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Published on: May 25, 2017
Pathogenesis of alcoholic liver disease: the role of nuclear receptors
Maxwell Afari Gyamfi1, Yu-Jui Yvonne Wan
1Department of Pharmacology, Toxicology, and Therapeutics, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, Kansas 66160-7417, USA.
Abstract:
Ethanol consumption causes fatty liver, which can lead to inflammation, fibrosis, cirrhosis and even liver cancer. The molecular mechanisms by which ethanol exerts its damaging effects are extensively studied, but not fully understood. It is now evident that nuclear receptors (NRs), including retinoid x receptor alpha and peroxisome proliferator-activated receptors, play key roles in the regulation of lipid homeostasis and inflammation during the pathogenesis of alcoholic liver disease (ALD). Given their pivotal roles in physiological processes, NRs represent potential therapeutic targets for the treatment and prevention of numerous metabolic and lipid-related diseases including ALD. This review summarizes the factors that contribute to ALD and the molecular mechanisms of ALD with a focus on the role of NRs.
Insights
Ethanol consumption leads to alcoholic liver disease (ALD). Nuclear receptors (NRs) are key in ALD
Area of Science:
- Hepatology
- Molecular Biology
- Endocrinology
Background:
- Ethanol consumption is a primary cause of fatty liver, progressing to severe liver damage like cirrhosis and cancer.
- The precise molecular mechanisms underlying ethanol's hepatotoxicity are still under investigation.
- Alcoholic liver disease (ALD) involves complex pathological processes affecting lipid metabolism and inflammation.
Purpose of the Study:
- To review the contributing factors and molecular mechanisms of alcoholic liver disease (ALD).
- To highlight the critical role of nuclear receptors (NRs) in ALD pathogenesis.
- To explore NRs as potential therapeutic targets for ALD.
Main Methods:
- Literature review of studies on ethanol's effects on the liver.
- Analysis of molecular mechanisms involving lipid homeostasis and inflammation.
- Focus on the function of nuclear receptors (NRs) in the context of ALD.
Main Results:
- Ethanol consumption significantly disrupts lipid homeostasis in the liver.
- Nuclear receptors, such as retinoid x receptor alpha and peroxisome proliferator-activated receptors, are crucial regulators in ALD.
- NRs influence inflammatory responses and lipid metabolism during the development of ALD.
Conclusions:
- Nuclear receptors (NRs) are central to the pathogenesis of alcoholic liver disease (ALD).
- Targeting NRs offers a promising therapeutic strategy for preventing and treating ALD.
- Further research into NR pathways can elucidate novel treatments for liver diseases.
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