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Lytic cell death in metabolic liver disease
Open accessAbstract
Regulated cell death is intrinsically associated with inflammatory liver disease and is pivotal in governing outcomes of metabolic liver disease. Different types of cell death may coexist as metabolic liver disease progresses to inflammation, fibrosis, and ultimately cirrhosis. In addition to apoptosis, lytic forms of hepatocellular death, such as necroptosis, pyroptosis and ferroptosis elicit strong inflammatory responses due to cell membrane permeabilisation and release of cellular components, contributing to the recruitment of immune cells and activation of hepatic stellate cells. The control of liver cell death is of fundamental importance and presents novel opportunities for potential therapeutic intervention. This review summarises the underlying mechanism of distinct lytic cell death modes and their commonalities, discusses their relevance to metabolic liver diseases of different aetiologies, and acknowledges the limitations of current knowledge in the field. We focus on the role of hepatocyte necroptosis, pyroptosis and ferroptosis in non-alcoholic fatty liver disease, alcohol-associated liver disease and other metabolic liver disorders, as well as potential therapeutic implications.
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“Damaged and dying hepatocytes release damage-associated molecular patterns (DAMPs); potent activators of the innate immune system (209).”
From The liver as a central "hub" of the immune system: pathophysiological implications (2025) · cites this paper as [209]
In the citing paper
“These pathways involve rapid membrane permeabilization and release of cytoplasmic contents, triggering a stronger immune response than apoptosis (12).”
From Hepatic Stellate Cell-Immune Interactions in NASH (2022) · cites this paper as [12]
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1 retracted
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“Pyroptosis triggered by gut-derived PAMPS and by metabolic-derived DAMPs (ATP and uric acid) resulted in release of inflammasome-dependent cytokines from immune cells in ALD patients and in cells exposed to ethanol [120, 122].”
BackgroundRetractedFerroptosis: An Iron-Dependent Form of Nonapoptotic Cell Death
Dixon, S. J., Lemberg, K. M., Lamprecht, M. R., Skouta, R., Zaitsev, E. M., Gleason, C. E., Patel, D. N., Bauer, A. J., Cantley, A. M., Yang, W. S., et al. (2012) · Cell · doi:10.1016/j.cell.2012.03.042 · Cited by 18,691 · cited 5×
“Ferroptosis can be induced either in a canonical way by a direct or indirect inactivation of the glutathione peroxidase 4 (GPX4), the major protective mechanism of biological membranes against peroxidation damage, or in a non-canonical manner by increasing the labile iron pool [48].”
BackgroundInfluentialRegulation of Ferroptotic Cancer Cell Death by GPX4
Yang, W. S., SriRamaratnam, R., Welsch, M. E., Shimada, K., Skouta, R., Viswanathan, V. S., Cheah, J. H., Clemons, P. A., Shamji, A. F., Clish, C. B., et al. (2014) · Cell · doi:10.1016/j.cell.2013.12.010 · Cited by 7,713 · cited 1×
“By indirectly blocking the Xc− transporter, erastin inhibits GSH synthesis, which is used by GPX4 to eliminate the production of phospholipid hydroperoxides (PL-OOH), the major mediator of chain reactions in lipoxygenases [53].”
BackgroundGalluzzi, L., Vitale, I., Aaronson, S. A., Abrams, J. M., Adam, D., Agostinis, P., Alnemri, E. S., Altucci, L., Amelio, I., Andrews, D. W., et al. (2018) · Cell Death & Differentiation · doi:10.1038/s41418-017-0012-4 · Cited by 6,680
Self-citationCleavage of GSDMD by inflammatory caspases determines pyroptotic cell death
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“Caspases-1 and -11 cleave GSDMD into a 31-kDa N-terminal GSDMDNT fragment, which exhibits intrinsic pore-forming activity, and a 22-kDa C-terminal GSDMDCT fragment that binds to GSDMDNT to maintain the protein in an inhibitory state [40, 41].”
