胰岛素抵抗和脂肪组织相互作用是代谢 (功能障碍) 相关的脂肪肝疾病病原体的基石
Shreya C Pal1,2, Nahum Méndez-Sánchez1,3
1Faculty of Medicine, National Autonomous University of Mexico, Mexico City 04510, Mexico.
World journal of gastroenterology
|July 21, 2023
概括
与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 与胰岛素抵抗 (IR) 密切相关. 了解IR和脂肪组织之间的相互作用是解决MAFLD病变的关键.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
- 代谢综合征是代谢综合征的一种.
背景情况:
- 超过75%的2型糖尿病患者患有脂肪肝.
- 胰岛素耐药性 (IR) 在流行病学上与代谢 (功能障碍) 相关的脂肪肝疾病 (MAFLD) 有关.
- MAFLD是关于非酒精性脂肪肝疾病的新名称,强调其代谢起源.
研究的目的:
- 审查胰岛素抵抗 (IR) 在MAFLD病变发生中的关键作用.
- 探索脂肪组织和IR在导致MAFLD的代谢障碍中的相互作用.
- 突出IR作为MAFLD发展的核心因素.
主要方法:
- 审查关于MAFLD,胰岛素耐药性和代谢障碍的现有文献.
- 对将IR与肝脏脂质生成联系起来的分子机制的分析.
- 检查肝硬化和系统性IR之间的双向关系.
主要成果:
- 胰岛素抵抗驱动肝脏新生脂质生成和甘油三生产的增加.
- 在IR中受损的脂肪组织脂解会增加脂肪酸流入肝脏.
- 肝脏肥胖症通过改变肝激素分泌和全身代谢而加剧IR.
结论:
- 胰岛素抵抗是MAFLD的主要驱动因素和延续者.
- 脂肪组织功能障碍和红外相互作用是MAFLD病原体的核心.
- 针对IR和代谢障碍对于管理MAFLD至关重要.
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