Open research questions in Alcohol Consumption and Health Effects
329 unresolved questions extracted from the limitations and future-work sections of 1,692 Alcohol Consumption and Health Effects papers in our library. Each links back to the study that raised it.
What the literature leaves open
Addressing late diagnosis requires treating it as a public health problem and moving detection upstream, - Population-level screening of at-risk groups offers the prospect of earlier intervention, delayed progression, and improved outcomes
Alcohol-related liver disease and access to liver transplantation: where we stand and where we should go · 2026 · DOIThe paper identifies the need for cautious interpretation of microbiome outcomes in ALD trials due to potential confounding factors. The study highlights the challenge of distinguishing between the effects of physical activity and exercise in ALD. The paper notes the importance of considering socioeconomic adversity, long working hours, insufficient recovery, or physically demanding labor when interpreting occupational activity in ALD patients.
Exercise as a Multisystem Adjunct for Alcohol-Associated Liver Disease: Inflammatory Mechanisms, Muscle–Liver Crosstalk, and Translational Gaps · 2026 · DOIEvidence from MASLD exercise studies may not directly apply to ALD, - Limited direct human ALD evidence, - No quantitative pooling or formal risk-of-bias assessment, - Duplicate or superseded records excluded
Exercise as a Multisystem Adjunct for Alcohol-Associated Liver Disease: Inflammatory Mechanisms, Muscle–Liver Crosstalk, and Translational Gaps · 2026 · DOIThe molecular mechanisms underlying heart failure remain only partially understood. Current therapeutic strategies do not fully reverse myocardial remodeling or completely halt disease progression.
Integrated analysis of bulk transcriptomics and single-cell transcriptomics revealed the association characteristics between heart failure and β-hydroxybutyrylation-related genes · 2026 · DOIAlcohol use disorder (AUD) is prevalent and may adversely affect kidney function; however, its impact on outcomes after AKD remains unclear.
Alcohol use disorder and long-term kidney outcomes after acute kidney disease: a retrospective cohort study · 2026 · DOIThe role of phytochemicals on serum lipid profile and antioxidant status during ethanol withdrawal is not well known.
THE EFFECT OF AQUEOUS EXTRACT OF GUM ARABIC ON OXIDATIVE STRESS PARAMETERS AND LIPID PROFILE DURING ETHANOL WITHDRAWAL-INDUCED STRESS IN WISTAR RATS · 2026 · DOIHowever, its cellular specificity and regulatory landscape in human alcohol-related liver disease (ALD) remain incompletely defined.
Integrated single-cell and epigenomic analysis reveals cellular specificity of CYP2E1 in human alcohol-related liver disease · 2026 · DOIConclusion: Although the clinical manifestations and temporal association with accidental alcohol ingestion in this case are most consistent with a disulfiram-like reaction, definitive diagnosis is limited by the lack of objective alcohol quantification, and a hypersensitivity reaction cannot be completely excluded.
Accidental alcohol ingestion triggering severe disulfiram-like reaction in a child receiving cefoperazone-sulbactam: a rare case report · 2026 · DOIFuture studies are needed to explore the effects of more aggressive antiplatelet therapy for patients at risk of MI who carry the Aldh2 rs671 mutation.
The Aldehyde Dehydrogenase 2 rs671 Variant Enhances Platelet Activation and Arterial Thrombosis · 2026 · DOIXing-Pi-Qing-Gan decoction (XPQG) is an improved traditional Chinese medicine designed to alleviate ALD, but its molecular mechanism remains unknown.
Xing-Pi-Qing-Gan decoction alleviates alcoholic liver disease by down-regulating DDIT3 and restoring Nrf2 / HO-1 antioxidant signaling: Multi-omics and experimental evidence · 2026 · DOIBACKGROUND Alcohol use disorder (AUD) profoundly affects human health, yet its direct impact on the intestinal epithelium and stem cell niche remains insufficiently understood.
