(A) Western blot and quantification analysis of SIRT6 protein in the liver of normal controls and alcoholic cirrhosis (AC) patients (n=3–5/group). (B) Western blot and quantification analysis of Sirt6 in hepatic tissues from WT male mice that were fed with a control diet (Pair-fed) or 5% ethanol (ETOH, vol/vol) diet (ETOH) for 4 weeks. (C-I) Control LoxP and Sirt6 KO male mice were pair-fed or ethanol-fed (6% vol/vol) for 15 days plus a single binge (6 g/kg) on day 16. (C) Serum ALT measurements. (D, E) Hepatic triglycerides (TG) and total cholesterol (TC) measurements. (F) Mouse hepatic staining by H&E, IHC detection of 4-HNE, and fluorescence analysis of ROS by DHE and DCFDA dyes. (G) Hepatic H2O2 measurements. (H) Hepatic GSH measurements. (I) Hepatic Mt1 mRNA analysis by qPCR. Data are presented as mean ± S.E.M. Nonparametric Mann-Whitney U tests were used for statistical analysis. In panel B, #p < 0.05 (n = 4–5/group). In panels C-I, #p < 0.05 and ##p < 0.01 for LoxP vs. Sirt6 KO; *p < 0.05 and **p < 0.01 for Pair-fed vs. ETOH for the same genotype (n=4–6/group). Images were captured by light microscopy for H&E and IHC staining (200× magnification), and fluorescence images were obtained using a fluorescence microscope (200× magnification). Scale bars: 50 μm. ALT, alanine transaminase; DCFDA, dichlorofluorescin diacetate; DHE, dihydroethidium; GSH, glutathione; 4-HNE, 4-hydroxynonenal; IHC, immunohistochemistry; qPCR, quantitative PCR; ROS, reactive oxygen species.