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We have shown that this mechanism involves the generation of reactive oxygen species (\n                      <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content>\n                      ) produced by\n                      <jats:styled-content style=\"fixed-case\">NADPH<\/jats:styled-content>\n                      oxidases. It was hypothesized that different dietary antioxidants,\n                      <jats:italic>N<\/jats:italic>\n                      \u2010acetyl cysteine (\n                      <jats:styled-content style=\"fixed-case\">NAC<\/jats:styled-content>\n                      ; 1.2\u00a0mg\/kg\/d), and\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2010tocopherol (Vit.E; 60\u00a0mg\/kg\/d) would be able to attenuate the NADPH oxidase\u2010mediated\n                      <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content>\n                      effects on bone due to chronic alcohol intake.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      To study the effects of these antioxidants, female mice received a Lieber\u2013DeCarli liquid diet containing ethanol (Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      ) with or without additional antioxidant for 8\u00a0weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Tibias displayed decreased cortical bone mineral density in both the Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      and Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      \u00a0+\u00a0antioxidant groups compared to pair\u2010fed (\n                      <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>\n                      ) and\n                      <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>\n                      \u00a0+\u00a0antioxidant groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). However, there was significant protection from trabecular bone loss in mice fed either antioxidant (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Microcomputed tomography analysis demonstrated a significant decrease in bone volume (bone volume\/tissue volume) and trabecular number (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05), along with a significant increase in trabecular separation in the Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      compared to\n                      <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). In contrast, the Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      \u00a0+\u00a0\n                      <jats:styled-content style=\"fixed-case\">NAC<\/jats:styled-content>\n                      and Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      \u00a0+\u00a0Vit.E did not statistically differ from their respective\n                      <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>\n                      controls. Ex vivo histologic sections of tibias were stained for nitrotyrosine, an indicator of intracellular damage by\n                      <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content>\n                      , and tibias from mice fed Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      exhibited significantly more staining than\n                      <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>\n                      controls. Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      treatment significantly increased the number of marrow adipocytes per mm as well as\n                      <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content>\n                      expression of\n                      <jats:styled-content style=\"fixed-case\">aP<\/jats:styled-content>\n                      2, an adipocyte marker in bone. Only\n                      <jats:styled-content style=\"fixed-case\">NAC<\/jats:styled-content>\n                      was able to reduce the number of marrow adipocytes to\n                      <jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>\n                      levels. Et\n                      <jats:styled-content style=\"fixed-case\">OH<\/jats:styled-content>\n                      \u2010fed mice exhibited reduced bone length (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05) and had a reduced number of proliferating chondrocytes within the growth plate.\n                      <jats:styled-content style=\"fixed-case\">NAC<\/jats:styled-content>\n                      and Vit.E prevented this (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      These data show that alcohol's pathological effects on bone extend beyond decreasing bone mass and suggest a partial protective effect of the dietary antioxidants\n                      <jats:styled-content style=\"fixed-case\">NAC<\/jats:styled-content>\n                      and Vit.E at these doses with regard to alcohol effects on bone turnover and bone morphology.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.13284","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T12:36:19Z","timestamp":1481978179000},"page":"46-56","source":"Crossref","is-referenced-by-count":20,"title":["Partial Protection by Dietary Antioxidants Against Ethanol\u2010Induced Osteopenia and Changes in Bone Morphology in Female Mice"],"prefix":"10.1111","volume":"41","author":[{"given":"Alexander W.","family":"Alund","sequence":"first","affiliation":[{"name":"Arkansas Children's Nutrition Center University of Arkansas for Medical Sciences Little Rock Arkansas"},{"name":"Interdisciplinary Biomedical Sciences University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly E.","family":"Mercer","sequence":"additional","affiliation":[{"name":"Arkansas Children's Nutrition Center University of Arkansas for Medical Sciences Little Rock Arkansas"},{"name":"Department of Pediatrics University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey F.","family":"Pulliam","sequence":"additional","affiliation":[{"name":"Department of Pharmacology and Experimental Therapeutics Louisiana State University Health Sciences Center New Orleans New Orleans Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry J.","family":"Suva","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010Ran","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas M.","family":"Badger","sequence":"additional","affiliation":[{"name":"Arkansas Children's Nutrition Center University of Arkansas for Medical Sciences Little Rock Arkansas"},{"name":"Department of Pediatrics University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin J. 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