NASH, nonalcoholic steatohepatitis

NASH,非酒精性脂肪性肝炎
  • 文章类型: Journal Article
    本研究旨在明确白,蓝色,红光对绿豆芽中类胡萝卜素和生育酚的生物合成。结果表明,与深色对照相比,三种光刺激了豆芽中主要叶黄素(3.2-8.1倍)和紫黄质(2.1-6.1倍)的增加。以及β-胡萝卜素(20-36倍),在白光下观察到最好的产量。与暗对照相比,光信号还促进了α-和γ-生育酚的积累(高达1.8倍)。CRTISO,LUT5和DXS(1.24-6.34倍)在光质条件下表现出高表达水平,导致类胡萝卜素的过度积累。MPBQ-MT,TC和TMT是生育色满醇生物合成的决定性基因,与对照组相比,其表达量高达4.19倍。总的来说,结果可以提供新的见解光介导的调节和强化类胡萝卜素和生育酚,以及指导未来农业种植绿豆芽。
    This study aimed to identify the regulatory mechanisms of white, blue, red lights on carotenoid and tocochromanol biosynthesis in mung bean sprouts. Results showed that three lights stimulated the increase of the predominated lutein (3.2-8.1 folds) and violaxanthin (2.1-6.1 folds) in sprouts as compared with dark control, as well as β-carotene (20-36 folds), with the best yield observed under white light. Light signals also promoted α- and γ-tocopherol accumulation (up to 1.8 folds) as compared with dark control. The CRTISO, LUT5 and DXS (1.24-6.34 folds) exhibited high expression levels under light quality conditions, resulting in an overaccumulation of carotenoids. The MPBQ-MT, TC and TMT were decisive genes in tocochromanol biosynthesis, and were expressed up to 4.19 folds as compared with control. Overall, the results could provide novel insights into light-mediated regulation and fortification of carotenoids and tocopherols, as well as guide future agricultural cultivation of mung bean sprouts.
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  • 文章类型: Journal Article
    乙型肝炎病毒(HBV)感染仍然是严重威胁人类健康的一类传染病。非酒精性脂肪性肝病(NAFLD)已成为全球最常见的慢性肝病。HBV感染并发NAFLD越来越常见。本文主要介绍HBV感染与NAFLD的相互作用,脂肪变性和抗病毒药物之间的相互作用,HBV感染合并NAFLD的预后。大多数研究表明,HBV感染可以降低NAFLD的发生率。NAFLD可以促进乙型肝炎表面抗原(HBsAg)的自发清除,但它是否影响抗病毒疗效的报道并不一致。HBV感染合并NAFLD可促进肝纤维化进展,尤其是严重脂肪变性患者。HBV感染合并NAFLD诱发HCC进展的转归仍存在争议。
    Hepatitis B virus (HBV) infection is still one kind of the infectious diseases that seriously threaten human health. Nonalcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease worldwide. HBV infection complicated with NAFLD is increasingly common. This review mainly describes the interaction between HBV infection and NAFLD, the interaction between steatosis and antiviral drugs, and the prognosis of HBV infection complicated with NAFLD. Most studies suggest that HBV infection may reduce the incidence of NAFLD. NAFLD can promote the spontaneous clearance of hepatitis B surface antigen (HBsAg), but whether it affects antiviral efficacy has been reported inconsistently. HBV infection combined with NAFLD can promote the progression of liver fibrosis, especially in patients with severe steatosis. The outcome of HBV infection combined with NAFLD predisposing to the progression of HCC remains controversial.
