Review Article

Adipokines in Nonalcoholic Steatohepatitis: From Pathogenesis to Implications in Diagnosis and Therapy

Table 1

The role of different adipokines in NAFLD.

CytokineExperimental modelsClinical studies

LeptinProinflammatoryNot elevated in NAFLD/NASH
HSCs activationNo association with histology
AdiponectinAnti-inflammatoryLower in NAFLD than controls
HepatoprotectiveInversely correlates with fibrosis
ResistinProinflammatoryElevated in NASH
Possible association with fibrosis
TNF-aProinflammatoryElevated in NAFLD/NASH
LipogenicCorrelates with fibrosis
IL-6UncertainInsufficient evidence
VisfatinUncertainInsufficient evidence
RBP-4ProinflammatoryInsufficient evidence

TNF-a: tumour necrosis factor-a; IL-6: interleukin-6; RBP-4: retinol-binding protein-4; HSCs: hepatic stellate cells; NAFLD: nonalcoholic fatty liver disease; NASH: nonalcoholic steatohepatitis.