对MASH的潜在治疗策略:从临床前发展到临床发展
Zhifu Xie1, Yufeng Li1, Long Cheng1,2
1State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.
与代谢功能障碍相关的脂肪肝炎 (MASH) 的新疗法正在出现,针对肝脏脂肪,炎症和纤维化. 本综述探讨了有希望的候选药物和改善MASH治疗结果的策略.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 药理学 药理学是指药理学的学科.
- 代谢疾病 代谢疾病
背景情况:
- 目前的代谢功能障碍相关的脂肪肝炎 (MASH) 治疗依赖于饮食和现有药物,特定药物批准有限.
- 对于针对潜在的病理机制的有针对性的MASH疗法存在重大未满足的需求.
研究的目的:
- 审查MASH的病理生理学和最近的治疗进展.
- 分析针对肝脂代谢,炎症和纤维化的新策略.
主要方法:
- 对MASH治疗药物的临床前和临床研究的文献综述.
- 药物类别的分析,包括脂质生成抑制剂,核受体激动剂,GLP-1R激动剂和FGF模仿剂.
- 对MASH的组合治疗方法的评估.
主要成果:
- 对于MASH,已经确定了几个有前途的治疗标和候选药物.
- 脂质生成抑制剂,核受体激动剂,GLP-1R激动剂和FGF模仿剂显示出潜在的作用.
- 组合策略可能为MASH治疗提供更高的疗效.
结论:
- 为优化MASH的治疗前景,需要采取多重目标的方法.
- 新兴疗法在解决MASH复杂的病理生理学方面表现有前途.
- 对于新型MASH候选药物的进一步临床开发至关重要.
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