1 5234 137 PROFILE ANALYSIS AND FUNCTIONAL MODELING IDENTIFY CIRCULAR RNAS IN NONALCOHOLIC FATTY LIVER DISEASE AS REGULATORS OF HEPATIC LIPID METABOLISM. NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS THE LEADING CAUSE OF CHRONIC LIVER DISEASE, ASSOCIATED WITH AN OUTCOME OF HEPATIC FIBROSIS/CIRRHOSIS AND HEPATOCELLULAR CARCINOMA. HOWEVER, LIMITED EXPLORATION OF THE UNDERLYING MECHANISMS HINDERS ITS PREVENTION AND TREATMENT. TO INVESTIGATE THE MECHANISMS OF EPIGENETIC REGULATION IN NAFLD, THE EXPRESSION PROFILE OF CIRCULAR RNA (CIRCRNA) OF RODENTS IN WHICH NAFLD WAS INDUCED BY A HIGH-FAT, HIGH-CHOLESTEROL (HFHC) DIET WAS STUDIED. MODELING OF THE CIRCRNA-MICRORNA (MIRNA) -MRNA REGULATORY NETWORK REVEALED THE FUNCTIONAL CHARACTERISTICS OF NAFLD-SPECIFIC CIRCRNAS. THE TARGETS AND EFFECTS IN THE LIVER OF SUCH NAFLD-SPECIFIC CIRCRNAS WERE FURTHER ASSESSED. OUR RESULTS UNCOVERED THAT THE DOWNREGULATION OF 28 ANNOTATED CIRCRNAS CHARACTERIZES HFHC DIET-INDUCED NAFLD. AMONG THE DOWNREGULATED CIRCRNAS, LONG INTERGENIC NON-PROTEIN CODING RNA, P53 INDUCED TRANSCRIPT (LNCPINT) -DERIVED CIRCRNAS (CIRC_0001452, CIRC_0001453, AND CIRC_0001454) TARGETED BOTH MIR-466I-3P AND MIR-669C-3P. THEIR DEFICIENCY IN NAFLD ABROGATED THE CIRCRNA-BASED INHIBITORY EFFECT ON BOTH MIRNAS, WHICH FURTHER INACTIVATED THE AMPK SIGNALING PATHWAY VIA AMPK-ALPHA1 SUPPRESSION. INHIBITION OF THE AMPK SIGNALING PATHWAY PROMOTES HEPATIC STEATOSIS, DEPENDING ON THE TRANSCRIPTIONAL AND TRANSLATIONAL UPREGULATION OF LIPOGENIC GENES, SUCH AS THOSE ENCODING STEROL REGULATORY ELEMENT-BINDING PROTEIN 1 (SREBP1) AND FATTY ACID SYNTHASE (FASN) IN HEPATOCYTES. THE LEVELS OF LNCPINT-DERIVED CIRCRNAS DISPLAYED A NEGATIVE ASSOCIATION WITH HEPATIC TRIGLYCERIDE (TG) CONCENTRATION. THESE FINDINGS SUGGEST THAT LOSS OF LNCPINT-DERIVED CIRCRNAS MAY UNDERLIE NAFLD VIA MIR-466I-3P- AND MIR-669C-3P-DEPENDENT INACTIVATION OF THE AMPK SIGNALING PATHWAY. 2022 2 469 43 ARID1A LOSS DRIVES NONALCOHOLIC STEATOHEPATITIS IN MICE THROUGH EPIGENETIC DYSREGULATION OF HEPATIC LIPOGENESIS AND FATTY ACID OXIDATION. NONALCOHOLIC STEATOHEPATITIS (NASH) IS A RAPIDLY GROWING CAUSE OF CHRONIC LIVER DAMAGE, CIRRHOSIS, AND HEPATOCELLULAR CARCINOMA. HOW FATTY LIVER PATHOGENESIS IS SUBJECT TO EPIGENETIC REGULATION IS UNKNOWN. WE HYPOTHESIZED THAT CHROMATIN REMODELING IS IMPORTANT FOR THE PATHOGENESIS OF FATTY LIVER DISEASE. AT-RICH INTERACTIVE DOMAIN-CONTAINING PROTEIN 1A (ARID1A), A DNA-BINDING COMPONENT OF THE SWITCH/SUCROSE NONFERMENTABLE ADENOSINE TRIPHOSPHATE-DEPENDENT CHROMATIN-REMODELING COMPLEX, CONTRIBUTES TO NUCLEOSOME REPOSITIONING AND ACCESS BY TRANSCRIPTIONAL REGULATORS. LIVER-SPECIFIC DELETION OF ARID1A (ARID1A LIVER KNOCKOUT [LKO]) CAUSED THE DEVELOPMENT OF AGE-DEPENDENT FATTY LIVER DISEASE IN MICE. TRANSCRIPTOME ANALYSIS REVEALED UP-REGULATION OF LIPOGENESIS AND DOWN-REGULATION OF FATTY ACID OXIDATION GENES. AS EVIDENCE OF DIRECT REGULATION, ARID1A DEMONSTRATED DIRECT BINDING TO THE PROMOTERS OF MANY OF THESE DIFFERENTIALLY REGULATED GENES. ADDITIONALLY, ARID1A LKO MICE WERE MORE SUSCEPTIBLE TO HIGH-FAT DIET-INDUCED LIVER STEATOSIS AND FIBROSIS. WE DELETED PTEN IN COMBINATION WITH ARID1A TO SYNERGISTICALLY DRIVE FATTY LIVER PROGRESSION. INHIBITION OF LIPOGENESIS USING CAT-2003, A POTENT STEROL REGULATORY ELEMENT-BINDING PROTEIN INHIBITOR, MEDIATED IMPROVEMENTS IN MARKERS OF FATTY LIVER DISEASE PROGRESSION IN THIS ARID1A/PTEN DOUBLE KNOCKOUT MODEL. CONCLUSION: ARID1A PLAYS A ROLE IN THE EPIGENETIC REGULATION OF HEPATIC LIPID HOMEOSTASIS, AND ITS SUPPRESSION CONTRIBUTES TO FATTY LIVER PATHOGENESIS. COMBINED ARID1A AND PTEN DELETION SHOWS ACCELERATED FATTY LIVER DISEASE PROGRESSION AND IS A USEFUL MOUSE MODEL FOR STUDYING THERAPEUTIC STRATEGIES FOR NASH. 2019 3 4747 31 NOVEL MODULATORS OF HEPATOSTEATOSIS, INFLAMMATION AND FIBROGENESIS. ALCOHOLIC STEATOSIS, INSTEAD OF BEING INNOCUOUS, PLAYS A CRITICAL ROLE IN LIVER INFLAMMATION AND FIBROGENESIS. THE SEVERITY OF FATTY