Song Chong, Long Xian, He Jianbin, Huang Yongpan
Medicine School, Changsha Social Work College, Changsha, Hunan, China.
Department of Respiratory and Critical Care Medicine, The First People's Hospital of Huaihua, Affiliated to University of South China, Huaihua, Hunan, China.
Front Pharmacol. 2023 Mar 16;14:1081334. doi: 10.3389/fphar.2023.1081334. eCollection 2023.
Non-alcoholic fatty liver disease (NAFLD) is common chronic metabolic liver disorder which is associated with fat accumulation in the liver. It causes a wide range of pathological effects such as insulin resistance, obesity, hypertension, diabetes, non-alcoholic steatohepatitis (NASH) and cirrhosis, cardiovascular diseases. The molecular mechanisms that cause the initiation and progression of NAFLD remain fully unclear. Inflammation is regarded as a significant mechanism which could result in cell death and tissue injury. Accumulation of leukocytes and hepatic inflammation are important contributors in NAFLD. Excessive inflammatory response can deteriorate the tissue injury in NAFLD. Thus, inhibition of inflammation improves NAFLD by reducing intrahepatic fat content, increasing β-oxidation of fatty acids, inducing hepato-protective autophagy, overexpressing peroxisome proliferator-activated receptor- γ (PPAR-γ), as well as attenuating hepatocyte apoptosis and increasing insulin sensitivity. Therefore, understanding the molecules and signaling pathways suggests us valuable information about NAFLD progression. This review aimed to evaluate the inflammation in NAFLD and the molecular mechanism on NAFLD.
非酒精性脂肪性肝病(NAFLD)是一种常见的慢性代谢性肝脏疾病,与肝脏脂肪堆积有关。它会引发多种病理效应,如胰岛素抵抗、肥胖、高血压、糖尿病、非酒精性脂肪性肝炎(NASH)和肝硬化、心血管疾病。导致NAFLD发生和进展的分子机制仍完全不清楚。炎症被认为是一种重要机制,可导致细胞死亡和组织损伤。白细胞的积聚和肝脏炎症是NAFLD的重要促成因素。过度的炎症反应会使NAFLD中的组织损伤恶化。因此,抑制炎症可通过降低肝内脂肪含量、增加脂肪酸的β氧化、诱导肝脏保护性自噬、过表达过氧化物酶体增殖物激活受体-γ(PPAR-γ)以及减轻肝细胞凋亡和提高胰岛素敏感性来改善NAFLD。因此,了解相关分子和信号通路可为我们提供有关NAFLD进展的有价值信息。本综述旨在评估NAFLD中的炎症以及NAFLD的分子机制。