与代谢功能障碍相关的脂肪性肝病的病理生理学基础
Mohammad Shafi Kuchay1, Narendra Singh Choudhary2, Bruno Ramos-Molina3
1Division of Endocrinology and Metabolism, Medanta-The Medicity, Gurugram, India.
American journal of physiology. Cell physiology
|April 17, 2025
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 是一个日益严重的全球健康问题. 了解其复杂的原因,包括遗传和环境因素,是开发这种肝病治疗新方法的关键.
科学领域:
- 肝病学和代谢疾病
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是全球慢性肝病的主要原因.
- MASLD的患病率与肥胖,代谢综合征和2型糖尿病有关,但也影响正常体重的个体 ("瘦身MASLD").
研究的目的:
- 提供MASLD病理生理学的全面概述.
- 要突出新兴的概念,如精益MASLD,表观遗传变化,以及肠肝轴.
- 讨论针对MASLD的新型治疗策略.
主要方法:
- 关于MASLD的当前科学文献的综述.
- 整合关于分子通路和细胞相互作用的知识.
- 强调最近的进展和未来的研究方向.
主要成果:
- MASLD的发病包括遗传,表观遗传和环境因素,这些因素会破坏新陈代谢的平衡.
- 脂质溢出,胰岛素抵抗和线粒体功能障碍导致肝损伤,炎症和纤维化.
- 关键的分子通路 (TGF-β,Notch,SK1) 和肠肝轴扰动在纤维化过程中至关重要.
结论:
- 了解MASLD因素的复杂相互作用对于向治疗的开发至关重要.
- 新兴的概念,如瘦MASH和肝细胞外囊泡提供了新的见解.
- 对于这种不断发展的肝病,正在研究新的治疗策略.
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