2018
DOI: 10.2147/cia.s170533
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Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis

Abstract: Excess fat deposition and insulin resistance are considered the main risk factors for nonalcoholic fatty liver disease (NAFLD), and therefore, not surprisingly, the global prevalence of NAFLD increases in parallel with both obesity and type 2 diabetes. Although deterioration of bone homeostasis in patients with NAFLD is commonly observed, its etiology has not been fully elucidated yet. It was shown in several studies that bone tissue seems to be independently associated with NAFLD. A mechanistic perspective pu… Show more

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Cited by 45 publications
(31 citation statements)
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“…Regarding a possible influence of the FF metabolic state on enhancing bone mass, evidence indicates the opposite. Specifically, fatty liver disease does not increase bone mass and in fact, promotes osteoporosis [31]. Moreover the bone mass of high fat-fed, insulin-resistant C57/BL6 mice is also decreased due to arrested bone formation [32].…”
Section: Discussionmentioning
confidence: 99%
“…Regarding a possible influence of the FF metabolic state on enhancing bone mass, evidence indicates the opposite. Specifically, fatty liver disease does not increase bone mass and in fact, promotes osteoporosis [31]. Moreover the bone mass of high fat-fed, insulin-resistant C57/BL6 mice is also decreased due to arrested bone formation [32].…”
Section: Discussionmentioning
confidence: 99%
“…93 Chronic inflammation, vitamin D3, growth hormone, insulin-like growth factor 1, osteopontin, fetuin-A, irisin, osteocalcin, and osteoprotegerin from osteoblasts have been proposed as mediators of mutual interactions among the skeleton, fatty tissue, and liver leading to osteoporosis. 94 A study from Italy has shown independent associations between (a) low BMD and PNPLA3 CG + GG genotype; (b) low BMD and NASH; and (c) PNPLA3 CG + GG genotype and NASH, providing support for a causal relationship between NASH and low BMD. 95 An earlier meta-analysis concluded that there is controversy regarding the effect of NAFLD on BMD.…”
Section: ) Osteoporosis/osteopeniamentioning
confidence: 99%
“…Proven links between NAFLD and decreased bone mass include vitamin D insufficiency 96 , the growth hormone/IGF-I axis 97 , TNF-α 98 , the receptor activator of NF-κB (RANK)/osteoprotegerin pathway 99 , fetuin-A 100 , osteopontin 101 , and adiponectin 102 . In addition, chronic inflammation and irisin from osteoblasts have been proposed as mediators of mutual interactions among the skeleton, fatty tissue, and liver 103 . Patients with ALD often have accompanying decreased vitamin D levels, which is primarily attributed to reduced hepatic 25-hydroxylase activity, malabsorption, irregular feeding habits and lack of sun exposure 104 .…”
Section: Communications Between the Liver And Other Major Organsmentioning
confidence: 99%