Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases

Alcoholic and non-alcoholic liver diseases begin from an imbalance in lipid metabolism in hepatocytes as the earliest response. Both liver diseases share common disease features and stages (i.e., steatosis, hepatitis, cirrhosis, and hepatocellular carcinoma). However, the two diseases have different...

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Main Authors: Yun Seok Kim, Sang Geon Kim
Format: Article
Language:English
Published: Korean Association for the Study of the Liver 2020-10-01
Series:Clinical and Molecular Hepatology
Subjects:
Online Access:http://e-cmh.org/upload/pdf/cmh-2020-0173.pdf
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author Yun Seok Kim
Sang Geon Kim
author_facet Yun Seok Kim
Sang Geon Kim
author_sort Yun Seok Kim
collection DOAJ
description Alcoholic and non-alcoholic liver diseases begin from an imbalance in lipid metabolism in hepatocytes as the earliest response. Both liver diseases share common disease features and stages (i.e., steatosis, hepatitis, cirrhosis, and hepatocellular carcinoma). However, the two diseases have differential pathogenesis and clinical symptoms. Studies have elucidated the molecular basis underlying similarities and differences in the pathogenesis of the diseases; the factors contributing to the progression of liver diseases include depletion of sulfhydryl pools, enhanced levels of reactive oxygen and nitrogen intermediates, increased sensitivity of hepatocytes to toxic cytokines, mitochondrial dysfunction, and insulin resistance. Endoplasmic reticulum (ER) stress, which is caused by the accumulation of misfolded proteins and calcium depletion, contributes to the pathogenesis, often causing catastrophic cell death. Several studies have demonstrated a mechanism by which ER stress triggers liver disease progression. Autophagy is an evolutionarily conserved process that regulates organelle turnover and cellular energy balance through decomposing damaged organelles including mitochondria, misfolded proteins, and lipid droplets. Autophagy dysregulation also exacerbates liver diseases. Thus, autophagy-related molecules can be potential therapeutic targets for liver diseases. Since ER stress and autophagy are closely linked to each other, an understanding of the molecules, gene clusters, and networks engaged in these processes would be of help to find new remedies for alcoholic and non-alcoholic liver diseases. In this review, we summarize the recent findings and perspectives in the context of the molecular pathogenesis of the liver diseases.
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spelling doaj.art-99d02ef3d281427e87f0d3af4b45a0032022-12-21T23:39:13ZengKorean Association for the Study of the LiverClinical and Molecular Hepatology2287-27282287-285X2020-10-0126471572710.3350/cmh.2020.01731540Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseasesYun Seok Kim0Sang Geon Kim1 College of Pharmacy, Seoul National University, Seoul, Korea College of Pharmacy, Seoul National University, Seoul, KoreaAlcoholic and non-alcoholic liver diseases begin from an imbalance in lipid metabolism in hepatocytes as the earliest response. Both liver diseases share common disease features and stages (i.e., steatosis, hepatitis, cirrhosis, and hepatocellular carcinoma). However, the two diseases have differential pathogenesis and clinical symptoms. Studies have elucidated the molecular basis underlying similarities and differences in the pathogenesis of the diseases; the factors contributing to the progression of liver diseases include depletion of sulfhydryl pools, enhanced levels of reactive oxygen and nitrogen intermediates, increased sensitivity of hepatocytes to toxic cytokines, mitochondrial dysfunction, and insulin resistance. Endoplasmic reticulum (ER) stress, which is caused by the accumulation of misfolded proteins and calcium depletion, contributes to the pathogenesis, often causing catastrophic cell death. Several studies have demonstrated a mechanism by which ER stress triggers liver disease progression. Autophagy is an evolutionarily conserved process that regulates organelle turnover and cellular energy balance through decomposing damaged organelles including mitochondria, misfolded proteins, and lipid droplets. Autophagy dysregulation also exacerbates liver diseases. Thus, autophagy-related molecules can be potential therapeutic targets for liver diseases. Since ER stress and autophagy are closely linked to each other, an understanding of the molecules, gene clusters, and networks engaged in these processes would be of help to find new remedies for alcoholic and non-alcoholic liver diseases. In this review, we summarize the recent findings and perspectives in the context of the molecular pathogenesis of the liver diseases.http://e-cmh.org/upload/pdf/cmh-2020-0173.pdfnon-alcoholic steatohepatitisnon-alcoholic fatty liver diseasemitochondriaendoplasmic reticulum stressautophagy
spellingShingle Yun Seok Kim
Sang Geon Kim
Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases
Clinical and Molecular Hepatology
non-alcoholic steatohepatitis
non-alcoholic fatty liver disease
mitochondria
endoplasmic reticulum stress
autophagy
title Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases
title_full Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases
title_fullStr Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases
title_full_unstemmed Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases
title_short Endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non-alcoholic liver diseases
title_sort endoplasmic reticulum stress and autophagy dysregulation in alcoholic and non alcoholic liver diseases
topic non-alcoholic steatohepatitis
non-alcoholic fatty liver disease
mitochondria
endoplasmic reticulum stress
autophagy
url http://e-cmh.org/upload/pdf/cmh-2020-0173.pdf
work_keys_str_mv AT yunseokkim endoplasmicreticulumstressandautophagydysregulationinalcoholicandnonalcoholicliverdiseases
AT sanggeonkim endoplasmicreticulumstressandautophagydysregulationinalcoholicandnonalcoholicliverdiseases