KEGG   PATHWAY: ptg04932
Entry
ptg04932                    Pathway                                
Name
Non-alcoholic fatty liver disease - Panthera tigris altaica (Amur tiger)
Description
Non-alcoholic fatty liver disease (NAFLD) represents a spectrum ranging from simple steatosis to more severe steatohepatitis with hepatic inflammation and fibrosis, known as nonalcoholic steatohepatitis (NASH). NASH may further lead to cirrhosis and hepatocellular carcinoma (HCC). This map shows a stage-dependent progression of NAFLD. In the first stage of NAFLD, excess lipid accumulation has been demonstrated. The main cause is the induction of insulin resistance, which leads to a defect in insulin suppression of free fatty acids (FAAs) disposal. In addition, two transcription factors, SREBP-1c and PPAR-alpha, activate key enzymes of lipogenesis and increase the synthesis of FAAs in liver. In the second stage, as a consequence of the progression to NASH, the production of reactive oxygen species (ROS) is enhanced due to oxidation stress through mitochondrial beta-oxidation of fatty acids and endoplamic reticulum (ER) stress, leading to lipid peroxidation. The lipid peroxidation can further cause the production of cytokines (Fas ligand, TNF-alpha, IL-8 and TGF), promoting cell death, inflammation and fibrosis. The activation of JNK, which is induced by ER stress, TNF-alpha and FAAs, is also associated with NAFLD progression. Increased JNK promotes cytokine production and initiation of HCC.
Class
Human Diseases; Endocrine and metabolic disease
Pathway map
ptg04932  Non-alcoholic fatty liver disease
ptg04932

Organism
Panthera tigris altaica (Amur tiger) [GN:ptg]
Gene
102968780  IL6; interleukin 6 [KO:K05405]
102951407  IL6R; interleukin 6 receptor [KO:K05055]
102958919  TNF; tumor necrosis factor [KO:K03156]
102956793  TNFRSF1A; TNF receptor superfamily member 1A [KO:K03158]
102964232  NFKB1; nuclear factor kappa B subunit 1 [KO:K02580]
102951132  RELA; RELA proto-oncogene, NF-kB subunit [KO:K04735]
102967156  INSR; insulin receptor [KO:K04527] [EC:2.7.10.1]
102965599  IRS1; insulin receptor substrate 1 [KO:K16172]
102953082  PIK3CD; phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit delta [KO:K00922] [EC:2.7.1.153]
102965070  PIK3CA; phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha [KO:K00922] [EC:2.7.1.153]
102972487  PIK3CB; phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta [KO:K00922] [EC:2.7.1.153]
102949853  PIK3R3; phosphoinositide-3-kinase regulatory subunit 3 [KO:K02649]
102952993  PIK3R1; phosphoinositide-3-kinase regulatory subunit 1 [KO:K02649]
102967709  PIK3R2; phosphoinositide-3-kinase regulatory subunit 2 [KO:K02649]
102952603  AKT3; AKT serine/threonine kinase 3 [KO:K04456] [EC:2.7.11.1]
102954757  AKT2; AKT serine/threonine kinase 2 [KO:K04456] [EC:2.7.11.1]
102954186  GSK3A; glycogen synthase kinase 3 alpha [KO:K08822] [EC:2.7.11.26]
102961382  GSK3B; glycogen synthase kinase 3 beta [KO:K03083] [EC:2.7.11.26]
102961389  NR1H3; nuclear receptor subfamily 1 group H member 3 [KO:K08536]
102967397  SREBF1; sterol regulatory element binding transcription factor 1 [KO:K07197]
102968794  MLXIPL; MLX interacting protein like [KO:K09113]
102970116  MLXIP; MLX interacting protein [KO:K09113]
102959400  MLX; MLX, MAX dimerization protein [KO:K09113]
102971027  PKLR; pyruvate kinase, liver and RBC [KO:K12406] [EC:2.7.1.40]
102953663  LEP; leptin [KO:K05424]
