Abstract
Nonalcoholic fatty liver disease (NAFLD) has become the most prevalent cause of liver disease in Western countries and represents a spectrum of diseases ranging from simple steatosis through steatohepatitis (NASH) and fibrosis, which can further progress to cirrhosis and hepatocellular carcinoma. While fatty liver is a benign condition, and triglyceride accumulation actually serves as “sink” or protective pathway in lipid metabolism, a growing body of evidence suggests that the type rather than the quantity of lipids accumulating may play a central role in disease progression. In fact, lipids such as free fatty acids and cholesterol, among others, have been associated to lipotoxicity, oxidative stress, and mitochondrial dysfunction. Oxidative stress, characterized by an imbalance between pro- and antioxidant mechanisms, followed by mitochondrial dysfunction are thought to play a key role in the pathogenesis of NAFLD. Different sources of oxidative stress coexists in hepatocytes especially those derived from mitochondrial, microsomal, peroxisomal, and lysosomal origin, many of them linked to FFA metabolism, as we will discuss in detail.
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Marí, M., Morales, A., Colell, A., García-Ruiz, C., Fernandez-Checa, J.C. (2015). Oxidative Stress in Nonalcoholic Fatty Liver Disease. In: Albano, E., Parola, M. (eds) Studies on Hepatic Disorders. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-15539-5_12
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