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  • 文章类型: Journal Article
    心脏代谢疾病(CMD),以代谢紊乱引发的心血管事件为特征,是导致死亡和残疾的主要原因。代谢紊乱引发慢性低度炎症,实际上,已经提出了一个新的元融合概念来定义与免疫适应有关的代谢状态。在免疫系统调节中不断增加的系统性代谢物列表中,胆汁酸(BA)代表了涉及CMD发育整个过程的一类独特的代谢产物,因为它在形成全身免疫代谢中具有多方面的作用。BA可以通过多种机制增强或抑制炎症反应来直接调节免疫系统。此外,BA是维持宿主和微生物群之间动态通信的关键决定因素。重要的是,BAs通过靶向法尼醇X受体(FXR)和不同的其他核受体在调节脂质的代谢稳态中起关键作用,葡萄糖,和氨基酸。此外,BAs轴本身易受炎症和代谢干预,因此,BAs轴可以构成元合成中的倒数调节环。因此,我们建议BAs轴代表整合CMD过程中涉及的全身免疫代谢的核心协调者。我们提供了一个更新的总结和密集的讨论关于如何BAs塑造先天和适应性免疫系统。以及BAs轴如何作为CMD条件下代谢紊乱与慢性炎症整合的核心协调器。
    Cardiometabolic disease (CMD), characterized with metabolic disorder triggered cardiovascular events, is a leading cause of death and disability. Metabolic disorders trigger chronic low-grade inflammation, and actually, a new concept of metaflammation has been proposed to define the state of metabolism connected with immunological adaptations. Amongst the continuously increased list of systemic metabolites in regulation of immune system, bile acids (BAs) represent a distinct class of metabolites implicated in the whole process of CMD development because of its multifaceted roles in shaping systemic immunometabolism. BAs can directly modulate the immune system by either boosting or inhibiting inflammatory responses via diverse mechanisms. Moreover, BAs are key determinants in maintaining the dynamic communication between the host and microbiota. Importantly, BAs via targeting Farnesoid X receptor (FXR) and diverse other nuclear receptors play key roles in regulating metabolic homeostasis of lipids, glucose, and amino acids. Moreover, BAs axis per se is susceptible to inflammatory and metabolic intervention, and thereby BAs axis may constitute a reciprocal regulatory loop in metaflammation. We thus propose that BAs axis represents a core coordinator in integrating systemic immunometabolism implicated in the process of CMD. We provide an updated summary and an intensive discussion about how BAs shape both the innate and adaptive immune system, and how BAs axis function as a core coordinator in integrating metabolic disorder to chronic inflammation in conditions of CMD.
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  • 文章类型: Journal Article
    干扰素基因(STING)信号的环GMP-AMP合酶(cGAS)-刺激物通过诱导细胞因子在微生物和肿瘤免疫学中发挥重要的调节功能,主要是I型干扰素。最近,cGAS-STING轴的异常和紊乱信号与多种无菌性炎症性疾病密切相关,包括心力衰竭,心肌梗塞,心脏肥大,非酒精性脂肪性肝病,主动脉瘤和夹层,肥胖,等。这是因为大量的损伤相关分子模式(线粒体DNA,细胞外囊泡中的DNA)从代谢细胞器和组织的复发性损伤中释放,这是由路径感知。此外,cGAS-STING通路与细胞内基本稳态过程如细胞凋亡的串扰,自噬,调节细胞代谢.靶向脱轨的STING信号已经成为慢性炎性疾病所必需的。同时,过度的I型干扰素信号传导对心血管和代谢健康的影响仍然难以捉摸.在这次审查中,我们总结了cGAS-STING通路与心血管和代谢紊乱之间的密切联系。我们还讨论了该途径的一些潜在小分子抑制剂。这篇综述提供了见解,以激发人们对心血管和代谢组织和疾病中这种信号轴的兴趣并支持未来的研究。
    The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) signaling exert essential regulatory function in microbial-and onco-immunology through the induction of cytokines, primarily type I interferons. Recently, the aberrant and deranged signaling of the cGAS-STING axis is closely implicated in multiple sterile inflammatory diseases, including heart failure, myocardial infarction, cardiac hypertrophy, nonalcoholic fatty liver diseases, aortic aneurysm and dissection, obesity, etc. This is because of the massive loads of damage-associated molecular patterns (mitochondrial DNA, DNA in extracellular vesicles) liberated from recurrent injury to metabolic cellular organelles and tissues, which are sensed by the pathway. Also, the cGAS-STING pathway crosstalk with essential intracellular homeostasis processes like apoptosis, autophagy, and regulate cellular metabolism. Targeting derailed STING signaling has become necessary for chronic inflammatory diseases. Meanwhile, excessive type I interferons signaling impact on cardiovascular and metabolic health remain entirely elusive. In this review, we summarize the intimate connection between the cGAS-STING pathway and cardiovascular and metabolic disorders. We also discuss some potential small molecule inhibitors for the pathway. This review provides insight to stimulate interest in and support future research into understanding this signaling axis in cardiovascular and metabolic tissues and diseases.