LIVER IS GOVERNED BY THE CONCERTED BALANCE BETWEEN LIPID TRANSPORT, SYNTHESIS, AND DEGRADATION. WHEREAS SCAVENGER RECEPTOR CLASS B, TYPE I (SR-B1) IS CRITICAL FOR REVERSE CHOLESTEROL UPTAKE BY THE LIVER, PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR-GAMMA (PPARGAMMA) COACTIVATOR-1ALPHA AND -BETA (PGC1ALPHA AND PGC1BETA) ARE CRITICAL FOR LIPID DEGRADATION AND SYNTHESIS, RESPECTIVELY. BECAUSE BETAINE IS A LIPOTROPIC AGENT, WE HAVE EVALUATED ITS EFFECTS ON ALCOHOLIC STEATOSIS. BETAINE EFFECTIVELY PREVENTED CHRONIC ALCOHOL-MEDIATED (I) IMPAIRED SR-B1 GLYCOSYLATION, PLASMA MEMBRANE LOCALIZATION, AND CONSEQUENT IMPAIRED CHOLESTEROL TRANSPORT; AND (II) UP REGULATION OF PGC-1BETA, STEROL REGULATORY ELEMENT-BINDING PROTEIN 1C AND DOWNSTREAM LIPOGENIC GENES WITH CONCOMITANT INCREASED LIVER CHOLESTEROL, TRIGLYCERIDES AND HEPATIC LIPID SCORE. SIMILARLY, BECAUSE OF ITS ANTI-INFLAMMATORY AND ANTI-FIBROTIC EFFECTS IN OTHER ORGANS, WE EVALUATED THE PROTECTIVE EFFECTS OF THYMOSIN BETA4 (TBETA4) AGAINST CARBON TETRACHLORIDE (CCL4)-INDUCED HEPATOTOXICITY IN RAT. TBETA4 PREVENTED CCL4-INDUCED (I) NECROSIS, INFLAMMATORY INFILTRATION AND UP-REGULATION OF ALPHA1(2)COLLAGEN, ALPHA-SMOOTH MUSCLE ACTIN (ALPHA-SMA), PLATELET DERIVED GROWTH FACTOR BETA (PDGF-BETA) RECEPTOR AND FIBRONECTIN MRNA EXPRESSION; (II) DOWN-REGULATION OF ADIPOGENIC GENE, PPARGAMMA AND THE UP-REGULATION OF EPIGENETIC REPRESSOR GENE, METHYL CPG BINDING PROTEIN 2 (MECP2) MRNA LEVELS, SUGGESTING THAT THE ANTI-FIBROGENIC ACTIONS OF TBETA4 INVOLVE THE PREVENTION OF TRANS-DIFFERENTIATION OF QUIESCENT HEPATIC STELLATE CELLS INTO MYO-FIBROBLASTS LARGELY BY UP-REGULATING PPARGAMMA AND BY DOWN-REGULATING MECP2 GENES. WE THEREFORE CONCLUDE THAT BETAINE AND TBETA4 CAN EFFECTIVELY PROTECT AGAINST ALCOHOLIC HEPATOSTEATOSIS AND HEPATIC FIBROGENESIS, RESPECTIVELY. 2014 4 2862 41 FRUCTOSE-MEDIATED EFFECTS ON GENE EXPRESSION AND EPIGENETIC MECHANISMS ASSOCIATED WITH NAFLD PATHOGENESIS. NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS A CHRONIC, FREQUENTLY PROGRESSIVE CONDITION THAT DEVELOPS IN RESPONSE TO EXCESSIVE HEPATOCYTE FAT ACCUMULATION (I.E., STEATOSIS) IN THE ABSENCE OF SIGNIFICANT ALCOHOL CONSUMPTION. LIVER STEATOSIS DEVELOPS AS A RESULT OF IMBALANCED LIPID METABOLISM, DRIVEN LARGELY BY INCREASED RATES OF DE NOVO LIPOGENESIS AND HEPATIC FATTY ACID UPTAKE AND REDUCED FATTY ACID OXIDATION AND/OR DISPOSAL TO THE CIRCULATION. FRUCTOSE IS A NATURALLY OCCURRING SIMPLE SUGAR, WHICH IS MOST COMMONLY CONSUMED IN MODERN DIETS IN THE FORM OF SUCROSE, A DISACCHARIDE COMPRISED OF ONE MOLECULE OF FRUCTOSE COVALENTLY BONDED WITH ONE MOLECULE OF GLUCOSE. A NUMBER OF OBSERVATIONAL AND EXPERIMENTAL STUDIES HAVE DEMONSTRATED DETRIMENTAL EFFECTS OF DIETARY FRUCTOSE CONSUMPTION NOT ONLY ON DIVERSE METABOLIC OUTCOMES SUCH AS INSULIN RESISTANCE AND OBESITY, BUT ALSO ON HEPATIC STEATOSIS AND NAFLD-RELATED FIBROSIS. DESPITE THE COMPELLING EVIDENCE THAT EXCESSIVE FRUCTOSE CONSUMPTION IS ASSOCIATED WITH THE PRESENCE OF NAFLD AND MAY EVEN PROMOTE THE DEVELOPMENT AND PROGRESSION OF NAFLD TO MORE CLINICALLY SEVERE PHENOTYPES, THE MOLECULAR MECHANISMS BY WHICH FRUCTOSE ELICITS EFFECTS ON DYSREGULATED LIVER METABOLISM REMAIN UNCLEAR. EMERGING DATA SUGGEST THAT DIETARY FRUCTOSE MAY DIRECTLY ALTER THE EXPRESSION OF GENES INVOLVED IN LIPID METABOLISM, INCLUDING THOSE THAT INCREASE HEPATIC FAT ACCUMULATION OR REDUCE HEPATIC FAT REMOVAL. THE AIM OF THIS REVIEW IS TO SUMMARIZE THE CURRENT RESEARCH SUPPORTING A ROLE FOR DIETARY FRUCTOSE INTAKE IN THE MODULATION OF TRANSCRIPTOMIC AND EPIGENETIC MECHANISMS UNDERLYING THE PATHOGENESIS OF NAFLD. 