药物诱导的肝损伤与选择性雄激素受体调节剂相关,在一个青少年患者
David J Katibian1,2, Laura E Bauman1,2, Katayoon Shayan3,4
1Department of Pediatrics University of California, La Jolla San Diego California USA.
JPGN reports
|November 17, 2025
概括
选择性雄激素受体调节剂 (SARMs) 可以导致青少年的肝损伤,呈现与成人不同. 这一案例凸显了SARM在健美补充剂中的各种风险.
科学领域:
- 药理学 药理学是指药理学的学科.
- 肝病学 肝病学是一种肝病学.
- 毒理学 毒理学 毒理学
背景情况:
- 选择性雄激素受体调节剂 (SARMs) 是研究肌肉和骨生长的化合物,模仿具有组织特异性雄激素受体结合的类固醇.
- 虽然SARM具有潜在的益处,但由于越来越多的肝毒性报告,特别是使用健美补充剂的成年人,人们对其安全性产生了担忧.
研究的目的:
- 报告第一个已知的SARMs相关的青少年肝损伤病例.
- 为了突出青少年与成年人相比,肝损伤的独特模式.
- 为了强调基于化合物类型和剂量的SARMs诱导的肝损伤的变化.
主要方法:
- 一个青少年出现肝损伤的案例报告.
- 肝损伤模式的临床和组织学评估.
- 对有关SARM相关肝毒性现有文献的综述.
主要成果:
- 青少年患者表现出主要是肝细胞损伤的肝损伤模式.
- 这与之前报告的成年病例形成鲜明对比,这些病例主要显示出胆固醇损伤模式.
- 这些发现表明,SARM诱导的肝损伤模式可能因特定的SARM和消耗量等因素而异.
结论:
- 与SARM相关的肝损伤可能发生在青少年中,并且可能与成人不同的组织学模式呈现.
- 这一案例强调了需要提高人们对SARM可能造成的肝损伤的认识,尤其是在补充剂使用的背景下.
- 需要进一步的研究,以充分阐明SARM诱导的肝毒性风险和差异在不同人群和暴露水平之间.
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