2019
DOI: 10.1016/j.metabol.2019.153994
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Fibroblast growth factor 21 in non-alcoholic fatty liver disease

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Cited by 106 publications
(93 citation statements)
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“…Although the underlying mechanism for the development and progression of NAFLD is complex and multifactorial, obesity and insulin resistance are thought to be key pathogenic factors, as they lead to exacerbated lipolysis in adipose tissues, with consequent increased flux of free fatty acids (FFAs) to the liver (Samuel & Shulman, 2018; Tucker, Li, Long, Rye, & Ong, 2019). The oversupply of plasma FFAs to the liver leads to hepatic lipid accumulation, insulin resistance, glycogen reduction, and steatohepatitis with mitochondrial dysfunction, endoplasmic reticulum stress, and the release of reactive oxygen species (Buzzetti et al., 2016; Leamy, Egnatchik, & Young, 2013).…”
Section: Resultsmentioning
confidence: 99%
“…Although the underlying mechanism for the development and progression of NAFLD is complex and multifactorial, obesity and insulin resistance are thought to be key pathogenic factors, as they lead to exacerbated lipolysis in adipose tissues, with consequent increased flux of free fatty acids (FFAs) to the liver (Samuel & Shulman, 2018; Tucker, Li, Long, Rye, & Ong, 2019). The oversupply of plasma FFAs to the liver leads to hepatic lipid accumulation, insulin resistance, glycogen reduction, and steatohepatitis with mitochondrial dysfunction, endoplasmic reticulum stress, and the release of reactive oxygen species (Buzzetti et al., 2016; Leamy, Egnatchik, & Young, 2013).…”
Section: Resultsmentioning
confidence: 99%
“…FGF21 can reduce glucose levels without triggering hypoglycemia, and increase the glucose uptake in brown fat, the browning of white fat and the increase in overall energy consumption. As a metabolic regulator, FGF21 significantly reduces the expression of key genes involved in lipid metabolism, including stearoyl-coenzyme A desaturase 1 and glucokinase, reduces fat syntheses, upregulates the expression of key genes involved in lipolysis, including leptin receptor and insulin-like growth factor binding protein 2 and promotes fat decomposition and energy metabolism, thereby reducing the accumulation of fat in liver tissue and restoring normal liver function (40).…”
Section: Glucose Metabolism In Nafldmentioning
confidence: 99%
“…Mechanistically, the elevation of circulating FGF21 levels might result from dysfunctional peroxisome proliferatoractivated receptor-α signaling, which provided the potential mechanism for the association of FGF23 and NAFLD. 32 There were some limitations to the present study. Firstly, because of the cross-sectional nature of the present study, the chronological and causal sequences of changes in the serum FGF23 levels and the occurrence and development of hepatic steatosis were hard to determine.…”
Section: Discussionmentioning
confidence: 86%