PMID- 28218263 OWN - NLM STAT- MEDLINE DCOM- 20170417 LR - 20220317 IS - 1759-507X (Electronic) IS - 1759-5061 (Linking) VI - 13 IP - 5 DP - 2017 May TI - Non-alcoholic fatty liver disease: an emerging driving force in chronic kidney disease. PG - 297-310 LID - 10.1038/nrneph.2017.16 [doi] AB - Non-alcoholic fatty liver disease (NAFLD) is caused by an accumulation of fat in the liver; the condition can progress over time to increase the risk of developing cirrhosis, end-stage liver disease and hepatocellular carcinoma. The prevalence of NAFLD is increasing rapidly owing to the global epidemics of obesity and type 2 diabetes mellitus (T2DM), and NAFLD has been predicted to become the most important indication for liver transplantation over the next decade. It is now increasingly clear that NAFLD not only affects the liver but can also increase the risk of developing extra-hepatic diseases, including T2DM, cardiovascular disease and chronic kidney disease (CKD), which have a considerable impact on health-care resources. Accumulating evidence indicates that NAFLD exacerbates insulin resistance, predisposes to atherogenic dyslipidaemia and releases a variety of proinflammatory factors, prothrombotic factors and profibrogenic molecules that can promote vascular and renal damage. Furthermore, communication or 'crosstalk' between affected organs or tissues in these diseases has the potential to further harm function and worsen patient outcomes, and increasing amounts of evidence point to a strong association between NAFLD and CKD. Whether a causal relationship between NAFLD and CKD exists remains to be definitively established. FAU - Targher, Giovanni AU - Targher G AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Piazzale Stefani 1, 37126 Verona, Italy. FAU - Byrne, Christopher D AU - Byrne CD AD - Nutrition and Metabolism, Faculty of Medicine, University of Southampton. AD - Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170220 PL - England TA - Nat Rev Nephrol JT - Nature reviews. Nephrology JID - 101500081 SB - IM MH - Diabetes Mellitus, Type 2/etiology MH - Endothelial Cells/physiology MH - Gastrointestinal Microbiome MH - Humans MH - Non-alcoholic Fatty Liver Disease/*complications/epidemiology/therapy MH - Prevalence MH - Renal Insufficiency, Chronic/*etiology EDAT- 2017/02/22 06:00 MHDA- 2017/04/18 06:00 CRDT- 2017/02/21 06:00 PHST- 2017/02/22 06:00 [pubmed] PHST- 2017/04/18 06:00 [medline] PHST- 2017/02/21 06:00 [entrez] AID - nrneph.2017.16 [pii] AID - 10.1038/nrneph.2017.16 [doi] PST - ppublish SO - Nat Rev Nephrol. 2017 May;13(5):297-310. doi: 10.1038/nrneph.2017.16. Epub 2017 Feb 20.