The Role of Fatty Acids in Non-Alcoholic Fatty Liver Disease Progression: An Update

Int J Mol Sci. 2021 Jun 27;22(13):6900. doi: 10.3390/ijms22136900.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is a major public health problem worldwide. NAFLD (both simple steatosis and steatohepatitis) is characterized by alterations in hepatic lipid metabolism, which may lead to the development of severe liver complications including cirrhosis and hepatocellular carcinoma. Thus, an exhaustive examination of lipid disorders in the liver of NAFLD patients is much needed. Mass spectrometry-based lipidomics platforms allow for in-depth analysis of lipid alterations in a number of human diseases, including NAFLD. This review summarizes the current research on lipid alterations associated with NAFLD and related complications, with special emphasis on the changes in long-chain and short-chain fatty acids levels in both serum and liver tissue, as well as in the hepatic expression of genes encoding the enzymes catalyzing lipid interconversions.

Keywords: fatty acids; lipidomics; lipids; non-alcoholic fatty liver disease.

Publication types

  • Review

MeSH terms

  • Animals
  • Biomarkers
  • Carcinoma, Hepatocellular / etiology
  • Carcinoma, Hepatocellular / metabolism
  • Disease Progression
  • Disease Susceptibility*
  • Fatty Acids / blood
  • Fatty Acids / chemistry
  • Fatty Acids / metabolism*
  • Gastrointestinal Microbiome
  • Gene Expression Regulation
  • Humans
  • Lipid Metabolism
  • Lipidomics / methods
  • Liver Neoplasms / etiology
  • Liver Neoplasms / metabolism
  • Molecular Structure
  • Non-alcoholic Fatty Liver Disease / complications
  • Non-alcoholic Fatty Liver Disease / etiology
  • Non-alcoholic Fatty Liver Disease / metabolism*
  • Non-alcoholic Fatty Liver Disease / pathology*

Substances

  • Biomarkers
  • Fatty Acids