Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption

Alcohol is a well-known toxic etiologic factor for liver injury. Metabolic substrates of alcohol (especially acetaldehyde) have a major responsibility and genetic susceptibility, alterations in microbiota and immune system are important co-factors for this injury. Major injury in liver is hepatocell...

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Main Authors: Mubin Ozercan, Ahmed Tawheed, Mohamed El-Kassas
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2025-01-01
Series:Exploration of Medicine
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Online Access:https://www.explorationpub.com/uploads/Article/A1001273/1001273.pdf
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author Mubin Ozercan
Ahmed Tawheed
Mohamed El-Kassas
author_facet Mubin Ozercan
Ahmed Tawheed
Mohamed El-Kassas
author_sort Mubin Ozercan
collection DOAJ
description Alcohol is a well-known toxic etiologic factor for liver injury. Metabolic substrates of alcohol (especially acetaldehyde) have a major responsibility and genetic susceptibility, alterations in microbiota and immune system are important co-factors for this injury. Major injury in liver is hepatocellular lipid accumulation. Therefore the relationship between non-alcoholic and alcoholic fatty liver diseases should have been defined clearly. Recently two major liver committees adopted new terminologies such as metabolic-associated fatty liver disease (MAFLD), metabolic dysfunction-associated steatotic liver disease (MASLD), metabolic dysfunction and alcohol-related liver disease (MetALD), and alcoholic liver disease (ALD) instead of non-alcoholic fatty liver disease (NAFLD). These terminologies were based on the effects of metabolic syndrome on liver. Alcohol consumption was defined differently according to these nomenclatures. MAFLD defined alcohol intake (regardless of amount) as “dual etiology fatty liver disease” and the Delphi consensus defined MASLD, MetALD, or ALD according to daily consumption of alcohol amount.
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spelling doaj-art-99b87ad433a241e0a4c30750e3b7208d2025-01-14T07:15:11ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062025-01-016100127310.37349/emed.2025.1001273Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumptionMubin Ozercan0https://orcid.org/0000-0002-6968-7838Ahmed Tawheed1https://orcid.org/0000-0002-9382-8733Mohamed El-Kassas2https://orcid.org/0000-0002-3396-6894Department of Gastroenterology, Faculty of Medicine, Firat University, Elazig 23119, TurkeyEndemic Medicine Department, Faculty of Medicine, Helwan University, Cairo 11795, EgyptEndemic Medicine Department, Faculty of Medicine, Helwan University, Cairo 11795, Egypt; Liver Disease Research Center, College of Medicine, King Saud University, Riyadh 7805, Saudi ArabiaAlcohol is a well-known toxic etiologic factor for liver injury. Metabolic substrates of alcohol (especially acetaldehyde) have a major responsibility and genetic susceptibility, alterations in microbiota and immune system are important co-factors for this injury. Major injury in liver is hepatocellular lipid accumulation. Therefore the relationship between non-alcoholic and alcoholic fatty liver diseases should have been defined clearly. Recently two major liver committees adopted new terminologies such as metabolic-associated fatty liver disease (MAFLD), metabolic dysfunction-associated steatotic liver disease (MASLD), metabolic dysfunction and alcohol-related liver disease (MetALD), and alcoholic liver disease (ALD) instead of non-alcoholic fatty liver disease (NAFLD). These terminologies were based on the effects of metabolic syndrome on liver. Alcohol consumption was defined differently according to these nomenclatures. MAFLD defined alcohol intake (regardless of amount) as “dual etiology fatty liver disease” and the Delphi consensus defined MASLD, MetALD, or ALD according to daily consumption of alcohol amount.https://www.explorationpub.com/uploads/Article/A1001273/1001273.pdfmetabolic dysfunction-associated steatotic liver diseasenon-alcoholic fatty liver diseasealcoholic liver diseasemetabolic dysfunction-associated fatty liver diseasealcohol consumption
spellingShingle Mubin Ozercan
Ahmed Tawheed
Mohamed El-Kassas
Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption
Exploration of Medicine
metabolic dysfunction-associated steatotic liver disease
non-alcoholic fatty liver disease
alcoholic liver disease
metabolic dysfunction-associated fatty liver disease
alcohol consumption
title Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption
title_full Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption
title_fullStr Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption
title_full_unstemmed Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption
title_short Transitioning from NAFLD to MAFLD and MASLD: the toxic relationship with alcohol consumption
title_sort transitioning from nafld to mafld and masld the toxic relationship with alcohol consumption
topic metabolic dysfunction-associated steatotic liver disease
non-alcoholic fatty liver disease
alcoholic liver disease
metabolic dysfunction-associated fatty liver disease
alcohol consumption
url https://www.explorationpub.com/uploads/Article/A1001273/1001273.pdf
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