KO:K13980] [EC:1.1.1.1]
102484078  TBK1; TANK binding kinase 1 [KO:K05410] [EC:2.7.11.10]
102484139  SREBF1; sterol regulatory element binding transcription factor 1 [KO:K07197]
102484296  SIRT1; sirtuin 1 [KO:K11411] [EC:2.3.1.286]
102484318  TCF7; transcription factor 7 (T-cell specific, HMG-box) [KO:K02620]
102484756  [KO:K13951] [EC:1.1.1.1]
102485114  C1QC; complement C1q C chain [KO:K03988]
102485542  C1QA; complement C1q A chain [KO:K03986]
102485893  ADH5; alcohol dehydrogenase class-3 [KO:K00121] [EC:1.1.1.284 1.1.1.1]
102486032  ACADVL; acyl-CoA dehydrogenase, very long chain [KO:K09479] [EC:1.3.8.9]
102486259  NOX4; NADPH oxidase 4 [KO:K21423] [EC:1.6.3.-]
102486878  ACOX3; acyl-CoA oxidase 3, pristanoyl [KO:K00232] [EC:1.3.3.6]
102486942  CPT1C; carnitine palmitoyltransferase 1C [KO:K19524] [EC:2.3.1.21]
102487119  [KO:K02187] [EC:3.4.22.56]
102487130  IL17RC; interleukin-17 receptor C [KO:K05166]
102487294  C3; complement C3 [KO:K03990]
102487413  NFKB1; nuclear factor kappa B subunit 1 [KO:K02580]
102487603  MAPK11; mitogen-activated protein kinase 11 [KO:K04441] [EC:2.7.11.24]
102488453  LPIN1; lipin 1 [KO:K15728] [EC:3.1.3.4]
102489425  ALDH16A1; aldehyde dehydrogenase 16 family member A1 [KO:K00128] [EC:1.2.1.3]
102489658  FOXO1; forkhead box O1 [KO:K07201]
102489799  FADD; Fas associated via death domain [KO:K02373]
102489835  IRF3; interferon regulatory factor 3 [KO:K05411]
102490252  ALDH9A1; aldehyde dehydrogenase 9 family member A1 [KO:K00149] [EC:1.2.1.47 1.2.1.3]
102490347  IRAK4; interleukin 1 receptor associated kinase 4 [KO:K04733] [EC:2.7.11.1]
102490451  RELA; RELA proto-oncogene, NF-kB subunit [KO:K04735]
102490651  CCND1; cyclin D1 [KO:K04503]
102490996  [KO:K05405]
102491119  PRKAA2; protein kinase AMP-activated catalytic subunit alpha 2 [KO:K07198] [EC:2.7.11.31]
102491788  TAB3; TGF-beta activated kinase 1/MAP3K7 binding protein 3 [KO:K12793]
102492509  C1QB; complement C1q B chain [KO:K03987]
102492771  AKT1; AKT serine/threonine kinase 1 [KO:K04456] [EC:2.7.11.1]
102493141  FABP1; fatty acid binding protein 1 [KO:K08750]
102493235  CAMKK2; calcium/calmodulin dependent protein kinase kinase 2 [KO:K07359] [EC:2.7.11.17]
102493360  ALDH2; aldehyde dehydrogenase 2 family (mitochondrial) [KO:K00128] [EC:1.2.1.3]
102493571  C5; complement C5 [KO:K03994]
102493627  IL12A; interleukin 12A [KO:K05406]
102493658  ADH7; alcohol dehydrogenase 7 (class IV), mu or sigma polypeptide [KO:K13951] [EC:1.1.1.1]
102493692  TNFRSF1A; TNF receptor superfamily member 1A [KO:K03158]
102493851  CPT1A; carnitine palmitoyltransferase 1A [KO:K08765] [EC:2.3.1.21]
102493856  MAP2K4; mitogen-activated protein kinase kinase 4 [KO:K04430] [EC:2.7.12.2]
102493858  IFNB1; interferon beta 1 [KO:K05415]
102493977  ACACA; acetyl-CoA carboxylase alpha [KO:K11262] [EC:6.4.1.2 6.3.4.14 2.1.3.15]
102494070  ADH6; alcohol dehydrogenase 6 [KO:K13952] [EC:1.1.1.1]
102494255  IL17A; interleukin 17A [KO:K05489]
102494635  NFKBIA; NFKB inhibitor alpha [KO:K04734]
102495244  MAP3K5; mitogen-activated protein kinase kinase kinase 5 [KO:K04426] [EC:2.7.11.25]
102495542  ALDH7A1; aldehyde dehydrogenase 7 family member A1 [KO:K14085] [EC:1.2.1.31 1.2.1.8 1.2.1.3]
