在Klinefelter综合征中与代谢功能障碍相关的脂肪性肝病:高患病率揭示了未满足的需求
Aldo Marrone1, Francesca Allosso1, Alfredo Caturano1
1Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
The Journal of clinical endocrinology and metabolism
|August 29, 2025
概括
克莱因费尔特综合征 (KS) 患者的代谢功能障碍相关的脂肪性肝病 (MASLD) 患病率高达45. 1%. 代谢综合征是关键预测因素,突出显示了该群体早期检测MASLD的必要性.
科学领域:
- 内分泌学
- 肝病学
- 心血管医学
背景情况:
- 克莱因菲尔特综合征 (KS) 与代谢和心血管风险的增加有关.
- 在KS中,与代谢功能失调相关的脂肪性肝病 (MASLD) 的流行率和特征仍然未被描述.
研究的目的:
- 在KS患者中研究阴性腺体,肝病和心血管风险之间的关系.
- 确定Klinefelter综合征患者中MASLD的患病率和预测因素.
主要方法:
- 在82名KS患者的截面研究中.
- 数据包括人体测量,荷尔蒙和肝功能测试以及超声波.
- 通过Fibroscan®/CAP评估的肝硬化;通过Score2/Score2-糖尿病评估的心血管风险.
主要成果:
- 在KS患者中,MASLD的患病率为45. 1%.
- MASLD患者年龄较大,体重指数,腰围和糖尿病患病率较高.
- 代谢综合征是MASLD的唯一独立预测因素;CAP与IGF-1负相关,与甘油三,HOMA- IR,WC和BMI正相关.
结论:
- 这项研究揭示了Klinefelter综合征中MASLD的大量患病率.
- 代谢综合征是KS中MASLD的重要预测因素.
- 早期发现MASLD对于治疗KS患者的代谢并发症至关重要.
更多相关视频
相关概念视频
Overview of Lipid Metabolism
2.4K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
2.4K
Inborn Errors of Metabolism
240
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
240
Diseases of the Liver and Gallbladder
965
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
965
Liver Physiology
1.1K
The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
1.1K
Cholesterol: Significance and Regulation
669
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
669
Overview of Carbohydrate Metabolism
1.7K
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
1.7K


