Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin
Non-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the world. It is linked mainly to insulin resistance and metabolic syndrome including obesity and dyslipidemia. In addition, various endocrine dysfunctions including polycystic ovary syndrome (PCOS) and hyp...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.1053709/full |
| _version_ | 1811318999345004544 |
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| author | Myeong Jun Song Jong Young Choi |
| author_facet | Myeong Jun Song Jong Young Choi |
| author_sort | Myeong Jun Song |
| collection | DOAJ |
| description | Non-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the world. It is linked mainly to insulin resistance and metabolic syndrome including obesity and dyslipidemia. In addition, various endocrine dysfunctions including polycystic ovary syndrome (PCOS) and hypogonadism are involved in the development and progression of NAFLD. We need to know the disease pathophysiology more accurately due to the heterogeneity of clinical presentation of fatty liver disease. The liver is the major metabolic organ with sexual dimorphism. Sexual dimorphism is associated not only with behavioral differences between men and women, but also with physiological differences reflected in liver metabolism. In men, normal androgen levels prevent hepatic fat accumulation, whereas androgen deficiency induce hepatic steatosis. In women, higher androgens can increase the risk of NAFLD in PCOS. Sex hormone binding globulin (SHBG) is involved in androgen regulation. Recently, SHBG may be reported as a surrogate marker for NAFLD. Therefore, this review will focus on the mechanism of androgen dysfunction in the regulation of hepatic metabolism, the risk of developing NAFLD, and the potential role of SHBG in the course of NAFLD.; Keywords: Non-alcoholic fatty liver disease, insulin resistance, sexual dimorphism, androgen, sex hormone binding globulin |
| first_indexed | 2024-04-13T12:34:42Z |
| format | Article |
| id | doaj.art-95319ae70b384bce82969b859a4a380d |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-13T12:34:42Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-95319ae70b384bce82969b859a4a380d2022-12-22T02:46:42ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-11-011310.3389/fendo.2022.10537091053709Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulinMyeong Jun SongJong Young ChoiNon-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the world. It is linked mainly to insulin resistance and metabolic syndrome including obesity and dyslipidemia. In addition, various endocrine dysfunctions including polycystic ovary syndrome (PCOS) and hypogonadism are involved in the development and progression of NAFLD. We need to know the disease pathophysiology more accurately due to the heterogeneity of clinical presentation of fatty liver disease. The liver is the major metabolic organ with sexual dimorphism. Sexual dimorphism is associated not only with behavioral differences between men and women, but also with physiological differences reflected in liver metabolism. In men, normal androgen levels prevent hepatic fat accumulation, whereas androgen deficiency induce hepatic steatosis. In women, higher androgens can increase the risk of NAFLD in PCOS. Sex hormone binding globulin (SHBG) is involved in androgen regulation. Recently, SHBG may be reported as a surrogate marker for NAFLD. Therefore, this review will focus on the mechanism of androgen dysfunction in the regulation of hepatic metabolism, the risk of developing NAFLD, and the potential role of SHBG in the course of NAFLD.; Keywords: Non-alcoholic fatty liver disease, insulin resistance, sexual dimorphism, androgen, sex hormone binding globulinhttps://www.frontiersin.org/articles/10.3389/fendo.2022.1053709/fullnon-alcholic fatty liver diseaseinsuline resistancesexual dimorphismandrogensex hormone binding globhulin |
| spellingShingle | Myeong Jun Song Jong Young Choi Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin Frontiers in Endocrinology non-alcholic fatty liver disease insuline resistance sexual dimorphism androgen sex hormone binding globhulin |
| title | Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin |
| title_full | Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin |
| title_fullStr | Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin |
| title_full_unstemmed | Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin |
| title_short | Androgen dysfunction in non-alcoholic fatty liver disease: Role of sex hormone binding globulin |
| title_sort | androgen dysfunction in non alcoholic fatty liver disease role of sex hormone binding globulin |
| topic | non-alcholic fatty liver disease insuline resistance sexual dimorphism androgen sex hormone binding globhulin |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.1053709/full |
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