从肠道到肝脏:探索炎症性肠病和与代谢功能障碍相关的脂肪性肝病之间的关系
Marina Amorim Lopes1, Ellen Cristina Souza Oliveira1, Ana Elisa Valencise Quaglio2
1Department of Internal Medicine, Medical School, São Paulo State University (UNESP), Botucatu 18618-687, São Paulo, Brazil.
World journal of hepatology
|September 30, 2025
概括
炎症性肠病 (IBD) 和与代谢功能障碍相关的脂肪性肝病 (MASLD) 分享肠肝轴路径. 了解这些联系可以改善IBD患者的诊断和管理.
科学领域:
- 胃肠病学和肝病学
- 微生物组研究 微生物组研究
- 代谢性疾病 代谢性疾病
背景情况:
- 炎症性肠病 (IBD) 涉及慢性胃肠道炎症.
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 将代谢变化与生活方式联系起来.
- 由于共享的机制,IBD患者患MASLD的风险更高.
研究的目的:
- 审查IBD和MASLD之间共享的病理生理路径.
- 要突出肠肝轴在这些条件中的作用.
- 强调临床相关性和综合管理的机会.
主要方法:
- 文献综述综合当前知识.
- 专注于肠道失调,屏障功能和炎症.
- 分析涉及微生物代谢物和信号通路的分子机制.
主要成果:
- 共同的机制包括肠道失调,慢性炎症和肠道屏障受损.
- 关键途径包括改变短链脂肪酸生产,胆酸信号传递和TLR4激活.
- 这些导致肠道透性增加和肝炎.
结论:
- 肠肝轴是IBD和MASLD之间的相互作用的核心.
- 早期诊断和综合管理策略至关重要.
- 了解这些联系可以减少疾病负担并改善患者的治疗结果.
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