102495693  MAPK14; mitogen-activated protein kinase 14 [KO:K04441] [EC:2.7.11.24]
102496019  [KO:K03994]
102496137  IL6; interleukin-6 [KO:K05405]
102496590  LY96; lymphocyte antigen 96 [KO:K05400]
102496668  [KO:K07415] [EC:1.14.14.-]
102497095  MAPK9; mitogen-activated protein kinase 9 [KO:K04440] [EC:2.7.11.24]
102497973  TNF; tumor necrosis factor [KO:K03156]
102498158  LBP; lipopolysaccharide-binding protein [KO:K05399]
102498195  PPARA; peroxisome proliferator activated receptor alpha [KO:K07294]
102498355  CASP8; caspase 8 [KO:K04398] [EC:3.4.22.61]
102498386  [KO:K05414]
102498498  PRKAG1; protein kinase AMP-activated non-catalytic subunit gamma 1 [KO:K07200]
102499350  MYD88; myeloid differentiation primary response 88 [KO:K04729]
102499419  MAP2K3; mitogen-activated protein kinase kinase 3 [KO:K04432] [EC:2.7.12.2]
102499876  IL12B; interleukin 12B [KO:K05425]
102500065  ADIPOQ; adiponectin, C1Q and collagen domain containing [KO:K07296]
102500729  MAP3K14; mitogen-activated protein kinase kinase kinase 14 [KO:K04466] [EC:2.7.11.25]
102500732  MAP2K7; mitogen-activated protein kinase kinase 7 [KO:K04431] [EC:2.7.12.2]
102500766  C5AR1; complement C5a receptor 1 [KO:K04010]
102501308  CHUK; conserved helix-loop-helix ubiquitous kinase [KO:K04467] [EC:2.7.11.10]
102501430  PPARGC1A; PPARG coactivator 1 alpha [KO:K07202]
102501464  TLR4; toll like receptor 4 [KO:K10160]
102501733  MAPK12; mitogen-activated protein kinase 12 [KO:K04441] [EC:2.7.11.24]
102502622  RIPK1; receptor interacting serine/threonine kinase 1 [KO:K02861] [EC:2.7.11.1]
102502878  FASLG; Fas ligand [KO:K04389]
102502947  PRKAG2; 5'-AMP-activated protein kinase subunit gamma-2 [KO:K07200]
102502997  CD14; CD14 molecule [KO:K04391]
102503149  SCD; stearoyl-CoA desaturase [KO:K00507] [EC:1.14.19.1]
106733346  [KO:K05414]
106733357  [KO:K05405]
106733358  [KO:K05405]
106733575  [KO:K05405]
106733746  [KO:K05405]
106734037  [KO:K05405]
106734038  [KO:K05405]
106734039  [KO:K05405]
106735707  PRKAA1; protein kinase AMP-activated catalytic subunit alpha 1 [KO:K07198] [EC:2.7.11.31]
Compound
C00003  NAD+
C00005  NADPH
C00006  NADP+
C00024  Acetyl-CoA
C00033  Acetate
C00040  Acyl-CoA
C00076  Calcium cation
C00083  Malonyl-CoA
C00084  Acetaldehyde
C00469  Ethanol
C22381  Reactive oxygen species
Reference
  Authors
Louvet A, Mathurin P
  Title
Alcoholic liver disease: mechanisms of injury and targeted treatment.
  Journal
Nat Rev Gastroenterol Hepatol 12:231-42 (2015)
DOI:10.1038/nrgastro.2015.35
Reference
  Authors
Gao B, Bataller R
  Title
Alcoholic liver disease: pathogenesis and new therapeutic targets.
  Journal
Gastroenterology 141:1572-85 (2011)
DOI:10.1053/j.gastro.2011.09.002
Reference
  Authors
Magdaleno F, Blajszczak CC, Nieto N
  Title
Key Events Participating in the Pathogenesis of Alcoholic Liver Disease.
  Journal
Biomolecules 7:9 (2017)
DOI:10.3390/biom7010009
Reference
  Authors
Lucey MR, Mathurin P, Morgan TR
  Title
Alcoholic hepatitis.
  Journal
N Engl J Med 360:2758-69 (2009)
DOI:10.1056/NEJMra0805786
Reference
  Authors
Nagy LE, Ding WX, Cresci G, Saikia P, Shah VH
  Title
Linking Pathogenic Mechanisms of Alcoholic Liver Disease With Clinical Phenotypes.
