Frontiers in Endocrinology,
Год журнала:
2025,
Номер
15
Опубликована: Янв. 9, 2025
Non-alcoholic
fatty
liver
disease
(NAFLD)
is
a
multisystem
metabolic
disorder,
marked
by
abnormal
lipid
accumulation
and
intricate
inter-organ
interactions,
which
contribute
to
systemic
imbalances.
NAFLD
may
progress
through
several
stages,
including
simple
steatosis
(NAFL),
non-alcoholic
steatohepatitis
(NASH),
cirrhosis,
potentially
cancer.
This
closely
associated
with
disorders
driven
overnutrition,
key
pathological
processes
dysregulation,
impaired
autophagy,
mitochondrial
dysfunction,
endoplasmic
reticulum
(ER)
stress,
local
inflammation.
While
hepatic
metabolism
in
well-documented,
further
research
into
communication
mechanisms
crucial
for
deeper
understanding
of
progression.
review
delves
intrahepatic
networks
tissue-specific
signaling
mediators
involved
pathogenesis,
emphasizing
their
impact
on
distal
organs.
HepatoBiliary Surgery and Nutrition,
Год журнала:
2023,
Номер
12(3), С. 386 - 403
Опубликована: Фев. 24, 2023
With
the
rising
global
prevalence
of
fatty
liver
disease
related
to
metabolic
dysfunction,
association
this
common
condition
with
chronic
kidney
(CKD)
has
become
increasingly
evident.
In
2020,
more
inclusive
term
dysfunction-associated
(MAFLD)
was
proposed
replace
non-alcoholic
(NAFLD).
The
observed
between
MAFLD
and
CKD
our
understanding
that
can
be
a
consequence
underlying
dysfunction
support
notion
individuals
are
at
higher
risk
having
developing
compared
those
without
MAFLD.
However,
date,
there
is
no
appropriate
guidance
on
in
Furthermore,
been
little
attention
paid
link
Nephrology
community.Using
Delphi-based
approach,
multidisciplinary
panel
50
international
experts
from
26
countries
reached
consensus
some
open
research
questions
regarding
CKD.This
statement
provided
epidemiology,
mechanisms,
management
treatment
CKD,
as
well
relationship
severity
which
establish
framework
for
early
prevention
these
two
interconnected
diseases.
Clinical and Molecular Hepatology,
Год журнала:
2023,
Номер
29(2), С. 320 - 331
Опубликована: Фев. 2, 2023
The
prevalence
of
metabolic
dysfunction-associated
fatty
liver
disease
(MAFLD)
has
increased
among
the
general
population
and
chronic
hepatitis
B
(CHB)
patients
worldwide.
Although
is
a
well-known
risk
factor
for
adverse
outcomes
like
cirrhosis
hepatocellular
carcinoma,
its
interactions
with
virus
(HBV)
clinical
impacts
seem
complex.
presence
hepatic
steatosis
may
suppress
HBV
viral
activity,
potentially
leading
to
attenuated
injury.
In
contrast,
associated
co-morbidities
diabetes
mellitus
or
obesity
increase
developing
outcomes.
These
findings
implicate
that
components
MAFLD
have
diverse
effects
on
manifestations
CHB.
To
this
end,
strategy
proposed
managing
concurrent
CHB
MAFLD.
This
review
article
discusses
updated
evidence
regarding
prevalence,
between
HBV,
impacts,
management
strategies,
aiming
at
optimizing
holistic
health
care
in
population.
Frontiers in Cell and Developmental Biology,
Год журнала:
2024,
Номер
12
Опубликована: Июль 16, 2024
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD),
previously
known
as
non-alcoholic
fatty
(NAFLD),
is
the
most
common
disorder
worldwide,
with
an
estimated
global
prevalence
of
more
than
31%.
steatohepatitis
(MASH),
formerly
(NASH),
a
progressive
form
MASLD
characterized
by
hepatic
steatosis,
inflammation,
and
fibrosis.
This
review
aims
to
provide
comprehensive
analysis
extrahepatic
manifestations
MASH,
focusing
on
chronic
diseases
related
cardiovascular,
muscular,
renal
systems.
A
systematic
published
studies
literature
was
conducted
summarize
findings
systemic
impacts
MASH.
The
focused
association
MASH
metabolic
comorbidities,
cardiovascular
mortality,
sarcopenia,
kidney
disease.
Mechanistic
insights
into
concept
lipotoxic
inflammatory
"spill
over"
from
MASH-affected
were
also
explored.
are
highly
associated
(50%-80%)
other
comorbidities
such
impaired
insulin
response,
type
2
diabetes,
dyslipidemia,
hypertriglyceridemia,
hypertension.
