Browning Jeffrey D, Horton Jay D
Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, 75390-9046, USA.
J Clin Invest. 2004 Jul;114(2):147-52. doi: 10.1172/JCI22422.
Obesity and its associated comorbidities are among the most prevalent and challenging conditions confronting the medical profession in the 21st century. A major metabolic consequence of obesity is insulin resistance, which is strongly associated with the deposition of triglycerides in the liver. Hepatic steatosis can either be a benign, noninflammatory condition that appears to have no adverse sequelae or can be associated with steatohepatitis: a condition that can result in end-stage liver disease, accounting for up to 14% of liver transplants in the US. Here we highlight recent advances in our understanding of the molecular events contributing to hepatic steatosis and nonalcoholic steatohepatitis.
肥胖及其相关合并症是21世纪医学界面临的最普遍、最具挑战性的病症之一。肥胖的一个主要代谢后果是胰岛素抵抗,这与肝脏中甘油三酯的沉积密切相关。肝脂肪变性既可以是一种良性的、非炎症性病症,似乎没有不良后遗症,也可以与脂肪性肝炎相关:脂肪性肝炎是一种可导致终末期肝病的病症,在美国占肝移植的14%。在此,我们重点介绍了我们对导致肝脂肪变性和非酒精性脂肪性肝炎的分子事件的最新认识进展。