BackgroundInfluentialMechanisms of NAFLD development and therapeutic strategies
Friedman, S. L., Neuschwander-Tetri, B. A., Rinella, M., & Sanyal, A. J. (2018) · Nature Medicine · doi:10.1038/s41591-018-0104-9 · Cited by 4,354 · cited 1×
“Although metabolic alterations caused by free fatty acid overload is considered a major cause for hepatocyte damage, the mechanisms driving disease progression from simple steatosis to NASH remain incompletely understood [72].”
BackgroundACSL4 dictates ferroptosis sensitivity by shaping cellular lipid composition
Doll, S., Proneth, B., Tyurina, Y. Y., Panzilius, E., Kobayashi, S., Ingold, I., Irmler, M., Beckers, J., Aichler, M., Walch, A., et al. (2017) · Nature Chemical Biology · doi:10.1038/nchembio.2239 · Cited by 4,293
Ferroptosis: process and function
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The CoQ oxidoreductase FSP1 acts parallel to GPX4 to inhibit ferroptosis
Bersuker, K., Hendricks, J. M., Li, Z., Magtanong, L., Ford, B., Tang, P. H., Roberts, M. A., Tong, B., Maimone, T. J., Zoncu, R., et al. (2019) · Nature · doi:10.1038/s41586-019-1705-2 · Cited by 3,703 · cited 1×
“Recently, the ferroptosis suppressor protein 1 (FSP1), previously known as apoptosis-inducing factor mitochondrial 2 (AIFM2), was identified as a key component of a non-mitochondrial CoQ10 (ubiquinone) antioxidant system that acts in parallel to the GPX4 canonical pathway to halt the progression of lipid peroxides [58…”
BackgroundCaspase-11 cleaves gasdermin D for non-canonical inflammasome signalling
Kayagaki, N., Stowe, I. B., Lee, B. L., O’Rourke, K., Anderson, K., Warming, S., Cuellar, T., Haley, B., Roose-Girma, M., Phung, Q. T., et al. (2015) · Nature · doi:10.1038/nature15541 · Cited by 3,686 · cited 2×
“Caspases-1 and -11 cleave GSDMD into a 31-kDa N-terminal GSDMDNT fragment, which exhibits intrinsic pore-forming activity, and a 22-kDa C-terminal GSDMDCT fragment that binds to GSDMDNT to maintain the protein in an inhibitory state [40, 41].”
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- Orning, 2019, Gasdermins and their role in immunity and inflammation, J Exp Med, 216, 2453, 10.1084/jem.20190545 · DOI
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Items 101–200 of 213
Ferroptosis as a potential therapeutic target for obesity-related metabolic diseases
Huang, C., Luo, T., Zhang, H., Cheng, L.-H., Peng, S., Zhou, X., Cao, L., Chen, F.-Y., He, J., Chen, C., et al. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1581632 · Cited by 7
Yu, T., Lu, X., Liang, Y., Yang, L., Yin, Y., & Chen, H. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e28865 · Cited by 15
“The induction of ferroptosis is a pivotal mechanism for inhibiting the activation of HSCs [33].”
BackgroundMacirella, R., Curcio, V., Ahmed, A. I., Talarico, F., Sesti, S., Paravani, E., Odetti, L., Mezzasalma, M., & Brunelli, E. (2023) · Fishes · doi:10.3390/fishes8070342 · Cited by 15
Targeting ferroptosis to halt MASLD and MASH
Wang, F. (2026) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2026.01.007 · Cited by 16
Ma, C.-L., Bao, Y.-L., Hereid, S., Zhang, H.-X., Bai, X.-H., Bai, Q., Zhao, L.-Y., Zhang, X., Lian, H., Dai, L., et al. (2025) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.5c05877 · Cited by 14
Xu, Z.-X., Tang, C., Song, X., Liu, Z.-N., Zhou, J., Shi, Q., Yu, C.-H., & Xu, C. (2025) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2025.110249 · Cited by 14
“Pyrop-tosis, the most recently known mode of programmed cell death, occurs more rapidly than does apoptosis and coincides with the release of a greater quantity of proin fl ammatory factors (29 – 31).”
