Department of General Medicine, Qingdao Central Hospital, University of Health and Rehabilitation Sciences (Qingdao Central Medical Group), Qingdao 266042, Shandong Province, China.
Department of Gastroenterology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences (Qingdao Central Medical Group), Qingdao 266042, Shandong Province, China.
World J Gastroenterol. 2024 Apr 14;30(14):1968-1981. doi: 10.3748/wjg.v30.i14.1968.
Nonalcoholic fatty liver disease (NAFLD) is the most prevalent type of chronic liver disease. However, the disease is underappreciated as a remarkable chronic disorder as there are rare managing strategies. Several studies have focused on determining NAFLD-caused hepatocyte death to elucidate the disease pathoetiology and suggest functional therapeutic and diagnostic options. Pyroptosis, ferroptosis, and necroptosis are the main subtypes of non-apoptotic regulated cell deaths (RCDs), each of which represents particular characteristics. Considering the complexity of the findings, the present study aimed to review these types of RCDs and their contribution to NAFLD progression, and subsequently discuss in detail the role of necroptosis in the pathoetiology, diagnosis, and treatment of the disease. The study revealed that necroptosis is involved in the occurrence of NAFLD and its progression towards steatohepatitis and cancer, hence it has potential in diagnostic and therapeutic approaches. Nevertheless, further studies are necessary.
非酒精性脂肪性肝病(NAFLD)是最常见的慢性肝病。然而,由于缺乏有效的治疗策略,这种疾病并未被充分认识为一种显著的慢性疾病。有几项研究集中在确定 NAFLD 引起的肝细胞死亡,以阐明疾病的病理发病机制,并提出功能性治疗和诊断选择。细胞焦亡、铁死亡和坏死性凋亡是无细胞凋亡调控性细胞死亡(RCD)的主要亚型,每种亚型都具有特定的特征。考虑到研究结果的复杂性,本研究旨在综述这些 RCD 类型及其在 NAFLD 进展中的作用,并详细讨论坏死性凋亡在疾病病理发病机制、诊断和治疗中的作用。研究表明,坏死性凋亡参与了 NAFLD 的发生及其向脂肪性肝炎和癌症的进展,因此在诊断和治疗方法中具有潜力。然而,还需要进一步的研究。