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非酒精性脂肪性肝炎中的自噬作用。

Autophagy in nonalcoholic steatohepatitis.

机构信息

Department of Medicine, Marion Bessin Liver Research Center and Diabetes Research and Training Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.

出版信息

Expert Rev Gastroenterol Hepatol. 2011 Apr;5(2):159-66. doi: 10.1586/egh.11.4.

Abstract

Autophagy is a critical pathway for the degradation of intracellular components by lysosomes. Established functions for both macroautophagy and chaperone-mediated autophagy in hepatic lipid metabolism, insulin sensitivity and cellular injury suggest a number of potential mechanistic roles for autophagy in nonalcoholic steatohepatitis (NASH). Decreased autophagic function in particular may promote the initial development of hepatic steatosis and progression of steatosis to liver injury. Additional functions of autophagy in immune responses and carcinogenesis may also contribute to the development of NASH and its complications. The impairment in autophagy that occurs with cellular lipid accumulation, obesity and aging may therefore have an important impact on this disease, and agents to augment hepatic autophagy have therapeutic potential in NASH.

摘要

自噬是溶酶体降解细胞内成分的关键途径。在肝内脂质代谢、胰岛素敏感性和细胞损伤中,巨自噬和伴侣介导的自噬的既定功能表明自噬在非酒精性脂肪性肝炎(NASH)中有许多潜在的机制作用。特别是自噬功能的降低可能会促进肝脂肪变性的最初发展,并使脂肪变性向肝损伤进展。自噬在免疫反应和致癌作用中的其他功能也可能导致 NASH 的发展及其并发症。因此,随着细胞脂质积累、肥胖和衰老而发生的自噬损伤可能对这种疾病有重要影响,并且增强肝自噬的药物在 NASH 中有治疗潜力。

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