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Table 2 Signaling events of alcoholic liver disease and nonalcoholic fatty liver disease

From: What are the common downstream molecular events between alcoholic and nonalcoholic fatty liver?

Alcoholic Liver Disease

Non Alcoholic Liver Disease

SCFAs are decreased

Fecal SCFAs are increased

Secondary BAs are high acting on farnesoid X receptor

BAs binds to the farnesoid X receptor increasing inflammation and fibrosis

Lactobacillaceae correlates with postprandial peripheral ethanol

It is evident a reduction in the abundance of Ruminococcus gnavus and Bifidobacterium longum subsp infantis

Klebsiella pneumoniae strain W14 bears the higher ethanol production

Some forms of NAFLD are due to endogenous production of ethanol

Chronic intake of alcohol beyond provoking ROS formation raises the multiplication of intestinal bacteria and changes the gut permeability

High-alcohol-producing Klebsiella pneumoniae is associated with up to 60% of individuals with NAFLD in a Chinese cohort.

Pathogenic species of bacteria results in a fast replenishment of the marginal zone of the spleen

The spleen has been recognized to take a great part in lipid metabolism via the mononuclear phagocytic system

Functional hyposplenism is present

There is a trend in increased spleen volume

K18 is the main component of Mallory-Denk bodies, which are a hallmark of alcoholic steatohepatitis

K18 fragments have been proven to be associated with NASH

Serum TPS, mirroring K18, is frequently increased in alcoholics and may be a marker of alcoholic hepatitis

TPS is a better marker for differentiating NASH from simple fatty liver

Ethanol-induced oxidative stress directly downregulates NAD + levels, increases SIRT1 nucleocytoplasmic shuttling, and ultimately inhibits SIRT1 gene and protein expression levels in the liver

SIRT1 activator E1231, alleviated NAFLD induced in C57BL/6J mice fed a high-fat and high-cholesterol diet and improved liver injury by regulating the SIRT1-AMPK alpha pathway

SIRT 4 is strongly associated with heavy drinker

Low circulating levels of SIRT4 are found in obese patients with NAFLD

There is a close relationship between SIRT7 and age-related processes

SIRT7 is linked to age-related processes

Impaired expression of hepatic adiponectin receptors are associated with AFLD

Adiponectin predicts steatosis grade and the severity of NAFLD

  1. There are more common than dissimilar mechanisms involved
  2. Abbreviations: BA biliary acid, TPS polypeptide-specific antigen, K18 karykeratin 18, ROS reactive oxygen species, SCFAs short-chain fatty acids, SIRT sirtuin, AFLD alcoholic fatty liver disease, NAFLD nonalcoholic fatty liver disease, NASH nonalcoholic steatohepatitis, NAD nicotinamide adenine dinucleotide, AMPK adenosine monophosphate-activated protein kinase