Furthermore,
90%
obese
patients
diabetes
have
Data
suggest
that
in
middle-aged
individuals
(especially
those
aged
45-54),
independent
risk
factor
for
plays
crucial
role
mediating
pathological
effects
observed.
Understanding
multifaceted
impact
heart,
muscle,
early
detection
stratification.
knowledge
timely
implementing
management
strategies
addressing
multi-organ
involvement
pathogenesis.
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(7), С. 3746 - 3746
Опубликована: Март 27, 2024
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
influenced
by
a
variety
of
factors,
including
environmental
and
genetic
factors.
The
most
significant
outcome
the
alteration
free
fatty
acid
triglyceride
metabolism.
Lipotoxicity,
impaired
autophagy,
chronic
inflammation,
oxidative
stress,
as
well
coexisting
insulin
resistance,
obesity,
changes
in
composition
gut
microbiota,
are
also
considered
crucial
factors
pathogenesis
MASLD.
Resveratrol
polyphenolic
compound
that
belongs
to
stilbene
subgroup.
This
review
summarises
available
information
on
therapeutic
effects
resveratrol
against
has
demonstrated
promising
antisteatotic,
antioxidant,
anti-inflammatory
activities
cells
vitro
animal
studies.
been
associated
with
inhibiting
NF-κB
pathway,
activating
SIRT-1
AMPK
pathways,
normalizing
intestinal
microbiome,
alleviating
inflammation.
However,
clinical
studies
have
yielded
inconclusive
results
regarding
efficacy
hepatic
steatosis
or
reducing
any
parameters
found
MASLD
human
patients.
lack
homogeneity
between
studies,
low
bioavailability
resveratrol,
population
variability
when
compared
models
could
be
reasons
for
this.
Diabetes & Metabolism,
Год журнала:
2023,
Номер
50(1), С. 101506 - 101506
Опубликована: Дек. 21, 2023
With
the
rising
tide
of
fatty
liver
disease
related
to
metabolic
dysfunction
worldwide,
association
this
common
with
chronic
kidney
(CKD)
has
become
increasingly
evident.
In
2020,
more
inclusive
term
dysfunction-associated
(MAFLD)
was
proposed
replace
old
nonalcoholic
(NAFLD).
2023,
a
modified
Delphi
process
led
by
three
large
pan-national
associations.
There
consensus
change
nomenclature
and
definition
include
presence
at
least
one
five
cardiometabolic
risk
factors
as
diagnostic
criteria.
The
name
chosen
NAFLD
steatotic
(MASLD).
from
MAFLD
then
MASLD
resulted
in
reappraisal
epidemiological
trends
associations
developing
CKD.
observed
between
MAFLD/MASLD
CKD
our
understanding
that
can
be
an
epiphenomenon
linked
underlying
support
notion
individuals
are
substantially
higher
incident
than
those
without
MASLD.
This
narrative
review
provides
overview
literature
on
(a)
evolution
criteria
for
diagnosing
highly
prevalent
disease,
(b)
evidence
linking
CKD,
(c)
mechanisms
which
(and
strongly
MASLD)
may
increase
(d)
potential
drug
treatments
benefit
both
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
23(21), С. 13320 - 13320
Опубликована: Ноя. 1, 2022
Nonalcoholic
fatty
liver
disease
(NAFLD)
has
become
the
most
common
cause
of
chronic
worldwide,
affecting
up
to
~30%
adult
populations.
NAFLD
defines
a
spectrum
progressive
conditions
ranging
from
simple
steatosis
nonalcoholic
steatohepatitis
(NASH),
cirrhosis,
and
hepatocellular
carcinoma,
which
often
occur
in
close
bidirectional
associations
with
metabolic
disorders.
Chronic
kidney
(CKD)
is
characterized
by
anatomic
and/or
functional
renal
damage,
ultimately
resulting
reduced
glomerular
filtration
rate.
The
physiological
axis
linking
kidneys
passes
unnoticed
until
clinically
significant
portal
hypertension,
as
major
complication
becomes
apparent
form
ascites,
refractory
or
hepatorenal
syndrome.
However,
extensive
evidence
accumulated
since
2008
indicates
that
noncirrhotic
associated
higher
risk
incident
CKD,
independent
obesity,
type
2
diabetes,
other
factors.
In
addition,
subclinical
hypertension
been
demonstrated
NAFLD,
potential
adverse
impact
on
vasoregulation.
mechanisms
underlying
this
association
remain
unexplored
substantial
extent.
With
background,
review
we
discuss
current
showing
strong
between
putative
biological
underpinning
association.
We
also
depth
pathogenic
role
reflex,
may
be
triggered
poorly
investigated
but
promising
research
topic.
Finally,
address
emerging
pharmacotherapies
for
beneficially
affect
developing
CKD
individuals
NAFLD.