A CYP2E1 inhibitor could be of benefit, especially with chronic drinking.
Also it looks like zinc supplementation is part of it, to reduce ROS and lipid peroxidation. Although ADH produces acetaldehyde, I will see what kind of inhibitors could work for both of these and look into what the alternate metabolism pathway would be.
Suppression of ROS Generation
ADH is the major enzyme responsible for alcohol metabolism in the liver, at normal physiological condition. However, chronic alcohol consumption induces cytochrome P450 2E1 (CYP2E1), instead of ADH.112,113 Alcohol metabolism via CYP2E1 pathway generates ROS, and it has been well defined that hepatic CYP2E1 induction represents a major mechanism for alcohol-induced oxidative stress.114 Zinc is a cofactor of ADH, and removal of zinc from ADH led to a complete loss of its catalytic activity.8 In alcoholic patients, a significant reduction of hepatic ADH activity is associated with zinc decrease in the liver.115 Thus, alcohol-induced hepatic zinc depletion is most likely linked to a shift of alcohol metabolic pathway from ADH to CYP2E1 that favors ROS generation. Indeed, dietary supplementation with zinc sulfate suppressed alcohol-elevated CYP2E1 activity, while it increased ADH activity in the liver of alcohol-fed mice.26 Meanwhile, the accumulation of ROS and lipid peroxidation products, including 4-HNE and MDA, in the liver was also attenuated by zinc supplementation.
Also it looks like zinc supplementation is part of it, to reduce ROS and lipid peroxidation. Although ADH produces acetaldehyde, I will see what kind of inhibitors could work for both of these and look into what the alternate metabolism pathway would be.
Suppression of ROS Generation
ADH is the major enzyme responsible for alcohol metabolism in the liver, at normal physiological condition. However, chronic alcohol consumption induces cytochrome P450 2E1 (CYP2E1), instead of ADH.112,113 Alcohol metabolism via CYP2E1 pathway generates ROS, and it has been well defined that hepatic CYP2E1 induction represents a major mechanism for alcohol-induced oxidative stress.114 Zinc is a cofactor of ADH, and removal of zinc from ADH led to a complete loss of its catalytic activity.8 In alcoholic patients, a significant reduction of hepatic ADH activity is associated with zinc decrease in the liver.115 Thus, alcohol-induced hepatic zinc depletion is most likely linked to a shift of alcohol metabolic pathway from ADH to CYP2E1 that favors ROS generation. Indeed, dietary supplementation with zinc sulfate suppressed alcohol-elevated CYP2E1 activity, while it increased ADH activity in the liver of alcohol-fed mice.26 Meanwhile, the accumulation of ROS and lipid peroxidation products, including 4-HNE and MDA, in the liver was also attenuated by zinc supplementation.