  Journal
Gastroenterology 150:1756-68 (2016)
DOI:10.1053/j.gastro.2016.02.035
Reference
  Authors
Fujii H, Kawada N
  Title
Fibrogenesis in alcoholic liver disease.
  Journal
World J Gastroenterol 20:8048-54 (2014)
DOI:10.3748/wjg.v20.i25.8048
Reference
  Authors
Kim MS, Ong M, Qu X
  Title
Optimal management for alcoholic liver disease: Conventional medications, natural therapy or combination?
  Journal
World J Gastroenterol 22:8-23 (2016)
DOI:10.3748/wjg.v22.i1.8
Reference
  Authors
You M, Crabb DW
  Title
Recent advances in alcoholic liver disease II. Minireview: molecular mechanisms of alcoholic fatty liver.
  Journal
Am J Physiol Gastrointest Liver Physiol 287:G1-6 (2004)
DOI:10.1152/ajpgi.00056.2004
Reference
  Authors
Nagy LE
  Title
The Role of Innate Immunity in Alcoholic Liver Disease.
  Journal
Alcohol Res 37:237-50 (2015)
Reference
  Authors
Gao B, Seki E, Brenner DA, Friedman S, Cohen JI, Nagy L, Szabo G, Zakhari S
  Title
Innate immunity in alcoholic liver disease.
  Journal
Am J Physiol Gastrointest Liver Physiol 300:G516-25 (2011)
DOI:10.1152/ajpgi.00537.2010
Reference
  Authors
Wang HJ, Gao B, Zakhari S, Nagy LE
  Title
Inflammation in alcoholic liver disease.
  Journal
Annu Rev Nutr 32:343-68 (2012)
DOI:10.1146/annurev-nutr-072610-145138
Reference
  Authors
McCullough RL, McMullen MR, Sheehan MM, Poulsen KL, Roychowdhury S, Chiang DJ, Pritchard MT, Caballeria J, Nagy LE
  Title
Complement Factor D protects mice from ethanol-induced inflammation and liver injury.
  Journal
Am J Physiol Gastrointest Liver Physiol 315:G66-G79 (2018)
DOI:10.1152/ajpgi.00334.2017
Reference
  Authors
Kawaratani H, Tsujimoto T, Douhara A, Takaya H, Moriya K, Namisaki T, Noguchi R, Yoshiji H, Fujimoto M, Fukui H
  Title
The effect of inflammatory cytokines in alcoholic liver disease.
  Journal
Mediators Inflamm 2013:495156 (2013)
DOI:10.1155/2013/495156
Reference
  Authors
Szabo G, Bala S
  Title
Alcoholic liver disease and the gut-liver axis.
  Journal
World J Gastroenterol 16:1321-9 (2010)
DOI:10.3748/wjg.v16.i11.1321
Reference
  Authors
Kawaratani H, Moriya K, Namisaki T, Uejima M, Kitade M, Takeda K, Okura Y, Kaji K, Takaya H, Nishimura N, Sato S, Sawada Y, Seki K, Kubo T, Mitoro A, Yamao J, Yoshiji H
  Title
Therapeutic strategies for alcoholic liver disease: Focusing on inflammation and fibrosis (Review).
  Journal
Int J Mol Med 40:263-270 (2017)
DOI:10.3892/ijmm.2017.3015
Reference
  Authors
Roh YS, Seki E
  Title
Toll-like receptors in alcoholic liver disease, non-alcoholic steatohepatitis and carcinogenesis.
  Journal
J Gastroenterol Hepatol 28 Suppl 1:38-42 (2013)
DOI:10.1111/jgh.12019
Reference
  Authors
Rogers CQ, Ajmo JM, You M
  Title
Adiponectin and alcoholic fatty liver disease.
  Journal
IUBMB Life 60:790-7 (2008)
DOI:10.1002/iub.124
Reference
  Authors
You M, Jogasuria A, Lee K, Wu J, Zhang Y, Lee YK, Sadana P
  Title
Signal Transduction Mechanisms of Alcoholic Fatty Liver Disease: Emer ging Role of Lipin-1.
  Journal
Curr Mol Pharmacol 10:226-236 (2017)
DOI:10.2174/1874467208666150817112109
Reference
  Authors
You M, Jogasuria A, Taylor C, Wu J
  Title
Sirtuin 1 signaling and alcoholic fatty liver disease.
