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

The Emerging Role of Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Metabolic Dysfunction-Associated Steatohepatitis DOI
Layla A. Abushamat, Pir Ahmad Shah, Robert H. Eckel

и другие.

Clinical Gastroenterology and Hepatology, Год журнала: 2024, Номер 22(8), С. 1565 - 1574

Опубликована: Фев. 15, 2024

Язык: Английский

Процитировано

21

Autophagy and the unfolded protein response shape the non-alcoholic fatty liver landscape: decoding the labyrinth DOI
Zahra Dashti, Zeynab Yousefi,

Pouria Kiani

и другие.

Metabolism, Год журнала: 2024, Номер 154, С. 155811 - 155811

Опубликована: Фев. 2, 2024

Язык: Английский

Процитировано

19

Gut microbial metabolites in MASLD: Implications of mitochondrial dysfunction in the pathogenesis and treatment DOI Creative Commons
Ruhan Zhang, Zhaobo Yan, Huan Zhong

и другие.

Hepatology Communications, Год журнала: 2024, Номер 8(7)

Опубликована: Июль 1, 2024

With an increasing prevalence, metabolic dysfunction-associated steatotic liver disease (MASLD) has become a major global health problem. MASLD is well-known as multifactorial disease. Mitochondrial dysfunction and alterations in the gut bacteria are 2 vital events MASLD. Recent studies have highlighted cross-talk between microbiota mitochondria, mitochondria recognized pivotal targets of to modulate host's physiological state. plays role associated with multiple pathological changes, including hepatocyte steatosis, oxidative stress, inflammation, fibrosis. Metabolites crucial mediators that influence extraintestinal organs. Additionally, regulation composition may serve promising therapeutic strategy for This study reviewed potential roles several common metabolites MASLD, emphasizing their impact on mitochondrial function. Finally, we discuss current treatments probiotics, prebiotics, antibiotics, fecal transplantation. These methods concentrate restoring promote host health.

Язык: Английский

Процитировано

18

Metabolic dysfunction-associated steatotic liver disease in adults DOI
Daniel Q. Huang, Vincent Wai–Sun Wong, Mary E. Rinella

и другие.

Nature Reviews Disease Primers, Год журнала: 2025, Номер 11(1)

Опубликована: Март 6, 2025

Язык: Английский

Процитировано

10

Integrative Metabolism in MASLD and MASH: Pathophysiology and Emerging Mechanisms DOI Creative Commons
Gregory R. Steinberg, Celina M Valvano, William De Nardo

и другие.

Journal of Hepatology, Год журнала: 2025, Номер unknown

Опубликована: Март 1, 2025

The liver acts as a central metabolic hub, integrating signals from the gastrointestinal tract and adipose tissue to regulate carbohydrate, lipid, amino acid metabolism. Gut-derived metabolites, such acetate ethanol non-esterified fatty acids white (WAT), influence hepatic processes, which rely on mitochondrial function maintain systemic energy balance. Metabolic dysregulation obesity, insulin resistance, type 2 diabetes disrupt these pathways, leading dysfunction-associated steatotic disease (MASLD) steatohepatitis (MASH). This review explores fluxes within gut-adipose tissue-liver axis, focusing pivotal role of de novo lipogenesis (DNL), dietary substrates like glucose fructose, changes in during MASLD progression. It highlights contributions resistance impaired dynamics lipid accumulation. Further understanding how interplay between substrate flux gastro-intestinal integrates with intersects structural functional alterations mitochondria will be important identify novel therapeutic targets advance treatment MASH.

Язык: Английский

Процитировано

3

The PNPLA3 I148M variant increases ketogenesis and decreases hepatic de novo lipogenesis and mitochondrial function in humans DOI Creative Commons
Panu K. Luukkonen, Kimmo Porthan, Noora Ahlholm

и другие.

