Fatty Liver Disease (FLD)

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Fatty Liver Disease

(FLD)
Intro
 Deposition of fat in hepatocytes
 Also called as Steatosis
 Alcoholic FLD
 Non-alcoholic FLD
Fatty Liver Disease
(FLD)
Normal liver Fatty liver (Steatosis)

Cirrhosis Steatohepatitis
- inflammation
- fibrosis
FLD

1. Most common of all liver disorders.


2. Most frequent cause of chronic liver disease.
3. Affects 3-20% of general population.
4. Present in up to 75% of individuals with
obesity, type 2 diabetes.
5. Present in 3% of children and >50% of
obese children.
Fatty Liver Disease
(FLD)
Fatty liver (Steatosis)
?

Cirrhosis Steatohepatitis
- inflammation
- fibrosis
Two-hit Hypothesis

Diet Burned
Fatty Liver
FFA VLDL-TG
1st Hit
Susceptibility
Oxidative Stress
Toxins 2nd Hit
Inflammatory
Molecules

Damaged Liver
Addition to the Two-hit Hypothesis

Fatty Liver
1st Hit Type  Saturated
vs.
Susceptible Unsaturated
Oxidative Stress
Toxins 2nd Hit
Inflammatory
Molecules

Damaged Liver
Hypothesis

Fatty Liver
1st Hit Type  Saturated
vs.
Susceptible
Oxidative Stress
Unsaturated
Toxins 2nd Hit
Inflammatory
Molecules

Damaged Liver
Two-hit Hypothesis + 1

Fatty Liver
1st Hit
Susceptible
Oxidative Stress Saturated Fats
Toxins 2nd Hit
Inflammatory
Molecules

Damaged Liver
Damage
Fatty Liver Disease
(FLD)
Fatty Liver NASH Fibrosis Cirrhosis
Two-hit Hypothesis + 1

Fatty Liver
1st Hit
Susceptible
Oxidative Stress Saturated Fats
Toxins 2nd Hit Unsaturated Fats
Inflammatory
Molecules

Damaged Liver
Apoptosis
Fatty Liver

2nd Hit 2nd Hit


Sat FA
Liver Damage Liver Damage

Apoptosis

Hepatocyte Mass
Fatty Liver + Saturated Lipids
?

Metabolism of and
signals generated by
saturated fatty acids
Liver Damage ?

?
Apoptosis
Fibrosis
?

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