Non-alcoholic fatty liver disease-related fibrosis and sarcopenia : An altered liver-muscle crosstalk leading to increased mortality risk

Copyright © 2022 Elsevier B.V. All rights reserved..

In the last few decades, the loss of skeletal muscle mass and function, known as sarcopenia, has significantly increased in prevalence, becoming a major global public health concern. On the other hand, the prevalence of non-alcoholic fatty liver disease (NAFLD) has also reached pandemic proportions, constituting the leading cause of hepatic fibrosis worldwide. Remarkably, while sarcopenia and NAFLD-related fibrosis are independently associated with all-cause mortality, the combination of both conditions entails a greater risk for all-cause and cardiac-specific mortality. Interestingly, both sarcopenia and NAFLD-related fibrosis share common pathophysiological pathways, including insulin resistance, chronic inflammation, hyperammonemia, alterations in the regulation of myokines, sex hormones and growth hormone/insulin-like growth factor-1 signaling, which may explain reciprocal connections between these two disorders. Additional contributing factors, such as the gut microbiome, may also play a role in this relationship. In skeletal muscle, phosphatidylinositol 3-kinase/Akt and myostatin signaling are the central anabolic and catabolic pathways, respectively, and the imbalance between them can lead to muscle wasting in patients with NAFLD-related fibrosis. In this review, we summarize the bidirectional influence between NAFLD-related fibrosis and sarcopenia, highlighting the main potential mechanisms involved in this complex crosstalk, and we discuss the synergistic effects of both conditions in overall and cardiovascular mortality.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

Ageing research reviews - 80(2022) vom: 15. Sept., Seite 101696

Sprache:

Englisch

Beteiligte Personen:

Kuchay, Mohammad Shafi [VerfasserIn]
Martínez-Montoro, José Ignacio [VerfasserIn]
Kaur, Parjeet [VerfasserIn]
Fernández-García, José Carlos [VerfasserIn]
Ramos-Molina, Bruno [VerfasserIn]

Links:

Volltext

Themen:

Ageing
Journal Article
Liver fibrosis
Low skeletal muscle mass
Mortality
Non-alcoholic fatty liver disease
Research Support, Non-U.S. Gov't
Review
Sarcopenia

Anmerkungen:

Date Completed 16.08.2022

Date Revised 27.08.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.arr.2022.101696

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM343638231