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2016 ; 2016
(ä): 5170402
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Pathogenesis of Nonalcoholic Steatohepatitis: Interactions between Liver
Parenchymal and Nonparenchymal Cells
#MMPMID27822476
Magee N
; Zou A
; Zhang Y
Biomed Res Int
2016[]; 2016
(ä): 5170402
PMID27822476
show ga
Nonalcoholic fatty liver disease (NAFLD) is the most common type of chronic liver
disease in the Western countries, affecting up to 25% of the general population
and becoming a major health concern in both adults and children. NAFLD
encompasses the entire spectrum of fatty liver disease in individuals without
significant alcohol consumption, ranging from nonalcoholic fatty liver (NAFL) to
nonalcoholic steatohepatitis (NASH) and cirrhosis. NASH is a manifestation of the
metabolic syndrome and hepatic disorders with the presence of steatosis,
hepatocyte injury (ballooning), inflammation, and, in some patients, progressive
fibrosis leading to cirrhosis. The pathogenesis of NASH is a complex process and
implicates cell interactions between liver parenchymal and nonparenchymal cells
as well as crosstalk between various immune cell populations in liver.
Lipotoxicity appears to be the central driver of hepatic cellular injury via
oxidative stress and endoplasmic reticulum (ER) stress. This review focuses on
the contributions of hepatocytes and nonparenchymal cells to NASH, assessing
their potential applications to the development of novel therapeutic agents.
Currently, there are limited pharmacological treatments for NASH; therefore, an
increased understanding of NASH pathogenesis is pertinent to improve disease
interventions in the future.