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第46卷第9期
               ·1390 ·                           南 京    医 科 大 学 学         报                        2026年9月


                              表1 脂滴⁃线粒体接触点在肝脏代谢损伤与缺血再灌注损伤中的重要研究成果归纳
              Table 1  Summary of important research results on lipid droplet mitochondrial contact points in liver metabolic injury and
                      ischemia⁃reperfusion injury

                               Key molecules/                                   Significance related to liver  Main
                Research topic                      Main research conclusion
                                 phenomena                                             disease        references
               Basic structural pat⁃ Dynamic contact,Lipid droplet mitochondrial contact is not Provide structural basis for [9-10]
               tern of contact points anchoring sample randomly adjacent,but a functional microdo⁃ subsequent lipid transport,en⁃
                              contact        main regulated by nutritional status,tissue ergy allocation,and stress res⁃
                                             type,and metabolic needs          ponse
               Core tethering pro⁃ PLIN5     PLIN5 is located on the surface of lipid drop⁃ It is the core entry point for un⁃  [3]
               tein                          lets,promoting physical and metabolic cou⁃ derstanding the coupling be⁃
                                             pling between lipid droplets and mitochon⁃ tween lipid droplet lipolysis
                                             dria,and is currently the most extensively and  mitochondrial  substrate
                                             supported key bridging molecule   utilization

               Ternary interactive  MIGA2    MIGA2 can simultaneously connect mito⁃ Expanded the mechanism hier⁃  [12]
               network                       chondria,endoplasmic reticulum,and lipid archy of liver cell lipid droplet
                                             droplets,indicating that lipid droplet mito⁃ contact research
                                             chondrial contact is not an isolated binary
                                             structure,but can be incorporated into larger
                                             organelle interaction networks
               Contact points are Mfn2 and mito⁃ The attachment of mitochondria to lipid drop⁃ The function of the contact [13-14]
               regulated by mito⁃ chondrial  fusion lets and the effective transport of fatty acids point is not only determined by
               chondrial dynamics state      from lipid droplets depend on the dynamic the tethering protein,but also
                                             state of mitochondria,and impaired fusion controlled by the mitochondrial
                                             can lead to an imbalance in fatty acid utiliza⁃ state
                                             tion
               Localmetaboliccom⁃ ACSL1,CPT1a,  A local metabolic complex is formed near the Explained why contact points [15-16]
               plex promotes fatty VDAC      contact site for fatty acid activation and mito⁃ can determine lipid fate and
               acid utilization              chondrial uptake,which enhances the spatial energy allocation
                                             efficiency of β⁃oxidation
               Organizational het⁃ PDM/LD  related Mitochondria attached to lipid droplets in Supported the contact point in [4,17]
               erogeneity of con⁃ mitochondria  brown adipose tissue tend to support lipid the liver to be closer to the“li⁃
               tact points                   droplet amplification and reesterification;potoxicity  buffer  oxidative
                                             mitochondria related to lipid droplets in the shunt platform”
                                             liver are more inclined towards fatty acid oxi⁃
                                             dation
               Early compensation Mitochondrial res⁃ The compensatory enhancement of liver mito⁃ Supported a phased framework [6,20]
               of MASLD       piratory  compen⁃ chondrial function during the stage of simple of“early compensation and lat⁃
                              sation         fatty liver suggests that lipid droplet mito⁃ er imbalance”
                                             chondrial coupling may have adaptive signifi⁃
                                             cance in the early stages
               Contact  reshaping PDM features are The correlation between contact patterns and The value of strengthening [7,29]
               in the progress of related to the se⁃ the severity of MASLD suggests that its touchpoints as nodes for dis⁃
               MASLD          verity of the dis⁃ changes may not be accompanying phenome⁃ ease stratification and mecha⁃
                              ease           na,but rather an important component of dis⁃ nism stratification
                                             ease progression
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