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Cardiovascular and nonalcoholic fatty liver disease: Sharing common ground through SIRT1 pathways
1National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20810, United States. wntin75@yahoo.com.
Insights
Cardiovascular and liver diseases, including nonalcoholic fatty liver disease (NAFLD), share a common cellular pathway involving SIRT1. Targeting SIRT1 may offer new treatments for these prevalent non-communicable diseases.
Area of Science:
- Biochemistry
- Molecular Biology
- Cardiology
- Hepatology
Background:
- Cardiovascular disorders are a leading cause of death globally.
- Nonalcoholic fatty liver disease (NAFLD) is a growing cause of liver disease, often co-occurring with metabolic disorders like diabetes mellitus (DM).
- Individuals with metabolic disorders have a significantly higher risk of cardiac, stroke, and liver diseases, including NAFLD.
Purpose of the Study:
- To explore the shared cellular mechanisms between cardiovascular disorders and NAFLD.
- To investigate the role of silent mating type information regulation 2 homolog 1 (SIRT1) in the pathology of these diseases.
- To assess the potential of targeting SIRT1 pathways for therapeutic interventions.
Main Methods:
- Review of existing literature on cardiovascular disease, NAFLD, and SIRT1.
- Analysis of the molecular pathways involving SIRT1, nicotinamide adenine dinucleotide, and associated factors.
- Exploration of SIRT1's role in cellular protection mechanisms.
Main Results:
- Cardiovascular disorders and NAFLD share SIRT1 as a common underlying cellular mechanism.
- SIRT1, a histone deacetylase, is implicated in metabolic pathways and cellular protection.
- SIRT1 influences trophic factors like erythropoietin, stem cells, and AMP-activated protein kinase.
Conclusions:
- SIRT1 pathways represent a potential therapeutic target for both cardiovascular and hepatic diseases.
- Further research into the complexity of SIRT1 pathways is crucial for developing effective clinical treatments.
- Targeting SIRT1 offers hope for managing these widespread non-communicable diseases.
Abstract:
As a non-communicable disease, cardiovascular disorders have become the leading cause of death for men and women. Of additional concern is that cardiovascular disease is linked to chronic comorbidity disorders that include nonalcoholic fatty liver disease (NAFLD). NAFLD, also termed metabolic-dysfunction-associated steatotic liver disease, is the greatest cause of liver disease throughout the world, increasing in prevalence concurrently with diabetes mellitus (DM), and can progress to nonalcoholic steatohepatitis that leads to cirrhosis and liver fibrosis. Individuals with metabolic disorders, such as DM, are more than two times likely to experience cardiac disease, stroke, and liver disease that includes NAFLD when compared individuals without metabolic disorders. Interestingly, cardiovascular disorders and NAFLD share a common underlying cellular mechanism for disease pathology, namely the silent mating type information regulation 2 homolog 1 (SIRT1; Saccharomyces cerevisiae). SIRT1, a histone deacetylase, is linked to metabolic pathways through nicotinamide adenine dinucleotide and can offer cellular protection though multiple avenues, including trophic factors such as erythropoietin, stem cells, and AMP-activated protein kinase. Translating SIRT1 pathways into clinical care for cardiovascular and hepatic disease can offer significant hope for patients, but further insights into the complexity of SIRT1 pathways are necessary for effective treatment regimens.
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