102958761  LEPR; leptin receptor [KO:K05062]
102960062  ADIPOQ; adiponectin, C1Q and collagen domain containing [KO:K07296]
102957726  ADIPOR2; adiponectin receptor 2 [KO:K07297]
102951965  ADIPOR1; adiponectin receptor 1 [KO:K07297]
102970831  PRKAA2; protein kinase AMP-activated catalytic subunit alpha 2 [KO:K07198] [EC:2.7.11.31]
102956343  PRKAA1; protein kinase AMP-activated catalytic subunit alpha 1 [KO:K07198] [EC:2.7.11.31]
102972403  PRKAB2; protein kinase AMP-activated non-catalytic subunit beta 2 [KO:K07199]
102952112  PRKAB1; protein kinase AMP-activated non-catalytic subunit beta 1 [KO:K07199]
102951896  PRKAG1; protein kinase AMP-activated non-catalytic subunit gamma 1 [KO:K07200]
102960269  PRKAG2; protein kinase AMP-activated non-catalytic subunit gamma 2 [KO:K07200]
102959115  PRKAG3; protein kinase AMP-activated non-catalytic subunit gamma 3 [KO:K07200]
102968191  MAPK13; mitogen-activated protein kinase 13 [KO:K04441] [EC:2.7.11.24]
102960306  MAPK12; mitogen-activated protein kinase 12 [KO:K04441] [EC:2.7.11.24]
102960590  MAPK11; mitogen-activated protein kinase 11 [KO:K04441] [EC:2.7.11.24]
102968482  MAPK14; mitogen-activated protein kinase 14 [KO:K04441] [EC:2.7.11.24]
102971837  PPARA; peroxisome proliferator activated receptor alpha [KO:K07294]
102957164  PPARG; peroxisome proliferator activated receptor gamma [KO:K08530]
102973021  CDC42; cell division cycle 42 [KO:K04393]
102968561  RAC1; ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1) [KO:K04392]
102959159  MAPK10; mitogen-activated protein kinase 10 [KO:K04440] [EC:2.7.11.24]
102950880  MAPK8; mitogen-activated protein kinase 8 [KO:K04440] [EC:2.7.11.24]
102963096  MAPK9; mitogen-activated protein kinase 9 [KO:K04440] [EC:2.7.11.24]
102963505  ITCH; itchy E3 ubiquitin protein ligase [KO:K05632] [EC:2.3.2.26]
102955540  ERN1; endoplasmic reticulum to nucleus signaling 1 [KO:K08852] [EC:2.7.11.1 3.1.26.-]
102966802  TRAF2; TNF receptor associated factor 2 [KO:K03173] [EC:2.3.2.27]
102960317  MAP3K5; mitogen-activated protein kinase kinase kinase 5 [KO:K04426] [EC:2.7.11.25]
102952769  FOS; Fos proto-oncogene, AP-1 transcription factor subunit [KO:K04379]
102958666  JUN; Jun proto-oncogene, AP-1 transcription factor subunit [KO:K04448]
102951574  IL1A; interleukin 1 alpha [KO:K04383]
102951272  IL1B; interleukin 1 beta [KO:K04519]
102963734  IKBKB; inhibitor of nuclear factor kappa B kinase subunit beta [KO:K07209] [EC:2.7.11.10]
102961098  XBP1; X-box binding protein 1 [KO:K09027]
102969051  cytochrome P450 2E1 [KO:K07415] [EC:1.14.14.-]
102953222  FASLG; Fas ligand [KO:K04389]
102953898  interleukin-8-like [KO:K10030]
102953024  IL8; interleukin-8 [KO:K10030]
102951285  TGFB1; transforming growth factor beta 1 [KO:K13375]
102963843  EIF2AK3; eukaryotic translation initiation factor 2 alpha kinase 3 [KO:K08860] [EC:2.7.11.1]
102962011  EIF2S1; eukaryotic translation initiation factor 2 subunit alpha [KO:K03237]
102950077  ATF4; activating transcription factor 4 [KO:K04374]
102965918  DDIT3; DNA damage inducible transcript 3 [KO:K04452]
102956471  BCL2L11; BCL2 like 11 [KO:K16341]
102949153  BAX; BCL2 associated X, apoptosis regulator [KO:K02159]
102958442  FAS; Fas cell surface death receptor [KO:K04390]
102962460  CASP8; caspase 8 [KO:K04398] [EC:3.4.22.61]
102951809  BID; BH3 interacting domain death agonist [KO:K04726]
102966744  cytochrome c 2-like [KO:K08738]
102952864  cytochrome c-like [KO:K08738]
102960081  cytochrome c [KO:K08738]
