Triglycerides in Nonalcoholic Fatty Liver Disease: Guilty Until Proven Innocent.

Triglycerides in Nonalcoholic Fatty Liver Disease: Guilty Until Proven Innocent.
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DOI:
10.1016/j.tips.2020.12.001
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发表时间:
2021-03
影响因子:
13.8
通讯作者:
Biddinger, Sudha B.
Biddinger, Sudha B.
中科院分区:
医学1区
文献类型:
--
作者:
Semova, Ivana;Biddinger, Sudha B.

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End-stage liver disease is a rare but fatal complication of non-alcoholic fatty liver disease (NAFLD). In NAFLD, insulin resistance, which is clinically defined as the impairment of insulin’s ability to maintain glucose homeostasis, is associated with perturbations in insulin action that promote triglyceride accumulation, such as increasing de novo lipogenesis. However, the key step in the development of end-stage liver disease is not the accumulation of triglycerides, but hepatocyte injury. Whether and how triglycerides promote hepatocyte injury remains unclear. Consequently, it is difficult to predict whether drugs designed to reduce hepatic triglycerides will prevent the most important complications of NAFLD.
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