2019
DOI: 10.3748/wjg.v25.i30.4172
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Reduced lysosomal acid lipase activity: A new marker of liver disease severity across the clinical continuum of non-alcoholic fatty liver disease?

Abstract: Lysosomal acid lipase (LAL) plays a key role in intracellular lipid metabolism. Reduced LAL activity promotes increased multi-organ lysosomal cholesterol ester storage, as observed in two recessive autosomal genetic diseases, Wolman disease and Cholesterol ester storage disease. Severe liver steatosis and accelerated liver fibrosis are common features in patients with genetic LAL deficiency. By contrast, few reliable data are available on the modulation of LAL activity in vivo and on the… Show more

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Cited by 30 publications
(8 citation statements)
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“…The finding of this study suggested a strong association between impaired LAL activity and fatty liver disease. This correlation was confirmed by subsequent studies and may provide new insights into the pathogenesis and progression of NAFLD …”
Section: Endo‐lysosomal Dysfunction In Nafldsupporting
confidence: 62%
See 1 more Smart Citation
“…The finding of this study suggested a strong association between impaired LAL activity and fatty liver disease. This correlation was confirmed by subsequent studies and may provide new insights into the pathogenesis and progression of NAFLD …”
Section: Endo‐lysosomal Dysfunction In Nafldsupporting
confidence: 62%
“…[43][44][45] Tm6sf2 is a multipass membrane protein localized to the ER and ER-Golgi intermediate compartment. 46 Both the L156P and TA B L E 1 Cellular endo-lysosomal dysfunction in the pathogenesis of NAF LD There is a strong association between impaired LAL activity and NAFLD, but lacking mechanisms [95][96][97][98][99][100] Abbreviations: ABCA1, ATP binding cassette subfamily A member 1; apoB, apolipo-protein B; aSMase, acid sphingomyelinase; CCC, COMMD/ CCDC22/CCDC93; CE, cholesterol ester; CES1, carboxylesterase 1; EE, early endosome; EM, endosomal membrane; ER, endoplasmic reticulum; GLUT4, glucose transporter 4; GWAS, genome-wide association studies; HFD, high fat diet; LAL, lysosomal acid lipase. ; LD, lipid droplet; LDL, low density lipoprotein; LE, late endosome; LY, lysosome; MVB, multivesicular bodies; Npc1, Niemann-Pick C1; Npc2, Niemann-Pick C2; PI3K, phosphoinositide 3-kinases; PM, plasma membrane; Rab, Ras small GTP-binding proteins; TG, triacylglycerols; TLRs, toll-like receptors; Tm6sf2, transmembrane 6 superfamily member 2; Tmbiml, transmembrane BAX inhibitor motif containing 1; TPCs, two-pore channels; WASH, Wiskott-Aldrich syndrome protein and SCAR homologue.…”
Section: Endo -Lysosomal Dys Fun C Ti On In Nafldmentioning
confidence: 99%
“…PEs may contribute to driving the suppression of inflammatory responses in human cells by a medically and globally important dengue fever virus [32]. Low total ChE can usually be caused by liver damage, such as viral hepatitis, liver cirrhosis, and liver cancer [33]. Therefore, the dramatic reduction of such lipids was also consistent with the hepatic impairment associated with COVID-19, especially for patients in the SE group.…”
Section: Discussionmentioning
confidence: 90%
“…Lysosomal acid lipase (LAL) deficiency is observed in two recessive genetic disorders involving increased lysosomal cholesterol ester storage. LAL activity was shown to be significantly reduced in children [43] and adults [44,45] with NAFLD, suggesting a possible role of LAL reduction in the progression of NAFLD [46]. It is not yet known whether the presence of these polymorphisms modify the response to lifestyle or pharmacological interventions designed to slow or reverse the development and progression of NAFLD.…”
Section: Clinical Pathophysiologymentioning
confidence: 99%