102954729  CASP3; caspase 3 [KO:K02187] [EC:3.4.22.56]
102951959  CASP7; caspase 7 [KO:K04397] [EC:3.4.22.60]
102964581  NDUFV1; NADH:ubiquinone oxidoreductase core subunit V1 [KO:K03942] [EC:7.1.1.2]
102966551  NDUFV2; NADH:ubiquinone oxidoreductase core subunit V2 [KO:K03943] [EC:7.1.1.2]
102965900  NDUFV3; NADH:ubiquinone oxidoreductase subunit V3 [KO:K03944]
102960858  NADH dehydrogenase [ubiquinone] 1 alpha subcomplex subunit 1-like [KO:K03945]
102964097  NDUFA1; NADH:ubiquinone oxidoreductase subunit A1 [KO:K03945]
102950382  NADH dehydrogenase [ubiquinone] 1 alpha subcomplex subunit 1-like [KO:K03945]
102955496  NDUFA2; NADH:ubiquinone oxidoreductase subunit A2 [KO:K03946]
102957607  NDUFA3; NADH:ubiquinone oxidoreductase subunit A3 [KO:K03947]
102961267  NDUFA4; NDUFA4, mitochondrial complex associated [KO:K03948]
102951077  NDUFA4L2; NDUFA4, mitochondrial complex associated like 2 [KO:K03948]
102962666  NDUFA5; NADH:ubiquinone oxidoreductase subunit A5 [KO:K03949]
102963930  NDUFA6; NADH:ubiquinone oxidoreductase subunit A6 [KO:K03950]
102963683  NDUFA7; NADH:ubiquinone oxidoreductase subunit A7 [KO:K03951]
102966891  NDUFA8; NADH:ubiquinone oxidoreductase subunit A8 [KO:K03952]
102958206  NDUFA9; NADH:ubiquinone oxidoreductase subunit A9 [KO:K03953]
102962736  NDUFA10; NADH:ubiquinone oxidoreductase subunit A10 [KO:K03954]
102953991  NDUFAB1; NADH:ubiquinone oxidoreductase subunit AB1 [KO:K03955]
102972128  NDUFA11; NADH:ubiquinone oxidoreductase subunit A11 [KO:K03956]
102956958  NDUFA12; NADH:ubiquinone oxidoreductase subunit A12 [KO:K11352]
102966469  NDUFA13; NADH:ubiquinone oxidoreductase subunit A13 [KO:K11353]
102970864  NDUFB1; NADH:ubiquinone oxidoreductase subunit B1 [KO:K03957]
102968764  NDUFB2; NADH:ubiquinone oxidoreductase subunit B2 [KO:K03958]
102964265  NDUFB3; NADH:ubiquinone oxidoreductase subunit B3 [KO:K03959]
102960332  NDUFB4; NADH:ubiquinone oxidoreductase subunit B4 [KO:K03960]
102962692  NDUFB5; NADH:ubiquinone oxidoreductase subunit B5 [KO:K03961]
102951920  NDUFB6; NADH:ubiquinone oxidoreductase subunit B6 [KO:K03962]
102951766  NDUFB8; NADH:ubiquinone oxidoreductase subunit B8 [KO:K03964]
102953273  NDUFB9; NADH:ubiquinone oxidoreductase subunit B9 [KO:K03965]
102968755  NDUFB10; NADH:ubiquinone oxidoreductase subunit B10 [KO:K03966]
102964329  NDUFB11; NADH:ubiquinone oxidoreductase subunit B11 [KO:K11351]
102951216  NDUFS1; NADH:ubiquinone oxidoreductase core subunit S1 [KO:K03934] [EC:7.1.1.2]
102956606  NDUFS2; NADH:ubiquinone oxidoreductase core subunit S2 [KO:K03935] [EC:7.1.1.2]
102967222  NDUFS3; NADH:ubiquinone oxidoreductase core subunit S3 [KO:K03936] [EC:7.1.1.2]
102954909  NDUFS4; NADH:ubiquinone oxidoreductase subunit S4 [KO:K03937]
102967539  NDUFS5; NADH:ubiquinone oxidoreductase subunit S5 [KO:K03938]
102967094  NADH dehydrogenase [ubiquinone] iron-sulfur protein 6, mitochondrial-like [KO:K03939]
107179064  NDUFS6; NADH:ubiquinone oxidoreductase subunit S6 [KO:K03939]
102972527  NDUFS7; NADH:ubiquinone oxidoreductase core subunit S7 [KO:K03940] [EC:7.1.1.2]
102950278  NADH-quinone oxidoreductase subunit I-like [KO:K03941] [EC:7.1.1.2]
102963800  NDUFS8; NADH:ubiquinone oxidoreductase core subunit S8 [KO:K03941] [EC:7.1.1.2]
102953727  NDUFC1; NADH:ubiquinone oxidoreductase subunit C1 [KO:K03967]
102966043  NDUFC2; NADH:ubiquinone oxidoreductase subunit C2 [KO:K03968]
102949810  SDHA; succinate dehydrogenase complex flavoprotein subunit A [KO:K00234] [EC:1.3.5.1]
