Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China.
Clinical Medicine Research Center for Hepatic Surgery of Hubei Province, Wuhan 430030, Hubei Province, China.
Int J Biol Sci. 2024 Jan 1;20(1):113-126. doi: 10.7150/ijbs.87305. eCollection 2024.
Non-alcoholic fatty liver disease (NAFLD) is a global health burden closely linked to insulin resistance, obesity, and type 2 diabetes. The complex pathophysiology of NAFLD involves multiple cellular pathways and molecular factors. Nuclear receptors (NRs) have emerged as crucial regulators of lipid metabolism and inflammation in NAFLD, offering potential therapeutic targets for NAFLD. Targeting PPARs and FXRs has shown promise in ameliorating NAFLD symptoms and halting disease progression. However, further investigation is needed to address side effects and personalize therapy approaches. This review summarizes the current understanding of the involvement of NRs in the pathogenesis of NAFLD and explores their therapeutic potential. We discuss the role of several NRs in modulating lipid homeostasis in the liver, including peroxisome proliferator-activated receptors (PPARs), liver X receptors (LXRs), farnesoid X receptors (FXRs), REV-ERB, hepatocyte nuclear factor 4α (HNF4α), constitutive androstane receptor (CAR) and pregnane X receptor (PXR).The expanding knowledge of NRs in NAFLD offers new avenues for targeted therapies, necessitating exploration of novel treatment strategies and optimization of existing approaches to combat this increasingly prevalent disease.
非酒精性脂肪性肝病(NAFLD)是一个全球性的健康负担,与胰岛素抵抗、肥胖和 2 型糖尿病密切相关。NAFLD 的复杂病理生理学涉及多个细胞途径和分子因素。核受体(NRs)已成为 NAFLD 中脂质代谢和炎症的重要调节剂,为 NAFLD 提供了潜在的治疗靶点。针对过氧化物酶体增殖物激活受体(PPARs)和法尼醇 X 受体(FXRs)的治疗方法已显示出改善 NAFLD 症状和阻止疾病进展的潜力。然而,仍需要进一步研究以解决副作用和个性化治疗方法的问题。本综述总结了 NRs 参与 NAFLD 发病机制的最新认识,并探讨了其治疗潜力。我们讨论了几种 NRs 在调节肝脏脂质平衡中的作用,包括过氧化物酶体增殖物激活受体(PPARs)、肝 X 受体(LXRs)、法尼醇 X 受体(FXRs)、REV-ERB、肝细胞核因子 4α(HNF4α)、组成型雄烷受体(CAR)和孕烷 X 受体(PXR)。NRs 在 NAFLD 中的不断扩展的知识为靶向治疗提供了新的途径,需要探索新的治疗策略并优化现有的方法来对抗这种日益流行的疾病。