Abdurehman, D., Guoruoluo, Y., Lu, X.-Y., Li, J., Abudulla, R., Liu, G.-Y., Xin, X., & Aisa, H. (2023) · Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · doi:10.1016/j.biopha.2023.115590 · Cited by 14
Magusto, J., Beaupere, C., Afonso, M. B., Auclair, M., Delaunay, J., Soret, P., Courtois, G., Aït-Slimane, T., Housset, C., Jéru, I., et al. (2022) · iScience · doi:10.1016/j.isci.2022.105166 · Cited by 14
“In this study, PPARg was also negatively correlated with hepatic RIPK3 in patients with NAFLD (Afonso et al., 2021).”
BackgroundInfluentialSelf-citationYang, J.-Y., Luo, C.-H., Wang, K., Tu, X.-Y., Xiao, Y., Ou, Y.-T., Xie, Y., Guan, C., & Zhong, W. (2025) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2025.143165 · Cited by 14
Mechanism of PANoptosis in metabolic dysfunction-associated steatotic liver disease
Ni, K., & Meng, L. (2024) · Clinics and Research in Hepatology and Gastroenterology · doi:10.1016/j.clinre.2024.102381 · Cited by 14
New insights into fibrotic signaling in hepatocellular carcinoma
Liang, S., Wang, F., Xue, W., Zhai, D., Liu, J., & Lv, X. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1196298 · Cited by 14
Serum iron fluctuations link ferroptosis process with mortality and prognosis of acute pancreatitis
Deng, Y., Jiang, T., Li, J.-H., Yu, P.-P., Mei, Y., Li, M.-J., Qi, X.-Y., & Liu, F. (2023) · iScience · doi:10.1016/j.isci.2023.107774 · Cited by 13
“The important role of ferroptosis in the pathogenesis of NAFLD has been confirmed recently.(14) When NAFLD patients progresses from chronic disease to acute critical status, this dramatic change in pathophysiology can also cause a large amount of parenchymal cell damage, which provides the frame of reference and suppo…”
BackgroundGhost messages: cell death signals spread
Zhang, M., Lin, Y., Chen, R., Yu, H., Li, Y., Chen, M., Dou, C., Yin, P., Zhang, L., & Tang, P. (2023) · Cell Communication and Signaling · doi:10.1186/s12964-022-01004-0 · Cited by 18
“An important pathological feature of liver disease is liver fibrosis, which is mainly mediated by hepatic stellate cells (HSCs) and pro-inflammatory Kupffer cells [177].”
BackgroundInfluentialZhou, C., Shen, Y., Jin, Y., Shen, Z., Ye, D., Shen, Y., & Deng, H. (2022) · Cancer Medicine · doi:10.1002/cam4.4819 · Cited by 13
Singh, V. P., Huang, E., Pathak, V., Willard, B. B., Allende, D. S., & Nagy, L. E. (2022) · Hepatology Communications · doi:10.1002/hep4.1956 · Cited by 14
“However, the role of different cell death pathways is understudied.[30] While the contributions of Rip3, a mediator of necroptosis, to liver injury varies depending on the insult,[17,31,32] Rip3 is known to contribute to chronic ethanol- induced liver injury.”
BackgroundYang, J., Zhang, J., Zhang, L., & Yang, Z. (2025) · Biocell · doi:10.32604/biocell.2025.059908 · Cited by 9
Tang, M., Wang, X., Wang, S., Xing, C., Xu, Q., Mu, Y., Wu, X., Zhao, Z. A., & Li, F. (2024) · Biochemical Pharmacology · doi:10.1016/j.bcp.2024.116648 · Cited by 13
Tolylfluanid induces developmental toxicity via liver dysfunction in zebrafish embryos
Hong, T., Park, H., Song, G., & Lim, W. (2024) · Molecular & Cellular Toxicology · doi:10.1007/s13273-024-00436-8 · Cited by 14
“Therefore, further investigation is warranted to determine whether inflammatory responses, mediated through apoptosis-related mechanisms such as pyroptosis or ferroptosis, contribute to liver dysfunction (Gautheron et al. 2020).”
