Feeding male crab-eating macaques between 10 and 15 years old a high-fat diet for 18 months is linked to large increases in multiple blood lipids, including triglycerides and cholesterol types,...
Mechanism
Synthesis from 1 study
When the liver gets too much fat for too long, it stops processing fats and sugars properly, so cholesterol and triglycerides build up in the blood. The liver’s energy system slows down, and its bile system gets confused, making it harder to clear fats. This imbalance lasts because the liver...
Most probable mechanism
When the liver gets flooded with fat over a long time, it can't process fats properly, so fats build up in the blood. The liver starts making too many bile acids that don't work right, which stops fats from being cleared out. At the same time, the energy-producing parts of liver cells slow down, so the body starts making more sugar instead of using fat for energy. This messes up how the body handles fats and sugars, causing cholesterol and triglycerides to rise everywhere in the blood.
Chronic dietary fat overload overwhelms hepatic lipid processing capacity, leading to excessive accumulation of triglycerides and cholesterol in hepatocytes
Hepatic bile acid conjugation is upregulated, altering bile acid composition and impairing farnesoid X receptor signaling, which reduces lipid export from liver cells
Mitochondrial tricarboxylic acid cycle activity is suppressed due to reduced citrate synthase and malate dehydrogenase expression, limiting acetyl-CoA oxidation and ATP production
Pentose phosphate pathway activity increases to generate NADPH, fueling gluconeogenesis and further disrupting metabolic flexibility
Impaired lipid clearance, reduced fatty acid oxidation, and increased hepatic glucose production synergistically elevate circulating triglycerides, LDL cholesterol, and HDL cholesterol
Less supported by current evidence, but not ruled out
Fat buildup in heart muscle cells weakens their structural support and signaling systems, which may worsen overall metabolic dysfunction by reducing energy efficiency and increasing stress signals that affect liver and fat tissue.
Lipid accumulation in cardiomyocytes triggers downregulation of integrin, cytoskeletal, and mechanotransduction proteins
Loss of cytoskeletal integrity impairs calcium handling and survival signaling, promoting cardiac remodeling and systemic inflammation
Cardiac metabolic inefficiency and stress signaling may amplify hepatic lipid dysregulation through neurohormonal and inflammatory pathways
Evidence from Studies
Supporting (1)
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Contradicting (0)
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