The emerging role of endocrine disruptors in pathogenesis of insulin resistance: A concept implicating nonalcoholic fatty liver disease

Polyzos, SA; Kountouras, J; Deretzi, G; Zavos, C; Mantzoros, CS

HERO ID

1312056

Reference Type

Journal Article

Subtype

Review

Year

2012

Language

English

PMID

22082482

HERO ID 1312056
Material Type Review
In Press No
Year 2012
Title The emerging role of endocrine disruptors in pathogenesis of insulin resistance: A concept implicating nonalcoholic fatty liver disease
Authors Polyzos, SA; Kountouras, J; Deretzi, G; Zavos, C; Mantzoros, CS
Journal Current Molecular Medicine
Volume 12
Issue 1
Page Numbers 68-82
Abstract Endocrine disruptors or endocrine-disrupting chemicals (EDCs) represent a highly heterogeneous group of molecules found in the environment or in consumer products. Toxicology and epidemiology studies have suggested the involvement of diverse EDCs in an increasing number of metabolic disorders, including insulin resistance (IR) and IR-related co morbidities, such as obesity, type 2 diabetes mellitus (T2DM) and polycystic ovary syndrome. Nonalcoholic fatty liver disease (NAFLD), another IR related condition, is emerging as a significant public health concern, affecting 30-45% of the general population in the Western world. To evaluate whether EDCs may also play a role in the pathogenesis of NAFLD, we reviewed the literature on well-studied EDCs, such as dioxins, bisphenol A, phthalates and other persistent organic pollutants, in relation to pathways that might contribute to the pathogenesis of fatty liver / NAFDL. Certain EDCs may be responsible for inducing alterations similar to those encountered in NAFLD either directly through a hepatotoxic effect and/or indirectly by triggering hepatic and systematic IR. Considering these effects, which act in concert with the effects of the epidemics of obesity and T2DM, EDCs may play a significant role in the pathogenesis of fatty liver, thereby increasing the prevalence of NAFLD worldwide. Translational studies and clinical trials investigating the association between EDCs and NAFLD are required to confirm and extent these studies.
Doi 10.2174/156652412798376161
Pmid 22082482
Wosid WOS:000300250400007
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword Bisphenol A; dioxins; endocrine disruptors; insulin resistance; nonalcoholic fatty liver disease; nonalcoholic steatohepatitis; persistent organic pollutants; phthalates