Diet plays a critical role in chronic liver disease and liver cancer

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Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease worldwide.

NAFLD patients are at higher risk of developing non-alcoholic steatohepatitis (NASH), which causes severe and chronic liver inflammation, fibrosis and liver damage.

A patient with NASH is believed to be at high risk for developing a form of liver cancer called hepatocellular carcinoma (HCC).

Apart from lifestyle interventions, there are currently no approved treatments for NASH. A liver transplant is sometimes the only remedy.

The risk factors for NASH (obesity, type-2 diabetes and gene mutations like PNPLA3) and HCC (Hepatitis B and C infections, alcohol overconsumption and cirrhosis) are well known.

But the precise mechanism of how simple fatty liver progresses to chronic inflammation, liver fibrosis, NASH and HCC is not known.

In a new study from the University of California San Diego, researchers found that a Western diet rich in calories, fat and cholesterol, can lead to NASH, which progressed to liver cancer, chronic kidney and heart disease.

The findings showed that by simply changing the Western diet to a normal chow diet, where calories are derived from proteins and carbohydrates rather than fats, with no cholesterol, NASH and liver fibrosis were improved; and cancer progression and mortality prevented.

This suggests that NASH and liver cancer may be preventable disease and that diet plays a crucial role in the disease outcome.

In mice no longer fed the Western diet, researchers also found a decrease in liver fat and improvement in glucose tolerance—an indicator of diabetes—and several genes and cytokines that were affected in NASH returned to normal levels and function.

In addition, they found key changes in the gut microbiome that modulate liver disease progression.

Although NASH is a liver disease, the results show its development and progression are orchestrated by multiple organs.

Researchers also compared mouse model findings to human patient datasets, showing that gene expression changes in mouse livers were similar to human counterparts.

If you care about liver health, please read studies about a big cause of leaky gut, fatty liver disease and findings of this dietary supplement may help treat fatty liver disease.

For more information about liver disease prevention and treatment, please see recent studies about this common soap additive may worsen fatty liver disease and results showing that these two wholegrain foods may reduce weight gain and liver inflammation.

The study is published in Cellular and Molecular Gastroenterology and Hepatology. One author of the study is Debanjan Dhar, Ph.D.

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