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LC alone did not significantly alter sperm quality compared to control, indicating its safety and potential protective role

3 Ethanol metabolism and oxidative stress in ALD 3.1 Ethanol metabolism in ALD In a healthy liver, ethanol is primarily metabolized through three main pathways: (1) The Alcohol Dehydrogenase (ADH) System: ADH, an oxidized nicotinamide adenine dinucleotide (NAD+)-dependent enzyme (Masia et al., 2018), converts NAD + to reduced nicotinamide adenine dinucleotide (NADH) while oxidizing ethanol to acetaldehyde (Michalak et al., 2021)

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However, TGF- signaling can suppress AhR expression via methyl-CpG-binding domain 2 (MBD2) -mediated promoter methylation, potentially limiting the antifibrotic efficacy of Kyn [117]