代谢功能障碍相关脂肪性肝病和肝纤维化中的肝细胞线粒体自噬
Liver Cell Mitophagy in Metabolic Dysfunction-Associated Steatotic Liver Disease and Liver Fibrosis.
作者信息
Chen Jiaxin, Jian Linge, Guo Yangkun, Tang Chengwei, Huang Zhiyin, Gao Jinhang
机构信息
Laboratory of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, China.
出版信息
Antioxidants (Basel). 2024 Jun 15;13(6):729. doi: 10.3390/antiox13060729.
Metabolic dysfunction-associated steatotic liver disease (MASLD) affects approximately one-third of the global population. MASLD and its advanced-stage liver fibrosis and cirrhosis are the leading causes of liver failure and liver-related death worldwide. Mitochondria are crucial organelles in liver cells for energy generation and the oxidative metabolism of fatty acids and carbohydrates. Recently, mitochondrial dysfunction in liver cells has been shown to play a vital role in the pathogenesis of MASLD and liver fibrosis. Mitophagy, a selective form of autophagy, removes and recycles impaired mitochondria. Although significant advances have been made in understanding mitophagy in liver diseases, adequate summaries concerning the contribution of liver cell mitophagy to MASLD and liver fibrosis are lacking. This review will clarify the mechanism of liver cell mitophagy in the development of MASLD and liver fibrosis, including in hepatocytes, macrophages, hepatic stellate cells, and liver sinusoidal endothelial cells. In addition, therapeutic strategies or compounds related to hepatic mitophagy are also summarized. In conclusion, mitophagy-related therapeutic strategies or compounds might be translational for the clinical treatment of MASLD and liver fibrosis.
代谢功能障碍相关脂肪性肝病(MASLD)影响着全球约三分之一的人口。MASLD及其晚期肝纤维化和肝硬化是全球肝衰竭和肝相关死亡的主要原因。线粒体是肝细胞中产生能量以及进行脂肪酸和碳水化合物氧化代谢的关键细胞器。最近,已证明肝细胞中的线粒体功能障碍在MASLD和肝纤维化的发病机制中起着至关重要的作用。线粒体自噬是一种选择性自噬形式,可清除和回收受损的线粒体。尽管在理解肝脏疾病中的线粒体自噬方面已取得重大进展,但关于肝细胞线粒体自噬对MASLD和肝纤维化的作用仍缺乏充分的总结。本综述将阐明肝细胞线粒体自噬在MASLD和肝纤维化发展中的机制,包括在肝细胞、巨噬细胞、肝星状细胞和肝窦内皮细胞中的机制。此外,还总结了与肝脏线粒体自噬相关的治疗策略或化合物。总之,与线粒体自噬相关的治疗策略或化合物可能会转化应用于MASLD和肝纤维化的临床治疗。