2020
DOI: 10.1007/164_2020_352
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Nonalcoholic Fatty Liver Disease

Abstract: Nonalcoholic fatty liver disease (NAFLD) is considered the hepatic manifestation of the metabolic syndrome (MetS) and comprises one of the largest health threats of the twenty-first century. In this chapter, we review the current state of knowledge of NAFLD and underline the striking similarities with atherosclerosis. We first describe current epidemiological data showing the staggering increase of NAFLD numbers and its related clinical and economic costs. We then provide an overview of pathophysiological hepa… Show more

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Cited by 10 publications
(20 citation statements)
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References 307 publications
(317 reference statements)
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“…Lipid accumulation is necessary but not sufficient for progression from simple steatosis to the more serious NAFLD; other insults are also required. For instance, overproduction of fatty acids accelerates hepatocyte death by promoting oxidative stress and mitochondrial dysfunction, which amplifies the inflammatory response intended to clear damaged hepatocytes ( 1 ). Hence, oxidative stress and inflammation are implicated in the development of advanced NAFLD.…”
Section: Discussionmentioning
confidence: 99%
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“…Lipid accumulation is necessary but not sufficient for progression from simple steatosis to the more serious NAFLD; other insults are also required. For instance, overproduction of fatty acids accelerates hepatocyte death by promoting oxidative stress and mitochondrial dysfunction, which amplifies the inflammatory response intended to clear damaged hepatocytes ( 1 ). Hence, oxidative stress and inflammation are implicated in the development of advanced NAFLD.…”
Section: Discussionmentioning
confidence: 99%
“…The prevalence of nonalcoholic fatty liver is increasing worldwide as a result of an increasingly sedentary lifestyle and excess food intake. Although nonalcoholic fatty liver is considered not to cause serious liver damage, it can progress to nonalcoholic fatty liver disease (NAFLD), which involves nonalcoholic steatohepatitis, fibrosis, cirrhosis, and cancer ( 1 ). Because there are no approved drugs for advanced NAFLD, it must be appropriately managed at an early stage.…”
Section: Introductionmentioning
confidence: 99%
“…This is achieved via fusion of lysosomes with the plasma membrane. [90][91][92] Lysosomal exocytosis is an important function that any cell type performs. 93 Upon release, the content of lysosomes travels through the extracellular fluid for varying times and distances and subsequently interacts with recognized target cells to achieve the intercellular communication.…”
Section: Lysosomal Exocytosismentioning
confidence: 99%
“…Lipotoxic responses also affect LSECs, a type of non-parenchymal cell that are specifically involved in maintaining hepatic vascular tone and quiescence of hepatic stellate cells that are responsible for the fibrotic response. Upon treatment with oxidized lipids 89 or palmitic acid, 90 LSCEs directly or indirectly triggered the release of reactive oxygen species (ROS) production, 91 which influences mechanisms related to inflammation and fibrosis. 87 Increased hepatic fat accumulation has also been associated with reduced levels of high-density lipoproteins (HDL) and increased levels of total plasma cholesterol, low-density lipoproteins (LDL) and very lowdensity lipoprotein particles, 92 the latter being involved with hepatic lipid export.…”
Section: Lipo-and Glucotoxicitymentioning
confidence: 99%
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