主要非传染性疾病的病理生理学,发展和死亡率在与代谢功能障碍相关的脂肪性肝病中:综合性综述
Minjeong Kang1, Jihun Song1,2, Eun Seok Kang1
1Department of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
与代谢功能障碍相关的脂肪性肝病 (MASLD) 与主要的非传染性疾病 (NCD) 有关. 解决MASLD需要针对代谢控制,炎症和表观遗传变化的综合战略,以减少死亡率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
- 非传染性疾病 (NCD) 是一种非传染性疾病.
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD),以前称为NAFLD,是全球重要的健康问题.
- MASLD在病理上与胰岛素抵抗,肥胖,2型糖尿病和心血管疾病等系统代谢障碍有关.
研究的目的:
- 审查MASLD与主要NCD之间的双向关系.
- 确定MASLD患者患有非传染性疾病的共享病理生理机制和死亡因素.
主要方法:
- 批判性地检查有关MASLD及其与NCD相关的现有文献.
- 分析包括炎症,胰岛素抵抗,氧化应激,脂毒性和表观遗传学在内的共享机制.
- 探索跨NCD领域的MASLD患者的死亡率模式和相关因素.
主要成果:
- MASLD与非传染性疾病具有共同的机制,如慢性炎症,胰岛素抵抗,氧化应激,脂毒性和表观遗传改变.
- 研究了各种非传染性疾病的MASLD患者的疾病特异性死亡率模式和促成因素.
结论:
- 综合,多学科的战略对于管理MASLD至关重要.
- 方法必须将代谢控制与针对系统性炎症,免疫代谢失调和表观遗传修饰的干预相结合.
- 综合管理对于减少与MASLD及其NCD并发症相关的多系统负担和死亡率至关重要.
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