Kallwitz Eric R, McLachlan Alan, Cotler Scott J
Department of Medicine, University of Illinois, 840 S Wood Street, 7th Floor, MC 716, Chicago, IL 60612, USA.
World J Gastroenterol. 2008 Jan 7;14(1):22-8. doi: 10.3748/wjg.14.22.
Nonalcoholic fatty liver disease (NAFLD) is highly prevalent and can result in nonalcoholic steatohepatitis (NASH) and progressive liver disease including cirrhosis and hepatocellular carcinoma. A growing body of literature implicates the peroxisome proliferators-activated receptors (PPARs) in the pathogenesis and treatment of NAFLD. These nuclear hormone receptors impact on hepatic triglyceride accumulation and insulin resistance. The aim of this review is to describe the data linking PPAR alpha and PPAR gamma to NAFLD/NASH and to discuss the use of PPAR ligands for the treatment of NASH.
非酒精性脂肪性肝病(NAFLD)非常普遍,可导致非酒精性脂肪性肝炎(NASH)以及包括肝硬化和肝细胞癌在内的进行性肝病。越来越多的文献表明,过氧化物酶体增殖物激活受体(PPARs)参与了NAFLD的发病机制和治疗。这些核激素受体影响肝脏甘油三酯的积累和胰岛素抵抗。本综述的目的是描述将PPARα和PPARγ与NAFLD/NASH联系起来的数据,并讨论使用PPAR配体治疗NASH的情况。