102961107  SDHB; succinate dehydrogenase complex iron sulfur subunit B [KO:K00235] [EC:1.3.5.1]
102958685  SDHC; succinate dehydrogenase complex subunit C [KO:K00236]
102952867  SDHD; succinate dehydrogenase complex subunit D [KO:K00237]
102964791  cytochrome b-c1 complex subunit Rieske, mitochondrial [KO:K00411] [EC:7.1.1.8]
102954021  cytochrome c1, heme protein, mitochondrial [KO:K00413]
102967145  cytochrome b-c1 complex subunit 1, mitochondrial [KO:K00414]
102961769  cytochrome b-c1 complex subunit 2, mitochondrial [KO:K00415]
102972429  cytochrome b-c1 complex subunit 6, mitochondrial [KO:K00416]
102958491  cytochrome b-c1 complex subunit 7 [KO:K00417]
102961512  cytochrome b-c1 complex subunit 8 [KO:K00418]
107179658  cytochrome b-c1 complex subunit 9 [KO:K00419]
102953539  cytochrome b-c1 complex subunit 10 [KO:K00420]
102949741  cytochrome c oxidase subunit 4 isoform 2, mitochondrial [KO:K02263]
102968374  COX4; cytochrome c oxidase subunit 4 isoform 1, mitochondrial [KO:K02263]
102965948  cytochrome c oxidase subunit 5A, mitochondrial-like [KO:K02264]
102972662  cytochrome c oxidase subunit 5A, mitochondrial [KO:K02264]
102970017  cytochrome c oxidase subunit 5B, mitochondrial [KO:K02265]
102954128  cytochrome c oxidase subunit 6A1, mitochondrial [KO:K02266]
102959733  cytochrome c oxidase subunit 6A2, mitochondrial [KO:K02266]
102969700  cytochrome c oxidase subunit 6B1-like [KO:K02267]
102959649  cytochrome c oxidase subunit 6B1 [KO:K02267]
107181236  cytochrome c oxidase subunit 6B1-like [KO:K02267]
102964462  cytochrome c oxidase subunit 6C [KO:K02268]
102967026  cytochrome c oxidase subunit 7A-related protein, mitochondrial [KO:K02270]
102955153  cytochrome c oxidase subunit 7A2, mitochondrial [KO:K02270]
102969642  cytochrome c oxidase subunit 7A1, mitochondrial [KO:K02270]
102951800  cytochrome c oxidase subunit 7B, mitochondrial [KO:K02271]
102970291  cytochrome c oxidase subunit 7B2, mitochondrial [KO:K02271]
102967492  cytochrome c oxidase subunit 7C, mitochondrial [KO:K02272]
102954518  cytochrome c oxidase subunit 7C, mitochondrial [KO:K02272]
102960097  cytochrome c oxidase subunit 8A, mitochondrial [KO:K02273]
Compound
C00031  D-Glucose
C00162  Fatty acid
Reference
  Authors
Naik A, Kosir R, Rozman D
  Title
Genomic aspects of NAFLD pathogenesis.
  Journal
Genomics 102:84-95 (2013)
DOI:10.1016/j.ygeno.2013.03.007
Reference
  Authors
Malaguarnera M, Di Rosa M, Nicoletti F, Malaguarnera L
  Title
Molecular mechanisms involved in NAFLD progression.
  Journal
J Mol Med (Berl) 87:679-95 (2009)
DOI:10.1007/s00109-009-0464-1
Reference
  Authors
Seki E, Brenner DA, Karin M
  Title
A liver full of JNK: signaling in regulation of cell function and disease pathogenesis, and clinical approaches.
  Journal
Gastroenterology 143:307-20 (2012)
DOI:10.1053/j.gastro.2012.06.004
Reference
  Authors
Tilg H, Moschen AR
  Title
Evolution of inflammation in nonalcoholic fatty liver disease: the multiple parallel hits hypothesis.
  Journal
Hepatology 52:1836-46 (2010)
DOI:10.1002/hep.24001
Reference
  Authors
Larter CZ, Farrell GC
  Title
Insulin resistance, adiponectin, cytokines in NASH: Which is the best target to treat?
  Journal
J Hepatol 44:253-61 (2006)
DOI:10.1016/j.jhep.2005.11.030
Reference
  Authors
Farrell GC, van Rooyen D, Gan L, Chitturi S
  Title
NASH is an Inflammatory Disorder: Pathogenic, Prognostic and Therapeutic Implications.