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  • 文章类型: Journal Article
    UNASSIGNED: There is an unmet need for non-invasive biomarkers for the diagnosis of nonalcoholic steatohepatitis (NASH) in non-specialized settings. We aimed to develop and validate a non-invasive test for diagnosing NASH in individuals with biopsy-proven nonalcoholic fatty liver disease (NAFLD).
    UNASSIGNED: We developed a non-invasive test named the acNASH index that combines serum creatinine and aspartate aminotransferase levels in a derivation cohort of 390 Chinese NAFLD patients admitted to the hepatology center of the First Affiliated Hospital of Wenzhou Medical University (China) between December 2016 and September 2019 and subsequently validated in five external cohorts of different ethnicities of patients with biopsy-confirmed NAFLD (pooled n=1,089).
    UNASSIGNED: The performance of the acNASH index for identifying NASH (defined as NAFLD activity score ≥5 with score of ≥1 for each steatosis, lobular inflammation and ballooning) was good in the derivation cohort with an area under receiver operating characteristics (AUROC) of 0·818 (95%CI 0·777-0·860). A cutoff of acNASH index <4·15 gave a sensitivity (Se) of 91%, a specificity (Sp) of 48% and a negative predictive value (NPV) of 83% for ruling-out NASH, conversely, a cutoff of acNASH >7·73 gave a Sp of 91%, Se of 53% and a positive predictive value (PPV) of 85% for ruling-in NASH. In the pooled validation cohort (n=1,089), the diagnostic performance of the index was also good with AUROC=0·805 (95%CI 0·780-0·830), NPV of 93% for ruling-out NASH and PPV of 73% for ruling-in NASH. Subgroup analyses showed similar performance in patients with diabetes or subjects with normal serum transaminase levels.
    UNASSIGNED: The acNASH index shows promising utility as a simple non-invasive biomarker for diagnosing NASH among adults with biopsy-proven NAFLD of different ethnicities from different countries.
    UNASSIGNED: The National Natural Science Foundation of China (82070588), High Level Creative Talents from Department of Public Health in Zhejiang Province (S2032102600032) and Project of New Century 551 Talent Nurturing in Wenzhou.
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  • 文章类型: Journal Article
    UNASSIGNED: Over the last several decades, hydrogen sulfide (H2S) has been found to exert multiple physiological functions in mammal systems. The endogenous production of H2S is primarily mediated by cystathione β-synthase (CBS), cystathione γ-lyase (CSE), and 3-mercaptopyruvate sulfurtransferase (3-MST). These enzymes are widely expressed in the liver tissues and regulate hepatic functions by acting on various molecular targets.
    UNASSIGNED: In the present review, we will highlight the recent advancements in the cellular events triggered by H2S under liver diseases. The therapeutic effects of H2S donors on hepatic diseases will also be discussed.
    UNASSIGNED: As a critical regulator of liver functions, H2S is critically involved in the etiology of various liver disorders, such as nonalcoholic steatohepatitis (NASH), hepatic fibrosis, hepatic ischemia/reperfusion (IR) injury, and liver cancer. Targeting H2S-producing enzymes may be a promising strategy for managing hepatic disorders.
