Rebuttal to: Liver Steatosis is a Driving Factor of Inflammation.
Rebuttal to: Liver Steatosis is a Driving Factor of Inflammation.
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DOI:
10.1016/j.jcmgh.2022.01.005
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发表时间:
2022
影响因子:
7.2
通讯作者:
Raeman, R. E. B. E. N.
中科院分区:
文献类型:
--
作者:
Raeman, R. E. B. E. N.
Hepatosteatosis, a hallmark of alcoholic and nonalcoholic fatty liver disease (NAFLD), is characterized by accumulation of lipid storage organelles called lipid droplets (LDs) within hepatocytes. LDs primarily function to maintain cellular metabolism and protect cells from lipotoxicity by storing excess free fatty acids and cholesterol esters during nutrient excess. Conversely, LDs serve as energy sources during periods of nutrient deprivation or tissue growth. 1 During chronic or excess caloric intake when lipid availability exceeds the capacity of LDs to sequester excess free fatty acids, LDs accumulate in hepatocytes. LD accumulation within hepatocytes, however, does not equate to cellular dysfunction, 1 and evidence supporting a link between excessive LD accumulation in hepatocytes and NAFLD progression is, at best, correlative. Excess circulating free fatty acids and lipid intermediates, in the event of failed sequestration into LDs, however, contribute to hepatic inflammation by inducing lipotoxicity and activation of immune cells. 2Mooli and coworkers in the accompanying point-counterpoint article argue that lipotoxicity-induced pyroptosis is the major driver of disease progression in NAFLD. Although pyroptosis does promote hepatic inflammation in NAFLD, it might be a hasty assumption to suggest that excess lipids are the most influential promoter of pyroptosis in NAFLD. 3 NAFLD is associated with increased translocation of some of the most potent inducers of hepatocyte pyroptosis: gut microbial products. 3, 4 Studies have shown that even short-term exposure to a western diet increases the translocation of gut microbial products in healthy subjects and the resulting endotoxemia not only galvanizes hepatic inflammation but also hepatosteatosis suggesting that gut
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