Jiang Jing-Ting, Xu Ning, Zhang Xiao-Ying, Wu Chang-Ping
Department of Tumor Biological Treatment, the Third Affiliated Hospital, Suzhou University, Changzhou, China.
J Zhejiang Univ Sci B. 2007 Jun;8(6):398-409. doi: 10.1631/jzus.2007.B0398.
Liver is one of the most important organs in energy metabolism. Most plasma apolipoproteins and endogenous lipids and lipoproteins are synthesized in the liver. It depends on the integrity of liver cellular function, which ensures homeostasis of lipid and lipoprotein metabolism. When liver cancer occurs, these processes are impaired and the plasma lipid and lipoprotein patterns may be changed. Liver cancer is the fifth common malignant tumor worldwide, and is closely related to the infections of hepatitis B virus (HBV) and hepatitis C virus (HCV). HBV and HCV infections are quite common in China and other Southeast Asian countries. In addition, liver cancer is often followed by a procession of chronic hepatitis or cirrhosis, so that hepatic function is damaged obviously on these bases, which may significantly influence lipid and lipoprotein metabolism in vivo. In this review we summarize the clinical significance of lipid and lipoprotein metabolism under liver cancer.
肝脏是能量代谢中最重要的器官之一。大多数血浆载脂蛋白以及内源性脂质和脂蛋白都是在肝脏中合成的。这依赖于肝细胞功能的完整性,而肝细胞功能的完整性确保了脂质和脂蛋白代谢的稳态。当发生肝癌时,这些过程会受到损害,血浆脂质和脂蛋白模式可能会发生变化。肝癌是全球第五大常见恶性肿瘤,与乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)感染密切相关。HBV和HCV感染在中国和其他东南亚国家相当普遍。此外,肝癌常继发于一系列慢性肝炎或肝硬化,因此在此基础上肝功能明显受损,这可能会显著影响体内脂质和脂蛋白代谢。在本综述中,我们总结了肝癌情况下脂质和脂蛋白代谢的临床意义。