PMID- 22082482 OWN - NLM STAT- MEDLINE DCOM- 20120518 LR - 20190923 IS - 1875-5666 (Electronic) IS - 1566-5240 (Linking) VI - 12 IP - 1 DP - 2012 Jan TI - The emerging role of endocrine disruptors in pathogenesis of insulin resistance: a concept implicating nonalcoholic fatty liver disease. PG - 68-82 AB - Endocrine disruptors or endocrine-disrupting chemicals (EDCs) represent a highly heterogeneous group of molecules found in the environment or in consumer products. Toxicology and epidemiology studies have suggested the involvement of diverse EDCs in an increasing number of metabolic disorders, including insulin resistance (IR) and IR-related co morbidities, such as obesity, type 2 diabetes mellitus (T2DM) and polycystic ovary syndrome. Nonalcoholic fatty liver disease (NAFLD), another IR related condition, is emerging as a significant public health concern, affecting 30-45% of the general population in the Western world. To evaluate whether EDCs may also play a role in the pathogenesis of NAFLD, we reviewed the literature on well-studied EDCs, such as dioxins, bisphenol A, phthalates and other persistent organic pollutants, in relation to pathways that might contribute to the pathogenesis of fatty liver / NAFDL. Certain EDCs may be responsible for inducing alterations similar to those encountered in NAFLD either directly through a hepatotoxic effect and/or indirectly by triggering hepatic and systematic IR. Considering these effects, which act in concert with the effects of the epidemics of obesity and T2DM, EDCs may play a significant role in the pathogenesis of fatty liver, thereby increasing the prevalence of NAFLD worldwide. Translational studies and clinical trials investigating the association between EDCs and NAFLD are required to confirm and extent these studies. FAU - Polyzos, S A AU - Polyzos SA AD - Department of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, Thessaloniki, Greece. stergios@endo.gr FAU - Kountouras, J AU - Kountouras J FAU - Deretzi, G AU - Deretzi G FAU - Zavos, C AU - Zavos C FAU - Mantzoros, C S AU - Mantzoros CS LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Curr Mol Med JT - Current molecular medicine JID - 101093076 RN - 0 (Benzhydryl Compounds) RN - 0 (Dioxins) RN - 0 (Endocrine Disruptors) RN - 0 (Environmental Pollutants) RN - 0 (Phenols) RN - 0 (Phthalic Acids) RN - MLT3645I99 (bisphenol A) SB - IM MH - Animals MH - Benzhydryl Compounds MH - Dioxins/pharmacology/toxicity MH - Endocrine Disruptors/pharmacology/*toxicity MH - Energy Metabolism/drug effects MH - Environmental Pollutants/pharmacology/*toxicity MH - Fatty Liver/*chemically induced MH - Humans MH - *Insulin Resistance MH - Non-alcoholic Fatty Liver Disease MH - Phenols/pharmacology/toxicity MH - Phthalic Acids/pharmacology/toxicity EDAT- 2011/11/16 06:00 MHDA- 2012/05/19 06:00 CRDT- 2011/11/16 06:00 PHST- 2011/05/12 00:00 [received] PHST- 2011/09/03 00:00 [revised] PHST- 2011/09/05 00:00 [accepted] PHST- 2011/11/16 06:00 [entrez] PHST- 2011/11/16 06:00 [pubmed] PHST- 2012/05/19 06:00 [medline] AID - BSP/CMM/E-Pub/00013 [pii] AID - 10.2174/156652412798376161 [doi] PST - ppublish SO - Curr Mol Med. 2012 Jan;12(1):68-82. doi: 10.2174/156652412798376161.