Impairment of the intestinal epithelium barrier through alteration of proliferation and differentiation balance in alcohol use disorder · 2026 · DOIUnrecorded consumption is a global issue with multiple implications that remains under-explored in Latin America, where most estimations rely on global statistical models and surveys, with a need for country-level estimations.
The challenge of unrecorded alcohol consumption in Argentina: estimation and key predictors · 2025 · DOIDespite these promising findings, the precise mechanisms and effects of these extracts remain incompletely understood, and potential side effects must be considered.
Oxidative stress modulation in alcohol-related liver disease: From chinese botanical drugs to exercise-based interventions · 2025 · DOIAlcohol-associated liver disease (ALD) is one such inflammatory disease, and the specific innate immune mechanisms driving pathology in this context remain unclear.
Identification of an IRF–ZBP1–caspase-8–NINJ1 axis in driving PANoptosis and pathology during alcohol-associated liver disease · 2025 · DOIThe interaction between obesity and binge drinking in affecting liver function remains unclear. The role of insulin resistance in mediating the associations between binge drinking, obesity, and liver enzyme abnormalities is not well understood.
Insulin resistance as a mediator of the association between obesity, high-intensity binge drinking, and liver enzyme abnormalities in young and middle-aged adults: a cross-sectional study · 2025 · DOIBackground: Binge drinking (BD) and obesity are well-established risk factors for liver enzyme abnormalities, but how varying intensities of BD interact with obesity to affect liver function remains unclear.
Insulin resistance as a mediator of the association between obesity, high-intensity binge drinking, and liver enzyme abnormalities in young and middle-aged adults: a cross-sectional study · 2025 · DOIFurther investigation into the HIF-1 signaling pathway identified up-regulation of claudin-1, HIF-1α, occludin, and ZO-1, and down-regulation of TLR4, PHD2, p65 NF-κB, TNF-α, and IFN-γ mRNA and protein levels.
L-Theanine Mitigates Acute Alcoholic Intestinal Injury by Activating the HIF-1 Signaling Pathway to Regulate the TLR4/NF-κB/HIF-1α Axis in Mice · 2025 · DOIImportance: Despite growing criticism of alcohol consumption due to its overall health risks, it remains unknown how changes in alcohol consumption, particularly cessation, affect lipid profiles outside of intense interventions.
Lipid Profiles After Changes in Alcohol Consumption Among Adults Undergoing Annual Checkups · 2025 · DOIConsidering the level of evidence, it remains unknown whether drinking is part of a healthy lifestyle and therefore clinicians should reinforce healthy lifestyle behaviors such as regularly engaging in physical activity, avoiding tobacco use, and maintaining healthy body weight.
Alcohol Use and Cardiovascular Disease: A Scientific Statement From the American Heart Association · 2025 · DOIThe risk associated with consuming 1 to 2 drinks a day on atrial fibrillation remains unknown.
Alcohol Use and Cardiovascular Disease: A Scientific Statement From the American Heart Association · 2025 · DOIHowever, the direct role of ALDH2 (aldehyde dehydrogenase 2) dysfunction in this association, as well as the underlying mechanisms by which ALDH2 rs671 influences blood pressure regulation, remains unclear.
ALDH2 rs671 Variant Lowers Blood Pressure Via the Endothelial HSPA5–PIEZO1–eNOS Pathway · 2025 · DOICONCLUSIONS: We observed moderate-to-weak evidence supporting causal effects of alcohol consumption on risk of head/neck, oesophageal, and colorectal cancer, inconsistent evidence for liver cancer, and no evidence for breast cancer.
Alcohol consumption and risk of cancer: a Mendelian randomization analysis of four biobanks and consortium data · 2025 · DOIWhile fruit- and vegetable-rich diets have shown mental health benefits, evidence is limited for those receiving opioid agonist therapy (OAT).
