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Pathophysiological Consequences of Alcohol.

Elsevier ScienceDirect eBook - Neuroscience and Psychology 2025 Available online

Elsevier ScienceDirect eBook - Neuroscience and Psychology 2025
Format:
Book
Contributor:
Molina, Patricia E.; Simon, Liz; Edwards, Scott, editor.
Series:
Fundamentals of Physiology Series
Language:
English
Subjects (All):
Alcoholism.
Alcohol in the body.
Physical Description:
1 online resource (375 pages)
Edition:
1st ed.
Place of Publication:
Chantilly : Elsevier Science & Technology, 2025.
Summary:
Pathophysiological Consequences of Alcohol examines the impact of alcohol on physiological processes within various organ systems.The book starts with an introduction to relevant organ system physiology, then presents current, evidence-based findings on how alcohol use, whether acute or chronic, affects these processes.
Contents:
Front Cover
Pathophysiological Consequences of Alcohol
Copyright
Contents
Contributors
Foreword
1 - Overview of pathophysiological effects of alcohol on organ systems
Introduction
Drinking patterns
Alcohol drinking across the life span
Alcohol metabolism and its contribution to alcohol-associated pathophysiology
Models used in alcohol research
Major alcohol-mediated pathophysiological mechanisms contributing to organ injury
Oxidative stress
Gut dysbiosis
Immunomodulation
Mitochondrial dyshomeostasis
Cellular death and survival pathways
Apoptosis
Necrosis and necroptosis
Pyroptosis and ferroptosis
Autophagy
Endoplasmic reticulum (ER) stress
Extracellular matrix remodeling
Stem cell function
Epigenomic mechanisms
Summary, perspectives, and practical implications
References
Further reading
2 - Alcohol and cellular physiology
Cellular targets of alcohol
Integrity of the plasma membrane
Alcohol-induced ROS production and antioxidant capacity
Effects of alcohol on cellular metabolism and mitochondrial bioenergetics
Effects of alcohol on protein structure and function
DNA damage and repair
Impact of alcohol on lipids and protein homeostasis
Signal transduction pathways
Effects of alcohol on lipid metabolism
Conclusions and future directions
Clinical vignette
3 - Alcohol and neurophysiology
Overview of nervous system physiology and the primary effects of alcohol
Normal physiology of the nervous system and the effects of alcohol
Central nervous system changes
Peripheral nervous system (PNS) changes
Functional anatomy of the nervous system and the effects of alcohol
Central nervous system
Brain regions vulnerable to alcohol.
Major cell types and interactions with other systems
Peripheral nervous system
Regions vulnerable to alcohol
Major cell types and interactions with other systems
Summary
The impact of chronic, at-risk alcohol use in the exacerbation of mental illness and brain disease
Alcohol and the cumulative allostatic stress load on body and brain
Psychiatric disorders
Neurological disorders
Clinical vignettes illustrating alcohol's impact on brain health
Alcohol, aging, and cognitive deficits
Alcohol use disorder, stress, and pain
Conclusion
4 - Alcohol and cardiovascular and renal physiology
Overview of cardiovascular physiology
Alcohol and cardiovascular disease
The complex relationship between alcohol and heart health
Potential beneficial effects of alcohol on the heart
Detrimental effects of alcohol on the heart
Alcohol-associated cardiomyopathy (ACM)
Sympathetic nervous system
Renin-angiotensin-aldosterone system (RAAS)
Hypertrophy
Protein turnover
Mitochondrial dysfunction, oxidative stress, and apoptosis
Excitation-contraction coupling
Fibrosis
Holiday heart syndrome (HHS)
Hypertension
Overview of renal physiology
Alcohol and renal disease
Acute effects of alcohol on renal function: Diuresis
Cardiorenal syndrome
Clinical vignettes
5 - Alcohol and respiratory physiology
Anatomy of the respiratory system
Mechanics of breathing
Gas exchange
Gas transport
Acid-base balance and control of breathing
Impact of alcohol on pulmonary physiology
Effects of alcohol on pulmonary function
Effects of alcohol on the upper airways/conducting zone
Effects of alcohol on bronchioles and alveoli
Alveolar ROS/GSH balance
Alveolar immunity.
Alveolar macrophages (AMs)
Peripheral immune cell recruitment
Mitochondrial injury and surfactant disruption
Pulmonary endothelium and vascular remodeling
Pneumonia
Acute respiratory distress syndrome (ARDS)
Sleep-disordered breathing
Pulmonary fibrosis (emerging association)
Pulmonary hypertension
Alcohol, tobacco interaction, and lung cancer
6 - Alcohol and gastrointestinal physiology
Overview of the gastrointestinal tract
Impact of alcohol on digestion
Effects of alcohol on the mouth and esophagus
Effects of alcohol on the stomach
Effects of alcohol on the small intestine
Effects of alcohol on the large intestine and the gut microbiome
Alcohol's impact on the gastrointestinal tract hormone secretion and function
Effects of alcohol on the rectum
7 - Alcohol and liver physiology
Liver anatomy and function
Kupffer cells (KCs)
Hepatic stellate cells (HSCs)
Liver sinusoidal endothelial cells (LSECs)
Cholangiocytes
Alcohol-associated liver disease pathophysiology
Hepatocytes
Kupffer cells
Hepatic stellate cells
Alcohol interaction with drug metabolism
Alcohol interaction with viral infections
Hepatocellular carcinoma (HCC)
8 - Alcohol and endocrine physiology
Possible sites of alcohol-induced endocrine disruption
Hypothalamus
Pituitary
Thyroid gland
Parathyroid gland
Pancreas
Adrenal glands
Male and female reproductive system
Impact of alcohol on body composition
Stress response
Clinical vignette 1
Clinical vignette 2
References.
9 - Alcohol and musculoskeletal physiology
Overview of the musculoskeletal system
Skeletal muscle physiology
Bone physiology
Pathophysiological mechanisms of at-risk alcohol use-mediated muscle adaptations
Impact of alcohol on muscle structural integrity
Impact of alcohol on muscle protein homeostasis
Impact of alcohol on muscle regeneration
Impact of alcohol on mitochondrial homeostasis
Impact of alcohol on extracellular matrix (ECM) remodeling
SKM changes associated with alcohol-related liver disease
Pathophysiological mechanisms of at-risk alcohol use-mediated bone adaptations
Alcohol's impact on fracture healing
Hormone and calcium homeostasis
Physical frailty and alcohol
10 - Integration of pathophysiological effects of alcohol: A convergence factor for comorbid conditions
Nervous system: Neuroadaptation and co-morbid neurological and psychiatric disorders
Cardiovascular and renal systems: Hemodynamic instability and end-organ injury
Pulmonary and musculoskeletal systems: Structural and immune vulnerability
Liver and gastrointestinal Systems: The gut-liver-inflammation axis
Endocrine and metabolic systems: Hormonal dysregulation and bioenergetic impairment
Clinical implications: A call for integrative, system-based care
Research directions: Priorities for mechanistic and translational studies
Policy and public health: Reframing alcohol as a multisystem threat
Index
Back Cover.
Notes:
Description based on publisher supplied metadata and other sources.
Part of the metadata in this record was created by AI, based on the text of the resource.
ISBN:
9780443342592
0-443-34259-8
0-443-34258-X
OCLC:
1557282925

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