Alcoholic Hepatitis: Lost in Translation
Overview
Affiliations
Alcoholic hepatitis is the most severe and acute form of alcoholic liver disease. The mortality rate associated with alcoholic hepatitis is high, largely due to the lack of suitable pharmacological interventions. While there has been substantial research in the area, generating pharmacological interventions has been plagued by the lack of a robust mouse model both for testing and for understanding the underlying pathology. A number of major notable advances have been made in this area recently, with the goal of generating a mouse model of alcoholic hepatitis. The purpose of this article is to review recent advances in modeling alcoholic liver disease both and in the mouse, and place them in the context of the greater spectrum of alcoholic liver disease, with a focus on how we can translate current advances into a high-fidelity model of alcoholic hepatitis. In addition, we will review the basic mechanisms of alcoholic hepatitis as it is currently understood, focusing on recent advancements in diagnosis, prognosis and current pathophysiology, especially as it relates to the profound immune dysfunction present during alcoholic hepatitis.
Song Y, Kim S, Heo J, Shum D, Lee S, Lee M Sci Rep. 2021; 11(1):10931.
PMID: 34035369 PMC: 8149639. DOI: 10.1038/s41598-021-90263-x.
Alcoholic hepatitis and metabolic disturbance in female mice: a more tractable model than animals.
Sheriff L, Khan R, Saborano R, Wilkin R, Luu N, Gunther U Dis Model Mech. 2020; 13(12).
PMID: 33067186 PMC: 7790192. DOI: 10.1242/dmm.046383.
Philips C, Rajesh S, George T, Ahamed R, Kumbar S, Augustine P J Clin Transl Hepatol. 2020; 7(4):329-340.
PMID: 31915602 PMC: 6943206. DOI: 10.14218/JCTH.2019.00043.
Keratin 18 Is a Diagnostic and Prognostic Factor for Acute Alcoholic Hepatitis.
Vatsalya V, Cave M, Kong M, Gobejishvili L, Falkner K, Craycroft J Clin Gastroenterol Hepatol. 2019; 18(9):2046-2054.
PMID: 31811953 PMC: 7269867. DOI: 10.1016/j.cgh.2019.11.050.
Teschke R Biomedicines. 2018; 6(4).
PMID: 30424581 PMC: 6316574. DOI: 10.3390/biomedicines6040106.