INSERM, Université Rennes, INRAE, Institut NuMeCan, Nutrition, Metabolisms and Cancer, F-35000 Rennes, France.
CHU Rennes, Department of Anesthesia and Critical Care, F-35000 Rennes, France.
Cells. 2022 Mar 17;11(6):1021. doi: 10.3390/cells11061021.
Over the last few years, the number of research publications about the role of catecholamines (epinephrine, norepinephrine, and dopamine) in the development of liver diseases such as liver fibrosis, fatty liver diseases, or liver cancers is constantly increasing. However, the mechanisms involved in these effects are not well understood. In this review, we first recapitulate the way the liver is in contact with catecholamines and consider liver implications in their metabolism. A focus on the expression of the adrenergic and dopaminergic receptors by the liver cells is also discussed. Involvement of catecholamines in physiological (glucose metabolism, lipids metabolism, and liver regeneration) and pathophysiological (impact on drug-metabolizing enzymes expression, liver dysfunction during sepsis, fibrosis development, or liver fatty diseases and liver cancers) processes are then discussed. This review highlights the importance of understanding the mechanisms through which catecholamines influence liver functions in order to draw benefit from the adrenergic and dopaminergic antagonists currently marketed. Indeed, as these molecules are well-known drugs, their use as therapies or adjuvant treatments in several liver diseases could be facilitated.
在过去的几年中,关于儿茶酚胺(肾上腺素、去甲肾上腺素和多巴胺)在肝纤维化、脂肪肝疾病或肝癌等肝脏疾病发展中的作用的研究出版物数量不断增加。然而,这些影响的机制尚不清楚。在这篇综述中,我们首先回顾了肝脏与儿茶酚胺接触的方式,并考虑了其在代谢中的肝脏意义。还讨论了肝实质细胞中肾上腺素能和多巴胺能受体的表达。儿茶酚胺在生理(葡萄糖代谢、脂质代谢和肝再生)和病理生理(对药物代谢酶表达的影响、脓毒症期间的肝功能障碍、纤维化发展或脂肪肝疾病和肝癌)过程中的作用也进行了讨论。本综述强调了理解儿茶酚胺影响肝脏功能的机制的重要性,以便从目前市售的肾上腺素能和多巴胺能拮抗剂中获益。事实上,由于这些分子是众所周知的药物,它们在几种肝脏疾病中的治疗或辅助治疗的应用可能会更加便利。