Neutrophil: An emerging player in the occurrence and progression of metabolic associated fatty liver disease

Int Immunopharmacol. 2021 Aug:97:107609. doi: 10.1016/j.intimp.2021.107609. Epub 2021 Apr 19.

Abstract

Metabolic-associated fatty liver disease (MAFLD) is a common type of chronic liver disease characterized by excessive lipid accumulation in hepatocytes, but the pathogenesis is still unclear. Neutrophils, the most abundant immune cells in the human body, defend against pathogens and regulate the inflammatory response. Recent studies have indicated that excessive liver infiltration of neutrophils is a significant histological hallmark of MAFLD, and neutrophils and their derived granule proteins participate in different stages of MAFLD, including hepatic steatosis, inflammation, fibrosis, cirrhosis and hepatocellular carcinoma. Hence, in this review, we summarize the role of neutrophils in the occurrence and progression of MAFLD and provide a perspective for the clinical application of neutrophils in MAFLD diagnosis and treatment.

Keywords: Fibrosis; Hepatic steatosis; Inflammation; Insulin resistance; Metabolic associated fatty liver disease (MAFLD); Neutrophils.

Publication types

  • Review

MeSH terms

  • Animals
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / immunology*
  • Carcinoma, Hepatocellular / metabolism
  • Carcinoma, Hepatocellular / pathology
  • Disease Models, Animal
  • Disease Progression
  • Hepatocytes / immunology
  • Hepatocytes / metabolism
  • Humans
  • Lipid Metabolism / immunology
  • Liver / cytology
  • Liver / immunology
  • Liver / pathology
  • Liver Cirrhosis / diagnosis
  • Liver Cirrhosis / immunology*
  • Liver Cirrhosis / metabolism
  • Liver Cirrhosis / pathology
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / immunology*
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / pathology
  • Neutrophils / immunology*
  • Non-alcoholic Fatty Liver Disease / diagnosis
  • Non-alcoholic Fatty Liver Disease / immunology*
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Non-alcoholic Fatty Liver Disease / pathology