The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review

Nonalcoholic fatty liver disease (NAFLD) exponentially affects the global healthcare burden, and it is currently gaining increasing interest in relation to its potential impact on central nervous system (CNS) diseases, especially concerning cognitive deterioration and dementias. Overall, scientific...

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Main Authors: Mauro Giuffrè, Nicola Merli, Maura Pugliatti, Rita Moretti
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/25/6/3337
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author Mauro Giuffrè
Nicola Merli
Maura Pugliatti
Rita Moretti
author_facet Mauro Giuffrè
Nicola Merli
Maura Pugliatti
Rita Moretti
author_sort Mauro Giuffrè
collection DOAJ
description Nonalcoholic fatty liver disease (NAFLD) exponentially affects the global healthcare burden, and it is currently gaining increasing interest in relation to its potential impact on central nervous system (CNS) diseases, especially concerning cognitive deterioration and dementias. Overall, scientific research nowadays extends to different levels, exploring NAFLD’s putative proinflammatory mechanism of such dysmetabolic conditions, spreading out from the liver to a multisystemic involvement. The aim of this review is to analyze the most recent scientific literature on cognitive involvement in NAFLD, as well as understand its underlying potential background processes, i.e., neuroinflammation, the role of microbiota in the brain–liver–gut axis, hyperammonemia neurotoxicity, insulin resistance, free fatty acids, and vitamins.
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spelling doaj.art-800e16f4b1744f2f932c76bd8ceaafbd2024-03-27T13:45:44ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672024-03-01256333710.3390/ijms25063337The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological ReviewMauro Giuffrè0Nicola Merli1Maura Pugliatti2Rita Moretti3Department of Internal Medicine (Digestive Diseases), Yale School of Medicine, New Haven, CT 06511, USADepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, ItalyDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, ItalyDepartment of Clinical, Medical and Surgical Sciences, University of Trieste, 34149 Trieste, ItalyNonalcoholic fatty liver disease (NAFLD) exponentially affects the global healthcare burden, and it is currently gaining increasing interest in relation to its potential impact on central nervous system (CNS) diseases, especially concerning cognitive deterioration and dementias. Overall, scientific research nowadays extends to different levels, exploring NAFLD’s putative proinflammatory mechanism of such dysmetabolic conditions, spreading out from the liver to a multisystemic involvement. The aim of this review is to analyze the most recent scientific literature on cognitive involvement in NAFLD, as well as understand its underlying potential background processes, i.e., neuroinflammation, the role of microbiota in the brain–liver–gut axis, hyperammonemia neurotoxicity, insulin resistance, free fatty acids, and vitamins.https://www.mdpi.com/1422-0067/25/6/3337NAFLDNASHinsulin resistancediabetesgut microbiotainflammation
spellingShingle Mauro Giuffrè
Nicola Merli
Maura Pugliatti
Rita Moretti
The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review
International Journal of Molecular Sciences
NAFLD
NASH
insulin resistance
diabetes
gut microbiota
inflammation
title The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review
title_full The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review
title_fullStr The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review
title_full_unstemmed The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review
title_short The Metabolic Impact of Nonalcoholic Fatty Liver Disease on Cognitive Dysfunction: A Comprehensive Clinical and Pathophysiological Review
title_sort metabolic impact of nonalcoholic fatty liver disease on cognitive dysfunction a comprehensive clinical and pathophysiological review
topic NAFLD
NASH
insulin resistance
diabetes
gut microbiota
inflammation
url https://www.mdpi.com/1422-0067/25/6/3337
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