Hepatocytic ballooning in non‐alcoholic steatohepatitis: Dilemmas and future directions DOI Open Access
Yangyang Li,

Tianlei Zheng,

Shu–Yuan Xiao

и другие.

Liver International, Год журнала: 2023, Номер 43(6), С. 1170 - 1182

Опубликована: Апрель 5, 2023

Hepatocytic ballooning is a key histological feature in the diagnosis of non-alcoholic steatohepatitis (NASH) and an essential component two most widely used scoring systems for diagnosing staging fatty liver disease (NAFLD) [namely, NAFLD activity score (NAS), steatosis, fibrosis (SAF) system]. As result increasing incidence NASH globally, diagnostic challenges hepatocytic are unprecedented. Despite clear pathological concept ballooning, there still assessing 'real life' situations. can be confused with cellular oedema microvesicular steatosis. Significant inter-observer variability does exist presence severity ballooning. In this review article, we describe underlying mechanisms associated Specifically, discuss increased endoplasmic reticulum stress unfolded protein response, as well rearrangement intermediate filament cytoskeleton, appearance Mallory-Denk bodies activation sonic Hedgehog pathway. We also use artificial intelligence detection interpretation which may provide new possibilities future treatment.

Язык: Английский

NAFLD: Mechanisms, Treatments, and Biomarkers DOI Creative Commons
Fatiha Nassir

Biomolecules, Год журнала: 2022, Номер 12(6), С. 824 - 824

Опубликована: Июнь 13, 2022

Nonalcoholic fatty liver disease (NAFLD), recently renamed metabolic-associated (MAFLD), is one of the most common causes diseases worldwide. NAFLD growing in parallel with obesity epidemic. No pharmacological treatment available to treat NAFLD, specifically. The reason might be that a multi-factorial an incomplete understanding mechanisms involved, absence accurate and inexpensive imaging tools, lack adequate non-invasive biomarkers. consists accumulation excess lipids liver, causing lipotoxicity progress steatohepatitis (NASH), fibrosis, hepatocellular carcinoma. for pathogenesis current interventions management disease, role sirtuins as potential targets are discussed here. In addition, diagnostic non-coding RNAs emerging biomarkers summarized. availability biomarkers, diagnosis tools crucial detection early signs progression NAFLD. This will expedite clinical trials validation therapeutic treatments.

Язык: Английский

Процитировано

262

Mitochondrial alterations in fatty liver diseases DOI Creative Commons
Bernard Fromenty, Michael Roden

Journal of Hepatology, Год журнала: 2022, Номер 78(2), С. 415 - 429

Опубликована: Окт. 7, 2022

Fatty liver diseases can result from common metabolic diseases, as well xenobiotic exposure and excessive alcohol use, all of which have been shown to exert toxic effects on hepatic mitochondrial functionality dynamics. Invasive or complex methodology limits large-scale investigations mitochondria in human livers. Nevertheless, abnormal function, such impaired fatty acid oxidation oxidative phosphorylation, drives stress has identified an important feature steatohepatitis. On the other hand, be flexible adapt ambient condition prevent triglyceride lipotoxin accumulation obesity. Experience studies xenobiotics provided insights into regulation mitochondria. Increasing awareness joint presence disease-related (lipotoxic) alcohol-related further highlights need better understand their mutual interaction potentiation disease progression. Recent clinical assessed diets bariatric surgery mitochondria, are also evolving interesting therapeutic target non-alcoholic disease. This review summarises current knowledge with a focus linked obesity, type 2 diabetes xenobiotics.

Язык: Английский

Процитировано

218

An adipocentric perspective on the development and progression of non-alcoholic fatty liver disease DOI Creative Commons
Eun Young Lee, Hannelie Korf, Antonio Vidal‐Puig

и другие.

Journal of Hepatology, Год журнала: 2023, Номер 78(5), С. 1048 - 1062

Опубликована: Фев. 3, 2023

Alongside the liver, white adipose tissue (WAT) is critical in regulating systemic energy homeostasis. Although each organ has its specialised functions, they must work coordinately to regulate whole-body metabolism. Adipose tissues and liver are relatively resilient can adapt an surplus by facilitating triglyceride (TG) storage up a certain threshold level without significant metabolic disturbances. However, lipid WAT beyond "personalised" adiposity becomes dysfunctional, leading inflexibility, progressive inflammation, aberrant adipokine secretion. Moreover, failure of store mobilise lipids results knock-on overload, particularly liver. Factors contributing hepatic overload include released from WAT, dietary fat intake, enhanced de novo lipogenesis. In contrast, extrahepatic mechanisms counteracting toxic entail coordinated compensation through oxidation fatty acids brown as TGs WAT. Failure these integrated homeostatic leads quantitative increases qualitative alterations lipidome Initially, hepatocytes preferentially accumulate TG species "benign" non-alcoholic with time, inflammatory responses ensue, progressing into more severe conditions such steatohepatitis, cirrhosis, hepatocellular carcinoma, some individuals (often early prognostic clue). Herein, we highlight pathogenic importance obesity-induced "adipose failure", resulting decreased functionality (i.e. capacity flexibility), development progression NAFL/NASH.

Язык: Английский

Процитировано

107

Mitochondrial Dysfunction Plays Central Role in Nonalcoholic Fatty Liver Disease DOI Open Access
Raghu Ramanathan, Ahmad H. Ali, Jamal A. Ibdah

и другие.

