2017
DOI: 10.3803/enm.2017.32.1.6
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The SCAP/SREBP Pathway: A Mediator of Hepatic Steatosis

Abstract: Nonalcoholic fatty liver disease (NAFLD) is strongly associated with insulin resistance, obesity, and dyslipidemia. NAFLD encompasses a wide range of states from the simple accumulation of triglycerides in the hepatocytes to serious states accompanied by inflammation and fibrosis in the liver. De novo lipogenesis has been shown to be a significant factor in the development of hepatic steatosis in insulin-resistant states. Sterol regulatory element binding protein-1c (SREBP-1c) is the main transcription factor … Show more

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Cited by 89 publications
(78 citation statements)
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“…11 Regarding insulin resistance, DM is strongly associated with NAFLD and subsequently with HCC. 12,13 Patients with DM commonly use statins because the prevalence of dyslipidemia is reported to be higher than in patients without DM. 14,15 However, the relationship between statins and HCC among patients with and without DM remains unclear.…”
Section: Introductionmentioning
confidence: 99%
“…11 Regarding insulin resistance, DM is strongly associated with NAFLD and subsequently with HCC. 12,13 Patients with DM commonly use statins because the prevalence of dyslipidemia is reported to be higher than in patients without DM. 14,15 However, the relationship between statins and HCC among patients with and without DM remains unclear.…”
Section: Introductionmentioning
confidence: 99%
“…TM4SF5 promoted SREBPs expression in fatty livers via the down-regulation of SIRT1, which deacetylates and negatively regulates SREBPs activity and expression (Agarwal & Agarwal, 2017). SREBP-1a and SREBP-1c or SREBP-2 are involved in FFA or cholesterol synthesis, respectively (Moon, 2017). SIRT1 overexpression decreased mature SREBP1 and SOCS1/3 levels.…”
Section: Discussionmentioning
confidence: 99%
“…SREBP-1 is activated by insulin and induces the expression of lipogenic genes 31 , increasing fatty acid synthesis from glucose 32 . However, in obese insulin-resistant subjects, the persistent hyperinsulinemia maintains lipogenesis 5-fold higher than in healthy subjects, even during fasting 33 , and leading to triglyceride accumulation 34 . In addition to hepatic lipogenesis, the increased flow of fatty acids from adipose tissue to the liver exacerbates the accumulation of triglycerides, resulting in the development of hepatic steatosis or NAFLD, which is highly prevalent in obese subjects 35 .…”
Section: Lipotoxicity As a Common Mediator In Organ Damagementioning
confidence: 98%