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代谢功能障碍相关的脂肪肝炎和向肝细胞癌的进展:文学综述
Haider Ghazanfar1, Nismat Javed2, Abeer Qasim2
1Division of Gastroenterology, Department of Internal Medicine, BronxCare Health System, Bronx, NY 10457, USA.
Cancers
|March 28, 2024
概括
与代谢相关的脂肪肝疾病 (MAFLD) 在全球范围内正在上升. 了解其风险因素,病变和生物标志物对于预防肝癌 (HCC) 和管理MASH进展至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢障碍 代谢障碍 代谢障碍
- 在瘤学瘤学.
背景情况:
- 与代谢相关的脂肪肝疾病 (MAFLD) 的患病率在全球范围内不断增加,主要是由于生活方式和遗传因素.
- 肥胖症,通常与代谢综合征 (肥胖,2型糖尿病) 相关,开始MASH的进展.
- 胰岛素抵抗在通过自由脂肪酸释放的肝脏脂质积累中起着关键作用.
研究的目的:
- 审查MAFLD的风险因素,病原和生物标志物及其与肝细胞癌 (HCC) 的关联.
- 探索潜在的治疗点,包括天然化合物和抗纤维菌策略.
- 强调需要加强对MASH相关的HCC的监测和诊断措施.
主要方法:
- 研究的叙述性审查.
- 在PubMed和Web of Science数据库中进行的搜索.
- 收录标准侧重于文章的可用性和语言.
主要成果:
- 与MASH相关的HCC的主要危险因素包括晚期纤维化,年龄,男性性别,代谢综合征,遗传学和饮食.
- 肝纤维化是MASH进展和HCC发展的关键预测因素.
- 自然化合物显示出调节脂质代谢和炎症的潜力.
结论:
- 针对肝纤维化对于MASH治疗和HCC预防至关重要.
- 需要进一步的研究来阐明针对性疗法风险因素的生物化学影响.
- 对MASH相关的HCC.需要有效的监测和诊断策略.
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