与代谢功能障碍相关的脂肪性肝病,胰岛素耐药性和肝细胞癌:致命的三位一体
Alfredo Caturano1, Enes Erul2, Roberto Nilo3
1Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma University, Rome, Italy.
European journal of clinical investigation
|October 10, 2025
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 和胰岛素抵抗 (IR) 驱动肝癌. 了解它们之间的联系对于早期检测和对代谢性肝癌的向治疗至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢综合征是代谢综合征的一种.
- 在瘤学瘤学.
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,与肥胖和胰岛素抵抗 (IR) 有关.
- 胰岛素抵抗 (IR) 加剧肝脏脂肪积累,炎症和线粒体问题,促进进展到晚期肝病和癌症.
- 本综述探讨了MASLD,IR和肝细胞癌 (HCC) 之间的分子联系.
研究的目的:
- 审查连接MASLD,IR和HCC的分子机制.
- 突出IR在肝癌发生和疾病进展中的作用.
- 将MASLD相关的HCC与其他病因进行比较.
主要方法:
- 实验,临床和流行病学研究的综合文献搜索.
- 综合和比较关键的分子途径和风险概况在不同的病因学.
主要成果:
- 通过PI3K/Akt和mTOR通路,IR促进肝脂沉积,氧化应激和炎症.
- 结合MASLD和IR加速了亲炎性和亲纤维性信号传递,加速了HCC的发展.
- 与MASLD相关的HCC具有明显的代谢和分子特征;新的生物标志物和成像显示出早期检测的希望.
结论:
- 在理解影响MASLD-IR-HCC轴的遗传,环境和代谢因素方面仍然存在差距.
- 多学科的方法对于早期检测,风险分层和对代谢性肝癌的向治疗至关重要.
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