2020 5 4108 28 MECHANISMS AND DISEASE CONSEQUENCES OF NONALCOHOLIC FATTY LIVER DISEASE. NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS THE LEADING CHRONIC LIVER DISEASE WORLDWIDE. ITS MORE ADVANCED SUBTYPE, NONALCOHOLIC STEATOHEPATITIS (NASH), CONNOTES PROGRESSIVE LIVER INJURY THAT CAN LEAD TO CIRRHOSIS AND HEPATOCELLULAR CARCINOMA. HERE WE PROVIDE AN IN-DEPTH DISCUSSION OF THE UNDERLYING PATHOGENETIC MECHANISMS THAT LEAD TO PROGRESSIVE LIVER INJURY, INCLUDING THE METABOLIC ORIGINS OF NAFLD, THE EFFECT OF NAFLD ON HEPATIC GLUCOSE AND LIPID METABOLISM, BILE ACID TOXICITY, MACROPHAGE DYSFUNCTION, AND HEPATIC STELLATE CELL ACTIVATION, AND CONSIDER THE ROLE OF GENETIC, EPIGENETIC, AND ENVIRONMENTAL FACTORS THAT PROMOTE FIBROSIS PROGRESSION AND RISK OF HEPATOCELLULAR CARCINOMA IN NASH. 2021 6 615 34 BIOACTIVE COMPONENTS AND POSSIBLE ACTIVITIES OF MEDICINAL MUSHROOMS IN ALLEVIATING THE PATHOGENESIS OF NONALCOHOLIC FATTY LIVER DISEASE (REVIEW). NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS A GLOBAL DISEASE THAT IS CLOSELY ASSOCIATED WITH OBESITY, TYPE 2 DIABETES MELLITUS, AND CARDIOVASCULAR DISEASE. EXCESSIVE FAT ACCUMULATION, FATTY DEGENERATION, AND CHRONIC INFLAMMATION OF THE LIVER ACTIVATE THE PROGRESSION OF NAFLD FROM SIMPLE STEATOSIS TO NONALCOHOLIC STEATOHEPATITIS AND FURTHER TO LIVER FIBROSIS, CIRRHOSIS, AND HEPATOCELLULAR CARCINOMA. THE UNDERLYING MECHANISM FOR THE DEVELOPMENT AND PROGRESSION OF NAFLD IS COMPLEX AND A MULTIPLE-HIT HYPOTHESIS INCLUDING DIETARY, ENVIRONMENTAL, GENETIC, AND EPIGENETIC FACTORS HAS BEEN RAISED. INCREASED DE NOVO LIPOGENESIS, DECREASED LIPOLYSIS, AND INSULIN RESISTANCE ARE ASSOCIATED WITH THE DEVELOPMENT OF NAFLD. CURRENTLY, NO EFFECTIVE DRUG THERAPIES ARE APPROVED FOR THE TREATMENT OF NAFLD. SEVERAL MEDICINAL MUSHROOMS HAVE BEEN FOUND TO HAVE SIGNIFICANT WEIGHT CONTROL AND GUT MICROBE MODULATION ACTIVITIES AND ANTIHYPERTRIGLYCERIDEMIC, ANTIHYPERGLYCEMIC, ANTIOXIDANT, AND ANTI-INFLAMMATORY EFFECTS, WHICH MAY BE USEFUL TO PREVENT AND ATTENUATE THE DEVELOPMENT AND PROGRESSION OF NAFLD. THESE BENEFICIAL EFFECTS ARE ASSOCIATED WITH MUSHROOMS' BIOACTIVE COMPONENTS, SUCH AS POLYSACCHARIDES, DIETARY FIBERS, ANTIOXIDANTS, AND OTHER COMPOUNDS DERIVED FROM FRUITING BODIES, CULTURED MYCELIUM, AND/OR BROTH OF MEDICINAL MUSHROOMS. THIS ARTICLE PRESENTS AN OVERVIEW OF MULTIPLE ASPECTS OF NAFLD, INCLUDING THE EPIDEMIOLOGY, PATHOGENESIS, MANAGEMENT, AND TREATMENT. THE BIOACTIVE COMPONENTS AND POSSIBLE ACTIVITIES OF MEDICINAL MUSHROOMS IN ALLEVIATING THE PATHOGENESIS OF NAFLD ARE ALSO REVIEWED. 2021 7 542 29 ATP-CITRATE LYASE IS AN EPIGENETIC REGULATOR TO PROMOTE OBESITY-RELATED KIDNEY INJURY. OBESITY IS A LEADING CAUSE OF CHRONIC KIDNEY DISEASE (CKD), BUT HOW OBESITY PROMOTES RENAL INJURY REMAINS POORLY UNDERSTOOD. HERE WE SHOWED THAT ATP-CITRATE LYASE (ACL), AN ENZYME CONVERTING CITRATE TO ACETYL-COA, IS HIGHLY INDUCED IN THE KIDNEY OF OVERWEIGHT OR OBESE PATIENTS WITH CKD AND OB/OB BTBR MICE. ACL INDUCTION IS ASSOCIATED WITH INCREASED ECTOPIC LIPID ACCUMULATION (ELA), GLOMERULOSCLEROSIS, AND ALBUMINURIA. ACETYL-COA IS THE SUBSTRATE FOR DE NOVO LIPOGENESIS AS WELL AS FOR HISTONE ACETYLATION. BY RAISING ACETYL-COA CONCENTRATION ACL PROMOTES H3K9/14 AND H3K27 HYPERACETYLATION LEADING TO UP-REGULATION OF SEVERAL RATE-LIMITING LIPOGENIC ENZYMES AND FIBROGENIC FACTORS. ON THE OTHER HAND, THE EXCESS ACETYL-COA GENERATED AS A RESULT OF ACL INDUCTION PROVIDES THE SUBSTRATE FOR THESE LIPOGENIC ENZYMES TO DRIVE DE NOVO LIPOGENESIS LEADING TO ELA, A DETRIMENTAL EVENT TOWARD RENAL INJURY. IN MESANGIAL CELLS, ACL IS SYNERGISTICALLY INDUCED BY HIGH GLUCOSE, PALMITATE, AND TNF-ALPHA VIA NF-KAPPAB AND PKA PATHWAYS. UNDER THESE CONDITIONS, H3K9/14 AND H3K27 HYPERACETYLATION, AS WELL AS THE INDUCTION OF THE LIPOGENIC AND FIBROGENIC PROTEINS, ARE COMPLETELY BLOCKED IN THE PRESENCE OF AN ACL INHIBITOR. COLLECTIVELY, THESE DATA SUGGEST THAT ACL IS AN EPIGENETIC REGULATOR THAT PROMOTES RENAL ELA AND FIBROGENESIS LEADING TO RENAL INJURY IN OBESITY.-CHEN, Y., DEB, D. K., FU, X., YI, B., LIANG, Y., DU, J., HE, L., LI, Y. C. ATP-CITRATE LYASE IS AN EPIGENETIC REGULATOR TO PROMOTE OBESITY-RELATED KIDNEY INJURY. 