Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease

Abstract. Non-alcoholic fatty liver disease (NAFLD) is emerging as the most common chronic liver disease worldwide. It refers to a range of liver conditions affecting people who drink little or no alcohol. NAFLD comprises non-alcoholic fatty liver and non-alcoholic steatohepatitis (NASH), the more a...

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Main Authors: Xiaoli Pan, Yanqiao Zhang, Yuanyuan Ji
Format: Article
Language:English
Published: Wolters Kluwer 2022-05-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000002092
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author Xiaoli Pan
Yanqiao Zhang
Yuanyuan Ji
author_facet Xiaoli Pan
Yanqiao Zhang
Yuanyuan Ji
author_sort Xiaoli Pan
collection DOAJ
description Abstract. Non-alcoholic fatty liver disease (NAFLD) is emerging as the most common chronic liver disease worldwide. It refers to a range of liver conditions affecting people who drink little or no alcohol. NAFLD comprises non-alcoholic fatty liver and non-alcoholic steatohepatitis (NASH), the more aggressive form of NAFLD. NASH is featured by steatosis, lobular inflammation, hepatocyte injury, and various degrees of fibrosis. Although much progress has been made over the past decades, the pathogenic mechanism of NAFLD remains to be fully elucidated. Hepatocyte nuclear factor 4α (HNF4α) is a nuclear hormone receptor that is highly expressed in hepatocytes. Hepatic HNF4α expression is markedly reduced in NAFLD patients and mouse models of NASH. HNF4α has been shown to regulate bile acid, lipid, glucose, and drug metabolism. In this review, we summarize the recent advances in the understanding of the pathogenesis of NAFLD with a focus on the regulation of HNF4α and the role of hepatic HNF4α in NAFLD. Several lines of evidence have shown that hepatic HNF4α plays a key role in the initiation and progression of NAFLD. Recent data suggest that hepatic HNF4α may be a promising target for treatment of NAFLD.
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spelling doaj.art-1f49a7ec21b14a81844d9d6a03f094082022-12-22T03:07:29ZengWolters KluwerChinese Medical Journal0366-69992542-56412022-05-01135101172118110.1097/CM9.0000000000002092202205200-00006Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver diseaseXiaoli Pan0Yanqiao Zhang1Yuanyuan Ji2Department of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH 44272, USA.Department of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH 44272, USA.Department of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH 44272, USA.Abstract. Non-alcoholic fatty liver disease (NAFLD) is emerging as the most common chronic liver disease worldwide. It refers to a range of liver conditions affecting people who drink little or no alcohol. NAFLD comprises non-alcoholic fatty liver and non-alcoholic steatohepatitis (NASH), the more aggressive form of NAFLD. NASH is featured by steatosis, lobular inflammation, hepatocyte injury, and various degrees of fibrosis. Although much progress has been made over the past decades, the pathogenic mechanism of NAFLD remains to be fully elucidated. Hepatocyte nuclear factor 4α (HNF4α) is a nuclear hormone receptor that is highly expressed in hepatocytes. Hepatic HNF4α expression is markedly reduced in NAFLD patients and mouse models of NASH. HNF4α has been shown to regulate bile acid, lipid, glucose, and drug metabolism. In this review, we summarize the recent advances in the understanding of the pathogenesis of NAFLD with a focus on the regulation of HNF4α and the role of hepatic HNF4α in NAFLD. Several lines of evidence have shown that hepatic HNF4α plays a key role in the initiation and progression of NAFLD. Recent data suggest that hepatic HNF4α may be a promising target for treatment of NAFLD.http://journals.lww.com/10.1097/CM9.0000000000002092
spellingShingle Xiaoli Pan
Yanqiao Zhang
Yuanyuan Ji
Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease
Chinese Medical Journal
title Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease
title_full Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease
title_fullStr Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease
title_full_unstemmed Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease
title_short Hepatocyte nuclear factor 4α in the pathogenesis of non-alcoholic fatty liver disease
title_sort hepatocyte nuclear factor 4α in the pathogenesis of non alcoholic fatty liver disease
url http://journals.lww.com/10.1097/CM9.0000000000002092
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AT yuanyuanji hepatocytenuclearfactor4ainthepathogenesisofnonalcoholicfattyliverdisease