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  • 文章类型: Journal Article
    非酒精性脂肪性肝病(NAFLD)是目前全球最常见的慢性肝病,影响了全球四分之一的成年人口。非酒精性脂肪性肝炎,更活跃的NAFLD形式与活动性肝坏死性炎症和更快的纤维化进展,已成为西方国家肝移植的主要适应症之一和肝细胞癌的重要病因。流行病学研究表明,NAFLD在亚洲几乎和西方一样普遍,但是严重的肝脏并发症似乎并不常见。在这篇文章中,我们回顾了流行病学,临床特征,亚洲NAFLD的危险因素和临床结局。我们强调了非肥胖人群中的NAFLD问题,并讨论了它是否是亚洲的独特现象。由于快速变化的流行病学和自然史,未来的研究应继续监测亚洲NAFLD的严重程度,并确定控制这一新流行病的最佳政策。
    Nonalcoholic fatty liver disease (NAFLD) is currently the most common chronic liver disease worldwide, affecting a quarter of the global adult population. Nonalcoholic steatohepatitis, the more active form of NAFLD with active hepatic necroinflammation and faster fibrosis progression, has become one of the leading indications for liver transplantation and an important cause of hepatocellular carcinoma in Western countries. Epidemiological studies suggest that NAFLD is almost equally prevalent in Asia as in the West, but severe liver complications appear to be less common. In this article, we review the epidemiology, clinical characteristics, risk factors and clinical outcomes of NAFLD in Asia. We highlight the issue of NAFLD in the nonobese population and discuss whether it is a unique phenomenon in Asia. Because of the rapidly changing epidemiology and natural history, future studies should continue to monitor the magnitude of NAFLD in Asia and define the best policy to control this new epidemic.
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  • 文章类型: Journal Article
    非酒精性脂肪性肝炎(NASH)是一种慢性代谢综合征,CFLAR-JNK通路可以逆转NASH的过程。虽然水飞蓟宾在临床上用于治疗NASH,其对NASH中CFLAR-JNK通路的影响尚不清楚。本研究旨在研究水飞蓟宾在体内和体外NASH模型中对CFLAR-JNK通路的影响。使用饲喂甲硫氨酸-胆碱缺乏饮食并同时用水飞蓟宾处理6周的雄性C57BL/6小鼠进行体内研究。体外研究是通过使用小鼠NCTC-1469细胞进行的,分别用油酸和棕榈酸预处理,和腺病毒向下Cflar持续24小时,然后用水飞蓟宾治疗24小时。药物治疗后,CFLAR-JNK通路涉及的关键指标包括肝损伤,确定脂质代谢和氧化应激。水飞蓟宾显著激活CFLAR并抑制JNK的磷酸化,上调Pparα的mRNA表达,Fabp5,Cpt1α,Acox,Scd-1,Gpat和Mttp,降低血清ALT和AST的活性和肝脏TG的含量,TC和MDA,增加NRF2的表达和CAT的活性,GSH-Px和HO-1,并降低体内CYP2E1和CYP4A的活性和表达。这些作用通过体外实验得到证实。水飞蓟宾通过调节CFLAR-JNK通路预防NASH,从而一方面促进肝脏中脂肪酸的β-氧化和外排以减轻脂质积累,另一方面诱导抗氧化酶活性(CAT,GSH-Px和HO-1)并抑制前氧化酶活性(CYP2E1和CYP4A)以缓解氧化应激。
    Non-alcoholic steatohepatitis (NASH) is a chronic metabolic syndrome and the CFLAR-JNK pathway can reverse the process of NASH. Although silibinin is used for the treatment of NASH in clinical, its effect on CFLAR-JNK pathway in NASH remains unclear. This study aimed to investigate the effect of silibinin on CFLAR-JNK pathway in NASH models both in vivo and in vitro. The in vivo study was performed using male C57BL/6 mice