肠道微生态系统和与代谢功能障碍相关的稳态性肝病:探索交叉沟通和推进治疗策略
Xin-Yi Zhou1, Xin Wen1, Qi-Qi Huang1
1Institute of Pharmaceutical Process, College of Medicine, Wuhan University of Science and Technology, Wuhan Asia General Hospital affiliated to Wuhan University of Science and Technology, Wuhan 430065, China.
Current pharmaceutical biotechnology
|October 30, 2025
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 与肠道微生物群的变化有关. 新兴的治疗方法集中在肠-肝轴上,一些药物处于III期试验中.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 微生物学 微生物学
- 胃肠病学 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.
- 肠道微生物群,或"第二个基因组",显著影响MASLD的发展.
- 肠肝轴在介导MASLD的发病过程中起着至关重要的作用.
研究的目的:
- 审查肠道微生物群在MASLD病变发生中的作用.
- 探索MASLD的新兴治疗策略.
- 分析MASLD临床试验的进展情况.
主要方法:
- 使用关键字搜索PubMed的文献搜索:"MASLD"",NAFLD"",肠道微生物群"",FXR"和"微量元素" (过去十年).
- 从中国临床试验登记处按阶段对最近的NAFLD临床试验进行审查.
- 从中国药物试验登记处分析化学药物的临床试验数据.
主要成果:
- 在MASLD中,肠道微生物群调节宿主基因表达,免疫功能和肝脏修复.
- 微生物代谢产品通过肠-肝轴促进肝病.
- 一些针对MASLD的药物已经进入了III期临床试验.
结论:
- 肠道微生物群的组成和代谢产品是MASLD的关键因素.
- 饮食干预和药物治疗是新兴的治疗策略.
- 需要进一步的研究来确定组合疗法与单一疗法的疗效.
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