Final answer:
An increased NADH/NAD+ ratio inhibits acetaldehyde dehydrogenase, howing down the conversion of acetaldehyde to acetate and can lead to acetaldehyde accumulation in the liver.
Step-by-step explanation:
An increased NADH/NAD+ ratio has a significant effect on alcohol metabolism. Specifically, it leads to the inhibition of acetaldehyde dehydrogenase (ALDH), which is responsible for converting acetaldehyde to acetate, a non-toxic molecule. When the ratio is increased, the high levels of NADH discourage the oxidation of acetaldehyde into acetate because the process requires the oxidized form of the coenzyme, NAD+. As a result, this inhibition slows down the conversion of acetaldehyde to acetate, causing an accumulation of acetaldehyde in the liver, which can contribute to the toxic effects associated with alcohol consumption.