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These genetic damages compromise stem cell function, promote abnormal mutations, and increase the risk for cancer and blood disorders ( + ratio, reduces ATP production, and disrupts fatty acid oxidation, leading to steatosis and mitochondrial injury ( By weakening the intestinal barrier, alcohol allows bacterial lipopolysaccharide (LPS) to reach the liver and activate TLR4 signaling in Kupffer cells, amplifying hepatic inflammation ( 3.2 Alcohols role in HBV pathogenesis In HBV-infected individuals, alcohol further enhances liver damage by promoting viral replication and impairing immune responses, which contributes to increased hepatitis activity

NAD+ is a coenzyme present in every cell of the human body, functioning as the essential substrate for mitochondrial energy production, DNA repair, and the activation of sirtuins the family of proteins most directly associated with longevity regulation in the biological literature

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however, other forms of ROS also contribute as the nitric oxide (NO) generated by NO synthases, which diffuses into mitochondria and modulates mitochondrial function by competing with O 2 at respiratory complex IV thereby slowing respiration (Collins et al., 2 O 2 in thiol oxidation modulating the function of proteins (Collins et al., 2014)