在成年人中治疗与代谢功能障碍相关的脂肪性肝病的胆酸
Rehab E Ashmawy1, Oleg Blyuss2,3, Dimitrinka Nikolova4
1Faculty of Medicine, Helwan University, Cairo, Egypt.
The Cochrane database of systematic reviews
|September 2, 2025
概括
本综述评估了与代谢功能失调相关的脂肪酸性肝病 (MASLD) 的口服治疗方法. 它将这些治疗与安慰剂或其他胆酸药物进行比较, 以了解它们的益处和危害.
科学领域:
- 肝病学
- 药理学
- 胃肠病学
背景情况:
- 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.
- 对于MASLD有效的治疗选择仍然有限, 需要研究新的治疗方法.
- 基于胆汁酸的口服治疗正在成为肝脏疾病的潜在干预措施.
研究的目的:
- 对患有MASLD的成年人进行口服胆汁酸治疗的有效性和安全性进行系统评估.
- 将胆酸治疗与安慰剂或没有干预进行比较.
- 为了对比不同的口服胆汁酸治疗.
主要方法:
- 本协议概述了随机对照试验的Cochrane审查.
- 该审查将包括评估任何剂量或治疗方案的口服胆汁酸治疗.
- 将与安慰剂,没有干预或替代胆酸疗法进行比较.
主要成果:
- 该审查旨在综合这些疗法的益处和危害的证据.
- 具体的结局包括肝脏组织学,生化标志物和不良事件.
- 将分析数据以确定胆酸治疗对MASLD的整体影响.
结论:
- 这些发现将为临床实践提供有关MASLD胆酸治疗的信息.
- 这一审查将发现当前研究的差距,并指导未来的研究.
- 将为医疗保健提供者和患者提供基于证据的建议.
相关概念视频
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
865
Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
865
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
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 Fatty Acid Metabolism
31.7K
Lipids also are sources of energy that power cellular processes. Like carbohydrates, lipids are composed of carbon, hydrogen, and oxygen, but these atoms are arranged differently. Most lipids are nonpolar and hydrophobic. Major types include fats and oils, waxes, phospholipids, and steroids.
Fatty acids are catabolized in a process called beta-oxidation, which takes place in the matrix of the mitochondria and converts their fatty acid chains into two-carbon units of acetyl groups. The acetyl...
Fatty acids are catabolized in a process called beta-oxidation, which takes place in the matrix of the mitochondria and converts their fatty acid chains into two-carbon units of acetyl groups. The acetyl...
31.7K
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
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


