Myocardial infarction accelerates the progression of MASH by triggering immunoinflammatory response and induction of periostin
Open accessAbstract
Patients with metabolic dysfunction-associated steatotic liver disease (MASLD), especially advanced metabolic dysfunction-associated steatohepatitis (MASH), have an increased risk of cardiovascular diseases (CVDs). Whether CVD events will, in turn, influence the pathogenesis of MASLD remains unknown. Here, we show that myocardial infarction (MI) accelerates hepatic pathological progression of MASLD. Patients with MASLD who experience CVD events after their diagnosis exhibit accelerated liver fibrosis progression. MI promotes hepatic fibrosis in mice with MASH, accompanied by elevated circulating Ly6C hi monocytes and their recruitment to damaged liver tissues. These adverse effects are significantly abrogated when deleting these cells. Meanwhile, MI substantially increases circulating and cardiac periostin levels, which act on hepatocytes and stellate cells to promote hepatic lipid accumulation and fibrosis, finally exacerbating hepatic pathological progression of MASH. These preclinical and clinical results demonstrate that MI alters systemic homeostasis and upregulates pro-fibrotic factor production, triggering cross-disease communication that accelerates hepatic pathological progression of MASLD.
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The results extend current MASLD frameworks into an integrated mechanical-metabolic-inflammatory axis.
“our results extend current MASLD frameworks, traditionally centered on metabolic dysregulation and inflammation, into an integrated mechanical–metabolic–inflammatory axis [44, 45, 46, 47, 48]”
From Liver Stiffness Rises Early in MASLD and Drives Inflammation, Lipid Dysmetabolism, and Fibrosis via Piezo1–YAP Mechanotransduction (2026) · cites this paper as [46]
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- Authors
- Xie, W., Gan, J., Zhou, X., Tian, H., Pan, X., Liu, W., Li, X., Du, J., Xu, A., Zheng, M., Wu, F., Li, Y., & Lin, Z.
- Affiliations
- Guangdong Medical College (CN)
- First Affiliated Hospital of Wenzhou Medical University (CN)
- Wenzhou Medical University (CN)
- Capital Medical University (CN)
- University of Hong Kong (HK)
- Corresponding author
- Wu, Fan
- Li, Yulin
- Lin, Zhuofeng
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2024-06
- Volume
- 36
- Issue
- 6
- Pages
- 1269-1286.e9
- ISSN
- 1550-4131 (ISSN-L)
- OpenAlex
- W4399352323
- Cited by
- 55
- References
- 10
- Citations by year
- 2026: 25 · 2025: 25 · 2024: 5
- FWCI
- 16.78
- Type
- journal article
- Language
- en
- Update notices
- erratum (2024-07-02)
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 368 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Key Research and Development Program of China (2020YFA0803801)
- China National Funds for Distinguished Young Scientists (81925004)
- National Natural Science Foundation of China
- Topics
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Keywords
- myocardial infarction, non-alcoholic fatty liver disease, periostin, monocytes, immune-inflammatory response, liver fibrosis, hepatic lipid accumulation, hepatic stellate cells, cardiomyopathy
- MeSH terms
- Animals, Female, Humans, Inflammation, Liver, Liver Cirrhosis, Male, Mice, Inbred C57BL, Middle Aged, Monocytes, Myocardial Infarction, Cell Adhesion Molecules, Disease Progression, Hepatocytes, Mice
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