The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders

Brandon H Mai, Liang-Jun YanDepartment of Pharmaceutical Sciences, UNT System College of Pharmacy, University of North Texas Health Science Center, Fort Worth, TX 76107, USAAbstract: The increased consumption of fructose in the average diet through sweeteners such as high-fructose corn syrup (HFCS)...

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Autores principales: Mai BH, Yan LJ
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:fbbb01c08f0f4eedb42e4ea3a2e157692021-12-02T09:08:50ZThe negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders1178-7007https://doaj.org/article/fbbb01c08f0f4eedb42e4ea3a2e157692019-05-01T00:00:00Zhttps://www.dovepress.com/the-negative-and-detrimental-effects-of-high-fructose-on-the-liver-wit-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Brandon H Mai, Liang-Jun YanDepartment of Pharmaceutical Sciences, UNT System College of Pharmacy, University of North Texas Health Science Center, Fort Worth, TX 76107, USAAbstract: The increased consumption of fructose in the average diet through sweeteners such as high-fructose corn syrup (HFCS) and sucrose has resulted in negative outcomes in society through producing a considerable economic and medical burden on our healthcare system. Ingestion of fructose chronically has contributed to multiple health consequences, such as insulin resistance, obesity, liver disorders, and diabetes. Fructose metabolism starts with fructose phosphorylation by fructose kinase in the liver, and this process is not feedback regulated. Therefore, ingestion of high fructose can deplete ATP, increase uric acid production, and increase nucleotide turnover. This review focuses the discussion on the hepatic manifestations of high fructose-implicated liver metabolic disorders such as insulin resistance, obesity due to enhanced lipogenesis, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), and type 2 diabetes. The detrimental effects of high fructose on the liver, contributed potentially by microbiome and leptin, were also discussed. The authors believe that, together with diet management, further studies focusing on disrupting or blocking fructose metabolism in the liver may help with designing novel strategies for prevention and treatment of fructose-induced chronic liver metabolic diseases.Keywords: fructose, liver, metabolic syndrome, non-alcoholic fatty liver disease, non-alcoholic steatohepatitisMai BHYan LJDove Medical Pressarticlefructoselivermetabolic syndromenon-alcoholic fatty liver diseasenon-alcoholic steatohepatitisSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 821-826 (2019)
institution DOAJ
collection DOAJ
language EN
topic fructose
liver
metabolic syndrome
non-alcoholic fatty liver disease
non-alcoholic steatohepatitis
Specialties of internal medicine
RC581-951
spellingShingle fructose
liver
metabolic syndrome
non-alcoholic fatty liver disease
non-alcoholic steatohepatitis
Specialties of internal medicine
RC581-951
Mai BH
Yan LJ
The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
description Brandon H Mai, Liang-Jun YanDepartment of Pharmaceutical Sciences, UNT System College of Pharmacy, University of North Texas Health Science Center, Fort Worth, TX 76107, USAAbstract: The increased consumption of fructose in the average diet through sweeteners such as high-fructose corn syrup (HFCS) and sucrose has resulted in negative outcomes in society through producing a considerable economic and medical burden on our healthcare system. Ingestion of fructose chronically has contributed to multiple health consequences, such as insulin resistance, obesity, liver disorders, and diabetes. Fructose metabolism starts with fructose phosphorylation by fructose kinase in the liver, and this process is not feedback regulated. Therefore, ingestion of high fructose can deplete ATP, increase uric acid production, and increase nucleotide turnover. This review focuses the discussion on the hepatic manifestations of high fructose-implicated liver metabolic disorders such as insulin resistance, obesity due to enhanced lipogenesis, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), and type 2 diabetes. The detrimental effects of high fructose on the liver, contributed potentially by microbiome and leptin, were also discussed. The authors believe that, together with diet management, further studies focusing on disrupting or blocking fructose metabolism in the liver may help with designing novel strategies for prevention and treatment of fructose-induced chronic liver metabolic diseases.Keywords: fructose, liver, metabolic syndrome, non-alcoholic fatty liver disease, non-alcoholic steatohepatitis
format article
author Mai BH
Yan LJ
author_facet Mai BH
Yan LJ
author_sort Mai BH
title The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
title_short The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
title_full The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
title_fullStr The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
title_full_unstemmed The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
title_sort negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/fbbb01c08f0f4eedb42e4ea3a2e15769
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