2019 8 4464 30 MOLECULAR MECHANISMS OF NONALCOHOLIC FATTY LIVER DISEASE (NAFLD)/NONALCOHOLIC STEATOHEPATITIS (NASH). NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS ONE OF THE MOST COMMON CHRONIC LIVER DISEASES WORLDWIDE AND HAS GARNERED INCREASING ATTENTION IN RECENT DECADES. NAFLD IS CHARACTERIZED BY A WIDE RANGE OF LIVER CHANGES, FROM SIMPLE STEATOSIS TO NONALCOHOLIC STEATOHEPATITIS (NASH), CIRRHOSIS, AND HEPATOCELLULAR CARCINOMA. THE PATHOGENESIS OF NAFLD/NASH IS VERY COMPLICATED AND INVOLVES LIPID ACCUMULATION, INSULIN RESISTANCE, INFLAMMATION, AND FIBROGENESIS. IN ADDITION, NAFLD IS CLOSELY ASSOCIATED WITH COMPLICATIONS SUCH AS OBESITY, DYSLIPIDEMIA, AND TYPE 2 DIABETES. IN PARTICULAR, THE CLINICAL SPECTRUM, PATHOPHYSIOLOGY, AND THERAPEUTIC OPTIONS OF NAFLD SHARE MANY THINGS IN COMMON WITH DIABETES. INSULIN RESISTANCE IS AN UNDERLYING BASIS FOR THE PATHOGENESIS OF DIABETES AND NAFLD. THIS CHAPTER FOCUSES ON THE MOLECULAR MECHANISM INVOLVED IN THE PATHOGENESIS OF INSULIN RESISTANCE, DIABETES, AND NASH/NAFLD INCLUDING THOSE THAT DRIVE DISEASE PROGRESSION SUCH AS OXIDATIVE STRESS, GENETIC AND EPIGENETIC MECHANISMS, ADIPONECTIN, CYTOKINES, AND IMMUNE CELLS. 2021 9 3242 42 HEPATIC NCOR1 DELETION EXACERBATES ALCOHOL-INDUCED LIVER INJURY IN MICE BY PROMOTING CCL2-MEDIATED MONOCYTE-DERIVED MACROPHAGE INFILTRATION. NUCLEAR RECEPTOR COREPRESSOR 1 (NCOR1) IS A COREPRESSOR OF THE EPIGENETIC REGULATION OF GENE TRANSCRIPTION THAT HAS IMPORTANT FUNCTIONS IN METABOLISM AND INFLAMMATION, BUT LITTLE IS KNOWN ABOUT ITS ROLE IN ALCOHOL-ASSOCIATED LIVER DISEASE (ALD). IN THIS STUDY, WE DEVELOPED MICE WITH HEPATOCYTE-SPECIFIC NCOR1 KNOCKOUT (NCOR1(HEP-/-)) USING THE ALBUMIN-CRE/LOXP SYSTEM AND INVESTIGATED THE ROLE OF NCOR1 IN THE PATHOGENESIS OF ALD AND THE UNDERLYING MECHANISMS. THE TRADITIONAL ALCOHOL FEEDING MODEL AND NIAAA MODEL OF ALD WERE BOTH ESTABLISHED IN WILD-TYPE AND NCOR1(HEP-/-) MICE. WE SHOWED THAT AFTER ALD WAS ESTABLISHED, NCOR1(HEP-/-) MICE HAD WORSE LIVER INJURY BUT LESS STEATOSIS THAN WILD-TYPE MICE. WE DEMONSTRATED THAT HEPATOCYTE-SPECIFIC LOSS OF NCOR1 ATTENUATED LIVER STEATOSIS BY PROMOTING FATTY ACID OXIDATION BY UPREGULATING BMAL1 (A CIRCADIAN CLOCK COMPONENT THAT HAS BEEN REPORTED TO PROMOTE PEROXISOME PROLIFERATOR ACTIVATED RECEPTOR ALPHA (PPARALPHA)-MEDIATED FATTY BETA-OXIDATION BY UPREGULATING DE NOVO LIPID SYNTHESIS). ON THE OTHER HAND, HEPATOCYTE-SPECIFIC LOSS OF NCOR1 EXACERBATED ALCOHOL-INDUCED LIVER INFLAMMATION AND OXIDATIVE STRESS BY RECRUITING MONOCYTE-DERIVED MACROPHAGES VIA C-C MOTIF CHEMOKINE LIGAND 2 (CCL2). IN THE MOUSE HEPATOCYTE LINE AML12, NCOR1 KNOCKDOWN SIGNIFICANTLY INCREASED ETHANOL-INDUCED CCL2 RELEASE. THESE RESULTS SUGGEST THAT HEPATOCYTE NCOR1 PLAYS DISTINCT ROLES IN CONTROLLING LIVER INFLAMMATION AND STEATOSIS, WHICH PROVIDES NEW INSIGHTS INTO THE DEVELOPMENT OF TREATMENTS FOR STEATOHEPATITIS INDUCED BY CHRONIC ALCOHOL CONSUMPTION. 2022 10 1373 32 DEVELOPMENTAL ORIGINS OF NONALCOHOLIC FATTY LIVER DISEASE. OBESE PREGNANT WOMEN MAY TRANSMIT THEIR METABOLIC PHENOTYPE TO OFFSPRING, LEADING TO A CYCLE OF OBESITY AND DIABETES OVER GENERATIONS. EARLY CHILDHOOD OBESITY PREDICTS NONALCOHOLIC FATTY LIVER DISEASE (NAFLD), THE MOST COMMON CHRONIC HUMAN LIVER DISEASE. THE FETUS MAY BE VULNERABLE TO STEATOSIS BECAUSE IMMATURE FETAL ADIPOSE DEPOTS ARE NOT AVAILABLE TO BUFFER THE EXCESS TRANSPLACENTAL LIPID DELIVERY IN MATERNAL OBESITY. IN ANIMAL MODELS, IN UTERO HIGH-FAT DIET EXPOSURE RESULTS IN AN INCREASE IN THE ACCUMULATION OF LIVER TRIGLYCERIDES IN OFFSPRING AND INCREASED HEPATIC OXIDATIVE STRESS AND APOPTOSIS, PERHAPS PRIMING THE LIVER FOR LATER DEVELOPMENT OF NAFLD. INNATE IMMUNE DYSFUNCTION AND NECROINFLAMMATORY CHANGES HAVE BEEN OBSERVED IN POSTNATAL OFFSPRING LIVER OF ANIMALS BORN TO HIGH-FAT-FED DAMS. POSTWEANING, LIVERS OF OFFSPRING EXPOSED TO MATERNAL HIGH-FAT FEEDING IN UTERO SHARE PATHOPHYSIOLOGIC FEATURES WITH HUMAN NAFLD, INCLUDING INCREASED DE NOVO LIPOGENESIS AND DECREASED FREE FATTY ACID OXIDATION. HUMAN STUDIES USING MAGNETIC RESONANCE IMAGING HAVE SHOWN THAT MATERNAL BMI PREDICTS INFANT INTRAHEPATOCELLULAR LIPID STORAGE, AS SEEN IN ANIMAL MODELS. THE GENERATIONAL TRANSFER OF NAFLD MAY OCCUR VIA EPIGENETIC CHANGES IN OFFSPRING LIVER. TRANSMISSION OF MICROBIOTA FROM MOTHER TO INFANT MAY IMPACT ENERGY RETENTION AND IMMUNE FUNCTION THAT CONTRIBUTE TO A PREDISPOSITION TO NAFLD. 