A pathogenetic link between non-alcoholic fatty liver disease and celiac disease

Endocrine. 2013 Feb;43(1):65-7. doi: 10.1007/s12020-012-9731-y. Epub 2012 Jun 28.

Abstract

Non-alcoholic fatty liver disease (NAFLD) has recently been recognized as the leading cause of the abnormalities in the liver function tests in the Western countries. Celiac disease (CD) is a permanent immunological intolerance to gluten proteins in genetically predisposed individuals. CD has been reported in 4-13 % of the cases with steatohepatitis, although the pathogenesis of the liver steatosis in CD patients is unclear. Based on the literature data, it can be concluded that the inclusion of serological markers of CD should be a part of the general workup in the patients with steatosis when other causes of the liver disease are excluded and in the patients with NAFLD when metabolic risk factors are not evident.

MeSH terms

  • Celiac Disease / diet therapy
  • Celiac Disease / metabolism
  • Celiac Disease / microbiology
  • Celiac Disease / physiopathology*
  • Diet, Gluten-Free / adverse effects
  • Fatty Liver / chemically induced
  • Fatty Liver / etiology*
  • Fatty Liver / physiopathology
  • Gram-Negative Bacteria / growth & development
  • Gram-Negative Bacteria / metabolism
  • Gram-Positive Bacteria / growth & development
  • Gram-Positive Bacteria / metabolism
  • Humans
  • Intestinal Mucosa / metabolism
  • Intestines / microbiology
  • Lipopolysaccharides / metabolism
  • Lipopolysaccharides / pharmacokinetics
  • Lipopolysaccharides / toxicity
  • Liver / drug effects
  • Liver / physiopathology
  • Non-alcoholic Fatty Liver Disease
  • Permeability

Substances

  • Lipopolysaccharides