Autophagy, Ferroptosis, Apoptosis and Pyroptosis in Metabolic Dysfunction-Associated Steatotic Liver Disease

Shuangshuang Zhao1, Yan Guo1, Xunzhe Yin2

  • 1School of Clinical Medicine, Changchun University of Chinese Medicine, 130117 Changchun, Jilin, China.

Insights

Metabolic dysfunction-associated steatotic liver disease (MASLD) affects 25% globally. Targeting programmed cell death (PCD) pathways offers a promising therapeutic strategy for MASLD prevention and treatment.

Area of Science:

  • Hepatology
  • Cell Biology
  • Metabolic Diseases

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) is a prevalent condition with increasing global incidence.
  • MASLD is characterized by liver inflammation, oxidative stress, insulin resistance, and lipid metabolism disruptions.
  • MASLD is a leading cause of cirrhosis and hepatocellular carcinoma.

Purpose of the Study:

  • To review the role of programmed cell death (PCD) in MASLD pathogenesis.
  • To explore the potential of modulating PCD pathways as a therapeutic strategy for MASLD.

Main Methods:

  • Comprehensive literature review on MASLD and PCD pathways.
  • Analysis of the involvement of autophagy, ferroptosis, apoptosis, and pyroptosis in MASLD.
  • Identification of key effector molecules in PCD pathways relevant to MASLD.

Main Results:

  • Programmed cell death (PCD) is a critical regulator in MASLD progression, influencing liver inflammation, fibrosis, and malignant transformation.
  • Multiple PCD pathways, including autophagy, ferroptosis, apoptosis, and pyroptosis, are activated during MASLD.
  • Specific effector molecules within these PCD pathways are potential therapeutic targets.

Conclusions:

  • Targeting programmed cell death (PCD) pathways presents a viable therapeutic approach for MASLD.
  • Modulation of PCD may prevent or treat MASLD and its complications.
  • Further research into PCD effectors could lead to novel MASLD treatments.

Related Concept Videos

Necrosis01:16

Necrosis

Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
4.5K
Overview of Cell Death01:30

Overview of Cell Death

Cell death is an essential process where the body gets rid of old or damaged cells. Cell proliferation and death need to be balanced, as an imbalance between the two may lead to cancer or autoimmune diseases.
Cell death was observed in the early 19th century, but there was no experimental evidence to prove it. In 1842, Carl Vogt first discovered cell death in a metamorphic toad; however, it was not termed ‘cell death.’ Scientists discovered different cell death pathways only in the...
7.3K
Autophagy01:27

Autophagy

Autophagy is a self-digesting process by which a cell protects itself from threats both within and outside the cell, ranging from abnormal proteins to invading bacteria. In this process, obsolete components of the cell and invading microbes are degraded by hydrolytic enzymes active in an acidic environment of the lysosomal lumen.
An autophagic pathway consists of a series of signaling events activated in response to diverse stress and physiological conditions such as food deprivation,...
4.2K
Lysosomal Hydrolases01:22

Lysosomal Hydrolases

Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
3.8K
Liver Physiology01:30

Liver Physiology

The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of  70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
554
Delivery Pathways to the Lysosome01:36

Delivery Pathways to the Lysosome

Eukaryotic cells use different mechanisms to eliminate toxic waste obsolete and worn-out substances. Lysosomes play a pivotal role in this, and hence, these substances are carried to the lysosome from other parts of the cell and extracellular space through different pathways. The most elaborately studied pathways to the lysosome are the endocytic pathways.
Endocytosis
In endocytosis, the cell membrane takes up macromolecules and particles from the surrounding medium. Clathrin-mediated...
6.6K