fed with methionine- choline-deficient diet and simultaneously treated with silibinin for 6 weeks. The in vitro study was performed by using mouse NCTC-1469 cells which were respectively pretreated with oleic acid plus palmitic acid, and adenovirus-down Cflar for 24 h, then treated with silibinin for 24 h. After the drug treatment, the key indicators involved in CFLAR-JNK pathway including hepatic injury, lipid metabolism and oxidative stress were determined. Silibinin significantly activated CFLAR and inhibited the phosphorylation of JNK, up-regulated the mRNA expression of Pparα, Fabp5, Cpt1α, Acox, Scd-1, Gpat and Mttp, reduced the activities of serum ALT and AST and the contents of hepatic TG, TC and MDA, increased the expression of NRF2 and the activities of CAT, GSH-Px and HO-1, and decreased the activities and expression of CYP2E1 and CYP4A in vivo. These effects were confirmed by the in vitro experiments. Silibinin prevented NASH by regulating CFLAR-JNK pathway, and thereby on one hand promoting the β-oxidation and efflux of fatty acids in liver to relieve lipid accumulation, and on the other hand inducing antioxidase activity (CAT, GSH-Px and HO-1) and inhibiting pro-oxidase activity (CYP2E1 and CYP4A) to relieve oxidative stress.
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  • 文章类型: Journal Article
    目的:Toll样受体4(TLR4)信号通过2种接头蛋白激活:MyD88和含有TIR结构域的接头诱导干扰素-β(TRIF)。TLR4和MyD88在非酒精性脂肪性肝炎(NASH)和纤维化中至关重要。然而,TRIF在TLR4介导的NASH和纤维化中的作用尚不清楚.这项研究调查了TRIF在肝脂肪变性和炎症/纤维化中的不同作用。
    方法:将胆碱缺乏的氨基酸定义(CDAA)饮食用于小鼠NASH模型。在这种饮食中,小鼠发展为肝脏脂肪变性,炎症,和纤维化。TLR4野生型和TLR4-/-骨髓嵌合小鼠和TRIF-/-小鼠饲喂CDAA或对照饮食22周。肝脏脂肪变性,炎症,并检查纤维化。
    结果:在CDAA饮食诱导的NASH中,与TLR4-/-骨髓小鼠相比,野生型骨髓小鼠的丙氨酸氨基转移酶和肝肿瘤坏死因子水平更高。非酒精性脂肪性肝病活动评分显示,野生型和TLR4-/-骨髓嵌合体均可减少肝脏脂肪变性,两种类型的嵌合体的炎症和肝细胞膨胀水平与全身野生型小鼠相似。值得注意的是,野生型受体比TLR4-/-受体显示更多的肝纤维化。尽管TRIF-/-小鼠显示肝脏脂肪变性减少,这些小鼠表现出更多的肝损伤,炎症,和纤维化比野生型小鼠。TRIF-/-星状细胞和肝细胞在响应脂多糖时产生比野生型细胞更多的C-X-C基序趋化因子配体1(CXCL1)和C-C基序趋化因子配体。始终如一,TRIF-/-小鼠显示CXCL1和CCL3表达增加,同时中性粒细胞和巨噬细胞浸润,促进肝脏炎症和损伤。
    结论:在TLR4介导的NASH中,不同的肝细胞在肝脏脂肪变性中具有不同的作用,炎症,和纤维化。TRIF促进肝脏脂肪变性,但抑制损伤,炎症,和纤维化。
    OBJECTIVE: Toll-like receptor 4 (TLR4) signaling is activated through 2 adaptor proteins: MyD88 and TIR-domain containing adaptor-inducing interferon-β (TRIF). TLR4 and MyD88 are crucial in nonalcoholic steatohepatitis (NASH) and fibrosis. However, the role of TRIF in TLR4-mediated NASH and fibrosis has been elusive. This study investigated the differential roles of TRIF in hepatic steatosis and inflammation/fibrosis.