  Journal
Hepatobiliary Surg Nutr 4:88-100 (2015)
DOI:10.3978/j.issn.2304-3881.2014.12.06
Reference
  Authors
Ren R, Wang Z, Wu M, Wang H
  Title
Emerging Roles of SIRT1 in Alcoholic Liver Disease.
  Journal
Int J Biol Sci 16:3174-3183 (2020)
DOI:10.7150/ijbs.49535
Reference
  Authors
Purohit V, Gao B, Song BJ
  Title
Molecular mechanisms of alcoholic fatty liver.
  Journal
Alcohol Clin Exp Res 33:191-205 (2009)
DOI:10.1111/j.1530-0277.2008.00827.x
Reference
  Authors
Hyun J, Han J, Lee C, Yoon M, Jung Y
  Title
Pathophysiological Aspects of Alcohol Metabolism in the Liver.
  Journal
Int J Mol Sci 22:5717 (2021)
DOI:10.3390/ijms22115717
Reference
  Authors
Combs TP, Marliss EB
  Title
Adiponectin signaling in the liver.
  Journal
Rev Endocr Metab Disord 15:137-47 (2014)
DOI:10.1007/s11154-013-9280-6
Reference
  Authors
Ceni E, Mello T, Galli A
  Title
Pathogenesis of alcoholic liver disease: role of oxidative metabolism.
  Journal
World J Gastroenterol 20:17756-72 (2014)
DOI:10.3748/wjg.v20.i47.17756
Reference
  Authors
Kong LZ, Chandimali N, Han YH, Lee DH, Kim JS, Kim SU, Kim TD, Jeong DK, Sun HN, Lee DS, Kwon T
  Title
Pathogenesis, Early Diagnosis, and Therapeutic Management of Alcoholic Liver Disease.
  Journal
Int J Mol Sci 20:E2712 (2019)
DOI:10.3390/ijms20112712
Reference
  Authors
Ohashi K, Pimienta M, Seki E
  Title
Alcoholic liver disease: A current molecular and clinical perspective.
  Journal
Liver Res 2:161-172 (2018)
DOI:10.1016/j.livres.2018.11.002
Reference
  Authors
You M, Arteel GE
  Title
Effect of ethanol on lipid metabolism.
  Journal
J Hepatol 70:237-248 (2019)
DOI:10.1016/j.jhep.2018.10.037
Reference
  Authors
Bi L, Jiang Z, Zhou J
  Title
The role of lipin-1 in the pathogenesis of alcoholic fatty liver.
  Journal
Alcohol Alcohol 50:146-51 (2015)
DOI:10.1093/alcalc/agu102
Reference
  Authors
Ali H, Assiri MA, Shearn CT, Fritz KS
  Title
Lipid peroxidation derived reactive aldehydes in alcoholic liver disease.
  Journal
Curr Opin Toxicol 13:110-117 (2019)
DOI:10.1016/j.cotox.2018.10.003
Reference
  Authors
Yin H, Hu M, Liang X, Ajmo JM, Li X, Bataller R, Odena G, Stevens SM Jr, You M
  Title
Deletion of SIRT1 from hepatocytes in mice disrupts lipin-1 signaling and aggravates alcoholic fatty liver.
  Journal
Gastroenterology 146:801-11 (2014)
DOI:10.1053/j.gastro.2013.11.008
Reference
  Authors
Stickel F, Hampe J
  Title
Genetic determinants of alcoholic liver disease.
  Journal
Gut 61:150-9 (2012)
DOI:10.1136/gutjnl-2011-301239
Reference
  Authors
Yang CF, Zhong YJ, Ma Z, Li L, Shi L, Chen L, Li C, Wu D, Chen Q, Li YW
  Title
NOX4/ROS mediate ethanolinduced apoptosis via MAPK signal pathway in L02 cells.
  Journal
Int J Mol Med 41:2306-2316 (2018)
DOI:10.3892/ijmm.2018.3390
Related
pathway
tup00061  Fatty acid biosynthesis
tup00071  Fatty acid degradation
tup01040  Biosynthesis of unsaturated fatty acids
tup03040  Spliceosome
tup04010  MAPK signaling pathway
tup04064  NF-kappa B signaling pathway
tup04152  AMPK signaling pathway
tup04210  Apoptosis
tup04310  Wnt signaling pathway
tup04610  Complement and coagulation cascades
tup04620  Toll-like receptor signaling pathway
tup04657  IL-17 signaling pathway
tup04668  TNF signaling pathway
tup04920  Adipocytokine signaling pathway
tup05034  Alcoholism
tup05225  Hepatocellular carcinoma
KO pathway
ko04936   

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