自噬途径降解肝脏脂滴的研究进展
DOI: 10.12449/JCH240931
Research advances in the degradation of hepatic lipid droplets through the autophagy pathway
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摘要: 自噬是一种高度保守的细胞降解途径,可通过“脂噬”过程来降解脂滴。脂噬可以选择性地识别脂类物质并将其降解,促进β氧化,进而维持细胞内脂质代谢的平衡状态。肝脏通过脂噬信号通路或关键分子来调控脂滴代谢,进而降低肝脏脂肪变性,改善非酒精性脂肪性肝病。本文总结归纳了巨自噬、分子伴侣介导的自噬和微自噬样3种自噬途径降解肝脏脂滴的最新研究进展,AMPK/mTOR-ULK1、ATGL-SIRT1、FGF21-JMJD3、Akt作为调控脂噬过程的主要信号通路,有助于维持肝脂质代谢稳态,能够为临床预防和治疗非酒精性脂肪性肝病提供新思路。Abstract: Autophagy is a highly conserved cellular degradation pathway that degrades lipid droplets through a process called “lipophagy”. Lipophagy can selectively recognize lipid substances and degrade them, promoting β oxidation and thereby maintaining the balance of intracellular lipid metabolism. The liver regulates lipid droplet metabolism through lipophagy signaling pathways or key molecules, thereby alleviating hepatic steatosis and improving nonalcoholic fatty liver disease (NAFLD). This article reviews the latest advances in the degradation of hepatic lipid droplets through the three autophagic pathways of macroautophagy, molecular chaperone-mediated autophagy, and microautophagy. The major signaling pathways of AMPK/mTOR-ULK1, ATGL-SIRT1, FGF21-JMJD3, and Akt are involved in the regulation of the lipophagy process and help to maintain the homeostasis of lipid metabolism in the liver, so as to provide new ideas for clinical prevention and treatment of NAFLD.
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Key words:
- Non-alcoholic Fatty Liver Disease /
- Autophagy /
- Lipid Metabolism /
- Pathologic Processes
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表 1 不同自噬形式参与脂滴降解的分子机制
Table 1. Molecular mechanisms of different forms of autophagy involved in lipid droplet degradation
自噬类型 关键分子机制及通路 作用 生物 文献 巨自噬 ULK1/ATG1 启动自噬体的形成 哺乳动物、酵母 [14] mTOR-ULK1 抑制脂噬 哺乳动物 [15] AMPK-ULK1 促进脂噬 哺乳动物 [15] TFEB 脂噬主要调节因子 哺乳动物 [16] HLH-30、MXL-3 调节脂噬 秀丽隐杆线虫 [16] FgATG15(酵母ATG15同源物) 参与脂滴分解 禾谷镰刀菌 [17] OsATG7(酵母ATG7同源物) 参与脂滴分解 水稻 [18] ATG蛋白 识别脂滴,促进自噬体的形成 酵母、哺乳动物、植物、微藻 [19-21] SNARE蛋白 介导自噬体膜的扩展/闭合 酵母、哺乳动物 [22-23] SQSTM1/p62 桥接脂滴与吞噬泡 哺乳动物 [24] Rab GTP酶 介导脂滴的募集 哺乳动物 [25] CMA HSC70 识别并结合脂滴 哺乳动物 [26] LAMP-2A 结合脂滴并将其移至溶酶体内 哺乳动物 [26] 微自噬 ATG6和ATG14 形成脂滴募集位点 酵母 [27] ESCRT蛋白Vps27 将脂滴转移到液泡 酵母 [28] -
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