2017
DOI: 10.1002/hep4.1036
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Treating fatty liver disease by modulating mitochondrial pyruvate metabolism

Abstract: Modifying the entry of pyruvate into mitochondria may provide a unique approach to treat metabolic disease. The pharmacology of a new class of insulin sensitizers directed against a newly identified mitochondrial target may treat many aspects of nonalcoholic steatohepatitis, including fibrosis. This commentary suggests treating nonalcoholic steatohepatitis through a newly identified mechanism consistent with pathophysiology. (Hepatology Communications 2017;1:193‐197)

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Cited by 21 publications
(13 citation statements)
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“…Amiodarone or valproate accumulate in mitochondria and induce inhibition of fatty acid oxidation and electron transfer chain (Berson et al, 1998). In support of the key role of mitochondria in NAFLD, recent data indicated the critical role of the mitochondrial pyruvate carrier MPC, a heterologous complex made of MPC1 and MPC2 proteins in the inner mitochondrial membrane (Colca et al, 2017). The complex is required for the entry of pyruvate that is synthetized in the cytosol, in the mitochondrial matrix, where it will be further metabolized.…”
Section: Lipids Mitochondria and Agingmentioning
confidence: 99%
“…Amiodarone or valproate accumulate in mitochondria and induce inhibition of fatty acid oxidation and electron transfer chain (Berson et al, 1998). In support of the key role of mitochondria in NAFLD, recent data indicated the critical role of the mitochondrial pyruvate carrier MPC, a heterologous complex made of MPC1 and MPC2 proteins in the inner mitochondrial membrane (Colca et al, 2017). The complex is required for the entry of pyruvate that is synthetized in the cytosol, in the mitochondrial matrix, where it will be further metabolized.…”
Section: Lipids Mitochondria and Agingmentioning
confidence: 99%
“…While pioglitazone is traditionally thought to act as an agonist of PPARγ, others have hypothesized that the benefits of pioglitazone, but not the side effects of the drug, can be separated from PPAR activity 79, 80. These investigators postulated that TZDs attenuate mitochondrial pyruvate carrier activity and that new selective mitochondrial pyruvate carrier modulators will share the therapeutic benefits of TZDs but not the side effects that limit TZD use 79, 80. Two such agents, MSDC-0602K (Cirius Therapeutics, San Diego, CA), and PXL065 (formerly DRX-065 from DeuteRx) (Poxel, Lyon, France) are presently in development for NASH (Table 1).…”
Section: Nuclear Hormone Receptorsmentioning
confidence: 99%
“…MSDC-0602K is a mitochondrial target of thiazolidinediones, which produces several of the benefits of PPAR-γ agonists with potentially less impact on weight gain and more impact on attenuating fibrosis. 58 It is currently in phase IIa trial. 34 , 59 IVA-337 (lanifibranor) is a pan-PPAR agonist (α/δ/γ) that has been shown to reduce steatosis, reduce inflammation, reduce ballooning, improve insulin sensitivity, and reduce fibrosis in models of NASH.…”
Section: Introductionmentioning
confidence: 99%