International Journal of Molecular Sciences, Год журнала: 2022, Номер 23(13), С. 7280 - 7280

Опубликована: Июнь 30, 2022

Nonalcoholic fatty liver disease (NAFLD) is a global pandemic that affects one-quarter of the world’s population. NAFLD includes spectrum progressive from steatosis to nonalcoholic steatohepatitis (NASH), fibrosis, and cirrhosis can be complicated by hepatocellular carcinoma. It strongly associated with metabolic syndromes, obesity, type 2 diabetes, it has been shown dysregulation central its pathogenesis. Recently, suggested metabolic- (dysfunction) (MAFLD) more appropriate term describe than NAFLD, which puts increased emphasis on important role dysfunction in There strong evidence mitochondrial plays significant development progression NAFLD. Impaired acid oxidation and, recently, reduction quality, have play major progression. In this review, we provide an overview our current understanding highlight how contributes pathogenesis both animal models human subjects. Further discuss modification function modulates targeting mitochondria promising new avenue for drug treat NAFLD/NASH.

Язык: Английский

Процитировано

104

Mitochondrial metabolic dysfunction and non-alcoholic fatty liver disease: new insights from pathogenic mechanisms to clinically targeted therapy DOI Creative Commons

Youwei Zheng,

Shiting Wang,

Jialiang Wu

и другие.

Journal of Translational Medicine, Год журнала: 2023, Номер 21(1)

Опубликована: Июль 28, 2023

Metabolic dysfunction-associated fatty liver disease (MAFLD) is among the most widespread metabolic globally, and its associated complications including insulin resistance diabetes have become threatening conditions for human health. Previous studies on non-alcoholic (NAFLD) were focused liver's lipid metabolism. However, growing evidence suggests that mitochondrial metabolism involved in pathogenesis of NAFLD to varying degrees several ways, instance cellular division, oxidative stress, autophagy, quality control. Ultimately, function gradually declines as a result dysfunction. The unable transfer excess droplets outside liver. Therefore, how regulate hepatic treat has focus current research. This review provides details about intrinsic link with mechanisms by which dysfunctions contribute progression. Given crucial role progression, application potential multiple improvement modalities (including physical exercise, diabetic medications, small molecule agonists targeting Sirt3, mitochondria-specific antioxidants) treatment was evaluated hoping provide new insights into treatment.

Язык: Английский

Процитировано

60

New insights into the role of mitochondrial dynamics in oxidative stress-induced diseases DOI Open Access
Sisi Chen, Qilong Li, Hanjing Shi

и другие.

Biomedicine & Pharmacotherapy, Год журнала: 2024, Номер 178, С. 117084 - 117084

Опубликована: Авг. 1, 2024

The accumulation of excess reactive oxygen species (ROS) can lead to oxidative stress (OS), which induce gene mutations, protein denaturation, and lipid peroxidation directly or indirectly. expression is reduced ATP level in cells, increased cytoplasmic Ca

Язык: Английский

Процитировано

47

Role of Insulin Resistance in the Development of Nonalcoholic Fatty Liver Disease in People With Type 2 Diabetes: From Bench to Patient Care DOI Open Access
Juan Patricio Nogueira, Kenneth Cusi

Diabetes Spectrum, Год журнала: 2024, Номер 37(1), С. 20 - 28

Опубликована: Фев. 1, 2024

Insulin resistance is implicated in both the pathogenesis of nonalcoholic fatty liver disease (NAFLD) and its progression from steatosis to steatohepatitis, cirrhosis, even hepatocellular carcinoma, which known be more common people with type 2 diabetes. This article reviews role insulin metabolic dysfunction observed obesity, diabetes, atherogenic dyslipidemia, hypertension how it a driver natural history NAFLD by promoting glucotoxicity lipotoxicity. The authors also review genetic environmental factors that stimulate steatohepatitis fibrosis their relationship cardiovascular summarize guidelines supporting treatment diabetes medications reduce resistance, such as pioglitazone or glucagon-like peptide 1 receptor agonists.

Язык: Английский

Процитировано

46

Hepatic glucose metabolism in the steatotic liver DOI
Egeria Scoditti, Silvia Sabatini, Fabrizia Carli

и другие.

Nature Reviews Gastroenterology & Hepatology, Год журнала: 2024, Номер 21(5), С. 319 - 334

Опубликована: Фев. 2, 2024

Язык: Английский

Процитировано

40

Mitochondrial quality control in human health and disease DOI Creative Commons
Bohao Liu,

Chen-Zhen Xu,

Yi Liu

и другие.

Military Medical Research, Год журнала: 2024, Номер 11(1)

Опубликована: Май 29, 2024

Abstract Mitochondria, the most crucial energy-generating organelles in eukaryotic cells, play a pivotal role regulating energy metabolism. However, their significance extends beyond this, as they are also indispensable vital life processes such cell proliferation, differentiation, immune responses, and redox balance. In response to various physiological signals or external stimuli, sophisticated mitochondrial quality control (MQC) mechanism has evolved, encompassing key like biogenesis, dynamics, mitophagy, which have garnered increasing attention from researchers unveil specific molecular mechanisms. this review, we present comprehensive summary of primary mechanisms functions regulators involved major components MQC. Furthermore, critical regulated by MQC its diverse roles progression systemic diseases been described detail. We discuss agonists antagonists targeting MQC, aiming explore potential therapeutic research prospects enhancing stabilize function.

Язык: Английский

Процитировано

37

Hepatic selective insulin resistance at the intersection of insulin signaling and metabolic dysfunction-associated steatotic liver disease DOI
Tao Bo, Ling Gao, Zhenyu Yao

и другие.

Cell Metabolism, Год журнала: 2024, Номер 36(5), С. 947 - 968

Опубликована: Май 1, 2024

Язык: Английский

Процитировано

32