Besides, gp120 induces secretion of tumor necrosis factor- (TNF-) and monocyte chemoattractant protein-1 (MCP-1), leading to neuronal cell death, subsequently [40]
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Cross-sectional studies account for a relatively high proportion, which hinders the verification of causal relationships between changes in Clostridium abundance and disease onset

During inflammatory processes, triglycerides undergo hydrolysis, forming free fatty acids (FFA) (Zhu et al., 2022), which are toxic to hepatocytes and induce apoptosis through both extrinsic and intrinsic pathways ( (2) Toxic Lipid Metabolites: The metabolism of lipids produces toxic metabolites such as malondialdehyde (MDA), 4-hydroxynonenal (4-HNE), and malondialdehyde-acetaldehyde adducts (MAA), which further damage mitochondria and promote free radical production ( 3.2 Oxidative stress and its role in ALD Reactive oxygen species (ROS) are crucial regulators of cell signaling and stress responses ( Mitochondria, as the primary source of ROS in cells, are particularly vulnerable to OS because they have low levels of antioxidants such as glutathione (GSH) ( Collectively, these findings suggest that ROS-induced OS plays a pivotal role in steatosis, inflammation, and apoptosis, contributing significantly to the progression of ALD