Li, S., Liu, A.-B., Yu, Y., & Ma, J.-H. (2024) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2024.1407738 · Cited by 12
“When the aforementioned balance is disrupted, excessive host immune responses and cell death can result in serious disorders, such as hepatic lesions, sepsis, systemic lupus erythematosus (SLE), and others (Gautheron et al., 2020; Li et al., 2020; Li T. et al., 2022).”
BackgroundExosome-Based Theranostics for Liver Diseases
Luo, N., Li, J., Dong, R., & Lu, J. (2022) · Disease Markers · doi:10.1155/2022/7888906 · Cited by 11
Gallego‐Durán, R., Montero‐Vallejo, R., Maya‐Miles, D., Lucena, A., Martı́n, F., Ampuero, J., & Romero‐Gómez, M. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.667354 · Cited by 12
“Additionally, lytic forms of hepatocellular death elicit strong inflammatory responses due to cell membrane permeabilization and the releasement of intracellular content, such as DAMPs, that contributes to recruitment of immune cells (45).”
BackgroundLuci, C., Vieira, E., Bourinet, M., Rousseau, D., Bonnafous, S., Patouraux, S., Lefevre, L., Larbret, F., Prod’homme, V., Iannelli, A., et al. (2021) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2021.08.004 · Cited by 14
“Of the mechanisms related to liver injury, TNF-a and sustained oxidative stress are reported to mediate hepatocyte death in chronic liver and inflammatory diseases.(51,54,55) Interestingly, 3BP2 and SYK mutant mice display a reduction in liver expression of TNF-a and markers of oxidative stress (P22phox and Ho-1), cou…”
BackgroundShang, J., Yan, J., Lou, H., Shou, R., Zhan, Y., Lu, X., & Fan, X. (2024) · Particle and Fibre Toxicology · doi:10.1186/s12989-024-00598-2 · Cited by 10
“It plays an important role in liver inflammation, injury, and metabolic diseases [37–40].”
BackgroundSun, H.-J., Jiao, B., Wang, Y., Zhang, Y.-H., Chen, G., Wang, Z.-X., Zhao, H., Xie, Q., & Song, X. (2024) · World Journal of Gastroenterology · doi:10.3748/wjg.v30.i14.1968 · Cited by 15
“RCD is considered intrinsically associated with inflammatory disorders of hepatic tissue and is documented to be pivotal in governing the clinical consequences of liver disorder[24,25].”
Oh, J., Saeed, W., Kim, H. Y., Lee, S.-M., Lee, A. H., Park, G. R., Yoon, E., & Jun, D. W. (2023) · Journal of Gastroenterology and Hepatology · doi:10.1111/jgh.16368 · Cited by 10
“22 However, no study has examined the direct effects of necroptosis on HSCs, and the mechanism through which necroptosis stimulates HSCs remains unclear.”
BackgroundSingle MHC‐I Expression Promotes Virus‐Induced Liver Immunopathology
Xu, H. C., Huang, J., Pandyra, A. A., Pandey, P., Wang, R., Zhang, Z., Zhuang, Y., Gertzen, C. G. W., Münk, C., Herebian, D., et al. (2022) · Hepatology Communications · doi:10.1002/hep4.1913 · Cited by 9
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“Morphologically, ferroptotic cells exhibit intact nuclei, nonaggregated chromatin, unruptured cytoplasmic membranes, and shrunken or absent mitochondria with ruptured outer membranes and increased inner membrane density (Gautheron, Gores, & Rodrigues [3]).”
Yan, Y., Yang, N., Qin, F., & Hao, Y. (2024) · Biomedicines · doi:10.3390/biomedicines12122728 · Cited by 9
“From a mechanistic perspective, the involvement of mitochondria in ferroptosis is closely related to the function of classical mitochondrial metabolic activities. which in turn accelerates the process of iron overload [38].”