2014 11 6393 30 THE ROLE OF THE HISTONE METHYLTRANSFERASE EZH2 IN LIVER INFLAMMATION AND FIBROSIS IN STAM NASH MICE. NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS A LEADING FORM OF CHRONIC LIVER DISEASE, WITH FEW BIOMARKERS AND TREATMENT OPTIONS CURRENTLY AVAILABLE. NON-ALCOHOLIC STEATOHEPATITIS (NASH), A PROGRESSIVE DISEASE OF NAFLD, MAY LEAD TO FIBROSIS, CIRRHOSIS, AND HEPATOCELLULAR CARCINOMA. EPIGENETIC MODIFICATION CAN CONTRIBUTE TO THE PROGRESSION OF NAFLD CAUSING NON-ALCOHOLIC STEATOHEPATITIS (NASH), IN WHICH THE EXACT ROLE OF EPIGENETICS REMAINS POORLY UNDERSTOOD. TO IDENTIFY POTENTIAL THERAPEUTICS FOR NASH, WE TESTED SMALL-MOLECULE INHIBITORS OF THE EPIGENETIC TARGET HISTONE METHYLTRANSFERASE EZH2, TAZEMETOSTAT (EPZ-6438), AND UNC1999 IN STAM NASH MICE. THE RESULTS DEMONSTRATE THAT TREATMENT WITH EZH2 INHIBITORS DECREASED SERUM TNF-ALPHA IN NASH. IN THIS STUDY, WE INVESTIGATED THAT INHIBITION OF EZH2 REDUCED MRNA EXPRESSION OF INFLAMMATORY CYTOKINES AND FIBROSIS MARKERS IN NASH MICE. IN CONCLUSION, THESE RESULTS SUGGEST THAT EZH2 MAY PRESENT A PROMISING THERAPEUTIC TARGET IN THE TREATMENT OF NASH. 2020 12 614 41 BINGE ALCOHOL-INDUCED MICROVESICULAR LIVER STEATOSIS AND INJURY ARE ASSOCIATED WITH DOWN-REGULATION OF HEPATIC HDAC 1, 7, 9, 10, 11 AND UP-REGULATION OF HDAC 3. BACKGROUND: BINGE, AS WELL AS CHRONIC, ALCOHOL CONSUMPTION AFFECTS GLOBAL HISTONE ACETYLATION LEADING TO CHANGES IN GENE EXPRESSION. IT IS BECOMING INCREASINGLY EVIDENT THAT THESE HISTONE-ASSOCIATED EPIGENETIC MODIFICATIONS PLAY AN IMPORTANT ROLE IN THE DEVELOPMENT OF ALCOHOL-MEDIATED HEPATIC INJURY. METHODS: C57BL/6 MICE WERE GAVAGED 3 TIMES (12-HOUR INTERVALS) WITH ETHANOL (ETOH; 4.5 G/KG). HEPATIC HISTONE DEACETYLASE (HDAC) MRNAS WERE ASSESSED BY QRT-PCR. TOTAL HDAC ACTIVITY WAS ESTIMATED BY A COLORIMETRIC HDAC ACTIVITY/INHIBITION ASSAY. HISTONE ACETYLATION LEVELS WERE EVALUATED BY WESTERN BLOT. LIVER STEATOSIS AND INJURY WERE EVALUATED BY HISTOPATHOLOGY, PLASMA AMINOTRANSFERASE (ALT) ACTIVITY, AND LIVER TRIGLYCERIDE ACCUMULATION. EXPRESSION OF FATTY ACID SYNTHASE (FAS) AND CARNITINE PALMITOYL TRANSFERASE 1A (CPT1A) WAS ALSO EXAMINED. HDAC 9 ASSOCIATION WITH FAS PROMOTER WAS ANALYZED. RESULTS: BINGE ALCOHOL EXPOSURE RESULTED IN ALTERATIONS OF HEPATIC HDAC MRNA LEVELS. DOWN-REGULATION OF HDAC CLASS I (HDAC 1), CLASS II (HDAC 7, 9, 10), AND CLASS IV (HDAC 11) AND UP-REGULATION OF HDAC CLASS I (HDAC 3) GENE EXPRESSION WERE OBSERVED. CORRESPONDENT TO THE DECREASE IN HDAC ACTIVITY, AN INCREASE IN HEPATIC HISTONE ACETYLATION WAS OBSERVED. THESE MOLECULAR EVENTS WERE ASSOCIATED WITH MICROVESICULAR HEPATIC STEATOSIS AND INJURY CHARACTERIZED BY INCREASED HEPATIC TRIGLYCERIDES (48.02 +/- 3.83 VS. 19.90 +/- 3.48 MG/G LIVER, P < 0.05) AND ELEVATED PLASMA ALT ACTIVITY (51.98 +/- 6.91 VS. 20.8 +/- 0.62 U/L, P < 0.05). HEPATIC STEATOSIS WAS ASSOCIATED WITH AN INCREASE IN FAS AND A DECREASE IN CPT1A MRNA AND PROTEIN EXPRESSION. FAS PROMOTER ANALYSIS REVEALED THAT BINGE ETOH TREATMENT DECREASED HDAC 9 OCCUPANCY AT THE FAS PROMOTER RESULTING IN ITS TRANSCRIPTIONAL ACTIVATION. CONCLUSIONS: DEREGULATION OF HEPATIC HDAC EXPRESSION LIKELY PLAYS A MAJOR ROLE IN THE BINGE ALCOHOL-INDUCED HEPATIC STEATOSIS AND LIVER INJURY BY AFFECTING LIPOGENESIS AND FATTY ACID BETA-OXIDATION. 