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Relevance of autophagy to fatty liver diseases and potential therapeutic applications

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Abstract

Autophagy is an evolutionarily conserved lysosome-mediated cellular degradation program. Accumulating evidence shows that autophagy is important to the maintenance of liver homeostasis. Autophagy involves recycling of cellular nutrients recycling as well as quality control of subcellular organelles. Autophagy deficiency in the liver causes various liver pathologies. Fatty liver disease (FLD) is characterized by the accumulation of lipids in hepatocytes and the dysfunction in energy metabolism. Autophagy is negatively affected by the pathogenesis of FLD and the activation of autophagy could ameliorate steatosis, which suggests a potential therapeutic approach to FLD. In this review, we will discuss autophagy and its relevance to liver diseases, especially FLD. In addition, we will discuss recent findings on potential therapeutic applications of autophagy modulators for FLD.

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Abbreviations

3-MA:

3-Methyl adenine

AFLD:

Alcoholic fatty liver disease

AMPK:

AMP-activated protein kinase

Atg:

Autophagy-related proteins

CMA:

Chaperone-mediated autophagy

DAMPs:

Danger-associated molecular patterns

ECM:

Extracellular matrix

ER:

Endoplasmic reticulum

ERQC:

Endoplasmic reticulum quality control

FAs:

Fatty acids

FLD:

Fatty liver disease

HCC:

Hepatocellular carcinoma

HSC:

Hepatic stellate cells

LDs:

Lipid droplets

MDB:

Mallory–Denk body

mTOR:

Mammalian target of rapamycin

NAC:

N-Acetyl cysteine

NAFLD:

Non-alcoholic fatty liver disease

PAMPs:

Pathogen-associated molecular patterns

DAMPs:

Danger-associated molecular patterns

PI3K:

Class III phosphatidylinositol 3-kinase

PKA:

Ras/cAMP-dependent protein kinase A

TFEB:

Transcription factor EB

ULK1:

UNC-5-like autophagy-activating kinase 1

UPR:

Unfolded protein response

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Acknowledgements

The authors are partially supported by NIH research Grants (R21-AA021450 and R01-AA021751).

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Correspondence to Xiao-Ming Yin.

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The authors declare that there are no conflicts of interest.

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Handling Editors: C.-A.A. Hu, Y. Yin, Y. Hou, G. Wu, Y. Teng.

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Yan, S., Huda, N., Khambu, B. et al. Relevance of autophagy to fatty liver diseases and potential therapeutic applications. Amino Acids 49, 1965–1979 (2017). https://doi.org/10.1007/s00726-017-2429-y

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  • DOI: https://doi.org/10.1007/s00726-017-2429-y

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