Wang, A., Li, B., Su, W., Zhang, H., Hu, R., Zhang, Y., Zhao, J., Ren, R., Mu, Y.-M., Yu, C., et al. (2024) · Experimental Cell Research · doi:10.1016/j.yexcr.2024.114325 · Cited by 11
Varghese, D. S., Oommen, D., John, A., & Ali, B. R. (2023) · Lipids in Health and Disease · doi:10.1186/s12944-023-01835-x · Cited by 9
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Multiple functions of MLKL in liver fibrosis, from necroptosis to hepatic stellate cell activation
Pistorio, V., Housset, C., & Gautheron, J. (2022) · Theranostics · doi:10.7150/thno.76902 · Cited by 8
“Necroptosis has emerged as a novel mode of cell death in various chronic liver diseases such as non-alcoholic steatohepatitis (NASH) [6, 8-11].”
BackgroundInfluentialSelf-citationLi, Z., Li, J., He, S., Chen, J., Deng, C., & Duan, J.-T. (2025) · Food Science & Nutrition · doi:10.1002/fsn3.4694 · Cited by 8
“…obesity (Poulios et al. 2024), etc. Programmed cell death mechanisms are intrinsically correlated with inflammatory states of the liver tissue and are considered crucial contributors to governing the clinical outcomes of metabolism-related liver diseases (Gautheron, Gores, and Rodrigues 2020).”
Ferroptosis in liver diseases: Fundamental mechanism and clinical implications
Lai, M.-S., Yan, X.-P., Branch, D. R., Loriamini, M., & Chen, L.-M. (2024) · World Journal of Gastroenterology · doi:10.3748/wjg.v30.i32.3730 · Cited by 8
The ferroptosis mediator ACSL4 fails to prevent disease progression in mouse models of MASLD
Angendohr, C., Köppe, C., Herebian, D., Schneider, A., Keysberg, L., Singer, M. T., Gilljam, J., Dille, M. A., Bode, J. G., Doll, S. G., et al. (2024) · bioRxiv · doi:10.1101/2024.06.11.598353 · Cited by 8
Identification of ferroptosis-related genes in the progress of NASH
He, L., Wang, J., Tao, B., Zhu, R., Li, C., & Ning, B. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1184280 · Cited by 11
“These several types of hepatocyte death may be controlled by overlapping molecular processes and can act as “backups” for one another (12).”
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“During hepatotoxicity-induced liver injury, apoptosis is a stress response to the injury and is typically regarded as harmful; apoptosis is therefore considered to be a useful indicator for the severity of liver damage [17, 18].”
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“57 For example, Zhang et al . showed that GPX4 knockdown exacerbated brain injury after cerebral hemorrhage using specific inhibitors or siRNA.”
Necroptosis induced by ruthenium (II) complexes as mitochondrial disruptors
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“Staging system for HCC: BCLC, n (%) BCLC 0/A 359 (37); BCLC AB 75 (8); BCLC B 175 (18); BCLC C 254 (26); BCLC D 109 (11) IA/B, n=27 (26); II, n=33 (32); IV, n=43 (42)”
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Liver injury in COVID-19: Holds ferritinophagy-mediated ferroptosis accountable
Jia, F., & Han, J. (2022) · World Journal of Clinical Cases · doi:10.12998/wjcc.v10.i36.13148 · Cited by 6
Pathological Connections between Nonalcoholic Fatty Liver Disease and Chronic Kidney Disease
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Chen, D., Zhang, H., Zhang, X., Sun, X., Qin, Q., Hou, Y., Jia, M., & Chen, Y. (2022) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2022.113166 · Cited by 8
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Necroptosis in obesity: a complex cell death event
Liu, Z., Wang, S., Wang, W., Lv, R., & Sun, C. (2024) · APOPTOSIS · doi:10.1007/s10495-024-02055-z · Cited by 7
“The knowledge and controversy about cell death and liver disease continues, and several years ago, it was proposed that the complexity of cell death patterns in liver disease, and that inhibition of separate cell death patterns may enhance other cell deaths and even exacerbate liver injury ([165].”