2012 13 5915 39 TARGETING A PHOSPHO-STAT3-MIRNAS PATHWAY IMPROVES VESICULAR HEPATIC STEATOSIS IN AN IN VITRO AND IN VIVO MODEL. NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS A LEADING CAUSE OF CHRONIC LIVER DISEASE. ALTHOUGH GENETIC PREDISPOSITION AND EPIGENETIC FACTORS CONTRIBUTE TO THE DEVELOPMENT OF NAFLD, OUR UNDERSTANDING OF THE MOLECULAR MECHANISM INVOLVED IN THE PATHOGENESIS OF THE DISEASE IS STILL EMERGING. HERE WE INVESTIGATED A POSSIBLE ROLE OF A MICRORNAS-STAT3 PATHWAY IN THE INDUCTION OF HEPATIC STEATOSIS. DIFFERENTIATED HEPARG CELLS TREATED WITH THE FATTY ACID SODIUM OLEATE (FATTY DHEPARG) RECAPITULATED FEATURES OF LIVER VESICULAR STEATOSIS AND ACTIVATED A CELL-AUTONOMOUS INFLAMMATORY RESPONSE, INDUCING STAT3-TYROSINE-PHOSPHORYLATION. WITH A GENOME-WIDE APPROACH (CHROMATIN IMMUNOPRECIPITATION SEQUENCING), MANY PHOSPHO-STAT3 BINDING SITES WERE IDENTIFIED IN FATTY DHEPARG CELLS AND SEVERAL STAT3 AND/OR NAFLD-REGULATED MICRORNAS SHOWED INCREASED EXPRESSION LEVELS, INCLUDING MIR-21. INNOVATIVE CARS (COHERENT ANTI-STOKES RAMAN SCATTERING) MICROSCOPY REVEALED THAT CHEMICAL INHIBITION OF STAT3 ACTIVITY DECREASED LIPID ACCUMULATION AND DEREGULATED STAT3-RESPONSIVE MICRORNAS, INCLUDING MIR-21, IN LIPID OVERLOADED DHEPARG CELLS. WE WERE ABLE TO SHOW IN VIVO THAT REDUCING PHOSPHO-STAT3-MIR-21 LEVELS IN C57/BL6 MICE LIVER, BY LONG-TERM TREATMENT WITH METFORMIN, PROTECTED MICE FROM AGING-DEPENDENT HEPATIC VESICULAR STEATOSIS. OUR RESULTS IDENTIFIED A MICRORNAS-PHOSPHOSTAT3 PATHWAY INVOLVED IN THE DEVELOPMENT OF HEPATIC STEATOSIS, WHICH MAY REPRESENT A MOLECULAR MARKER FOR BOTH DIAGNOSIS AND THERAPEUTIC TARGETING. 2018 14 4326 34 MICRORNAS IN THE PATHOGENESIS OF NONALCOHOLIC FATTY LIVER DISEASE. NONALCOHOLIC FATTY LIVER DISEASE (NAFLD), OR, MORE ACCURATELY, METABOLIC ASSOCIATED FATTY LIVER DISEASE, ACCOUNTS FOR A LARGE PROPORTION OF CHRONIC LIVER DISORDERS WORLDWIDE AND IS CLOSELY ASSOCIATED WITH OTHER CONDITIONS SUCH AS CARDIOVASCULAR DISEASE, OBESITY, AND TYPE 2 DIABETES MELLITUS. NAFLD RANGES FROM SIMPLE STEATOSIS TO NONALCOHOLIC STEATOHEPATITIS (NASH) AND CAN PROGRESS TO CIRRHOSIS AND, EVENTUALLY, ALSO HEPATOCELLULAR CARCINOMA. THE MORBIDITY AND MORTALITY ASSOCIATED WITH NAFLD ARE INCREASING RAPIDLY YEAR ON YEAR. CONSEQUENTLY, THERE IS AN URGENT NEED TO UNDERSTAND THE ETIOLOGY AND PATHOGENESIS OF NAFLD AND IDENTIFY EFFECTIVE THERAPEUTIC TARGETS. MICRORNAS (MIRNAS), IMPORTANT EPIGENETIC FACTORS, HAVE RECENTLY BEEN PROPOSED TO PARTICIPATE IN NAFLD PATHOGENESIS. HERE, WE REVIEW THE ROLES OF MIRNAS IN LIPID METABOLISM, INFLAMMATION, APOPTOSIS, FIBROSIS, HEPATIC STELLATE CELL ACTIVATION, INSULIN RESISTANCE, AND OXIDATIVE STRESS, KEY FACTORS THAT CONTRIBUTE TO THE OCCURRENCE AND PROGRESSION OF NAFLD. ADDITIONALLY, WE SUMMARIZE THE ROLE OF MIRNA-ENRICHED EXTRACELLULAR VESICLES IN NAFLD. THESE MIRNAS MAY COMPRISE SUITABLE THERAPEUTIC TARGETS FOR THE TREATMENT OF THIS CONDITION. 2021 15 1721 30 DYSREGULATION OF AUTOPHAGY ACTS AS A PATHOGENIC MECHANISM OF NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD) INDUCED BY COMMON ENVIRONMENTAL POLLUTANTS. NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD) HAS BEEN THE MOST COMMON CHRONIC LIVER DISEASE IN THE WORLD, INCLUDING THE DEVELOPING COUNTRIES. NAFLD IS METABOLIC DISEASE WITH SIGNIFICANT LIPID DEPOSITION IN THE HEPATOCYTES OF THE LIVER, WHICH IS USUALLY ASSOCIATED WITH OXIDATIVE STRESS, INFLAMMATION AND FIBROGENESIS, AND INSULIN RESISTANCE. PROGRESSIVE NAFLD CAN DEVELOP INTO NON-ALCOHOLIC STEATOHEPATITIS (NASH) OR HEPATOCELLULAR CARCINOMA. THE CURRENT EVIDENCE PROPOSES THAT ENVIRONMENTAL POLLUTANTS PROMOTE DEVELOPMENT AND PROGRESSION OF NAFLD, AND AUTOPHAGY PLAYS A VITAL ROLE BUT IS MULTIFACTORIAL AFFECTED IN NAFLD. IN THIS REVIEW, WE ANALYZED ON THE REGULATIONS OF COMMON ENVIRONMENTAL POLLUTANTS ON AUTOPHAGY IN NAFLD. TO CLARIFY THE INVOLVED ROLES OF AUTOPHAGY, WE DISCUSSED THE DYSREGULATION OF AUTOPHAGY BY ENVIRONMENTAL POLLUTANTS IN ADIPOSE TISSUE AND GUT, AND THEIR INTERACTIONS WITH LIVER, AS WELL AS EPIGENETIC REGULATION ON AUTOPHAGY BY ENVIRONMENTAL POLLUTANTS. FURTHERMORE, PROTECTIVE ROLES OF POTENTIAL THERAPEUTIC TREATMENTS ON THE MULTIPLE-HITS OF AUTOPHAGY IN NAFLD WERE DESCRIPTED. 