Article ; Online: Reprogramming of Hepatic Metabolism and Microenvironment in Nonalcoholic Steatohepatitis.
2022 Volume 42, Page(s) 91–113
Abstract: Nonalcoholic fatty liver disease (NAFLD), a spectrum of metabolic liver disease associated with obesity, ranges from relatively benign hepatic steatosis to nonalcoholic steatohepatitis (NASH). The latter is characterized by persistent liver injury, ... ...
Abstract | Nonalcoholic fatty liver disease (NAFLD), a spectrum of metabolic liver disease associated with obesity, ranges from relatively benign hepatic steatosis to nonalcoholic steatohepatitis (NASH). The latter is characterized by persistent liver injury, inflammation, and liver fibrosis, which collectively increase the risk for end-stage liver diseases such as cirrhosis and hepatocellular carcinoma. Recent work has shed new light on the pathophysiology of NAFLD/NASH, particularly the role of genetic, epigenetic, and dietary factors and metabolic dysfunctions in other tissues in driving excess hepatic fat accumulation and liver injury. In parallel, single-cell RNA sequencing studies have revealed unprecedented details of the molecular nature of liver cell heterogeneity, intrahepatic cross talk, and disease-associated reprogramming of the liver immune and stromal vascular microenvironment. This review covers the recent advances in these areas, the emerging concepts of NASH pathogenesis, and potential new therapeutic opportunities. |
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MeSH term(s) | Carcinoma, Hepatocellular/complications ; Carcinoma, Hepatocellular/pathology ; Humans ; Liver/metabolism ; Liver Cirrhosis/complications ; Liver Cirrhosis/pathology ; Liver Neoplasms/complications ; Liver Neoplasms/genetics ; Liver Neoplasms/pathology ; Non-alcoholic Fatty Liver Disease/metabolism ; Tumor Microenvironment |
Language | English |
Publishing date | 2022-05-18 |
Publishing country | United States |
Document type | Journal Article ; Review ; Research Support, Non-U.S. Gov't |
ZDB-ID | 406980-8 |
ISSN | 1545-4312 ; 0199-9885 |
ISSN (online) | 1545-4312 |
ISSN | 0199-9885 |
DOI | 10.1146/annurev-nutr-062220-105200 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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