Theodoropoulou, E., Pierozan, P., Marabita, F., Höglund, A., & Karlsson, O. (2024) · Chemosphere · doi:10.1016/j.chemosphere.2024.143605 · Cited by 6
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Sun, J., Liu, J., Liu, M., Bi, X., & Huang, C. (2024) · Toxicon · doi:10.1016/j.toxicon.2024.108071 · Cited by 6
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Lytic regulated cell death in aquaculture fish
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“Additionally, necroptosis or pyroptosis of hepatocytes also drives the progression of MASLD (46).”
Zhang, L., & Liu, X. (2025) · Tissue & Cell · doi:10.1016/j.tice.2025.102977 · Cited by 5
Ferroptosis promotes valproate-induced liver steatosis in vitro and in vivo
Yan, X., Ma, L., Chen, X., Ren, J., Zhai, Y., Wu, T., Song, Y. J., Li, X., & Guo, Y. (2024) · Food and Chemical Toxicology · doi:10.1016/j.fct.2024.114926 · Cited by 5
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Met-ALD and ALD- Does Differentiating These Impact Management and Clinical Outcomes?
Elmustafa, F., Tyagi, M., Kaur, H., Blaney, H. L., Xie, C., Jalil, S., & Singal, A. K. (2025) · Current Hepatology Reports · doi:10.1007/s11901-025-00712-8 · Cited by 3
“) (20) Cohort study: NHIS database Republic of Korea in MASLD [31].”
Duan, B.-W., Liu, Y.-J., Hong, H.-Y., Fang, Y.-F., Qiao, J.-B., Yang, J.-S., Xing, L., & Jiang, H.-L. (2025) · Journal of Controlled Release · doi:10.1016/j.jconrel.2025.114117 · Cited by 4
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Targeting both ferroptosis and pyroptosis may represent potential therapies for acute liver failure
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“…pathways can coexist in a pathological environment, and several shared overlapping mechanisms can be used as “backup” death strategies to maintain biological balance within the organism when the death induction threshold is reached, mediating various immune effects and inflammatory responses[10].”
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“Apoptosis is considered the predominant mode of cell death in MASLD [36] and occurs as a consequence of activation of both extrinsic (death receptor-mediated) and intrinsic (mitochondrial) [36, 37].”
Zhao, L., Xu, J., Zhang, X., Xu, Q., Ying, K., Cai, W., Ding, Y., Ying, H., Song, X., Chen, Z., et al. (2023) · Journal of Functional Foods · doi:10.1016/j.jff.2023.105872 · Cited by 4
Identification of pyroptosis-related genes in NASH based on bioinformatic analysis.
Chen, X.-X., Wang, D., Wang, Z., & Huang, W.-X. (2023) · Biochemical and Biophysical Research Communications - BBRC · doi:10.1016/j.bbrc.2023.08.067 · Cited by 4
A novel pyroptosis-related gene signature to predict outcomes in laryngeal squamous cell carcinoma
Zhou, C., Zhan, G., Jin, Y., Chen, J., Shen, Z., Shen, Y., & Deng, H. (2021) · Aging · doi:10.18632/aging.203783 · Cited by 6
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“[63] Notably, ACLF is characterized predominantly by necroptosis, which amplifies this process.”
Gui, R.-L., Li, Y., Zhang, L., Jin, J., Shi, Y.-Q., Wang, J.-X., Guo, J., Qian, L., & Xiong, Y.-Y. (2026) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2026.151608 · Cited by 3
RIPK1 inhibition reduces biliary injury and fibrosis in primary sclerosing cholangitis
Soret, P., Steunou, V., Hedou, J. J., Tokgozoglu, J., Pistorio, V., Majdi, A., Darwane, N., Delaunay, J.-L., Benyahia, S., Dinard, L., et al. (2025) · Science Advances · doi:10.1126/sciadv.adz7907 · Cited by 3
“Programmed cell death mechanisms, including apoptosis and necroptosis, have been involved in the regulation of tissue injury in chronic liver diseases such as metabolic dysfunction–associated stea-totic liver disease (MASLD) ( 9 , 10 ).”
