Current insights in molecular characterization of non-alcoholic fatty liver disease and treatment

Front Endocrinol (Lausanne). 2022 Nov 29:13:1002916. doi: 10.3389/fendo.2022.1002916. eCollection 2022.

Abstract

There is a continuously rising incidence of non-alcoholic fatty liver disease (NAFLD) around the world, which parallels the increasing incidence of metabolic diseases. NAFLD is a range of liver conditions that contains simple non-alcoholic fatty liver and advanced non-alcoholic steatohepatitis. In serious cases, NAFLD may develop into cirrhosis or even liver cancer. NAFLD has an intense relationship with metabolic syndrome, type 2 diabetes mellitus. It is known that gut microbiota, and functional molecules such as adenosine monophosphate-activated protein kinase JNK, and peroxisome proliferator-activated receptors (PPARs) in progressing and treating NAFLD. Traditionally, the conventional and effective therapeutic strategy is lifestyle intervention. Nowadays, new medicines targeting specific molecules, such as farnesoid X receptor, PPARs, and GLP-1 receptor, have been discovered and shown beneficial effects on patients with NAFLD. In this article, we focus on the molecular mechanisms and therapeutic approaches to NAFLD.

Keywords: adenosine monophosphate-activated protein kinase; gut microbiota; metabolic diseases; non-alcoholic fatty liver disease (NAFLD); non-alcoholic steatohepatitis (NASH).

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diabetes Mellitus, Type 2 / complications
  • Humans
  • Liver Cirrhosis / complications
  • Non-alcoholic Fatty Liver Disease* / drug therapy
  • Non-alcoholic Fatty Liver Disease* / therapy
  • Peroxisome Proliferator-Activated Receptors / drug effects

Substances

  • Peroxisome Proliferator-Activated Receptors