Nonalcoholic steatosis and steatohepatitis. III. Peroxisomal beta-oxidation, PPAR alpha, and steatohepatitis

Am J Physiol Gastrointest Liver Physiol. 2001 Dec;281(6):G1333-9. doi: 10.1152/ajpgi.2001.281.6.G1333.

Abstract

Peroxisomes are involved in the beta-oxidation chain shortening of long-chain and very-long-chain fatty acyl-CoAs, long-chain dicarboxylyl-CoAs, the CoA esters of eicosanoids, 2-methyl-branched fatty acyl-CoAs, and the CoA esters of the bile acid intermediates, and in the process, they generate H(2)O(2). There are two complete sets of beta-oxidation enzymes present in peroxisomes, with each set consisting of three distinct enzymes. The classic PPAR alpha-regulated and inducible set participates in the beta-oxidation of straight-chain fatty acids, whereas the second noninducible set acts on branched-chain fatty acids. Long-chain and very-long-chain fatty acids are also metabolized by the cytochrome P-450 CYP4A omega-oxidation system to dicarboxylic acids that serve as substrates for peroxisomal beta-oxidation. Evidence derived from mouse models of PPAR alpha and peroxisomal beta-oxidation deficiency highlights the critical importance of the defects in PPAR alpha-inducible beta-oxidation in energy metabolism and in the development of steatohepatitis.

Publication types

  • Review

MeSH terms

  • Animals
  • Energy Metabolism
  • Fatty Acids / metabolism
  • Fatty Liver / complications*
  • Hepatitis / complications*
  • Homeostasis
  • Humans
  • Oxidation-Reduction
  • Peroxisomal Disorders / genetics
  • Peroxisomes / enzymology*
  • Receptors, Cytoplasmic and Nuclear / physiology*
  • Transcription Factors / physiology*

Substances

  • Fatty Acids
  • Receptors, Cytoplasmic and Nuclear
  • Transcription Factors