Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis

Non-alcoholic fatty liver disease (NAFLD) is the leading chronic liver disease worldwide, with a progressive form of non-alcoholic steatohepatitis (NASH). It may progress to advanced liver diseases, including liver fibrosis, cirrhosis, and hepatocellular carcinoma. NAFLD/NASH is a comorbidity of man...

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Main Authors: Chunye Zhang, Yuxiang Sui, Shuai Liu, Ming Yang
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2023-10-01
Series:Exploration of Digestive Diseases
Subjects:
Online Access:https://www.explorationpub.com/Journals/edd/Article/100529
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author Chunye Zhang
Yuxiang Sui
Shuai Liu
Ming Yang
author_facet Chunye Zhang
Yuxiang Sui
Shuai Liu
Ming Yang
author_sort Chunye Zhang
collection DOAJ
description Non-alcoholic fatty liver disease (NAFLD) is the leading chronic liver disease worldwide, with a progressive form of non-alcoholic steatohepatitis (NASH). It may progress to advanced liver diseases, including liver fibrosis, cirrhosis, and hepatocellular carcinoma. NAFLD/NASH is a comorbidity of many metabolic disorders such as obesity, insulin resistance, type 2 diabetes, cardiovascular disease, and chronic kidney disease. These metabolic diseases are often accompanied by systemic or extrahepatic inflammation, which plays an important role in the pathogenesis and treatment of NAFLD or NASH. Metabolites, such as short-chain fatty acids, impact the function, inflammation, and death of hepatocytes, the primary parenchymal cells in the liver tissue. Cholangiocytes, the epithelial cells that line the bile ducts, can differentiate into proliferative hepatocytes in chronic liver injury. In addition, hepatic non-parenchymal cells, including liver sinusoidal endothelial cells, hepatic stellate cells, and innate and adaptive immune cells, are involved in liver inflammation. Proteins such as fibroblast growth factors, acetyl-coenzyme A carboxylases, and nuclear factor erythroid 2-related factor 2 are involved in liver metabolism and inflammation, which are potential targets for NASH treatment. This review focuses on the effects of metabolic disease-induced extrahepatic inflammation, liver inflammation, and the cellular and molecular mechanisms of liver metabolism on the development and progression of NAFLD and NASH, as well as the associated treatments.
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spelling doaj.art-5f51748c7c05478a8f436f4261f3d75a2024-01-03T01:14:23ZengOpen Exploration Publishing Inc.Exploration of Digestive Diseases2833-63212023-10-012524627510.37349/edd.2023.00029Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitisChunye Zhang0https://orcid.org/0000-0003-2567-029XYuxiang Sui1https://orcid.org/0009-0002-9305-9310Shuai Liu2https://orcid.org/0000-0001-9695-2492Ming Yang3https://orcid.org/0000-0002-4895-5864Christopher S. Bond Life Sciences Center, University of Missouri, Columbia, MO 65211, USASchool of Life Science, Shanxi Normal University, Linfen 041004, Shanxi Province, ChinaThe First Affiliated Hospital, Zhejiang University, Hangzhou 310006, Zhejiang Province, ChinaDepartment of Surgery, University of Missouri, Columbia, MO 65211, USANon-alcoholic fatty liver disease (NAFLD) is the leading chronic liver disease worldwide, with a progressive form of non-alcoholic steatohepatitis (NASH). It may progress to advanced liver diseases, including liver fibrosis, cirrhosis, and hepatocellular carcinoma. NAFLD/NASH is a comorbidity of many metabolic disorders such as obesity, insulin resistance, type 2 diabetes, cardiovascular disease, and chronic kidney disease. These metabolic diseases are often accompanied by systemic or extrahepatic inflammation, which plays an important role in the pathogenesis and treatment of NAFLD or NASH. Metabolites, such as short-chain fatty acids, impact the function, inflammation, and death of hepatocytes, the primary parenchymal cells in the liver tissue. Cholangiocytes, the epithelial cells that line the bile ducts, can differentiate into proliferative hepatocytes in chronic liver injury. In addition, hepatic non-parenchymal cells, including liver sinusoidal endothelial cells, hepatic stellate cells, and innate and adaptive immune cells, are involved in liver inflammation. Proteins such as fibroblast growth factors, acetyl-coenzyme A carboxylases, and nuclear factor erythroid 2-related factor 2 are involved in liver metabolism and inflammation, which are potential targets for NASH treatment. This review focuses on the effects of metabolic disease-induced extrahepatic inflammation, liver inflammation, and the cellular and molecular mechanisms of liver metabolism on the development and progression of NAFLD and NASH, as well as the associated treatments.https://www.explorationpub.com/Journals/edd/Article/100529non-alcoholic fatty liver diseasenon-alcoholic steatohepatitismetabolitesinflammationhepatocyte deathmolecular targetsclinical trials
spellingShingle Chunye Zhang
Yuxiang Sui
Shuai Liu
Ming Yang
Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
Exploration of Digestive Diseases
non-alcoholic fatty liver disease
non-alcoholic steatohepatitis
metabolites
inflammation
hepatocyte death
molecular targets
clinical trials
title Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
title_full Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
title_fullStr Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
title_full_unstemmed Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
title_short Molecular mechanisms of metabolic disease-associated hepatic inflammation in non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
title_sort molecular mechanisms of metabolic disease associated hepatic inflammation in non alcoholic fatty liver disease and non alcoholic steatohepatitis
topic non-alcoholic fatty liver disease
non-alcoholic steatohepatitis
metabolites
inflammation
hepatocyte death
molecular targets
clinical trials
url https://www.explorationpub.com/Journals/edd/Article/100529
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