2021 16 5386 30 REDOX HOMEOSTASIS AND EPIGENETICS IN NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD). NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD), AN ACCUMULATION OF INTRA-HEPATIC TRIGLYCERIDES THAT IS OFTEN CONSIDERED THE HEPATIC MANIFESTATION OF INSULIN RESISTANCE, IS THE MOST COMMON CAUSE OF CHRONIC LIVER DISEASE IN THE WESTERN COUNTRIES WITH UP TO ONE THIRD OF THE POPULATION AFFECTED. NAFLD IS A SPECTRUM OF DISTURBANCES THAT ENCOMPASSES VARIOUS DEGREES OF LIVER DAMAGE RANGING FROM SIMPLE STEATOSIS TO NON-ALCOHOLIC STEATOHEPATITIS (NASH). NASH IS CHARACTERIZED BY HEPATOCELLULAR INJURY/INFLAMMATION WITH OR WITHOUT FIBROSIS. THE INDIVIDUALS WITH NAFLD DEVELOP NASH IN 10% OF THE CASES, AND ARE ALSO AT RISK OF DEVELOPING HEPATOCELLULAR CARCINOMA (HCC). EPIGENETIC MECHANISMS OF NUCLEAR CHROMATIN REMODELING, SUCH AS DNA METHYLATION, POST-TRANSLATIONAL MODIFICATIONS OF HISTONES, AND INCORPORATION OF HISTONE VARIANTS INTO THE CHROMATIN ARE INCREASINGLY RECOGNIZED AS CRUCIAL FACTORS IN THE PATHOPHYSIOLOGY OF NAFLD. NAFLD IS OFTEN ACCOMPANIED BY OXIDATIVE STRESS: REACTIVE OXYGEN SPECIES (ROS) ARE IMPLICATED IN ALTERED REDUCTION/OXIDATION (REDOX) REACTIONS THAT ATTACK CELLULAR MACROMOLECULES AND ARE DETECTED IN THE LIVER OF PATIENTS AND ANIMAL MODELS OF NAFLD. IN THIS REVIEW, WE SUMMARIZE RECENT KNOWLEDGE ADVANCEMENTS IN THE HEPATIC EPIGENETIC AND REDOX MECHANISMS, AND THEIR POSSIBLE LINKS, INVOLVED IN THE PATHOGENESIS AND TREATMENT OF NAFLD. 2013 17 2118 40 EPIGENETIC HISTONE METHYLATION OF PPARGAMMA AND CPT1A SIGNALING CONTRIBUTES TO BETAHISTINE PREVENTING OLANZAPINE-INDUCED DYSLIPIDEMIA. AS A PARTIAL HISTAMINE H1 RECEPTOR AGONIST AND H3 ANTAGONIST, BETAHISTINE HAS BEEN REPORTED TO PARTIALLY PREVENT OLANZAPINE-INDUCED DYSLIPIDEMIA AND OBESITY THROUGH A COMBINATION THERAPY, ALTHOUGH THE UNDERLYING EPIGENETIC MECHANISMS ARE STILL NOT KNOWN. RECENT STUDIES HAVE REVEALED THAT HISTONE REGULATION OF KEY GENES FOR LIPOGENESIS AND ADIPOGENESIS IN THE LIVER IS ONE OF THE CRUCIAL MECHANISMS FOR OLANZAPINE-INDUCED METABOLIC DISORDERS. THIS STUDY INVESTIGATED THE ROLE OF EPIGENETIC HISTONE REGULATION IN BETAHISTINE CO-TREATMENT PREVENTING DYSLIPIDEMIA AND FATTY LIVER CAUSED BY CHRONIC OLANZAPINE TREATMENT IN A RAT MODEL. IN ADDITION TO ABNORMAL LIPID METABOLISM, THE UPREGULATION OF PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR GAMMA (PPARGAMMA) AND CCAAT/ENHANCER BINDING PROTEIN (C/EBPALPHA), AS WELL AS THE DOWNREGULATION OF CARNITINE PALMITOYLTRANSFERASE 1A (CPT1A) IN THE LIVER INDUCED BY OLANZAPINE, WERE SIGNIFICANTLY ATTENUATED BY BETAHISTINE CO-TREATMENT. IN ADDITION, BETAHISTINE CO-TREATMENT SIGNIFICANTLY ENHANCED THE GLOBAL EXPRESSION OF H3K4ME AND THE ENRICHMENT OF H3K4ME BINDING ON THE PROMOTER OF CPT1A GENE AS REVEALED BY CHIP-QPCR, BUT INHIBITED THE EXPRESSION OF ONE OF ITS SITE-SPECIFIC DEMETHYLASES, LYSINE (K)-SPECIFIC DEMETHYLASE 1A (KDM1A). BETAHISTINE CO-TREATMENT ALSO SIGNIFICANTLY ENHANCED THE GLOBAL EXPRESSION OF H3K9ME AND THE ENRICHMENT OF H3K9ME BINDING ON THE PROMOTER OF THE PPARG GENE, BUT INHIBITED THE EXPRESSION OF TWO OF ITS SITE-SPECIFIC DEMETHYLASES, LYSINE DEMETHYLASE 4B (KDM4B) AND PHD FINGER PROTEIN 2 (PHF2). THESE RESULTS SUGGEST THAT BETAHISTINE ATTENUATES ABNORMAL ADIPOGENESIS AND LIPOGENESIS TRIGGERED BY OLANZAPINE THROUGH MODULATING HEPATIC HISTONE METHYLATION, AND THUS INHIBITING THE PPARGAMMA PATHWAY-MEDIATED LIPID STORAGE, WHILE AT THE SAME TIME PROMOTING CP1A-MEDIATED FATTY ACID OXIDATION. 