4.6 Article

Alcohol, nutrition and liver cancer: Role of Toll-like receptor signaling

期刊

WORLD JOURNAL OF GASTROENTEROLOGY
卷 16, 期 11, 页码 1344-1348

出版社

BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v16.i11.1344

关键词

Toll-like receptor; Hepatocellular carcinoma; Methyl donors, Epigenetic processes; Inflammation; Alcohol; Drug toxicity; Lipopolysaccharides

资金

  1. NIH/NIAAA [8116]
  2. Alcohol Center Grant on Liver and Pancreas [P50-011999]
  3. Morphology Core

向作者/读者索取更多资源

This article reviews the evidence that ties the development of hepatocellular carcinoma (HCC) to the natural immune pro-inflammatory response to chronic liver disease, with a focus on the role of Toll-like receptor (TLR) signaling as the mechanism of liver stem cell/progenitor transformation to HCC. Two exemplary models of this phenomenon are reviewed in detail. One model applies chronic ethanol/lipopolysaccharide feeding to the activated TLR4 signaling pathway. The other applies chronic feeding of a carcinogenic drug, in which TLR2 and 4 signaling pathways are activated. In the drug-induced model, two major methyl donors, S-adenosylmethionine and betaine, prevent the upregulation of the TLR signaling pathways and abrogate the stem cell/progenitor proliferation response when fed with the carcinogenic drug. This observation supports a nutritional approach to liver cancer prevention and treatment. The observation that upregulation of the TLR signaling pathways leads to liver tumor formation gives evidence to the popular concept that the chronic pro-inflammatory response is an important mechanism of liver oncogenesis. It provides a nutritional approach, which could prevent HCC from developing in many chronic liver diseases. (C) 2010 Baishideng. All rights reserved.

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