Qian · Molecular aspects of medicine 2021 · narrative review · n=?

Autophagy in liver diseases: A review.

Cited 378 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing molecular and mechanistic concepts without systematic methodology or primary human data.

PubMed 34120768 · doi:10.1016/j.mam.2021.100973 · record verified 2026-08-30

What was done

This narrative review summarizes literature on the physiological roles of autophagy in the liver, selective autophagy pathways, molecular regulatory signaling in various hepatic cell types, and the pathological consequences of autophagy dysfunction across diverse liver diseases.

What was found

The abstract reports no numerical findings or statistical estimates. It outlines that hepatic autophagy fluctuates with nutritional status (fed versus fasting), hormonal signaling, and circadian cycles, and summarizes evidence linking defective autophagy to non-alcoholic fatty liver disease, alcohol-associated liver disease, drug-induced liver injury, cholestasis, viral hepatitis, and hepatocellular carcinoma.

Why it matters

Provides a broad mechanistic overview connecting basal and selective autophagy to liver homeostasis, highlighting autophagy pathways as candidate targets for hepatoprotective and therapeutic interventions.

Limits

As a non-systematic narrative review, it lacks formal study selection criteria, risk-of-bias assessment, or quantitative pooling. The abstract discusses broad pathophysiological concepts rather than clinical outcome data from human trials.

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