Cell Metabolism, Год журнала: 2023, Номер 35(11), С. 1887 - 1896.e5

Опубликована: Окт. 30, 2023

The PNPLA3 I148M variant is the major genetic risk factor for all stages of fatty liver disease, but underlying pathophysiology remains unclear. We studied effect this on hepatic metabolism in homozygous carriers and non-carriers under multiple physiological conditions with state-of-the-art stable isotope techniques. After an overnight fast, had higher plasma β-hydroxybutyrate concentrations lower de novo lipogenesis (DNL) compared to non-carriers. a mixed meal, acids were channeled toward ketogenesis carriers, which was associated increase mitochondrial redox state. During ketogenic diet, manifested increased rates intrahepatic lipolysis, concentrations, decreased citrate synthase flux. These studies demonstrate that have dysfunction leading reduced DNL channeling carbons ketogenesis. findings implications understanding why predisposes progressive disease.

Язык: Английский

Процитировано

43

Mitochondrial dysfunction: A promising therapeutic target for liver diseases DOI Creative Commons
Ping Chen, Lichao Yao, Mengqin Yuan

и другие.

Genes & Diseases, Год журнала: 2023, Номер 11(3), С. 101115 - 101115

Опубликована: Сен. 17, 2023

The liver is an important metabolic and detoxification organ hence demands a large amount of energy, which mainly produced by the mitochondria. Liver tissues patients with alcohol-related or non-alcohol-related diseases contain ultrastructural mitochondrial lesions, DNA damage, disturbed dynamics, compromised ATP production. Overproduction reactive oxygen species induces oxidative damage to proteins DNA, decreases membrane potential, triggers hepatocyte inflammation, promotes programmed cell death, all impair function. Mitochondrial may be potential novel non-invasive biomarker risk progression cirrhosis hepatocellular carcinoma in infected hepatitis B virus. We herein present review mechanisms dysfunction development acute injury chronic diseases, such as carcinoma, viral hepatitis, drug-induced injury, alcoholic disease, non-alcoholic fatty disease. This also discusses mitochondrion-centric therapies for treating diseases.

Язык: Английский

Процитировано

40

Lipid Metabolism in Metabolic-Associated Steatotic Liver Disease (MASLD) DOI Creative Commons
Majid Mufaqam Syed‐Abdul

Metabolites, Год журнала: 2023, Номер 14(1), С. 12 - 12

Опубликована: Дек. 23, 2023

Metabolic-associated steatotic liver disease (MASLD) is a cluster of pathological conditions primarily developed due to the accumulation ectopic fat in hepatocytes. During severe form disease, i.e., metabolic-associated steatohepatitis (MASH), accumulated lipids promote lipotoxicity, resulting cellular inflammation, oxidative stress, and hepatocellular ballooning. If left untreated, advanced progresses fibrosis tissue, irreversible hepatic cirrhosis or development carcinoma. Although numerous mechanisms have been identified as significant contributors advancement MASLD, altered lipid metabolism continues stand out major factor contributing disease. This paper briefly discusses dysregulation during various stages MASLD.

Язык: Английский

Процитировано

36

A TNFα/Miz1-positive feedback loop inhibits mitophagy in hepatocytes and propagates non-alcoholic steatohepatitis DOI

Kangpeng Jin,

Yuze Shi, Haitian Zhang

и другие.

Journal of Hepatology, Год журнала: 2023, Номер 79(2), С. 403 - 416

Опубликована: Апрель 9, 2023

Язык: Английский

Процитировано

33

Nonalcoholic Fatty Liver Disease and Omega-3 Fatty Acids: Mechanisms and Clinical Use DOI Creative Commons
Melinda H. Spooner, Donald Β. Jump

Annual Review of Nutrition, Год журнала: 2023, Номер 43(1), С. 199 - 223

Опубликована: Май 19, 2023

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic worldwide, particularly in obese and type 2 diabetic individuals. Currently, there are no therapies for NAFLD that have been approved by US Food Drug Administration. Herein, we examine rationale using ω3 polyunsaturated acids (PUFAs) therapy. This focus based on finding severity associated with a reduction of hepatic C20-22 PUFAs. Because PUFAs pleiotropic regulators cell function, loss has potential to significantly impact function. We describe prevalence pathophysiology as well current therapies. also present evidence from clinical preclinical studies evaluated capacity treat NAFLD. Given evidence, dietary PUFA supplementation decrease human reducing hepatosteatosis injury.

Язык: Английский

Процитировано

29