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Fatty Liver

I was reading this blog post (https://ggenereux.blog/2020/02/19/100-million-americans-now-have-nafld/) making the argument that fatty liver is yellow due to excessive vitamin A storage where Grant says "What am I missing here? Has no one ever before bothered to ask the obvious question: why has that NAFLDed liver turned YELLOW?". I then googled "why does fatty liver turn yellow" and found it's due to a poorly functioning liver that is unable get rid of bilirubin. Bilirubin is just a red-orange compound that occurs in the normal breakdown of heme in vertebrates.

Was this just an oversight or is there evidence that bilirubin is not the actual cause of a yellow fatty liver?

Hi @anon33,

Google: Percentage of vitamin A stored in stellate cels?

HSCs (hepatic stellate cells) (also called vitamin A-storing cells, lipocytes, interstitial cells, fat-storing cells or Ito cells) exist in the space between parenchymal cells and liver sinusoidal endothelial cells of the hepatic lobule and store 50-80% of vitamin A in the whole body as retinyl palmitate in lipid ...
 
Vitamin A and beta carotene are yellow.
 
It's the same reason people have their skin turn yellow from eating too much beta carotene.
 
 
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Quote from ggenereux on November 26, 2023, 7:49 am

Hi @anon33,

Google: Percentage of vitamin A stored in stellate cels?

HSCs (hepatic stellate cells) (also called vitamin A-storing cells, lipocytes, interstitial cells, fat-storing cells or Ito cells) exist in the space between parenchymal cells and liver sinusoidal endothelial cells of the hepatic lobule and store 50-80% of vitamin A in the whole body as retinyl palmitate in lipid ...
 
Vitamin A and beta carotene are yellow.
 
It's the same reason people have their skin turn yellow from eating too much beta carotene.
 
 

Am I missing here something or this information* does not contradict the thesis that the liver turns yellow because of the bilirubin, not vA?

*- information that 50-80% of vA in the body is located in the liver.

 

I mean: liver can still hold 50-80% of vA in the body, but turn yellow only because of wrong bilirubin metabolism. This pair is not possible?

 
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