RT Journal Article SR Electronic T1 Telomere length in patients with alcohol-associated liver disease: a brief report JF Journal of Investigative Medicine JO J Investig Med FD BMJ Publishing Group Ltd SP 1438 OP 1441 DO 10.1136/jim-2021-002213 VO 70 IS 6 A1 Nazmul Huda A1 Praveen Kusumanchi A1 Kristina Perez A1 Yanchao Jiang A1 Nicholas J Skill A1 Zhaoli Sun A1 Jing Ma A1 Zhihong Yang A1 Suthat Liangpunsakul YR 2022 UL http://hw-f5-jim.highwire.org/content/70/6/1438.abstract AB The intact telomere structure is essential for the prevention of the chromosome end-to-end fusions and maintaining genomic integrity. The maintenance of telomere length is critical for cellular homeostasis. The shortening of telomeres has been reported in patients with chronic liver diseases. The telomere length has not been systemically studied in patients with alcohol-associated liver disease (ALD) at different stages, such as alcoholic hepatitis and alcoholic cirrhosis. In this brief report, we observed evidence of telomere shortening without changes in the telomerase activity in the liver of patients with alcoholic hepatitis and alcoholic cirrhosis when compared with controls. The alterations in the genes associated with telomere binding proteins were only observed in patients with alcoholic cirrhosis. Future studies are required to determine the mechanism of how alcohol affects the length of the telomere and if the shortening impacts the disease progression in ALD.