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Obes Rev. 2019;20(4):599-611.

Crosstalk between nonalcoholic fatty liver disease and cardiometabolic syndrome.

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제1저자 임수 · 교신저자 임수

PMID 30589487 DOI 10.1111/obr.12820 IF 7.6 내분비대사내과
소속 (3)
  1. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam, South Korea.
  2. Heart and Lung Centre, Helsinki University Central Hospital and Research Programs' Unit, Diabetes & Obesity, University of Helsinki, Helsinki, Finland.
  3. Department of Molecular and Clinical Medicine/Wallenberg Lab, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is a chronic condition characterized by fat accumulation combined with low-grade inflammation in the liver. A large body of clinical and experimental data shows that increased flux of free fatty acids from increased visceral adipose tissue and de novo lipogenesis can lead to NAFLD and insulin resistance. Thus, individuals with obesity, insulin resistance, and dyslipidaemia are at the greatest risk of developing NAFLD. Conversely, NAFLD is a phenotype of cardiometabolic syndrome. Notably, researchers have discovered a close association between NAFLD and impaired glucose metabolism and focused on the role of NAFLD in the development of type 2 diabetes. Moreover, recent studies provide substantial evidence for an association between NAFLD and atherosclerosis and cardiometabolic disorders. Even if NAFLD can progress into severe liver disorders including nonalcoholic steatohepatitis (NASH) and cirrhosis, the majority of subjects with NAFLD die from cardiovascular disease eventually. In this review, we propose a potential pathological link between NAFLD/NASH and cardiometabolic syndrome. The potential factors that can play a pivotal role in this link, such as inflammation, insulin resistance, alteration in lipid metabolism, oxidative stress, genetic predisposition, and gut microbiota are discussed.

© 2018 World Obesity Federation.

Keywords

cardiometabolic syndromeinflammationnonalcoholic fatty liver diseaseoxidative stress

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't, Review
저널
Obesity reviews : an official journal of the International Association for the Study of Obesity · eISSN 1467-789X
전자 출판
2018-12-27
MeSH
Cardiovascular Diseases / complications / metabolism · Humans · Lipid Metabolism · Liver / metabolism · Metabolic Syndrome / complications / metabolism · Non-alcoholic Fatty Liver Disease / complications / metabolism · Obesity / complications / metabolism · Oxidative Stress / physiology