Non-Alcoholic Fatty Liver Disease (NAFLD) and Its Connection with Insulin Resistance,Dyslipidemia, Atherosclerosis and Coronary Heart Disease |
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| Authors: | Melania Gaggini Mariangela Morelli Emma Buzzigoli Ralph A. DeFronzo Elisabetta Bugianesi Amalia Gastaldelli |
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| Affiliation: | 1.Institute of Clinical Physiology National Research Council, Pisa 56100, Italy; E-Mails: (M.G.); (M.M.); (E.B.);2.Division of Diabetes, University of Texas Health Science Center, San Antonio, TX 78229, USA; E-Mail: ;3.Department of Medical Sciences, Division of Gastro-Hepatology, San Giovanni Battista Hospital, University of Turin, Turin 10126, Italy; E-Mail: |
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| Abstract: | Non-alcoholic fatty liver disease is marked by hepatic fat accumulation not due to alcohol abuse. Several studies have demonstrated that NAFLD is associated with insulin resistance leading to a resistance in the antilipolytic effect of insulin in the adipose tissue with an increase of free fatty acids (FFAs). The increase of FFAs induces mitochondrial dysfunction and development of lipotoxicity. Moreover, in subjects with NAFLD, ectopic fat also accumulates as cardiac and pancreatic fat. In this review we analyzed the mechanisms that relate NAFLD with metabolic syndrome and dyslipidemia and its association with the development and progression of cardiovascular disease. |
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| Keywords: | non-alcoholic fatty liver(NAFLD) steatosis visceral fat lipotoxicity insulin resistance free fatty acids dyslipidemia cardiometabolic risk |
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