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Mechanisms of copper metabolism and cuproptosis: implications for liver diseases

Hao Chen, Dongxuan Li, Huimin Zhang, Meiqi Zhang, Yumeng Lin, Hailan He, Aijun Liu, Shiming Shen, Yi Wang, Zhongyu Han

2025Frontiers in Immunology17 citationsDOIOpen Access PDF

Abstract

Copper is an essential trace element in the human body, involved in various biological processes, including cell metabolism, nerve development, and immune function. Its homeostasis is vital for maintaining normal cellular functions, and disruptions in copper homeostasis can lead to a wide range of diseases. Cuproptosis is a copper ion-dependent form of programmed cell death that leads to abnormal oligomerization of lipoylated proteins and dysfunction of iron-sulfur cluster proteins in the mitochondrial tricarboxylic acid (TCA) cycle, thereby triggering intracellular oxidative stress and proteotoxic stress. In this review, we have delved into the mechanisms of copper metabolism and cuproptosis, as well as their roles in several liver diseases, including Wilson disease (WD), alcoholic liver disease (ALD), non-alcoholic fatty liver disease (NAFLD), acute liver injury (ALI), and hepatocellular carcinoma (HCC), as well as their therapeutic potential.

Topics & Concepts

Alcoholic liver diseaseOxidative stressMitochondrionHomeostasisProgrammed cell deathIntracellularFatty liverMetabolismCitric acid cycleBiologyChemistryCell biologyMedicineBiochemistryDiseaseApoptosisInternal medicineCirrhosisTrace Elements in HealthDrug Transport and Resistance MechanismsLiver Disease Diagnosis and Treatment