The effect of fruit smoothie supplementation on psychological distress and biomarkers among people with opioid dependence receiving opioid agonist therapy: a randomized controlled trial · 2025 · DOIThe role of inflammatory cytokines in alcohol-induced liver injury is pivotal yet not fully elucidated.
Exploring the impact of inflammatory cytokines on alcoholic liver disease: a Mendelian randomization study with bioinformatics insights into potential biological mechanisms · 2024 · DOIThis review summarizes the latest insight into the pathogenesis and molecular mechanisms of ALD, as well as the pros and cons of ALD rodent models, providing a basis for further research on therapeutic strategies for ALD.
Alcohol-related liver disease (ALD): current perspectives on pathogenesis, therapeutic strategies, and animal models · 2024 · DOI
Most-cited papers in Alcohol Consumption and Health Effects
- Wine, alcohol, platelets, and the French paradox for coronary heart disease · The Lancet · 1992 · 2,780 citations
- Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders · The Lancet · 2009 · 2,742 citations
- Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016 · The Lancet · 2018 · 2,679 citations
- Lifetime Co-occurrence of DSM-III-R Alcohol Abuse and Dependence With Other Psychiatric Disorders in the National Comorbidity Survey · Archives of General Psychiatry · 1997 · 1,524 citations
- A meta-analysis of alcohol consumption and the risk of 15 diseases · Preventive Medicine · 2004 · 814 citations
- Alcohol Dosing and Total Mortality in Men and Women · Archives of Internal Medicine · 2006 · 759 citations
- Low level of response to alcohol as a predictor of future alcoholism · American Journal of Psychiatry · 1994 · 673 citations
- The Feeding of Alcohol in Liquid Diets: Two Decades of Applications and 1982 Update · Alcoholism Clinical and Experimental Research · 1982 · 616 citations
- The familial incidence of alcoholism: a review. · Journal of Studies on Alcohol · 1979 · 593 citations
- Alcoholic fatty liver: its pathogenesis and mechanism of progression to inflammation and fibrosis · Alcohol · 2004 · 529 citations
Most recent work
- Alcohol Intake and Health Study: No Protective Effect at Low Levels, With Mortality Increasing to 1 in 25 at 14 Drinks Per Week · Journal of Studies on Alcohol and Drugs · 2026
- Letter: Pharmacotherapy for Alcohol Dependence in Cirrhosis—By Addressing One Issue Do We Create Another? · Alimentary Pharmacology & Therapeutics · 2026
- Extraction, structural characterization, and liposome encapsulation of alcohol dehydrogenase from pig liver: Potential applications in alcohol detoxification · Colloids and Surfaces B: Biointerfaces · 2026
- Comparing the Effect of Changes in Alcohol Intake on Liver Fibrosis Risk Scores Among Patients With Two Distinct Types of Steatotic Liver Disease · Journal of Gastroenterology and Hepatology · 2026
- Forensic integrity of blood alcohol sampling in the emergency department, Part I: Epidemiology and factors affecting turnaround time · Biochemia Medica · 2026
- GLP-1 Receptor Agonists as Potential Treatments for Alcohol Use Disorder · American Journal of Psychiatry · 2026
- Mechanism Study on the Regulation of Intestinal Microecology by Hangover Liver‐Protecting Beverage for the Treatment of Alcoholic Liver Disease · Food Science & Nutrition · 2026
- Blood Alcohol Concentration in Finnish Suicide Deaths and Associated Risk Factors, 2016–2024 · Acta Psychiatrica Scandinavica · 2026
- Lifetime Drinking Patterns Shape Awareness of Alcohol-Related Chronic Disease Risks in U.S. Adults: Findings From the National Alcohol Survey · Journal of Studies on Alcohol and Drugs · 2026
- Accidental alcohol ingestion triggering severe disulfiram-like reaction in a child receiving cefoperazone-sulbactam: a rare case report · Frontiers in Pediatrics · 2026
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