  Journal
Gut Liver 6:149-71 (2012)
DOI:10.5009/gnl.2012.6.2.149
Reference
  Authors
Shapiro H, Tehilla M, Attal-Singer J, Bruck R, Luzzatti R, Singer P
  Title
The therapeutic potential of long-chain omega-3 fatty acids in nonalcoholic fatty liver disease.
  Journal
Clin Nutr 30:6-19 (2011)
DOI:10.1016/j.clnu.2010.06.001
Reference
  Authors
Hotamisligil GS
  Title
Endoplasmic reticulum stress and the inflammatory basis of metabolic disease.
  Journal
Cell 140:900-17 (2010)
DOI:10.1016/j.cell.2010.02.034
Reference
  Authors
Parekh S, Anania FA
  Title
Abnormal lipid and glucose metabolism in obesity: implications for nonalcoholic fatty liver disease.
  Journal
Gastroenterology 132:2191-207 (2007)
DOI:10.1053/j.gastro.2007.03.055
Reference
  Authors
Schattenberg JM, Singh R, Wang Y, Lefkowitch JH, Rigoli RM, Scherer PE, Czaja MJ
  Title
JNK1 but not JNK2 promotes the development of steatohepatitis in mice.
  Journal
Hepatology 43:163-72 (2006)
DOI:10.1002/hep.20999
Reference
  Authors
Leung TM, Nieto N
  Title
CYP2E1 and oxidant stress in alcoholic and non-alcoholic fatty liver disease.
  Journal
J Hepatol 58:395-8 (2013)
DOI:10.1016/j.jhep.2012.08.018
Reference
  Authors
Zafrani ES
  Title
Non-alcoholic fatty liver disease: an emerging pathological spectrum.
  Journal
Virchows Arch 444:3-12 (2004)
DOI:10.1007/s00428-003-0943-7
Reference
  Authors
Feldstein AE, Canbay A, Angulo P, Taniai M, Burgart LJ, Lindor KD, Gores GJ
  Title
Hepatocyte apoptosis and fas expression are prominent features of human nonalcoholic steatohepatitis.
  Journal
Gastroenterology 125:437-43 (2003)
DOI:10.1016/S0016-5085(03)00907-7
Reference
  Authors
Begriche K, Igoudjil A, Pessayre D, Fromenty B
  Title
Mitochondrial dysfunction in NASH: causes, consequences and possible means to prevent it.
  Journal
Mitochondrion 6:1-28 (2006)
DOI:10.1016/j.mito.2005.10.004
Reference
PMID:9285483
  Authors
Leonarduzzi G, Scavazza A, Biasi F, Chiarpotto E, Camandola S, Vogel S, Dargel R, Poli G
  Title
The lipid peroxidation end product 4-hydroxy-2,3-nonenal up-regulates transforming growth factor beta1 expression in the macrophage lineage: a link between oxidative injury and fibrosclerosis.
  Journal
FASEB J 11:851-7 (1997)
DOI:10.1096/fasebj.11.11.9285483
Reference
  Authors
Malhi H, Kaufman RJ
  Title
Endoplasmic reticulum stress in liver disease.
  Journal
J Hepatol 54:795-809 (2011)
DOI:10.1016/j.jhep.2010.11.005
Reference
  Authors
Mantena SK, King AL, Andringa KK, Eccleston HB, Bailey SM
  Title
Mitochondrial dysfunction and oxidative stress in the pathogenesis of alcohol- and obesity-induced fatty liver diseases.
  Journal
Free Radic Biol Med 44:1259-72 (2008)
DOI:10.1016/j.freeradbiomed.2007.12.029
Reference
  Authors
Serviddio G, Sastre J, Bellanti F, Vina J, Vendemiale G, Altomare E
  Title
Mitochondrial involvement in non-alcoholic steatohepatitis.
  Journal
Mol Aspects Med 29:22-35 (2008)
DOI:10.1016/j.mam.2007.09.014
Reference
  Authors
Begriche K, Massart J, Robin MA, Bonnet F, Fromenty B
  Title
Mitochondrial adaptations and dysfunctions in nonalcoholic fatty liver disease.
  Journal
Hepatology 58:1497-507 (2013)
DOI:10.1002/hep.26226
Related
pathway
ptg00061  Fatty acid biosynthesis
ptg00190  Oxidative phosphorylation
ptg03320  PPAR signaling pathway
ptg04141  Protein processing in endoplasmic reticulum
ptg04151  PI3K-Akt signaling pathway
ptg04210  Apoptosis
ptg04668  TNF signaling pathway
ptg04920  Adipocytokine signaling pathway
ptg04930  Type II diabetes mellitus
KO pathway
ko04932   
LinkDB

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