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“Given that lipotoxicity can lead to hepatocyte injury or death [16], serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels were elevated after 24 weeks of HFD feeding.”
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Macrophage-derived exosomal miR-155 regulating hepatocyte pyroptosis in MAFLD
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“In terms of the types of cell death that is regulated, ferroptosis plays an important role in the pathogenesis of hepatotoxicity (Gautheron et al., 2020; Shojaie et al., 2020).”
The scaffold-dependent function of RIPK1 in experimental non-alcoholic steatohepatitis
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FASN-dependent lipogenesis controls macrophage efferocytosis in alcohol-associated liver disease
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“…MASH, fibrosis, cirrhosis, and hepatocellular carcinoma, are associated with the activation of distinct cell death programs that cause functional loss and tissue degradation [6, 48-51], while also propagating inflammation through the release of damage-associated molecular patterns (DAMPs) [6, 49].”
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“Enzymes including ACSL4 synthesize lipid metabolites that are highly susceptible to free iron-catalyzed Fenton reaction, resulting in lipids peroxidation and membrane destruction (Gautheron et al. 2020).”
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Liver Diseases in Inborn Errors of Metabolism
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Macrophage Nogo-B Drives Liver Fibrosis
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“47,48 In the liver, RIPK3/necroptosis plays important roles in many pathological conditions.”
Ninjurin-1 mediates hepatic ischemia-reperfusion injury
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“Regulated lytic cell death pathways are important contributors to human liver disease ( 6 – 8 ), a finding recapitulated in animal models ( 9 , 10 ).”
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Exercise suppresses IP6K3 to modulate BCAA metabolism and ferroptosis in MASLD
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“Consistent with prior studies showing that ferroptosis inhibition alleviates liver injury [10, 36], our data suggest that IP6K3 may act as a pro-ferroptotic regulator in the MASLD context.”
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Metabolic dysfunction-associated steatotic liver disease: pathogenesis and novel treatment options
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“10,42 As the primary organ for systemic iron storage, the inhibition of hepatocyte ferroptosis represents a pivotal therapeutic target for hepatic metabolic disorders.”
Inflammaging in geriatric liver disease: Mechanistic insights and therapeutic frontiers
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Shifting cell death modes in hepatic steatosis: from apoptosis to necroptosis
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“9 Apoptosis maintains the integrity of the plasma membrane, with apoptotic effectors contributing to immune silencing.”
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Orchestrated cell death pathways in cholangiopathies
Guicciardi, M. E., Pistorio, V., Soret, P., Steunou, V., Gores, G. J., & Gautheron, J. (2026) · Gut · doi:10.1136/gutjnl-2026-339264
Self-citation
Metadata
- Authors
- Gautheron, J., Gores, G. J., & Rodrigues, C. M. P.
- Affiliations
- Inserm (FR)
- Mayo Clinic (US)
- University of Lisbon (PT)
- Corresponding author
- Rodrigues, Cecília M.P.
- Venue
- Journal of Hepatology
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 73
- Issue
- 2
- Pages
- 394-408
- ISSN
- 0168-8278 (ISSN-L)
- PMC
- PMC7371520
- OpenAlex
- W3016394009
- Cited by
- 225
- References
- 148
- Citations by year
- 2026: 31 · 2025: 32 · 2024: 49 · 2023: 40 · 2022: 42 · 2021: 23 · 2020: 8
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Hepatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HAL (submittedVersion, other-oa)
- Funders
- Fondation pour la Recherche Médicale
- Fundação para a Ciência e a Tecnologia
- National Institutes of Health
- H2020 Marie Skłodowska-Curie Actions
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Keywords
- lytic cell death, metabolic liver disease, pyroptosis, ferroptosis, apoptosis, liver inflammation, liver fibrosis, liver cirrhosis, hepatic stellate cells, non-alcoholic fatty liver disease, alcoholic liver disease, therapeutic target
- MeSH terms
- Pyroptosis, Necroptosis, Ferroptosis, Regulated Cell Death, Humans, Liver Diseases, Drug Discovery
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