Mitochondrial dysfunction and oxidative stress in the pathogenesis of alcohol- and obesity-induced fatty liver diseases
Open accessAbstract
Fatty liver disease associated with chronic alcohol consumption or obesity/type 2 diabetes has emerged as a serious public health problem. Steatosis, accumulation of triglyceride in hepatocytes, is now recognized as a critical "first-hit" in the pathogenesis of liver disease. It is proposed that steatosis "primes" the liver to progress to more severe liver pathologies when individuals are exposed to subsequent metabolic and/or environmental stressors or "second-hits." Genetic risk factors can also influence the susceptibility to and severity of fatty liver disease. Furthermore, oxidative stress, disrupted nitric oxide (NO) signaling, and mitochondrial dysfunction are proposed to be key molecular events that accelerate or worsen steatosis and initiate progression to steatohepatitis and fibrosis. This review article will discuss the following topics regarding the pathobiology and molecular mechanisms responsible for fatty liver disease: (1) the "two-hit" or "multi-hit" hypothesis, (2) the role of mitochondrial bioenergetic defects and oxidant stress, (3) the interplay between NO and mitochondria in fatty liver disease, (4) genetic risk factors and oxidative stress-responsive genes, and (5) the feasibility of antioxidants for treatment.
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Chronic alcohol consumption inhibits AMP kinase and activates sterol regulatory element binding protein-1, which increase lipogenesis resulting in hepatic steatosis.
“Chronic alcohol consumption inhibits AMP kinase and activates sterol regulatory element binding protein-1, which increase lipogenesis resulting in hepatic steatosis (Mantena et al., 2008).”
From Iron, Oxidative Stress and Health (2012) · cites this paper as Mantena et al., 2008
Hyperinsulinemia and peripheral lipolysis promote hepatic uptake of fatty acids as well as fatty acid synthesis, resulting in accumulation of fat and fatty liver.
“Hyperinsulinemia and peripheral lipolysis promote hepatic uptake of fatty acids as well as fatty acid synthesis, resulting in accumulation of fat and fatty liver (Mantena et al., 2008).”
From Iron, Oxidative Stress and Health (2012) · cites this paper as Mantena et al., 2008
Hepatic mitochondrial abnormalities are observed in both alcoholic fatty liver disease (AFLD), nonalcoholic fatty liver disease (NAFLD) and acute liver injury.
“Hepatic mitochondrial abnormalities are observed in both alcoholic fatty liver disease (AFLD) [4], [5], [6], nonalcoholic fatty liver disease (NAFLD) [7], [8], [9] and acute liver injury.”
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Flagged first, then by citations
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A Molecular Web: Endoplasmic Reticulum Stress, Inflammation, and Oxidative Stress
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Mantena, S. K., Vaughn, D. P., Andringa, K. K., Eccleston, H. B., King, A. L., Abrams, G. A., Doeller, J. E., Kraus, D. W., Darley-Usmar, V. M., & Bailey, S. M. (2009) · Biochemical Journal · doi:10.1042/bj20080868 · Cited by 265 · see citing works
Self-citationAbnormal Hepatic Energy Homeostasis in Type 2 Diabetes†
Szendroedi, J., Chmelik, M., Schmid, A. I., Nowotny, P., Brehm, A., Krssak, M., Moser, E., & Roden, M. (2009) · Hepatology · doi:10.1002/hep.23093 · Cited by 204 · see citing works
Ectopic lipids and organ function.
Szendroedi, J., & Roden, M. (2009) · Current Opinion in Lipidology · doi:10.1097/mol.0b013e328321b3a8 · Cited by 200 · see citing works
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Iron regulatory proteins secure mitochondrial iron sufficiency and function
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4-hydroxynonenal inhibits SIRT3 via thiol-specific modification
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“Excess fat accumulation in liver can be a result of one or a combination of the following metabolic alterations: (a) decreased β-oxidation of fatty acids, (b) increased fatty acid synthesis due to up-regulation of lipogenic pathways, (c) increased delivery of fatty acids from adipose and other organs due to lipolysis,…”
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“…enzymes, and lower ATP synthesis in muscle and liver as key mechanism mediating obesity-related diseases such as insulin resistance and type 2 diabetes (PérezCarreras et al., 2003; Lowell and Shulman, 2005; Kim et al., 2008; Mantena et al., 2008; Jheng et al., 2012; Agil et al., 2015).”
BackgroundRole of peroxisome proliferator-activated receptor-α in fasting-mediated oxidative stress
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Iron, Oxidative Stress and Health
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“Hyperinsulinemia and peripheral lipolysis promote hepatic uptake of fatty acids as well as fatty acid synthesis, resulting in accumulation of fat and fatty liver (Mantena et al., 2008).”
Background
- Authors
- Mantena, S. K., King, A. L., Andringa, K. K., Eccleston, H. B., & Bailey, S. M.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Bailey, Shannon M.
- Venue
- Free Radical Biology and Medicine
- Publisher
- Elsevier BV
- Published
- 2008-04
- Volume
- 44
- Issue
- 7
- Pages
- 1259-1272
- ISSN
- 0891-5849 (ISSN-L)
- PMC
- PMC2323912
- OpenAlex
- W1977194186
- Cited by
- 429
- References
- 198
- Citations by year
- 2026: 10 · 2025: 16 · 2024: 20 · 2023: 11 · 2022: 22 · 2021: 21 · 2020: 24 · 2019: 24 · 2018: 26 · 2017: 27 · 2016: 24 · 2015: 26 · 2014: 32 · 2013: 20 · 2012: 31
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Free Radical Biology and Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA15172, R01AA015172)
- National Institute of Diabetes and Digestive and Kidney Diseases (R21DK073775, DK73775)
- Topics
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Keywords
- hepatic steatosis, alcoholic liver disease, obesity, type 2 diabetes, mitochondrial dysfunction, oxidative stress, steatosis, two-hit hypothesis, nitric oxide signaling, mitochondrial bioenergetics, steatohepatitis, liver fibrosis, genetic risk factors, antioxidants
- MeSH terms
- Alcohols, Animals, Antioxidants, Fatty Acids, Fatty Liver, Fibrosis, Free Radicals, Humans, Mitochondria, Models, Biological, Obesity, Oxidative Stress, Disease Progression, Hepatocytes, Proteomics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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