Hepatic and serum expression of miR-30b-5p, miR-20a-5p, miR-26b-5p, and miR-146a-5p are significantly reduced in patients with alcoholic hepatitis. These miRNAs regulate genes, RRM2, CCND1, and CCND2, which are involved in DNA synthesis and cell-cycle progression, in response to liver injury. Higher expression of these miRNAs, suggestive of a diminished capacity in DNA synthesis and cell-cycle progression, predicts short-term mortality in AH patients.