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Biological and Clinical Implication of Fatty Acids in Liver and Cardiometabolic Disorders

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (25 November 2024) | Viewed by 14401

Special Issue Editor


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Guest Editor
Lipoprotein Metabolism Section, Translational Vascular Medicine Branch, National Heart, Lung and Blood Institute (NHLBI), National Institutes of Health (NIH), Bethesda, MD 20892-1666, USA
Interests: atherosclerosis; lipoproteins; inflammation; cardiology; bioactive lipids; imaging; cardiovascular disease; prevention

Special Issue Information

Dear Colleagues,

Cardiometabolic disorders represent a significant public health concern, which puts millions of people worldwide at a higher risk of developing heart disease and type 2 diabetes with associated healthcare expenses. Among the established risk factors comprising cardiometabolic disorders, such as abdominal obesity, insulin resistance and hypertension, non-alcoholic fatty liver disease (NAFLD) has been of particular clinical interest. Moreover, accompanying dyslipidemia, elevated triglycerides and impaired resolution of inflammation compelled international experts to revise the current understanding of NAFLD and propose a new definition, that more accurately represents pathophysiological mechanisms behind NAFLD and cardiometabolic complications. Thus, metabolic dysfunction-associated fatty liver disease (MAFLD) term has been coined. Finally, with the recent progress in fatty acids research and clinical application of n–3 fatty acids, particularly icosapent ethyl (IPE) treatment, this Special Issue of Nutrients should be of great interest to the wide community of researchers and healthcare professionals from different fields of study.

Dr. Alexander V. Sorokin
Guest Editor

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Keywords

  • fatty acids
  • inflammation
  • lipid mediators
  • lipoproteins
  • cardiometabolic disorders
  • liver disease
  • atherosclerosis
  • dyslipidemia
  • diet

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Published Papers (3 papers)

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Review

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48 pages, 1853 KiB  
Review
Emerging Roles for Sphingolipids in Cardiometabolic Disease: A Rational Therapeutic Target?
by Daniel Foran, Charalambos Antoniades and Ioannis Akoumianakis
Nutrients 2024, 16(19), 3296; https://doi.org/10.3390/nu16193296 - 28 Sep 2024
Cited by 4 | Viewed by 2533
Abstract
Cardiovascular disease is a leading cause of morbidity and mortality. New research elucidates increasingly complex relationships between cardiac and metabolic health, giving rise to new possible therapeutic targets. Sphingolipids are a heterogeneous class of bioactive lipids with critical roles in normal human physiology. [...] Read more.
Cardiovascular disease is a leading cause of morbidity and mortality. New research elucidates increasingly complex relationships between cardiac and metabolic health, giving rise to new possible therapeutic targets. Sphingolipids are a heterogeneous class of bioactive lipids with critical roles in normal human physiology. They have also been shown to play both protective and deleterious roles in the pathogenesis of cardiovascular disease. Ceramides are implicated in dysregulating insulin signalling, vascular endothelial function, inflammation, oxidative stress, and lipoprotein aggregation, thereby promoting atherosclerosis and vascular disease. Ceramides also advance myocardial disease by enhancing pathological cardiac remodelling and cardiomyocyte death. Glucosylceramides similarly contribute to insulin resistance and vascular inflammation, thus playing a role in atherogenesis and cardiometabolic dysfunction. Sphingosing-1-phosphate, on the other hand, may ameliorate some of the pathological functions of ceramide by protecting endothelial barrier integrity and promoting cell survival. Sphingosine-1-phosphate is, however, implicated in the development of cardiac fibrosis. This review will explore the roles of sphingolipids in vascular, cardiac, and metabolic pathologies and will evaluate the therapeutic potential in targeting sphingolipids with the aim of prevention and reversal of cardiovascular disease in order to improve long-term cardiovascular outcomes. Full article
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17 pages, 666 KiB  
Review
Different Dietary Approaches, Non-Alcoholic Fatty Liver Disease and Cardiovascular Disease: A Literature Review
by Jose D. Torres-Peña, Antonio P. Arenas-de Larriva, Juan F. Alcala-Diaz, Jose Lopez-Miranda and Javier Delgado-Lista
Nutrients 2023, 15(6), 1483; https://doi.org/10.3390/nu15061483 - 20 Mar 2023
Cited by 24 | Viewed by 9628
Abstract
Non-alcoholic fatty liver disease (NAFLD) is the first cause of chronic liver disease and is also associated with other harmful entities such as obesity, metabolic syndrome, dyslipidemia, and diabetes. NAFLD is a significant public health concern worldwide, impacting individuals of all ages, and [...] Read more.
Non-alcoholic fatty liver disease (NAFLD) is the first cause of chronic liver disease and is also associated with other harmful entities such as obesity, metabolic syndrome, dyslipidemia, and diabetes. NAFLD is a significant public health concern worldwide, impacting individuals of all ages, and its prevalence is projected to increase in the near future due to its connection with obesity. Intrinsic (genetics) and external (lifestyle) factors may also modulate NAFLD, and, in turn, may partly explain the observed relationship between NAFLD and cardiovascular disease (CVD). Although many drugs are been tested to treat NAFLD, to date, no drug has indication to specifically treat this disorder. Thus, the current management of NAFLD relies on lifestyle modifications and specifically on weight loss, physical activity, and the intake of a healthy diet. In the present narrative review, we will discuss the effects of certain dietary patterns on NAFLD incidence and progression. Full article
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Other

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7 pages, 411 KiB  
Brief Report
Nonalcoholic Fatty Liver Disease Risk and Proprotein Convertase Subtilisin Kexin 9 in Familial Hypercholesterolemia Under Statin Treatment
by Masato Hamasaki, Naoki Sakane and Kazuhiko Kotani
Nutrients 2024, 16(21), 3686; https://doi.org/10.3390/nu16213686 - 29 Oct 2024
Viewed by 1381
Abstract
Background/Objectives: Fatty acids are involved in some hepatic disorders. The proprotein convertase subtilisin kexin 9 (PCSK9) inhibits the uptake of low-density lipoproteins (LDLs), which contain lipids, into the liver and may thus be associated with nonalcoholic fatty liver disease (NAFLD), a cardiovascular disorder [...] Read more.
Background/Objectives: Fatty acids are involved in some hepatic disorders. The proprotein convertase subtilisin kexin 9 (PCSK9) inhibits the uptake of low-density lipoproteins (LDLs), which contain lipids, into the liver and may thus be associated with nonalcoholic fatty liver disease (NAFLD), a cardiovascular disorder (CVD) risk. Statins reduce blood LDL–cholesterol (LDL-C) levels and CVD risk and can attenuate the development of NAFLD while increasing blood PCSK9 levels. Methods: We investigated the correlation between PCSK9 and liver conditions in patients with familial hypercholesterolemia (FH), a CVD risk population with elevated blood LDL-C levels, under statin treatment. Blood tests for lipids, PCSK9, and liver function (aspartate aminotransferase [AST] and alanine aminotransferase [ALT]) were performed in patients with FH taking statins (n = 25, mean age = 57 years, 12% of males). The ALT:AST ratio was used as a marker of NAFLD risk. Results: The mean LDL-C level was 3.38 mmol/L, and the median PCSK9 level was 312 ng/mL. The median ALT:AST ratio was 0.88. A significant negative correlation was observed between the PCSK9 and ALT:AST ratio (β = −0.67, p < 0.05). Conclusions: Their negative correlation might give a hypothetical insight into the effect of statin treatment on the development of NAFLD, in relation to PCSK9 behavior, in patients with FH. Full article
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