SIRT2在代谢功能障碍相关脂肪性肝病中的作用机制

Mechanism of SIRT2 in Metabolic Dysfunction-associated Steatotic Liver Disease

  • 摘要: 代谢功能障碍相关脂肪性肝病(metabolic dysfunction-associatedsteatotic liver disease,MASLD)由非酒精性脂肪性肝病(non-alcoholic fatty liverdisease,NAFLD)更名而来,以肝脏脂质异常沉积为特征,其发病机制与胰岛素抵抗(insulin resistance,IR)、脂代谢紊乱、氧化应激(oxidative stress,OS)及肠-肝轴异常等危险因素密切相关,临床上针对MASLD尚无有效的治疗手段。沉默信息调节因子2(silent information regulator 2,SIRT2)是一种依赖于烟酰胺腺嘌呤二核苷酸(nicotinamide adenine dinucleotide,NAD+)的去乙酰化酶,在肝脏等多个器官中表达,通过与不同底物相互作用而发挥重要的生理病理功能。目前已经发现SIRT2参与改善代谢平衡、缓解肝脏炎症并且促进肝脏再生。而且,一些研究表明SIRT2能够延缓MASLD的进展。基于此,本文就SIRT2在MASLD发生发展中的相关机制的研究进展作一综述,旨在探讨SIRT2作为MASLD治疗靶点的潜在作用。

     

    Abstract: Metabolic dysfunction-associated steatotic liver disease (MASLD), renamed from non-alcoholic fatty liver disease (NAFLD), is characterized by abnormal deposition of liver lipids. MASLD is characterized by abnormal lipid deposition in the liver, and its pathogenesis is closely related to insulin resistance (IR), lipid metabolism disorders, oxidative stress, and abnormalities of the intestinal and hepatic axes, there is no effective treatment for MASLD in the clinic. Silent information regulator 2 (SIRT2) is a nicotinamide adenine dinucleotide (NAD+)- dependent deacetylase, which is expressed in many organs such as the liver, and plays important physiological and pathological functions by interacting with different substrates. SIRT2 is expressed in several organs, including the liver, and exerts important physiopathological functions through interactions with different substrates. SIRT2 has been found to be involved in improving metabolic homeostasis, alleviating hepatic inflammation, and promoting liver regeneration. Moreover, some studies have shown that SIRT2 can delay the progression of MASLD. Based on this, this article presents a review of the research progress related to SIRT2 in the development of MASLD, aiming to explore the potential role of SIRT2 as a therapeutic target for MASLD.

     

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