Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis

Rafał Filip,1,2 Radosław P Radzki,3 Marek Bieńko3 1Department of Gastroenterology with IBD Unit, Clinical Hospital 2, Rzeszów, Poland; 2University of Rzeszów, Rzeszów, Poland; 3Department of Animal Physiology, University of Life Sciences, Lublin, Poland Abstract: E...

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Autores principales: Filip R, Radzki RP, Bieńko M
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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Acceso en línea:https://doaj.org/article/03ca04bfa93a40418c16389bdd31f74d
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spelling oai:doaj.org-article:03ca04bfa93a40418c16389bdd31f74d2021-12-02T07:52:55ZNovel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis1178-1998https://doaj.org/article/03ca04bfa93a40418c16389bdd31f74d2018-10-01T00:00:00Zhttps://www.dovepress.com/novel-insights-into-the-relationship-between-nonalcoholic-fatty-liver--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Rafał Filip,1,2 Radosław P Radzki,3 Marek Bieńko3 1Department of Gastroenterology with IBD Unit, Clinical Hospital 2, Rzeszów, Poland; 2University of Rzeszów, Rzeszów, Poland; 3Department of Animal Physiology, University of Life Sciences, Lublin, Poland Abstract: Excess fat deposition and insulin resistance are considered the main risk factors for nonalcoholic fatty liver disease (NAFLD), and therefore, not surprisingly, the global prevalence of NAFLD increases in parallel with both obesity and type 2 diabetes. Although deterioration of bone homeostasis in patients with NAFLD is commonly observed, its etiology has not been fully elucidated yet. It was shown in several studies that bone tissue seems to be independently associated with NAFLD. A mechanistic perspective puts the liver at the center of mutual interdependencies obviously involving adipose tissue and muscles and also the bone matrix and bone cells, which are relatively novel. In this review, various pathophysiological mechanisms and possible mediating molecules that may interplay between NAFLD and bone tissue are described. Chronic inflammation, vitamin D3, growth hormone, insulin-like growth factor 1, osteopontin, fetuin-A, irisin, osteocalcin, and osteoprotegerin from osteoblasts have been proposed as mediators of mutual interactions among the skeleton, fatty tissue, and liver. Although to date there are still many issues that have not been elucidated, growing evidence suggests that screening and surveillance of bone mineral density in patients with NAFLD should be considered in future strategies and guidelines for NAFLD management. Keywords: nonalcoholic fatty liver disease, nonalcoholic steatohepatitis, inflammation, osteoporosis, bone metabolismFilip RRadzki RPBieńko MDove Medical Pressarticlenonalcoholic fatty liver diseasenonalcoholic steatohepatitisinflammationosteoporosisbone metabolismGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1879-1891 (2018)
institution DOAJ
collection DOAJ
language EN
topic nonalcoholic fatty liver disease
nonalcoholic steatohepatitis
inflammation
osteoporosis
bone metabolism
Geriatrics
RC952-954.6
spellingShingle nonalcoholic fatty liver disease
nonalcoholic steatohepatitis
inflammation
osteoporosis
bone metabolism
Geriatrics
RC952-954.6
Filip R
Radzki RP
Bieńko M
Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
description Rafał Filip,1,2 Radosław P Radzki,3 Marek Bieńko3 1Department of Gastroenterology with IBD Unit, Clinical Hospital 2, Rzeszów, Poland; 2University of Rzeszów, Rzeszów, Poland; 3Department of Animal Physiology, University of Life Sciences, Lublin, Poland Abstract: Excess fat deposition and insulin resistance are considered the main risk factors for nonalcoholic fatty liver disease (NAFLD), and therefore, not surprisingly, the global prevalence of NAFLD increases in parallel with both obesity and type 2 diabetes. Although deterioration of bone homeostasis in patients with NAFLD is commonly observed, its etiology has not been fully elucidated yet. It was shown in several studies that bone tissue seems to be independently associated with NAFLD. A mechanistic perspective puts the liver at the center of mutual interdependencies obviously involving adipose tissue and muscles and also the bone matrix and bone cells, which are relatively novel. In this review, various pathophysiological mechanisms and possible mediating molecules that may interplay between NAFLD and bone tissue are described. Chronic inflammation, vitamin D3, growth hormone, insulin-like growth factor 1, osteopontin, fetuin-A, irisin, osteocalcin, and osteoprotegerin from osteoblasts have been proposed as mediators of mutual interactions among the skeleton, fatty tissue, and liver. Although to date there are still many issues that have not been elucidated, growing evidence suggests that screening and surveillance of bone mineral density in patients with NAFLD should be considered in future strategies and guidelines for NAFLD management. Keywords: nonalcoholic fatty liver disease, nonalcoholic steatohepatitis, inflammation, osteoporosis, bone metabolism
format article
author Filip R
Radzki RP
Bieńko M
author_facet Filip R
Radzki RP
Bieńko M
author_sort Filip R
title Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
title_short Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
title_full Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
title_fullStr Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
title_full_unstemmed Novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
title_sort novel insights into the relationship between nonalcoholic fatty liver disease and osteoporosis
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/03ca04bfa93a40418c16389bdd31f74d
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AT radzkirp novelinsightsintotherelationshipbetweennonalcoholicfattyliverdiseaseandosteoporosis
AT bienkom novelinsightsintotherelationshipbetweennonalcoholicfattyliverdiseaseandosteoporosis
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