2023 18 3164 51 GREEN TEA PREVENTS NAFLD BY MODULATION OF MIR-34A AND MIR-194 EXPRESSION IN A HIGH-FAT DIET MOUSE MODEL. BACKGROUND/AIMS: NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS CONSIDERED THE HEPATIC MANIFESTATION OF METABOLIC SYNDROME. IT IS CURRENTLY THE MOST COMMON CHRONIC LIVER DISEASE WITH COMPLEX PATHOGENESIS AND CHALLENGING TREATMENT. HERE, WE INVESTIGATED THE HEPATOPROTECTIVE ROLE OF GREEN TEA (GT) AND DETERMINED THE INVOLVEMENT OF MIRNAS AND ITS MECHANISM OF ACTION. METHODS: MALE C57BL/6 MICE WERE FED WITH A HIGH-FAT DIET FOR 4 WEEKS. AFTER THIS PERIOD, THE ANIMALS RECEIVED GAVAGE WITH GT (500 MG/KG BODY WEIGHT) OVER 12 WEEKS (5 DAYS/WEEK). HEPG2 CELL LINES WERE TRANSFECTED WITH MIR-34A OR MIR-194 MIMETICS AND INHIBITORS TO VALIDATE THE IN VIVO RESULTS OR WERE TREATED WITH TNF-ALPHA TO EVALUATE MIRNA REGULATION. RESULTS: GT SUPPLEMENTATION PROTECTS AGAINST NAFLD DEVELOPMENT BY ALTERING LIPID METABOLISM, INCREASING GENE EXPRESSION INVOLVED IN TRIGLYCERIDES AND FATTY ACID CATABOLISM, AND DECREASING UPTAKE AND LIPID ACCUMULATION. THIS PHENOTYPE WAS ACCOMPANIED BY MIR-34A DOWNREGULATION AND AN INCREASE IN THEIR MRNA TARGETS SIRT1, PPARALPHA, AND INSIG2. GT UPREGULATED HEPATIC MIR-194 BY INHIBITING TNF-ALPHA ACTION LEADING TO A DECREASE IN MIR-194 TARGET GENES HMGCS/APOA5. CONCLUSION: OUR STUDY IDENTIFIED FOR THE FIRST TIME THAT THE BENEFICIAL EFFECTS OF GT IN THE LIVER CAN BE DUE TO THE MODULATION OF MIRNAS, OPENING NEW PERSPECTIVES FOR THE TREATMENT OF NAFLD FOCUSING ON EPIGENETIC REGULATION OF MIR-34A AND MIR-194 AS GREEN TEA TARGETS. 2019 19 6456 30 THYMOSIN BETA4 PREVENTS OXIDATIVE STRESS, INFLAMMATION, AND FIBROSIS IN ETHANOL- AND LPS-INDUCED LIVER INJURY IN MICE. THYMOSIN BETA 4 (TBETA4), AN ACTIN-SEQUESTERING PROTEIN, IS INVOLVED IN TISSUE DEVELOPMENT AND REGENERATION. IT PREVENTS INFLAMMATION AND FIBROSIS IN SEVERAL TISSUES. WE INVESTIGATED THE ROLE OF TBETA4 IN CHRONIC ETHANOL- AND ACUTE LIPOPOLYSACCHARIDE- (LPS-) INDUCED MOUSE LIVER INJURY. C57BL/6 MICE WERE FED 5% ETHANOL IN LIQUID DIET FOR 4 WEEKS PLUS BINGE ETHANOL (5 G/KG, GAVAGE) WITH OR WITHOUT LPS (2 MG/KG, INTRAPERITONEAL) FOR 6 HOURS. TBETA4 (1 MG/KG, INTRAPERITONEAL) WAS ADMINISTERED FOR 1 WEEK. WE DEMONSTRATED THAT TBETA4 PREVENTED ETHANOL- AND LPS-MEDIATED INCREASE IN LIVER INJURY MARKERS AS WELL AS CHANGES IN LIVER PATHOLOGY. IT ALSO PREVENTED ETHANOL- AND LPS-MEDIATED INCREASE IN OXIDATIVE STRESS BY DECREASING ROS AND LIPID PEROXIDATION AND INCREASING THE ANTIOXIDANTS, REDUCED GLUTATHIONE AND MANGANESE-DEPENDENT SUPEROXIDE DISMUTASE. IT ALSO PREVENTED THE ACTIVATION OF NUCLEAR FACTOR KAPPA B BY BLOCKING THE PHOSPHORYLATION OF THE INHIBITORY PROTEIN, IKAPPAB, THEREBY PREVENTED PROINFLAMMATORY CYTOKINE PRODUCTION. MOREOVER, TBETA4 PREVENTED FIBROGENESIS BY SUPPRESSING THE EPIGENETIC REPRESSOR, METHYL-CPG-BINDING PROTEIN 2, THAT COORDINATELY REVERSED THE EXPRESSION OF PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR-GAMMA AND DOWNREGULATED FIBROGENIC GENES, PLATELET-DERIVED GROWTH FACTOR-BETA RECEPTOR, ALPHA-SMOOTH MUSCLE ACTIN, COLLAGEN 1, AND FIBRONECTIN, RESULTING IN REDUCED FIBROSIS. OUR DATA SUGGEST THAT TBETA4 HAS ANTIOXIDANT, ANTI-INFLAMMATORY, AND ANTIFIBROTIC POTENTIAL DURING ALCOHOLIC LIVER INJURY. 2018 20 5079 37 PHYSIOPATHOLOGY OF NONALCOHOLIC FATTY LIVER DISEASE: FROM DIET TO NUTRIGENOMICS. PURPOSE OF REVIEW: NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) IS THE MOST COMMON CAUSE OF CHRONIC LIVER DISEASE WORLDWIDE AND IS STRONGLY ASSOCIATED WITH METABOLIC DISORDERS, SUCH AS OBESITY, TYPE 2 DIABETES MELLITUS, AND METABOLIC SYNDROME, TO THE EXTENT THAT A NEW DEFINITION OF METABOLIC ASSOCIATED FATTY LIVER DISEASE HAS BEEN PROPOSED. RECENT FINDINGS: INSULIN RESISTANCE, WORSENED BY A HIGH-FAT AND HIGH-CARBOHYDRATE DIET, IS THE KEY TO THE PHYSIOPATHOLOGY OF HEPATIC STEATOSIS. THIS IS DRIVEN BY SEVERAL MECHANISMS THAT ARE MOSTLY ACTIVATED AT A GENETIC LEVEL, SUCH AS DE-NOVO LIPOGENESIS AND TRIGLYCERIDE SYNTHESIS. THEREFORE, MANY DIET REGIMENS HAVE BEEN STUDIED, ALTHOUGH SIGNIFICANT CONTROVERSIES REMAIN REGARDING THEIR METABOLIC EFFECTS AND LONG-TERM SUSTAINABILITY. SUMMARY: IN THIS REVIEW, WE SUMMARIZED THE ROLE AND EFFECTS OF THE MAIN MACRONUTRIENTS ON THE DEVELOPMENT OF NAFLD AND DISCUSSED THE MOLECULAR MECHANISMS INVOLVED. WE ALSO DISCUSSED THE IMPORTANCE OF GENETIC POLYMORPHISMS, EPIGENETIC ALTERATIONS, AND DYSBIOSIS TO DETERMINE IF LIFESTYLE MODIFICATION AND A SPECIFIC DIETARY REGIMEN COULD BE AN ESSENTIAL PART OF NAFLD TREATMENT. 2022