Megamitochondria in ALD: adaptive guardians or drivers of liver cancer?
Peer-Reviewed Publication
Updates every hour. Last Updated: 29-Oct-2026 03:17 ET (29-Oct-2026 07:17 GMT/UTC)
A recent perspective published in eGastroenterology, Professor Wen-Xing Ding and colleagues from The University of Kansas Medical Center highlights emerging evidence that megamitochondria in alcohol-associated liver disease (ALD) may initially function as adaptive metabolic responses rather than merely pathological structures. The article summarizes groundbreaking mechanistic studies linking impaired mitochondrial fission, mtDNA release, cGAS–STING activation, and altered pyrimidine metabolism to ALD progression and liver tumorigenesis. These findings redefine the role of mitochondrial dynamics in chronic liver disease and suggest novel therapeutic opportunities for ALD and hepatocellular carcinoma.
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