2022
DOI: 10.3390/antiox11071284
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Genetic Factors Associated with Response to Vitamin E Treatment in NAFLD

Abstract: Non-alcoholic fatty liver disease (NAFLD) is becoming the predominant liver disease worldwide, and vitamin E has been clinically shown to improve histological parameters in a subset of patients. In this narrative review, we investigate whether genetic factors may help to explain why some patients show histological improvements upon high-dose alpha-tocopherol (αT) treatment while others do not. In summary, we identified two factors that are associated with treatment response, including genetic variations in hap… Show more

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Cited by 9 publications
(5 citation statements)
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“…Consequently, this may be one of the contributing factors to the distinctive lipid metabolism characteristics observed in goose liver tissue. Moreover, FADS1 and FADS2 are two rate-controlling enzymes in de novo fatty acid synthesis and TG metabolism, and the two genes are potential targets therapeutic targets for NAFLD disease [ 62 , 63 ], serving as pivotal fatty acid desaturases in the process of de novo lipogenesis and ensuing steatosis within goose liver [ 64 ]. The knockdown of FADS1 in the HepG2 cell line resulted in a notable reduction in cellular levels of LC-PUFAs.…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, this may be one of the contributing factors to the distinctive lipid metabolism characteristics observed in goose liver tissue. Moreover, FADS1 and FADS2 are two rate-controlling enzymes in de novo fatty acid synthesis and TG metabolism, and the two genes are potential targets therapeutic targets for NAFLD disease [ 62 , 63 ], serving as pivotal fatty acid desaturases in the process of de novo lipogenesis and ensuing steatosis within goose liver [ 64 ]. The knockdown of FADS1 in the HepG2 cell line resulted in a notable reduction in cellular levels of LC-PUFAs.…”
Section: Discussionmentioning
confidence: 99%
“…It can also enhance the liver decompensation period and improve liver transplant-free survival in patients with advanced fibrosis due to NAFLD [56][57][58] . Currently, it is assumed that genetic variants in haptoglobin and fatty acid desaturase 1/2 (FADS1/FADS2) may contribute to the different treatment responses of vitamin E in patients with NAFLD 59 . Considering that vitamin E may improve non-alcoholic steatohepatitis (NASH) symptoms in some nondiabetic patients, the American Association for the Study of Liver Diseases (AASLD) recommends that vitamin E be used in this specific group of individuals 60 .…”
Section: Discussionmentioning
confidence: 99%
“…Vitamin E enhances the activity of the antioxidant enzymes catalase and glutathione peroxidase [ 113 ]. Furthermore, genetic factors, including variations in haptoglobin and fatty acid desaturase 1/2 (FADS1/FADS2), may influence the therapeutic efficacy of Vitamin E in NAFLD [ 114 ]. Clinical studies have demonstrated Vitamin E ameliorates liver fibrosis in patients with NASH [ 115 ].…”
Section: Pharmacological Treatment Of Nafld In Western Medicinementioning
confidence: 99%