How can liver damage result due to the intake of ethanol


Bio chemical mechanism in human body.

An individual eats meats with much sodium nitrite, also drinks ethanol (alcohol), taking vitamins E and C, while also taking four tablets of 500 mg Tylenol.
Develop following components of the question with brief organic chemistry explanations of what is happening and integrate the interactions of these ingested items.

1. Acetaminophen
Phase I- Detoxification [show this to be occurring at the smooth ER]
(cytochrome P 450)
Phase II- Detoxification [show this occurring in the cytoplasm] (Glutathione GSH)
[Be sure to include GSH and explanation of why the conjugate basically stays in the blood]
Pain reduction by blocking conversion of arachidonic acid.

2. Alcohol Detoxification
Alcohol Dehyrdogenase
NADH
GSH

3. Sodium nitrite
Formation of carbocations
Vitamin C

4. Potential Lipid Radicals formed from superoxide [may form from converting 02 into water] or hydroxyl radicals that might be affected by the sodium nitrite's utilization of vitamin C.

Show how a fatty acid is made and then show the assembly of a triglyceride Synthesis of fatty acid
Triglyceride
Vitamin E
Vitamin C

Integration: How can liver damage result due to the intake of ethanol and Tylenol, but also how could liver damage occur still if ethanol was not ingested?

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Chemistry: How can liver damage result due to the intake of ethanol
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