PMID- 25083080 OWN - NLM STAT- MEDLINE DCOM- 20150417 LR - 20220321 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 20 IP - 27 DP - 2014 Jul 21 TI - Non-alcoholic fatty liver disease and type 2 diabetes mellitus: the liver disease of our age? PG - 9072-89 LID - 10.3748/wjg.v20.i27.9072 [doi] AB - Non-alcoholic fatty liver disease (NAFLD) is a chronic liver disease that might affect up to one-third of the adult population in industrialised countries. NAFLD incorporates histologically and clinically different non-alcoholic entities; fatty liver (NAFL, steatosis hepatis) and steatohepatitis (NASH-characterised by hepatocyte ballooning and lobular inflammation +/- fibrosis) might progress to cirrhosis and rarely to hepatocellular cancer. NAFL increasingly affects children (paediatric prevalence is 4.2%-9.6%). Type 2 diabetes mellitus (T2DM), insulin resistance (IR), obesity, metabolic syndrome and NAFLD are particularly closely related. Increased hepatic lipid storage is an early abnormality in insulin resistant women with a history of gestational diabetes mellitus. The accumulation of triacylglycerols in hepatocytes is predominantly derived from the plasma nonesterified fatty acid pool supplied largely by the adipose tissue. A few NAFLD susceptibility gene variants are associated with progressive liver disease, IR, T2DM and a higher risk for hepatocellular carcinoma. Although not approved, pharmacological approaches might be considered in NASH patients. FAU - Firneisz, Gabor AU - Firneisz G AD - Gabor Firneisz, 2 Department of Internal Medicine, Semmelweis University, H-1088 Budapest, Hungary. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Fatty Acids, Nonesterified) RN - 0 (Inflammation Mediators) RN - 0 (Membrane Proteins) RN - 0 (Triglycerides) RN - EC 2.3.1.20 (DGAT2 protein, human) RN - EC 2.3.1.20 (Diacylglycerol O-Acyltransferase) RN - EC 3.1.1.3 (Lipase) RN - EC 3.1.1.3 (adiponutrin, human) SB - IM MH - Adiposity MH - Animals MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology/genetics/metabolism/therapy MH - Diacylglycerol O-Acyltransferase/metabolism MH - Diagnostic Imaging/methods MH - Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Fatty Acids, Nonesterified/metabolism MH - Genetic Predisposition to Disease MH - Humans MH - Inflammation Mediators/metabolism MH - Insulin Resistance MH - Lipase/genetics/metabolism MH - Liver/*metabolism/pathology MH - Liver Cirrhosis/epidemiology/metabolism MH - Membrane Proteins/genetics/metabolism MH - Mitochondria, Liver/metabolism MH - Non-alcoholic Fatty Liver Disease/diagnosis/*epidemiology/genetics/metabolism/therapy MH - Predictive Value of Tests MH - Prevalence MH - Proton Magnetic Resonance Spectroscopy MH - Risk Factors MH - Triglycerides/metabolism PMC - PMC4112878 OTO - NOTNLM OT - Dysfunctional adipose tissue OT - Genetics OT - Hepatocellular cancer OT - Insulin resistance OT - Liver cirrhosis OT - Non-alcoholic fatty liver disease OT - Non-alcoholic steatohepatitis OT - Obesity OT - Therapy OT - Type 2 diabetes mellitus EDAT- 2014/08/02 06:00 MHDA- 2015/04/18 06:00 PMCR- 2014/07/21 CRDT- 2014/08/02 06:00 PHST- 2013/11/14 00:00 [received] PHST- 2014/03/20 00:00 [revised] PHST- 2014/05/12 00:00 [accepted] PHST- 2014/08/02 06:00 [entrez] PHST- 2014/08/02 06:00 [pubmed] PHST- 2015/04/18 06:00 [medline] PHST- 2014/07/21 00:00 [pmc-release] AID - 10.3748/wjg.v20.i27.9072 [doi] PST - ppublish SO - World J Gastroenterol. 2014 Jul 21;20(27):9072-89. doi: 10.3748/wjg.v20.i27.9072.