Cited by 620Liver Disease Diagnosis and TreatmentAdipokines, Inflammation, and Metabolic DiseasesLiver physiology and pathology

The DOI matches its Crossref record; 380 of the 385 references it cites were found in a registry or an index.

The Liver as an Endocrine Organ—Linking NAFLD and Insulin Resistance

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Watt, Matthew J, Miotto, Paula M, De Nardo, William, Montgomery, Magdalene K·2019·Endocrine Reviews

Abstract

The liver is a dynamic organ that plays critical roles in many physiological processes, including the regulation of systemic glucose and lipid metabolism. Dysfunctional hepatic lipid metabolism is a cause of nonalcoholic fatty liver disease (NAFLD), the most common chronic liver disorder worldwide, and is closely associated with insulin resistance and type 2 diabetes. Through the use of advanced mass spectrometry “omics” approaches and detailed experimentation in cells, mice, and humans, we now understand that the liver secretes a wide array of proteins, metabolites, and noncoding RNAs (miRNAs) and that many of these secreted factors exert powerful effects on metabolic processes both in the liver and in peripheral tissues. In this review, we summarize the rapidly evolving field of “hepatokine” biology with a particular focus on delineating previously unappreciated communication between the liver and other tissues in the body. We describe the NAFLD-induced changes in secretion of liver proteins, lipids, other metabolites, and miRNAs, and how these molecules alter metabolism in liver, muscle, adipose tissue, and pancreas to induce insulin resistance. We also synthesize the limited information that indicates that extracellular vesicles, and in particular exosomes, may be an important mechanism for intertissue communication in normal physiology and in promoting metabolic dysregulation in NAFLD.

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Crossref · 10.1210/er.2019-00034

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  1. Berglund, 2009, Fibroblast growth fact or 21 controls glycemia via regulation of hepatic glucose flux and insulin sensitivity, 4084

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Metadata

Authors
Watt, M. J., Miotto, P. M., De Nardo, W., & Montgomery, M. K.
Affiliations
  • The University of Melbourne (AU)
  • Department of Physiology, University of Melbourne, Melbourne, Victoria, Australia
Corresponding author
Watt, Matthew J
Venue
Endocrine Reviews
Published
2019-04-25
Volume
40
Issue
5
Pages
1367-1393
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2942227779
Cited by
615
References
385
Citations by year
2026: 61 · 2025: 98 · 2024: 109 · 2023: 98 · 2022: 128 · 2021: 83 · 2020: 31 · 2019: 7
FWCI
9.07
Type
journal article
Language
en
Open access
Locations
  • Endocrine Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Health and Medical Research Council (APP1077703, APP1143224, APP1162511, APP1156508)
  • Natural Sciences and Engineering Research Council of Canada
  • Melbourne Research Scholarship, University of Melbourne (AU)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
Keywords
non-alcoholic fatty liver disease, insulin resistance, hepatokines, hepatic lipid metabolism, microRNA, extracellular vesicles, exosomes, type 2 diabetes, muscle metabolism, adipose tissue, pancreas
MeSH terms
Animals, Diabetes Mellitus, Type 2, Endocrine Glands, Humans, Insulin Resistance, Liver, Dyslipidemias, Lipid Metabolism, Non-alcoholic Fatty Liver Disease

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