骨髓炎:诊断,病理生理学和代谢功能障碍相关的脂肪性肝病的后果
Guillaume Henin1,2, Audrey Loumaye3, Isabelle A Leclercq2
1Service d'Hépato-Gastroentérologie, Cliniques universitaires Saint-Luc, UCLouvain, Brussels, Belgium.
JHEP reports : innovation in hepatology
|February 7, 2024
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 通常涉及肌肉变化,如肌肉骨病. 本综述重点介绍了MASLD骨髓炎的评估工具,机制和后果,强调了它对患者管理的相关性.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
- 肌肉生理学 肌肉生理学
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 与多系统性并发症有关.
- 肌肉变化,包括sarcopenia和骨髓炎,可以对MASLD患者的肝功能产生负面影响.
研究的目的:
- 系统地审查MASLD中的骨髓炎的创新评估工具.
- 为了阐明导致MASLD骨髓炎的病理生理机制.
- 为了识别MASLD中的骨髓炎的代谢后果.
主要方法:
- 从PubMed,EMBASE和Cochrane数据库中对原始文章进行系统审查.
- 包括14项临床前研究和32项临床研究.
- 分析评估技术 (显微镜,脂质提取,CT,MRI,超声波) 和受影响的肌肉.
主要成果:
- 显微镜和脂质提取是临床前骨髓炎评估的关键;CT,MRI和超声波在临床研究中是主要的.
- 骨髓炎甚至在MASLD早期阶段也很普遍,并且与疾病活动 (CT肌肉密度) 相相关.
- 确定的机制包括饮食,脂肪酸失调,内分泌问题和microRNA122信号传递.
结论:
- 骨髓炎在MASLD中很常见,与疾病活动和进展有关.
- 潜在的后果包括胰岛素耐药性,进展到代谢性脂肪肝炎和肌肉衰弱.
- 肌肉骨病的查对MASLD的管理具有临床意义.
关键词:
马什 (MASH) 是一个非常重要的产品.马斯尔德 马斯尔德是什么意思亚迪波基因 (Adipokine) 是一种可靠的药物.肝毒素 (hepatokines) 是一种肝毒素.这是一种炎症炎症炎症炎症.胰岛素耐药性是一种胰岛素耐药性.肝脏 肝脏 肝脏 肝脏 肝脏 肝脏与代谢功能障碍相关的脂肪肝炎.与代谢功能障碍相关的脂肪性肝病.肌肉 肌肉 肌肉 肌肉 肌肉肌痛的原因是 myokines 的作用.骨髓骨质炎 (myosteatosis) 是一个疾病.更多相关视频
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