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Alcoholic Hepatitis: Lost in Translation

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Specialty Gastroenterology
Date 2018 Mar 27
PMID 29577035
Citations 8
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Abstract

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.

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References
1.
Nagy L . The Role of Innate Immunity in Alcoholic Liver Disease. Alcohol Res. 2015; 37(2):237-50. PMC: 4590620. View

2.
Lazaro R, Wu R, Lee S, Zhu N, Chen C, French S . Osteopontin deficiency does not prevent but promotes alcoholic neutrophilic hepatitis in mice. Hepatology. 2014; 61(1):129-40. PMC: 4280361. DOI: 10.1002/hep.27383. View

3.
Li Z, Zhao J, Tikhanovich I, Kuravi S, Helzberg J, Dorko K . Serine 574 phosphorylation alters transcriptional programming of FOXO3 by selectively enhancing apoptotic gene expression. Cell Death Differ. 2015; 23(4):583-95. PMC: 4986632. DOI: 10.1038/cdd.2015.125. View

4.
Maiwall R, Chandel S, Wani Z, Kumar S, Sarin S . SIRS at Admission Is a Predictor of AKI Development and Mortality in Hospitalized Patients with Severe Alcoholic Hepatitis. Dig Dis Sci. 2015; 61(3):920-9. DOI: 10.1007/s10620-015-3921-4. View

5.
Wilkin R, Lalor P, Parker R, Newsome P . Murine Models of Acute Alcoholic Hepatitis and Their Relevance to Human Disease. Am J Pathol. 2016; 186(4):748-60. DOI: 10.1016/j.ajpath.2015.12.003. View