纤维质:它们在2025年仍然在治疗中发挥作用吗?
Angela Pirillo1, Alberto Zambon2, Alberico L Catapano3,4
1Center for the Study of Atherosclerosis, E. Bassini Hospital, Via Gorki 50, Cinisello Balsamo, Milan, 20092, Italy.
Current atherosclerosis reports
|December 26, 2025
概括
纤维素对心血管有有限的益处,但对肝脏和脏疾病等代谢疾病有希望. 未来的使用重点是针对特定患者表型的个性化治疗.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 动脉样性心血管疾病 (ASCVD) 构成显著的死亡风险,即使在最佳的LDL-C控制下.
- 动脉动脉性失脂症患者仍然存在残留风险,需要进一步的治疗策略.
研究的目的:
- 审查纤维酸在治疗脱脂性血症中的不断变化的作用.
- 探索纤维酸在与代谢功能障碍相关的脂肪性肝病 (MASLD),慢性病 (CKD) 和糖尿病微血管并发症中的实用性.
主要方法:
- 对大型临床试验和有关纤维酸有效性的新兴证据的审查.
- 除了降脂之外,对热效应的分析.
主要成果:
- 纤维酸证明了适度或不一致的心血管益处,主要是在高甘油三和低HDL-C的患者中.
- 未来的试验表明,单独降低甘油三并不能改善心血管结果.
- 新出现的数据突显了纤维酸和纤维酸在减少白膜尿,肝硬化和糖尿病视网膜病变方面的益处.
结论:
- 纤维对特定的失脂症和代谢改变的表型仍然很重要.
- 未来的应用包括精确的代谢疗法,针对微血管,肝脏和脏并发症.
- 个性化心脏代谢方法是优化纤维酸使用的关键.
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