Immunomodulation in non-alcoholic fatty liver disease: exploring mechanisms and applications

Front Immunol. 2024 Jan 30:15:1336493. doi: 10.3389/fimmu.2024.1336493. eCollection 2024.

Abstract

Non-alcoholic fatty liver disease (NAFLD) exhibits increased lipid enrichment in hepatocytes. The spectrum of this disease includes stages such as nonalcoholic simple fatty liver (NAFL), nonalcoholic steatohepatitis (NASH), and liver fibrosis. Changes in lifestyle behaviors have been a major factor contributing to the increased cases of NAFLD patients globally. Therefore, it is imperative to explore the pathogenesis of NAFLD, identify therapeutic targets, and develop new strategies to improve the clinical management of the disease. Immunoregulation is a strategy through which the organism recognizes and eliminates antigenic foreign bodies to maintain physiological homeostasis. In this process, multiple factors, including immune cells, signaling molecules, and cytokines, play a role in governing the evolution of NAFLD. This review seeks to encapsulate the advancements in research regarding immune regulation in NAFLD, spanning from underlying mechanisms to practical applications.

Keywords: Kupffer cells; NASH; immune cells; immunoregulation; non-alcoholic fatty liver disease.

Publication types

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

MeSH terms

  • Cytokines
  • Hepatocytes / pathology
  • Humans
  • Immunomodulation
  • Liver Cirrhosis / pathology
  • Non-alcoholic Fatty Liver Disease* / pathology

Substances

  • Cytokines

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study received funding from the Science and Technology Innovation Project of the Chinese Academy of Traditional Chinese Medicine under the title “Evaluation of the effectiveness and mechanism of the approach aimed at enhancing qi, resolving dampness, detoxifying, and promoting ligaments in the management of chronic liver diseases (CI2021A00801)”.