| INTRODUC TI ONNon-alcoholic fatty liver disease (NAFLD) is a complex, chronic metabolic disorder characterized by ectopic accumulation of triglycerides (TG) in the liver without a history of alcohol abuse. 1 NAFLD consists of simple steatosis and non-alcoholic steatohepatitis, which ultimately develop into severe cirrhosis and even hepatocellular carcinoma. Recently, the prevalence of NAFLD has increased rapidly and has reached 20%-30% in the urban population of China. 2The pathogenesis of NAFLD is mainly attributed to hepatic lipid accumulation and insulin resistance, since the liver plays a vital role in regulating lipid and glucose metabolism. 3 Insulin resistance resulting from lipid accumulation is referred to as a primary step in the progress of NAFLD due to its crucial role in maintaining the balance of glucose and hepatic TG homeostasis. In the liver, insulin resistance could accelerate NAFLD and lead to hyperinsulinaemia by enhancing the inflow of de novo lipogenesis (DNL). 4 Although various risk factors, such as inflammation, fatty acid synthesis and oxidative stress, have been demonstrated to be involved in NAFLD progression, the exact mechanism underlying NAFLD progression remains unclear. 5Insulin-like growth factor (IGF)-binding protein (IGFBP) 7, also known as mac25, IGFBP-related protein (IGFBP-rP), tumour adhesion factor (TAF) and angiomodulin (AGM), is a secreted, cysteinerich protein that belongs to the IGFBP superfamily. 6 IGFBP7 contains
AbstractAn association between increased insulin-like growth factor binding protein-7 (IGFBP7) expression and insulin resistance in metabolic diseases has been reported.However, the role and molecular mechanism of IGFBP-7 in non-alcoholic fatty liver disease (NAFLD) remains largely unknown. Therefore, the potential function of
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