Transcriptional Regulation of Metabolic Pathways via Lipid-Sensing Nuclear Receptors PPARs, FXR, and LXR in NASH.

Transcriptional Regulation of Metabolic Pathways via Lipid-Sensing Nuclear Receptors PPARs, FXR, and LXR in NASH.
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NASH中通过脂质敏感核受体PPARs、FXR和LXR对代谢途径的转录调节。

DOI:
10.1016/j.jcmgh.2021.01.012
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发表时间:
2021
影响因子:
7.2
通讯作者:
Moschetta A
Moschetta A
中科院分区:
医学1区
文献类型:
--
作者:
Cariello M;Piccinin E;Moschetta A

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非酒精性脂肪性肝病包括从单纯性脂肪变性到脂肪性肝炎和肝硬化的广泛的肝损伤。非酒精性脂肪性肝炎(NASH)定义为肝脏脂肪变性与炎症、肝细胞损伤和纤维化相关。遗传易感性和环境损伤(即饮食习惯、肥胖)是NASH进展的主要原因。在这里,我们介绍了脂质敏感核受体在NASH发病机制和治疗中的作用。详细地,我们讨论了假定的转录作用的脂肪酸传感器(过氧化物酶体增殖物激活受体),胆汁酸传感器(法尼醇X受体),和氧固醇传感器(肝X受体)的NASH的发病机制和真正的治疗的利弊。
Nonalcoholic fatty liver disease comprises a wide spectrum of liver injuries from simple steatosis to steatohepatitis and cirrhosis. Nonalcoholic steatohepatitis (NASH) is defined when liver steatosis is associated with inflammation, hepatocyte damage, and fibrosis. A genetic predisposition and environmental insults (ie, dietary habits, obesity) are putatively responsible for NASH progression. Here, we present the impact of the lipid-sensing nuclear receptors in the pathogenesis and treatment of NASH. In detail, we discuss the pros and cons of the putative transcriptional action of the fatty acid sensors (peroxisome proliferator-activated receptors), the bile acid sensor (farnesoid X receptor), and the oxysterol sensor (liver X receptors) in the pathogenesis and bona fide treatment of NASH.
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