PMID- 27213358 OWN - NLM STAT- MEDLINE DCOM- 20170306 LR - 20220408 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 17 IP - 5 DP - 2016 May 20 TI - The Natural Course of Non-Alcoholic Fatty Liver Disease. LID - 10.3390/ijms17050774 [doi] LID - 774 AB - Non-alcoholic fatty liver disease (NAFLD) is the most prevalent form of chronic liver disease in the world, paralleling the epidemic of obesity and Type 2 diabetes mellitus (T2DM). NAFLD exhibits a histological spectrum, ranging from "bland steatosis" to the more aggressive necro-inflammatory form, non-alcoholic steatohepatitis (NASH) which may accumulate fibrosis to result in cirrhosis. Emerging data suggests fibrosis, rather than NASH per se, to be the most important histological predictor of liver and non-liver related death. Nevertheless, only a small proportion of individuals develop cirrhosis, however the large proportion of the population affected by NAFLD has led to predictions that NAFLD will become a leading cause of end stage liver disease, hepatocellular carcinoma (HCC), and indication for liver transplantation. HCC may arise in non-cirrhotic liver in the setting of NAFLD and is associated with the presence of the metabolic syndrome (MetS) and male gender. The MetS and its components also play a key role in the histological progression of NAFLD, however other genetic and environmental factors may also influence the natural history. The importance of NAFLD in terms of overall survival extends beyond the liver where cardiovascular disease and malignancy represents additional important causes of death. FAU - Calzadilla Bertot, Luis AU - Calzadilla Bertot L AD - School of Medicine and Pharmacology, the University of Western Australia, Nedlands, WA 6009, Australia. lcbertot@gmail.com. FAU - Adams, Leon Anton AU - Adams LA AD - School of Medicine and Pharmacology, the University of Western Australia, Nedlands, WA 6009, Australia. leon.adams@uwa.edu.au. AD - Department of Hepatology, Sir Charles Gairdner Hospital, Nedlands, WA 6009, Australia. leon.adams@uwa.edu.au. LA - eng PT - Journal Article PT - Review DEP - 20160520 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - *Carcinoma, Hepatocellular/metabolism/mortality/pathology MH - Female MH - Humans MH - *Liver/metabolism/pathology MH - *Liver Cirrhosis/etiology/metabolism/mortality/pathology MH - *Liver Neoplasms/metabolism/pathology MH - Male MH - *Non-alcoholic Fatty Liver Disease/complications/metabolism/mortality/pathology PMC - PMC4881593 OTO - NOTNLM OT - cirrhosis OT - fibrosis OT - hepatocellular carcinoma OT - non-alcoholic steatohepatitis OT - non-cirrhotic OT - nonalcoholic fatty liver EDAT- 2016/05/24 06:00 MHDA- 2017/03/07 06:00 PMCR- 2016/05/01 CRDT- 2016/05/24 06:00 PHST- 2016/04/29 00:00 [received] PHST- 2016/05/12 00:00 [revised] PHST- 2016/05/12 00:00 [accepted] PHST- 2016/05/24 06:00 [entrez] PHST- 2016/05/24 06:00 [pubmed] PHST- 2017/03/07 06:00 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - ijms17050774 [pii] AID - ijms-17-00774 [pii] AID - 10.3390/ijms17050774 [doi] PST - epublish SO - Int J Mol Sci. 2016 May 20;17(5):774. doi: 10.3390/ijms17050774.