Viral hepatitis and fatty liver disease: how an unwelcome guest makes pate of the host

AJ Brown - Biochemical Journal, 2008 - portlandpress.com
Biochemical Journal, 2008portlandpress.com
HBV and HCV (hepatitis B and C viruses respectively) affect hundreds of millions of people
globally, and are a major cause of chronic liver disease, including NAFLD (non-alcoholic
fatty liver disease). Previous work on HCV-associated fatty liver disease has implicated two
transcription factors that are important in lipid metabolism, SREBP1c (sterol-regulatory-
element-binding protein 1c) and the LXRα (liver X receptor α). HBV-associated fatty liver
disease has been less well-studied. New work from Kim and colleagues in this issue of the …
HBV and HCV (hepatitis B and C viruses respectively) affect hundreds of millions of people globally, and are a major cause of chronic liver disease, including NAFLD (non-alcoholic fatty liver disease). Previous work on HCV-associated fatty liver disease has implicated two transcription factors that are important in lipid metabolism, SREBP1c (sterol-regulatory-element-binding protein 1c) and the LXRα (liver X receptor α). HBV-associated fatty liver disease has been less well-studied. New work from Kim and colleagues in this issue of the Biochemical Journal has provided new insight into how HBV causes fatty liver disease. Investigating HBV's so-called X gene product (HBx), they report that this viral protein directly binds to LXRα in the host liver cells to up-regulate the lipogenic transcription factor, SREBP1c. Also discussed in this commentary is another way that viruses such as HBV and HCV could induce SREBP1c-mediated lipogenesis, via the PI3K (phosphoinositide 3-kinase)–Akt signalling pathway.
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