PMID- 37032731 OWN - NLM STAT- MEDLINE DCOM- 20230411 LR - 20230412 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 29 IP - 12 DP - 2023 Mar 28 TI - Mitochondrial carnitine palmitoyltransferase-II dysfunction: A possible novel mechanism for nonalcoholic fatty liver disease in hepatocarcinogenesis. PG - 1765-1778 LID - 10.3748/wjg.v29.i12.1765 [doi] AB - Nonalcoholic fatty liver disease (NAFLD) or metabolic-associated fatty liver disease has been characterized by the lipid accumulation with injury of hepatocytes and has become one of the most common chronic liver diseases in the world. The complex mechanisms of NAFLD formation are still under identification. Carnitine palmitoyltransferase-II (CPT-II) on inner mitochondrial membrane (IMM) regulates long chain fatty acid beta-oxidation, and its abnormality has had more and more attention paid to it by basic and clinical research in NAFLD. The sequences of its peptide chain and DNA nucleotides have been identified, and the catalytic activity of CPT-II is affected on its gene mutations, deficiency, enzymatic thermal instability, circulating carnitine level and so on. Recently, the CPT-II dysfunction has been discovered in models of liver lipid accumulation. Meanwhile, the malignant transformation of hepatocyte-related CD44(+) stem T cell activation, high levels of tumor-related biomarkers (AFP, GPC3) and abnormal activation of Wnt3a expression as a key signal molecule of the Wnt/beta-catenin pathway run parallel to the alterations of hepatocyte pathology. This review focuses on some of the progress of CPT-II inactivity on IMM with liver fatty accumulation as a possible novel pathogenesis for NAFLD in hepatocarcinogenesis. CI - (c)The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Yao, Min AU - Yao M AD - Department of Medical Immunology, Medical School of Nantong University & Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China. FAU - Zhou, Ping AU - Zhou P AD - Department of Medical Immunology, Medical School of Nantong University, Nantong 226001, Jiangsu Province, China. FAU - Qin, Yan-Yan AU - Qin YY AD - Department of Medical Immunology, Medical School of Nantong University, Nantong 226001, Jiangsu Province, China. FAU - Wang, Li AU - Wang L AD - Research Center for Intelligent Information Technology, Nantong University, Nantong 226019, Jiangsu Province, China. FAU - Yao, Deng-Fu AU - Yao DF AD - Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China. yaodf@ahnmc.com. LA - eng PT - Journal Article PT - Review PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) RN - 0 (Fatty Acids) RN - S7UI8SM58A (Carnitine) RN - 0 (GPC3 protein, human) RN - 0 (Glypicans) SB - IM MH - Humans MH - *Non-alcoholic Fatty Liver Disease/metabolism MH - Carnitine O-Palmitoyltransferase/genetics/metabolism MH - Liver/metabolism MH - Carcinogenesis/metabolism MH - Fatty Acids/metabolism MH - Oxidation-Reduction MH - Carnitine/metabolism MH - Glypicans/metabolism PMC - PMC10080702 OTO - NOTNLM OT - Carnitine OT - Carnitine palmitoyl transferase-II OT - Fatty acid beta-oxidation OT - Hepatocyte malignant transformation OT - Mitochondrial membrane OT - Nonalcoholic fatty liver disease COIS- Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. EDAT- 2023/04/11 06:00 MHDA- 2023/04/11 06:42 PMCR- 2023/03/28 CRDT- 2023/04/10 03:45 PHST- 2022/06/20 00:00 [received] PHST- 2022/08/04 00:00 [revised] PHST- 2023/03/09 00:00 [accepted] PHST- 2023/04/11 06:42 [medline] PHST- 2023/04/10 03:45 [entrez] PHST- 2023/04/11 06:00 [pubmed] PHST- 2023/03/28 00:00 [pmc-release] AID - 10.3748/wjg.v29.i12.1765 [doi] PST - ppublish SO - World J Gastroenterol. 2023 Mar 28;29(12):1765-1778. doi: 10.3748/wjg.v29.i12.1765.