    METHODS: A choline-deficient amino acid defined (CDAA) diet was used for the mouse NASH model. On this diet, the mice develop hepatic steatosis, inflammation, and fibrosis. TLR4 wild-type and TLR4-/- bone marrow chimeric mice and TRIF-/- mice were fed CDAA or a control diet for 22 weeks. Hepatic steatosis, inflammation, and fibrosis were examined.
    RESULTS: In the CDAA diet-induced NASH, the mice with wild-type bone marrow had higher alanine aminotransferase and hepatic tumor necrosis factor levels than the mice with TLR4-/- bone marrow. The nonalcoholic fatty liver disease activity score showed that both wild-type and TLR4-/- bone marrow chimeras had reduced hepatic steatosis, and that both types of chimeras had similar levels of inflammation and hepatocyte ballooning to whole-body wild-type mice. Notably, wild-type recipients showed more liver fibrosis than TLR4-/- recipients. Although TRIF-/- mice showed reduced hepatic steatosis, these mice showed more liver injury, inflammation, and fibrosis than wild-type mice. TRIF-/- stellate cells and hepatocytes produced more C-X-C motif chemokine ligand 1 (CXCL1) and C-C motif chemokine ligand than wild-type cells in response to lipopolysaccharide. Consistently, TRIF-/- mice showed increased CXCL1 and CCL3 expression along with neutrophil and macrophage infiltration, which promotes liver inflammation and injury.
    CONCLUSIONS: In TLR4-mediated NASH, different liver cells have distinct roles in hepatic steatosis, inflammation, and fibrosis. TRIF promotes hepatic steatosis but it inhibits injury, inflammation, and fibrosis.
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  • 文章类型: Journal Article
    肝脏具有独特的再生潜能,可以恢复缺血和切除损伤后丢失的质量和功能。肝脏再生的潜在分子机制已被广泛研究在过去使用部分肝切除术(PH)模型在啮齿动物,其中2/3PH是通过去除两个波瓣来进行的。肝脏再生的整个过程是复杂的,涉及连接交互网络的精心策划的事件,仍然完全难以捉摸。胆汁酸(BAs)是法尼醇X受体(FXR)的配体,配体激活的转录因子的核受体。FXR已被证明高度参与肝再生。BAs和FXR不仅相互作用,而且在肝脏再生过程中独立调节各种下游靶标。此外,最近的研究结果表明,组织特异性FXR也有助于肝脏再生显着。这些新发现表明,FXR比调节BA具有更广泛的作用,胆固醇,脂质和葡萄糖代谢。因此,这些研究强调了FXR作为FXR配体在临床上可能用于调节肝再生的重要药物靶标。本文综述了BAs和FXR在肝脏再生中的作用以及目前促进肝脏再生的潜在分子机制。
    The liver is unique in regenerative potential, which could recover the lost mass and function after injury from ischemia and resection. The underlying molecular mechanisms of liver regeneration have been extensively studied in the past using the partial hepatectomy (PH) model in rodents, where 2/3 PH is carried out by removing two lobes. The whole process of liver regeneration is complicated, orchestrated event involving a network of connected interactions, which still remain fully elusive. Bile acids (BAs) are ligands of farnesoid X receptor (FXR), a nuclear receptor of ligand-activated transcription factor. FXR has been shown to be highly involved in liver regeneration. BAs and FXR not only interact with each other but also regulate various downstream targets independently during liver regeneration. Moreover, recent findings suggest that tissue-specific FXR also contributes to liver regeneration significantly. These novel findings suggest that FXR has much broader role than regulating BA, cholesterol, lipid and glucose metabolism. Therefore, these researches highlight FXR as an important pharmaceutical target for potential use of FXR ligands to regulate liver regeneration in clinic. This review focuses on the roles of BAs and FXR in liver regeneration and the current underlying molecular mechanisms which contribute to liver regeneration.
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