Pathogenesis of Hepatocellular Carcinoma Development in Non-alcoholic Fatty Liver Disease
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  • 作者:Kirti Shetty ; Jian Chen ; Ji-hyun Shin ; Wilma Jogunoori…
  • 关键词:Hepatocellular carcinoma ; Non ; alcoholic fatty liver disease ; Pathogenesis
  • 刊名:Current Hepatitis Reports
  • 出版年:2015
  • 出版时间:June 2015
  • 年:2015
  • 卷:14
  • 期:2
  • 页码:119-127
  • 全文大小:676 KB
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  • 作者单位:Kirti Shetty (1)
    Jian Chen (2)
    Ji-hyun Shin (2)
    Wilma Jogunoori (3)
    Lopa Mishra (2)

    1. Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, MD, USA
    2. Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard鈥擴nit 1466, Houston, TX, USA
    3. Institute of Clinical Research, Veterans Affairs Medical Center, Washington, DC, USA
  • 刊物主题:Hepatology;
  • 出版者:Springer US
  • ISSN:1541-0706
文摘
Non-alcoholic fatty liver disease (NAFLD) is being recognized as an increasingly important contributor to the burden of hepatocellular carcinoma (HCC) worldwide. It is often accompanied by obesity and diabetes mellitus and is believed to be the hepatic representation of the metabolic syndrome. HCC development in NAFLD is multifactorial and complex. It is dependent on not only the well-described mechanisms noted in chronic liver injury but also on the molecular derangements associated with obesity and dysmetabolism. These include adipocyte remodeling, adipokine secretion, lipotoxicity, and insulin resistance. Recent advances focus on the importance of the gut-liver axis in accelerating the process of oncogenesis in NAFLD. The Farnesoid X receptor (FXR) has been demonstrated to have important metabolic effects, and its pharmacological activation by obeticholic acid has been recently reported to produce histological improvement in non-alcoholic steatohepatitis (NASH). It is hoped that delineating the mechanisms of hepatic fibrosis and oncogenesis in NASH will lead to enhanced strategies for cancer prevention, surveillance, and therapy in this population.

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