Tsuchiya Hiroyuki
Division of Molecular and Genetic Medicine, Graduate School of Medicine, Tottori University, Yonago, Japan.
Front Oncol. 2022 Jun 27;12:940552. doi: 10.3389/fonc.2022.940552. eCollection 2022.
The liver is a primary organ that stores body iron, and plays a central role in the regulation of iron homeostasis. Hepatic iron overload (HIO) is a prevalent feature among patients with chronic liver diseases (CLDs), including alcoholic/nonalcoholic liver diseases and hepatitis C. HIO is suggested to promote the progression toward hepatocellular carcinoma because of the pro-oxidant nature of iron. Iron metabolism is tightly regulated by various factors, such as hepcidin and ferroportin, in healthy individuals to protect the liver from such deteriorative effects. However, their intrinsic expressions or functions are frequently compromised in patients with HIO. Thus, various nutrients have been reported to regulate hepatic iron metabolism and protect the liver from iron-induced damage. These nutrients are beneficial in HIO-associated CLD treatment and eventually prevent iron-mediated hepatocarcinogenesis. This mini-review aimed to discuss the mechanisms and hepatocarcinogenic risk of HIO in patients with CLDs. Moreover, nutrients that hold the potential to prevent iron-induced hepatocarcinogenesis are summarized.
肝脏是储存机体铁的主要器官,在铁稳态调节中起核心作用。肝铁过载(HIO)是慢性肝病(CLD)患者的一个普遍特征,包括酒精性/非酒精性肝病和丙型肝炎。由于铁的促氧化性质,HIO被认为会促进肝细胞癌的进展。在健康个体中,铁代谢受到多种因素(如铁调素和铁转运蛋白)的严格调控,以保护肝脏免受此类恶化影响。然而,在HIO患者中,它们的内在表达或功能常常受损。因此,据报道各种营养素可调节肝脏铁代谢并保护肝脏免受铁诱导的损伤。这些营养素对HIO相关的CLD治疗有益,并最终预防铁介导的肝癌发生。本综述旨在探讨CLD患者中HIO的机制和致癌风险。此外,总结了具有预防铁诱导肝癌发生潜力的营养素。